eHealth Infrastructure
3.4.1 - release Denmark flag

eHealth Infrastructure, published by Den telemedicinske infrastruktur (eHealth Infrastructure). This guide is not an authorized publication; it is the continuous build for version 3.4.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fut-infrastructure/implementation-guide/ and changes regularly. See the Directory of published versions

Resource Profile: ehealth-observation-wound-dimensions

Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-observation-wound-dimensions Version: 3.4.1
Active as of 2025-03-14 Computable Name: ehealth-observation-wound-dimensions

Introduction

An ObservationWoundDimension is a specialization of the Observation to support wound assessment and measurements.

Scope and Usage

The scope and usage is the same as for the Observation in the eHealth Infrastructure, with the following restrictions.

Wound size panel

The type of observation is a 'wound size panel' which have at least one of the components:

  • width of wound
  • length of wound
  • depth of wound
  • area of wound
  • wound volume

Derivation of wound dimensions

In the eHealth Infrastructure the ObservationWoundDimension resource is used in conjunction with the following resources.

  • Media
    • The observation element derivedFrom must reference a Media resource with an image of the wound from which the measurement components are derived.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Observation C 0..* ehealth-observation Measurements and simple assertions
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
obs-6: dataAbsentReason SHALL only be present if Observation.value[x] is not present
obs-7: If Observation.code is the same as an Observation.component.code then the value element associated with the code SHALL NOT be present
observation-wound-dimensions-at-least-one-dimension: Observation for wound must have at least one dimension
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... Slices for extension 2..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:episodeOfCare 1..1 Reference(EpisodeOfCare) Associated Encounter episode of care
URL: http://hl7.org/fhir/StructureDefinition/workflow-episodeOfCare
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:quality 0..* (Complex) Minimum requirements for qualities
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-quality
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:resolvedTiming 1..1 (Complex) Resolved Timing
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-resolved-timing
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... status ?!Σ 1..1 code registered | preliminary | final | amended +
Binding: ObservationStatus (required): Codes providing the status of an observation.


ele-1: All FHIR elements must have a @value or children
... code Σ 1..1 CodeableConcept Type of observation (code / type)
Binding: Observation Codes (required)
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 72287-6
... subject Σ 1..1 Reference(ehealth-patient) {r} Who and/or what the observation is about
ele-1: All FHIR elements must have a @value or children
... effective[x] Σ 1..1 Clinically relevant time/time-period for observation
ele-1: All FHIR elements must have a @value or children
.... effectiveDateTime dateTime
.... effectivePeriod Period
.... effectiveTiming Timing
.... effectiveInstant instant
... performer Σ 1..1 Reference(ehealth-practitioner | ehealth-organization | ehealth-patient | ehealth-relatedperson) {r} Who is responsible for the observation
ele-1: All FHIR elements must have a @value or children
... derivedFrom Σ 1..* Reference(ehealth-media | ehealth-observation) {r} Related measurements the observation is made from
ele-1: All FHIR elements must have a @value or children
... Slices for component Σ 0..* BackboneElement Component results
Slice: Unordered, Open by value:code
ele-1: All FHIR elements must have a @value or children
.... component:All Slices Content/Rules for all slices
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
...... extension:method 1..1 CodeableConcept Measured | Calculated
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-observation-method
Binding: Observation Method (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: Observation Codes (required)
ele-1: All FHIR elements must have a @value or children
.... component:woundLength SΣ 0..1 BackboneElement Length of wound
ele-1: All FHIR elements must have a @value or children
..... Slices for extension Content/Rules for all slices
...... extension:method 1..1 CodeableConcept Measured | Calculated
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-observation-method
Binding: Observation Method (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: Observation Codes (required)
ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Length of Wound)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 39126-8
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: cm
.... component:woundWidth SΣ 0..1 BackboneElement Width of wound
ele-1: All FHIR elements must have a @value or children
..... Slices for extension Content/Rules for all slices
...... extension:method 1..1 CodeableConcept Measured | Calculated
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-observation-method
Binding: Observation Method (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: Observation Codes (required)
ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Width of Wound)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 39125-0
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: cm
.... component:woundDepth SΣ 0..1 BackboneElement Depth of wound
ele-1: All FHIR elements must have a @value or children
..... Slices for extension Content/Rules for all slices
...... extension:method 1..1 CodeableConcept Measured | Calculated
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-observation-method
Binding: Observation Method (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: Observation Codes (required)
ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Depth of Wound)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 39127-6
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: cm
.... component:woundArea SΣ 0..1 BackboneElement Area of wound
ele-1: All FHIR elements must have a @value or children
..... Slices for extension Content/Rules for all slices
...... extension:method 1..1 CodeableConcept Measured | Calculated
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-observation-method
Binding: Observation Method (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: Observation Codes (required)
ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Area of wound)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 89260-4
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: cm2
.... component:woundVolume SΣ 0..1 BackboneElement Wound volume
ele-1: All FHIR elements must have a @value or children
..... Slices for extension Content/Rules for all slices
...... extension:method 1..1 CodeableConcept Measured | Calculated
URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-observation-method
Binding: Observation Method (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... code Σ 1..1 CodeableConcept Type of component observation (code / type)
Binding: Observation Codes (required)
ele-1: All FHIR elements must have a @value or children
Fixed Value: As shown (Wound volume)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..0 string Unique id for inter-element referencing
....... extension 0..0 Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://loinc.org
....... version 0..0 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 94083-3
....... display 0..0 string Representation defined by the system
....... userSelected 0..0 boolean If this coding was chosen directly by the user
...... text 0..0 string Plain text representation of the concept
..... value[x] Σ 0..1 Quantity Actual component result
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
...... system 1..1 uri System that defines coded unit form
Fixed Value: http://unitsofmeasure.org
...... code 1..1 code Coded form of the unit
Fixed Value: cm3

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Observation.statusrequiredObservationStatus
http://hl7.org/fhir/ValueSet/observation-status|4.0.1
from the FHIR Standard
Observation.coderequiredPattern: LOINC Code 72287-6
http://ehealth.sundhed.dk/vs/observation-codes
from this IG
Observation.component.coderequiredObservationCodes
http://ehealth.sundhed.dk/vs/observation-codes
from this IG
Observation.component:woundLength.coderequiredFixed Value: LOINC Code 39126-8
http://ehealth.sundhed.dk/vs/observation-codes
from this IG
Observation.component:woundWidth.coderequiredFixed Value: LOINC Code 39125-0
http://ehealth.sundhed.dk/vs/observation-codes
from this IG
Observation.component:woundDepth.coderequiredFixed Value: LOINC Code 39127-6
http://ehealth.sundhed.dk/vs/observation-codes
from this IG
Observation.component:woundArea.coderequiredFixed Value: LOINC Code 89260-4
http://ehealth.sundhed.dk/vs/observation-codes
from this IG
Observation.component:woundVolume.coderequiredFixed Value: LOINC Code 94083-3
http://ehealth.sundhed.dk/vs/observation-codes
from this IG

Constraints

IdGradePath(s)DetailsRequirements
observation-wound-dimensions-at-least-one-dimensionerrorObservationObservation for wound must have at least one dimension
: component.count() > 0

 

Other representations of profile: CSV, Excel, Schematron