abstractbaseDefinitioncopyrightdate- Values Differ
descriptionexperimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurlversion- Values Differ
| Left: | Longitudinal Care Wound Observation (http://hl7.org/cda/us/ccda/StructureDefinition/LongitudinalCareWoundObservation) |
| Right: | Longitudinal Care Wound Observation (http://hl7.org/cda/us/ccda/StructureDefinition/LongitudinalCareWoundObservation) |
| Error | StructureDefinition.version | Values for version differ: '3.0.0' vs '4.0.0' |
| Information | StructureDefinition.date | Values for date differ: '2024-05-18T00:16:25-05:00' vs '2024-10-19T22:19:38+00:00' |
| Information | Observation.code | Example/preferred bindings differ at Observation.code using binding from LongitudinalCareWoundObservation |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/cda/us/ccda/StructureDefinition/ProblemObservation | ||
| copyright | |||
| date | 2024-05-18T00:16:25-05:00 | 2024-10-19T22:19:38+00:00 |
|
| description | This template represents acquired or surgical wounds and is not intended to encompass all wound types. The template applies to wounds such as pressure ulcers, surgical incisions, and deep tissue injury wounds. Information in this template may include information about the wound measurements characteristics. | ||
| experimental | |||
| fhirVersion | 5.0.0 | ||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | logical | ||
| name | LongitudinalCareWoundObservation | ||
| publisher | Health Level Seven | ||
| purpose | |||
| status | draft | ||
| title | Longitudinal Care Wound Observation | ||
| type | http://hl7.org/cda/stds/core/StructureDefinition/Observation | ||
| url | http://hl7.org/cda/us/ccda/StructureDefinition/LongitudinalCareWoundObservation | ||
| version | 3.0.0 | 4.0.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 Observation | C | 1..1 | ProblemObservation | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author | C | 1..1 | ProblemObservation | Base for all types and resources Instance of this type are validated by templateId Logical Container: ClinicalDocument (CDA Class) should-text-ref-value: SHOULD contain text/reference/@value should-author: SHOULD contain author | |||||||||||||
 nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| realmCode | 0..* | CS | 0..* | CS | |||||||||||||||||
 typeId | 0..1 | II | 0..1 | II | |||||||||||||||||
 nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||||||||
 st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||||||||
| Slices for templateId | 2..* | II | Slice: Unordered, Open by value:root, value:extension | 2..* | II | Slice: Unordered, Open by value:root, value:extension | |||||||||||||||
| classCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: OBS | 1..1 | ?? | Binding: ?? (required) Fixed Value: OBS | |||||||||||||||
| moodCode | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | 1..1 | ?? | Binding: ?? (required) Fixed Value: EVN | |||||||||||||||
| negationInd | 0..1 | ?? | The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. | 0..1 | ?? | The negationInd is used to indicate the absence of the condition in observation/value. A negationInd of "true" coupled with an observation/value of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. | |||||||||||||||
| id | 1..* | II | 1..* | II | |||||||||||||||||
| code | 1..1 | CD | Binding: ?? (preferred) | 1..1 | CD | Binding: ?? (preferred) |
| ||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| code | 1..1 | ?? | Required Pattern: ASSERTION | 1..1 | ?? | Required Pattern: ASSERTION | |||||||||||||||
| codeSystem | 1..1 | ??, ??, ?? | Required Pattern: 2.16.840.1.113883.5.4 | 1..1 | ??, ??, ?? | Required Pattern: 2.16.840.1.113883.5.4 | |||||||||||||||
| codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| displayName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||||||||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||||||||
| originalText | 0..1 | ED | 0..1 | ED | |||||||||||||||||
| qualifier | 0..* | CR | 0..* | CR | |||||||||||||||||
| translation | 0..* | CD | 0..* | CD | |||||||||||||||||
| derivationExpr | 0..1 | ST | 0..1 | ST | |||||||||||||||||
| text | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | 0..1 | ED | SHOULD reference the portion of section narrative text corresponding to this entry | |||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| compression | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| integrityCheck | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| integrityCheckAlgorithm | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| language | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| mediaType | 0..1 | ?? | Binding: ?? (example) | 0..1 | ?? | Binding: ?? (example) | |||||||||||||||
| representation | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| xmlText | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | 0..1 | ?? | Allows for mixed text content. If @representation='B64', this SHALL be a base64binary string. | |||||||||||||||
| reference | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | C | 0..1 | TEL | value-starts-octothorpe: If reference/@value is present, it SHALL begin with a '#' and SHALL point to its corresponding narrative | |||||||||||||
| thumbnail | 0..1 | ED | 0..1 | ED | |||||||||||||||||
| statusCode | 1..1 | CS | Binding: ?? (required) | 1..1 | CS | Binding: ?? (required) | |||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| code | 1..1 | ?? | Fixed Value: completed | 1..1 | ?? | Fixed Value: completed | |||||||||||||||
| codeSystem | 0..0 | 0..0 | |||||||||||||||||||
| codeSystemName | 0..0 | 0..0 | |||||||||||||||||||
| codeSystemVersion | 0..0 | 0..0 | |||||||||||||||||||
| displayName | 0..0 | 0..0 | |||||||||||||||||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||||||||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||||||||
| originalText | 0..0 | 0..0 | |||||||||||||||||||
| qualifier | 0..0 | 0..0 | |||||||||||||||||||
| translation | 0..0 | 0..0 | |||||||||||||||||||
| effectiveTime | 1..1 | IVL_TS | If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved. | 1..1 | IVL_TS | If the problem is known to be resolved, but the date of resolution is not known, then the high element **SHALL** be present, and the nullFlavor attribute **SHALL** be set to 'UNK'. Therefore, the existence of a high element within a problem does indicate that the problem has been resolved. | |||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| value | 0..1 | ?? | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | 0..1 | ?? | Date Format: YYYYMMDDHHMMSS.UUUU[+|-ZZzz] | |||||||||||||||
| operator | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| low | 1..1 | IVXB_TS | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | 1..1 | IVXB_TS | The effectiveTime/low (a.k.a. "onset date") asserts when the condition became biologically active. | |||||||||||||||
| center | 0..1 | TS | 0..1 | TS | |||||||||||||||||
| width | 0..1 | PQ | 0..1 | PQ | |||||||||||||||||
| high | 0..1 | IVXB_TS | (USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved. | 0..1 | IVXB_TS | (USCDI) Date of Resolution - The effectiveTime/high (a.k.a. resolution date) asserts when the condition became biologically resolved. | |||||||||||||||
| priorityCode | 0..1 | CE | Binding: ?? (example) | 0..1 | CE | Binding: ?? (example) | |||||||||||||||
| repeatNumber | 0..1 | IVL_INT | 0..1 | IVL_INT | |||||||||||||||||
| languageCode | 0..1 | CS | Binding: ?? (required) | 0..1 | CS | Binding: ?? (required) | |||||||||||||||
| value | 1..1 | CD | (USCDI) SDOH Problems/Health Concerns Binding: ?? (preferred) | 1..1 | CD | (USCDI) SDOH Problems/Health Concerns Binding: ?? (preferred) | |||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| code | 0..1 | ?? | A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951). Binding Description (No ValueSet): (example): See additional binding
| 0..1 | ?? | A negationInd of "true" coupled with an observation/value/@code of SNOMED code 64572001 "Disease (disorder)" indicates that the patient has no known conditions. When the Problem is Social Determinant of Health Observation, the observation/value SHOULD be a SNOMED code selected from ValueSet Social Determinant of Health Conditions 2.16.840.1.113762.1.4.1196.788 DYNAMIC (CONF:4515-32951). Binding Description (No ValueSet): (example): See additional binding
| |||||||||||||||
| codeSystem | 0..1 | ??, ??, ?? | 0..1 | ??, ??, ?? | |||||||||||||||||
| codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| displayName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||||||||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||||||||
| originalText | 0..1 | ED | 0..1 | ED | |||||||||||||||||
| qualifier | 0..* | CR | The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined.
In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo -
Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML. | 0..* | CR | The observation/value and all the qualifiers together (often referred to as a post-coordinated expression) make up one concept. Qualifiers constrain the meaning of the primary code, and cannot negate it or change its meaning. Qualifiers can only be used according to well-defined rules of post-coordination and only if the underlying code system defines the use of such qualifiers or if there is a third code system that specifies how other code systems may be combined.
In cases where SNOMED CT does not have a precoordinated code that would be appropriate for the problem list, concept post coordination may be used in CDA following the principles outlined in HL7 Version 3 Implementation Guide: TermInfo -
Using SNOMED CT in CDA R2 Models, Release 1 using the V3 CD Data type 1 style. This is shown in the sample XML. | |||||||||||||||
| translation | 0..* | CD | 0..* | CD | |||||||||||||||||
| interpretationCode | 0..* | CE | Binding: ?? (required) | 0..* | CE | Binding: ?? (required) | |||||||||||||||
| methodCode | 0..* | CE | Binding: ?? (example) | 0..* | CE | Binding: ?? (example) | |||||||||||||||
| targetSiteCode | 0..1 | CD | Binding: ?? (preferred) | 0..1 | CD | Binding: ?? (preferred) | |||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| code | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| codeSystem | 0..1 | ??, ??, ?? | 0..1 | ??, ??, ?? | |||||||||||||||||
| codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| displayName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||||||||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||||||||
| originalText | 0..1 | ED | 0..1 | ED | |||||||||||||||||
| qualifier | 0..* | CR | If targetSite/qualifierCode name/value pairs are used, care must be taken to avoid conflict with the SNOMED-CT body structure code used in observation/value. SNOMED-CT body structure codes are often pre-coordinated with laterality. | 0..* | CR | If targetSite/qualifierCode name/value pairs are used, care must be taken to avoid conflict with the SNOMED-CT body structure code used in observation/value. SNOMED-CT body structure codes are often pre-coordinated with laterality. | |||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| inverted | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| name | 1..1 | CV | 1..1 | CV | |||||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| code | 1..1 | ?? | Required Pattern: 272741003 | 1..1 | ?? | Required Pattern: 272741003 | |||||||||||||||
| codeSystem | 1..1 | ??, ??, ?? | Required Pattern: 2.16.840.1.113883.6.96 | 1..1 | ??, ??, ?? | Required Pattern: 2.16.840.1.113883.6.96 | |||||||||||||||
| codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| displayName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||||||||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||||||||
| originalText | 0..1 | ED | 0..1 | ED | |||||||||||||||||
| qualifier | 0..0 | 0..0 | |||||||||||||||||||
| translation | 0..0 | 0..0 | |||||||||||||||||||
 value | 1..1 | CD | 1..1 | CD | |||||||||||||||||
 nullFlavor | 0..0 | 0..0 | |||||||||||||||||||
| code | 1..1 | ?? | Binding: ?? (preferred) | 1..1 | ?? | Binding: ?? (preferred) | |||||||||||||||
| codeSystem | 0..1 | ??, ??, ?? | 0..1 | ??, ??, ?? | |||||||||||||||||
| codeSystemName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| codeSystemVersion | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| displayName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| sdtcValueSet | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSet (urn:hl7-org:sdtc) | |||||||||||||||
| sdtcValueSetVersion | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | 0..1 | ?? | XML: valueSetVersion (urn:hl7-org:sdtc) | |||||||||||||||
| originalText | 0..1 | ED | 0..1 | ED | |||||||||||||||||
| qualifier | 0..* | CR | 0..* | CR | |||||||||||||||||
| translation | 0..* | CD | 0..* | CD | |||||||||||||||||
| translation | 0..* | CD | 0..* | CD | |||||||||||||||||
| subject | 0..1 | Subject | 0..1 | Subject | |||||||||||||||||
| specimen | 0..* | Specimen | 0..* | Specimen | |||||||||||||||||
| performer | 0..* | Performer2 | 0..* | Performer2 | |||||||||||||||||
| author | 0..* | ?? | Base for all types and resources | 0..* | ?? | Base for all types and resources | |||||||||||||||
| informant | 0..* | Informant | 0..* | Informant | |||||||||||||||||
| participant | 0..* | Participant2 | 0..* | Participant2 | |||||||||||||||||
| Slices for entryRelationship | 0..* | EntryRelationship | When the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Highest Pressure Ulcer Stage. Slice: Unordered, Open by profile:observation, profile:act | 0..* | EntryRelationship | When the wound observed is a type of pressure ulcer, then this template SHOULD contain an entry for the Highest Pressure Ulcer Stage. Slice: Unordered, Open by profile:observation, profile:act | |||||||||||||||
| reference | 0..* | Reference | 0..* | Reference | |||||||||||||||||
| precondition | 0..* | Precondition | 0..* | Precondition | |||||||||||||||||
| sdtcPrecondition2 | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | 0..* | Precondition2 | XML: precondition2 (urn:hl7-org:sdtc) | |||||||||||||||
| referenceRange | 0..* | InfrastructureRoot | 0..* | InfrastructureRoot | |||||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| realmCode | 0..* | CS | 0..* | CS | |||||||||||||||||
| typeId | 0..1 | II | 0..1 | II | |||||||||||||||||
| nullFlavor | 0..1 | ?? | Binding: ?? (required) | 0..1 | ?? | Binding: ?? (required) | |||||||||||||||
| assigningAuthorityName | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| displayable | 0..1 | ?? | 0..1 | ?? | |||||||||||||||||
| root | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | 1..1 | ??, ??, ?? | Fixed Value: 2.16.840.1.113883.1.3 | |||||||||||||||
| st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | 1..1 | string | Primitive Type string URL: http://hl7.org/cda/stds/core/StructureDefinition/st-simple | |||||||||||||||
| templateId | 0..* | II | 0..* | II | |||||||||||||||||
| typeCode | 0..1 | ?? | Binding: ?? (required) Fixed Value: REFV | 0..1 | ?? | Binding: ?? (required) Fixed Value: REFV | |||||||||||||||
| observationRange | 1..1 | ObservationRange | 1..1 | ObservationRange | |||||||||||||||||
| sdtcInFulfillmentOf1 | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | 0..* | InFulfillmentOf1 | XML: inFulfillmentOf1 (urn:hl7-org:sdtc) | |||||||||||||||
| Documentation for this format | |||||||||||||||||||||