Depth of penetration (sinking) into a support surface.
Value:
Quantity
|
Units is cm (cm)
|
A quantity with units, whose value may be bounded from above or below, as defined in FHIR |
A specific instance of a support surface used to distribute pressure and support a patient. The value is coding of the type of support surface. 272243001
Based On Device
Value:
CodeableConcept
|
must be
from SupportSurfaceVS |
A set of codes drawn from different coding systems, representing the same concept. | |
SupportSurfaceCategory
|
optional | The category of support surface. | |
SupportSurfaceBodyPosition
|
optional | What body positions the surface can be used for, specifically, sitting or lying. | |
SupportSurfaceComponent
|
0 or more | A physical material, structure, or system used alone or in combination with other components to fashion a support surface. | |
Type
|
must be
from DeviceVS |
required | The most specific code (lowest level term) describing the kind or sort of thing being represented. |
DeviceUdi
|
0 or more | Unique Device Identifier (UDI) Barcode string number for a device, assigned by the organization using the device. | |
VendorModelNumber
|
optional | The model number of the device, assigned by the manufacturer or vendor. | |
RelatedEncounter
|
optional | If content was generated during a patient encounter, related encounter is the encounter where the information was gained. | |
Author
|
optional | The person or organization who created the entry and is responsible for (and may certify) the content. | |
Informant
|
optional | The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program. |
What body positions the surface can be used for, specifically, sitting or lying.
Value:
CodeableConcept
|
must be
from SupportSurfaceBodyPositionVS |
A set of codes drawn from different coding systems, representing the same concept. |
The category of support surface.
Value:
CodeableConcept
|
must be
from SupportSurfaceCategoryVS |
A set of codes drawn from different coding systems, representing the same concept. |
A physical material, structure, or system used alone or in combination with other components to fashion a support surface.
Value:
CodeableConcept
|
must be
from SupportSurfaceComponentVS |
A set of codes drawn from different coding systems, representing the same concept. |
A paricular instance of the use of a support surface in patient care.
Based On DeviceUsed
Value:
Device
|
must be a SupportSurface
|
A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients. | |
Implanted
|
is no
|
optional | Whether this device is implanted in the body. |
ImmersionDepth
|
optional | Depth of penetration (sinking) into a support surface. | |
ActionContext
|
must be a PerformedContext
|
required | The ontological status of the intervention, e.g., performed/not performed, requested/not requested. |
where
Status
|
must be
from http://hl7.org/fhir/ValueSet/device-statement-status |
Position in workflow. | |
Subject
|
required | The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention. | |
Device
|
required | A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients. | |
BodySite
|
optional | A location or structure in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart. | |
Type
|
optional | The most specific code (lowest level term) describing the kind or sort of thing being represented. | |
Category
|
0 or more | A class or division of people or things having particular shared characteristics | |
RelatedEncounter
|
optional | If content was generated during a patient encounter, related encounter is the encounter where the information was gained. | |
Author
|
optional | The person or organization who created the entry and is responsible for (and may certify) the content. | |
Informant
|
optional | The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program. |
An internal body structure visible from outside the body, for example, due to injury.
Based On Observation
Value:
CodeableConcept
|
must be
from VisibleInternalStructureVS |
A set of codes drawn from different coding systems, representing the same concept. | |
ValueAbsentReason
|
optional | Provides a reason why the value of the observation is missing, if it is expected (some observations are not expected to have a value). | |
ObservationCode
|
required | A code that represents what the finding concerns, for example, the subject's height, blood pressure, disease status, wound dimensions, diabetes risk, etc. Although named ObservationCode, in different contexts the same attribute might be more naturally referred to as a property, observable, or test code. In assertions (observations without an explicit question), the observation code is defaulted to a value representing 'assertion'. | |
ClinicallyRelevantTime
|
optional | The time or time period that the finding addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium). | |
FindingStatus
|
required | Indicates whether the finding is preliminary, amended, final, etc.. | |
Category
|
from http://hl7.org/fhir/ValueSet/observation-category (if covered) |
0 or more | A class or division of people or things having particular shared characteristics |
BodySite
|
optional | A location or structure in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart. | |
ChangeFlag
|
optional | Indicator of significant change (delta) from the last or previous measurement. | |
Details
|
optional | An text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information. | |
Interpretation
|
optional | A clinical interpretation of a finding. | |
ObservationQualifier
|
0 or more | A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar. | |
Specimen
|
optional | Sample for analysis | |
Device
|
optional | A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients. | |
ReferenceRange
|
0 or more | The usual or acceptable range for a test result. | |
ObservationComponent
|
0 or more | A simplified, non-separable observation consisting of a observation code, value (or value absent reason), reference range, and interpretation. The subject of the observation component is the same as in the parent observation. | |
Members
|
required | Members represent the elements of a group of a related but independent observations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent observation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself. | |
Subject
|
optional | The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention. | |
FocalSubject
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FocalSubjectReference
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FindingMethod
|
optional | The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. | |
Evidence
|
0 or more | A symptom, observation, or other item, for example, a radiology report, that serves as evidence for the current assessment. | |
RelatedEncounter
|
optional | If content was generated during a patient encounter, related encounter is the encounter where the information was gained. | |
Author
|
optional | The person or organization who created the entry and is responsible for (and may certify) the content. | |
Informant
|
optional | The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program. |
A determination that a wound that exists at a particular body site, implicitly, the wound itself. Multiple wound assessments can be associated with a single wound.
Based On Condition
Value:
CodeableConcept
|
must be
from WoundTypeVS |
A set of codes drawn from different coding systems, representing the same concept. | |
Category
|
must be
from ConditionCategoryVS |
1 or more | A class or division of people or things having particular shared characteristics |
Subject
|
required | The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention. | |
ClinicalStatus
|
must be
from http://hl7.org/fhir/ValueSet/condition-clinical |
required | A flag indicating whether the condition is active or inactive, recurring, in remission, or resolved (as of the last update of the Condition). |
BodySiteOrCode
|
0 or more | A body site entity or a body site code. | |
Onset
|
optional | The beginning or first appearance of a mental or physical disorder. | |
Abatement
|
optional | The end, remission or resolution. | |
WhenClinicallyRecognized
|
optional | The time at which a condition or condition was first identified in a healthcare context. | |
Preexisting
|
optional | If the problem or condition existed before the current episode of care. | |
Severity
|
must be
from http://hl7.org/fhir/ValueSet/condition-severity |
optional | Degree of harshness or extent of a symptom, disorder, or condition. |
Criticality
|
must be
from http://hl7.org/fhir/ValueSet/allergy-intolerance-criticality |
optional | The potential clinical harm associated with a condition. When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality. |
Stage
|
optional | The relative advancement in the course of a disease. | |
FocalSubject
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FocalSubjectReference
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FindingMethod
|
optional | The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. | |
FindingStatus
|
optional | Indicates whether the finding is preliminary, amended, final, etc.. | |
Evidence
|
0 or more | A symptom, observation, or other item, for example, a radiology report, that serves as evidence for the current assessment. | |
RelatedEncounter
|
optional | If content was generated during a patient encounter, related encounter is the encounter where the information was gained. | |
Author
|
optional | The person or organization who created the entry and is responsible for (and may certify) the content. | |
Informant
|
optional | The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program. |
Documents the absence of a wounds of a particular type at a given body site. if the Value is SCT#416462003 (Wound) then there is no wound of any type at the site.
Based On ConditionAbsent
Value:
CodeableConcept
|
must be
from WoundTypeVS |
A set of codes drawn from different coding systems, representing the same concept. | |
ObservationCode
|
is C027754
|
required | A code that represents what the finding concerns, for example, the subject's height, blood pressure, disease status, wound dimensions, diabetes risk, etc. Although named ObservationCode, in different contexts the same attribute might be more naturally referred to as a property, observable, or test code. In assertions (observations without an explicit question), the observation code is defaulted to a value representing 'assertion'. |
ValueAbsentReason
|
optional | Provides a reason why the value of the observation is missing, if it is expected (some observations are not expected to have a value). | |
ClinicallyRelevantTime
|
optional | The time or time period that the finding addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium). | |
FindingStatus
|
required | Indicates whether the finding is preliminary, amended, final, etc.. | |
Category
|
from http://hl7.org/fhir/ValueSet/observation-category (if covered) |
0 or more | A class or division of people or things having particular shared characteristics |
BodySite
|
optional | A location or structure in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart. | |
ChangeFlag
|
optional | Indicator of significant change (delta) from the last or previous measurement. | |
Details
|
optional | An text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information. | |
Interpretation
|
optional | A clinical interpretation of a finding. | |
ObservationQualifier
|
0 or more | A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar. | |
Specimen
|
optional | Sample for analysis | |
Device
|
optional | A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients. | |
ReferenceRange
|
0 or more | The usual or acceptable range for a test result. | |
ObservationComponent
|
0 or more | A simplified, non-separable observation consisting of a observation code, value (or value absent reason), reference range, and interpretation. The subject of the observation component is the same as in the parent observation. | |
Members
|
required | Members represent the elements of a group of a related but independent observations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent observation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself. | |
Subject
|
optional | The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention. | |
FocalSubject
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FocalSubjectReference
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FindingMethod
|
optional | The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. | |
Evidence
|
0 or more | A symptom, observation, or other item, for example, a radiology report, that serves as evidence for the current assessment. | |
RelatedEncounter
|
optional | If content was generated during a patient encounter, related encounter is the encounter where the information was gained. | |
Author
|
optional | The person or organization who created the entry and is responsible for (and may certify) the content. | |
Informant
|
optional | The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program. |
Group of observations regarding the properties and severity of a wound. 54574-9
Based On Observation
Value:
_Value
|
|||
ObservationCode
|
is 54574-9
|
required | A code that represents what the finding concerns, for example, the subject's height, blood pressure, disease status, wound dimensions, diabetes risk, etc. Although named ObservationCode, in different contexts the same attribute might be more naturally referred to as a property, observable, or test code. In assertions (observations without an explicit question), the observation code is defaulted to a value representing 'assertion'. |
FocalSubjectReference
|
must be a Wound
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. |
Members
|
required | ||
where
Observation
|
includes 0 or more
VisibleInternalStructure
|
||
where
Observation
|
includes optional
WoundSize
|
||
where
Observation
|
includes 0 or more
WoundTunneling
|
||
where
Observation
|
includes 0 or more
WoundUndermining
|
||
where
Observation
|
includes optional
WoundBedAndEdge
|
||
where
Observation
|
includes optional
WoundExudate
|
||
ValueAbsentReason
|
optional | Provides a reason why the value of the observation is missing, if it is expected (some observations are not expected to have a value). | |
ClinicallyRelevantTime
|
optional | The time or time period that the finding addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium). | |
FindingStatus
|
required | Indicates whether the finding is preliminary, amended, final, etc.. | |
Category
|
from http://hl7.org/fhir/ValueSet/observation-category (if covered) |
0 or more | A class or division of people or things having particular shared characteristics |
BodySite
|
optional | A location or structure in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart. | |
ChangeFlag
|
optional | Indicator of significant change (delta) from the last or previous measurement. | |
Details
|
optional | An text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information. | |
Interpretation
|
optional | A clinical interpretation of a finding. | |
ObservationQualifier
|
0 or more | A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar. | |
Specimen
|
optional | Sample for analysis | |
Device
|
optional | A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients. | |
ReferenceRange
|
0 or more | The usual or acceptable range for a test result. | |
ObservationComponent
|
0 or more | A simplified, non-separable observation consisting of a observation code, value (or value absent reason), reference range, and interpretation. The subject of the observation component is the same as in the parent observation. | |
Subject
|
optional | The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention. | |
FocalSubject
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FindingMethod
|
optional | The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. | |
Evidence
|
0 or more | A symptom, observation, or other item, for example, a radiology report, that serves as evidence for the current assessment. | |
RelatedEncounter
|
optional | If content was generated during a patient encounter, related encounter is the encounter where the information was gained. | |
Author
|
optional | The person or organization who created the entry and is responsible for (and may certify) the content. | |
Informant
|
optional | The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program. |
Description of the periphery and base of a wound.
Based On Observation
Value: Choice | optional | ||
|
Quantity
|
A quantity with units, whose value may be bounded from above or below, as defined in FHIR | ||
|
CodeableConcept
|
A set of codes drawn from different coding systems, representing the same concept. | ||
|
string
|
|||
|
boolean
|
|||
|
Range
|
An interval defined by a quantitative upper and/or lower bound. One of the two bounds must be specified, and the lower bound must be less than the upper bound. When Quantities are specified, the units of measure must be the same. | ||
|
Ratio
|
A unit of measurement for the quotient of the amount of one entity to another. | ||
|
Attachment
|
A file that contains audio, video, image, or similar content. | ||
|
time
|
|||
|
dateTime
|
|||
|
TimePeriod
|
A period of time defined by a start and end time, date, or year. If the start element is missing, the start of the period is not known. If the end element is missing, it means that the period is ongoing, or the start may be in the past, and the end date in the future, which means that period is expected/planned to end at the specified time. The end value includes any matching date/time. For example, the period 2011-05-23 to 2011-05-27 includes all the times from the start of the 23rd May through to the end of the 27th of May. | ||
|
IntegerQuantity
|
A Quantity that is an integer. | ||
ObservationComponent
|
includes optional
WoundEdgeAppearance
|
0 or more | A simplified, non-separable observation consisting of a observation code, value (or value absent reason), reference range, and interpretation. The subject of the observation component is the same as in the parent observation. |
ValueAbsentReason
|
optional | Provides a reason why the value of the observation is missing, if it is expected (some observations are not expected to have a value). | |
ObservationCode
|
required | A code that represents what the finding concerns, for example, the subject's height, blood pressure, disease status, wound dimensions, diabetes risk, etc. Although named ObservationCode, in different contexts the same attribute might be more naturally referred to as a property, observable, or test code. In assertions (observations without an explicit question), the observation code is defaulted to a value representing 'assertion'. | |
ClinicallyRelevantTime
|
optional | The time or time period that the finding addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium). | |
FindingStatus
|
required | Indicates whether the finding is preliminary, amended, final, etc.. | |
Category
|
from http://hl7.org/fhir/ValueSet/observation-category (if covered) |
0 or more | A class or division of people or things having particular shared characteristics |
BodySite
|
optional | A location or structure in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart. | |
ChangeFlag
|
optional | Indicator of significant change (delta) from the last or previous measurement. | |
Details
|
optional | An text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information. | |
Interpretation
|
optional | A clinical interpretation of a finding. | |
ObservationQualifier
|
0 or more | A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar. | |
Specimen
|
optional | Sample for analysis | |
Device
|
optional | A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients. | |
ReferenceRange
|
0 or more | The usual or acceptable range for a test result. | |
Members
|
required | Members represent the elements of a group of a related but independent observations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent observation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself. | |
Subject
|
optional | The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention. | |
FocalSubject
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FocalSubjectReference
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FindingMethod
|
optional | The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. | |
Evidence
|
0 or more | A symptom, observation, or other item, for example, a radiology report, that serves as evidence for the current assessment. | |
RelatedEncounter
|
optional | If content was generated during a patient encounter, related encounter is the encounter where the information was gained. | |
Author
|
optional | The person or organization who created the entry and is responsible for (and may certify) the content. | |
Informant
|
optional | The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program. |
Evaluation of the state of the tissue at the edge of the wound. 723204-9
Based On ObservationComponent
Value:
CodeableConcept
|
must be
from WoundEdgeAppearanceVS |
A set of codes drawn from different coding systems, representing the same concept. | |
ObservationCode
|
is 723204-9
|
required | A code that represents what the finding concerns, for example, the subject's height, blood pressure, disease status, wound dimensions, diabetes risk, etc. Although named ObservationCode, in different contexts the same attribute might be more naturally referred to as a property, observable, or test code. In assertions (observations without an explicit question), the observation code is defaulted to a value representing 'assertion'. |
ValueAbsentReason
|
optional | Provides a reason why the value of the observation is missing, if it is expected (some observations are not expected to have a value). | |
Interpretation
|
optional | A clinical interpretation of a finding. | |
ReferenceRange
|
0 or more | The usual or acceptable range for a test result. |
Description of the fluid produced by a wound.
Based On Observation
Value:
_Value
|
|||
ValueAbsentReason
|
optional | Provides a reason why the value of the observation is missing, if it is expected (some observations are not expected to have a value). | |
ObservationCode
|
required | A code that represents what the finding concerns, for example, the subject's height, blood pressure, disease status, wound dimensions, diabetes risk, etc. Although named ObservationCode, in different contexts the same attribute might be more naturally referred to as a property, observable, or test code. In assertions (observations without an explicit question), the observation code is defaulted to a value representing 'assertion'. | |
ClinicallyRelevantTime
|
optional | The time or time period that the finding addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium). | |
FindingStatus
|
required | Indicates whether the finding is preliminary, amended, final, etc.. | |
Category
|
from http://hl7.org/fhir/ValueSet/observation-category (if covered) |
0 or more | A class or division of people or things having particular shared characteristics |
BodySite
|
optional | A location or structure in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart. | |
ChangeFlag
|
optional | Indicator of significant change (delta) from the last or previous measurement. | |
Details
|
optional | An text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information. | |
Interpretation
|
optional | A clinical interpretation of a finding. | |
ObservationQualifier
|
0 or more | A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar. | |
Specimen
|
optional | Sample for analysis | |
Device
|
optional | A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients. | |
ReferenceRange
|
0 or more | The usual or acceptable range for a test result. | |
ObservationComponent
|
0 or more | A simplified, non-separable observation consisting of a observation code, value (or value absent reason), reference range, and interpretation. The subject of the observation component is the same as in the parent observation. | |
Members
|
required | Members represent the elements of a group of a related but independent observations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent observation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself. | |
Subject
|
optional | The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention. | |
FocalSubject
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FocalSubjectReference
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FindingMethod
|
optional | The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. | |
Evidence
|
0 or more | A symptom, observation, or other item, for example, a radiology report, that serves as evidence for the current assessment. | |
RelatedEncounter
|
optional | If content was generated during a patient encounter, related encounter is the encounter where the information was gained. | |
Author
|
optional | The person or organization who created the entry and is responsible for (and may certify) the content. | |
Informant
|
optional | The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program. |
The estimated or measured dimensions of a wound. C3496620
Based On Observation
Value: Choice | optional | ||
|
Quantity
|
A quantity with units, whose value may be bounded from above or below, as defined in FHIR | ||
|
CodeableConcept
|
A set of codes drawn from different coding systems, representing the same concept. | ||
|
string
|
|||
|
boolean
|
|||
|
Range
|
An interval defined by a quantitative upper and/or lower bound. One of the two bounds must be specified, and the lower bound must be less than the upper bound. When Quantities are specified, the units of measure must be the same. | ||
|
Ratio
|
A unit of measurement for the quotient of the amount of one entity to another. | ||
|
Attachment
|
A file that contains audio, video, image, or similar content. | ||
|
time
|
|||
|
dateTime
|
|||
|
TimePeriod
|
A period of time defined by a start and end time, date, or year. If the start element is missing, the start of the period is not known. If the end element is missing, it means that the period is ongoing, or the start may be in the past, and the end date in the future, which means that period is expected/planned to end at the specified time. The end value includes any matching date/time. For example, the period 2011-05-23 to 2011-05-27 includes all the times from the start of the 23rd May through to the end of the 27th of May. | ||
|
IntegerQuantity
|
A Quantity that is an integer. | ||
ObservationComponent
|
includes optional
Area
includes optional Circumference
includes optional Volume
includes optional Width
includes optional Depth
includes optional Length
|
0 or more | A simplified, non-separable observation consisting of a observation code, value (or value absent reason), reference range, and interpretation. The subject of the observation component is the same as in the parent observation. |
ValueAbsentReason
|
optional | Provides a reason why the value of the observation is missing, if it is expected (some observations are not expected to have a value). | |
ObservationCode
|
required | A code that represents what the finding concerns, for example, the subject's height, blood pressure, disease status, wound dimensions, diabetes risk, etc. Although named ObservationCode, in different contexts the same attribute might be more naturally referred to as a property, observable, or test code. In assertions (observations without an explicit question), the observation code is defaulted to a value representing 'assertion'. | |
ClinicallyRelevantTime
|
optional | The time or time period that the finding addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium). | |
FindingStatus
|
required | Indicates whether the finding is preliminary, amended, final, etc.. | |
Category
|
from http://hl7.org/fhir/ValueSet/observation-category (if covered) |
0 or more | A class or division of people or things having particular shared characteristics |
BodySite
|
optional | A location or structure in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart. | |
ChangeFlag
|
optional | Indicator of significant change (delta) from the last or previous measurement. | |
Details
|
optional | An text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information. | |
Interpretation
|
optional | A clinical interpretation of a finding. | |
ObservationQualifier
|
0 or more | A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar. | |
Specimen
|
optional | Sample for analysis | |
Device
|
optional | A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients. | |
ReferenceRange
|
0 or more | The usual or acceptable range for a test result. | |
Members
|
required | Members represent the elements of a group of a related but independent observations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent observation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself. | |
Subject
|
optional | The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention. | |
FocalSubject
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FocalSubjectReference
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FindingMethod
|
optional | The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. | |
Evidence
|
0 or more | A symptom, observation, or other item, for example, a radiology report, that serves as evidence for the current assessment. | |
RelatedEncounter
|
optional | If content was generated during a patient encounter, related encounter is the encounter where the information was gained. | |
Author
|
optional | The person or organization who created the entry and is responsible for (and may certify) the content. | |
Informant
|
optional | The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program. |
A discharging blind-ended track that extends from the surface of an organ to an underlying area or abscess cavity. The track is invariably lined with granulation tissue. In chronic cases this may be augmented with epithelial tissue. C0406830
Based On Observation
Value:
CodeableConcept
|
must be
from YesNoUnknownVS |
A set of codes drawn from different coding systems, representing the same concept. | |
ObservationComponent
|
includes optional
ClockDirection
includes optional Length
|
0 or more | A simplified, non-separable observation consisting of a observation code, value (or value absent reason), reference range, and interpretation. The subject of the observation component is the same as in the parent observation. |
ValueAbsentReason
|
optional | Provides a reason why the value of the observation is missing, if it is expected (some observations are not expected to have a value). | |
ObservationCode
|
required | A code that represents what the finding concerns, for example, the subject's height, blood pressure, disease status, wound dimensions, diabetes risk, etc. Although named ObservationCode, in different contexts the same attribute might be more naturally referred to as a property, observable, or test code. In assertions (observations without an explicit question), the observation code is defaulted to a value representing 'assertion'. | |
ClinicallyRelevantTime
|
optional | The time or time period that the finding addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium). | |
FindingStatus
|
required | Indicates whether the finding is preliminary, amended, final, etc.. | |
Category
|
from http://hl7.org/fhir/ValueSet/observation-category (if covered) |
0 or more | A class or division of people or things having particular shared characteristics |
BodySite
|
optional | A location or structure in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart. | |
ChangeFlag
|
optional | Indicator of significant change (delta) from the last or previous measurement. | |
Details
|
optional | An text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information. | |
Interpretation
|
optional | A clinical interpretation of a finding. | |
ObservationQualifier
|
0 or more | A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar. | |
Specimen
|
optional | Sample for analysis | |
Device
|
optional | A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients. | |
ReferenceRange
|
0 or more | The usual or acceptable range for a test result. | |
Members
|
required | Members represent the elements of a group of a related but independent observations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent observation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself. | |
Subject
|
optional | The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention. | |
FocalSubject
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FocalSubjectReference
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FindingMethod
|
optional | The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. | |
Evidence
|
0 or more | A symptom, observation, or other item, for example, a radiology report, that serves as evidence for the current assessment. | |
RelatedEncounter
|
optional | If content was generated during a patient encounter, related encounter is the encounter where the information was gained. | |
Author
|
optional | The person or organization who created the entry and is responsible for (and may certify) the content. | |
Informant
|
optional | The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program. |
Assessment of deep tissue (subcutaneous fat and muscle) damage around the wound margin. Tunneling is just under the skin surface and doesn't involve deep tissue, and sinus tracts are a narrow tract that are away from the wound margins and go downward into the wound.
Based On Observation
Value:
CodeableConcept
|
must be
from YesNoUnknownVS |
A set of codes drawn from different coding systems, representing the same concept. | |
ObservationComponent
|
includes optional
ClockDirection
includes optional Length
|
0 or more | A simplified, non-separable observation consisting of a observation code, value (or value absent reason), reference range, and interpretation. The subject of the observation component is the same as in the parent observation. |
ValueAbsentReason
|
optional | Provides a reason why the value of the observation is missing, if it is expected (some observations are not expected to have a value). | |
ObservationCode
|
required | A code that represents what the finding concerns, for example, the subject's height, blood pressure, disease status, wound dimensions, diabetes risk, etc. Although named ObservationCode, in different contexts the same attribute might be more naturally referred to as a property, observable, or test code. In assertions (observations without an explicit question), the observation code is defaulted to a value representing 'assertion'. | |
ClinicallyRelevantTime
|
optional | The time or time period that the finding addresses. The clinically relevant time is not necessarily when the information is gathered or when a test is carried out, but for example, when a specimen was collected, or the time period referred to by the question. Use a TimePeriod for a measurement or specimen collection continued over a significant period of time (e.g. 24 hour Urine Sodium). | |
FindingStatus
|
required | Indicates whether the finding is preliminary, amended, final, etc.. | |
Category
|
from http://hl7.org/fhir/ValueSet/observation-category (if covered) |
0 or more | A class or division of people or things having particular shared characteristics |
BodySite
|
optional | A location or structure in the body, including tissues, regions, cavities, and spaces, for example, right elbow, or left ventricle of the heart. | |
ChangeFlag
|
optional | Indicator of significant change (delta) from the last or previous measurement. | |
Details
|
optional | An text note containing additional details, explanation, description, comment, or summarization. Details can discuss, support, explain changes to, or dispute information. | |
Interpretation
|
optional | A clinical interpretation of a finding. | |
ObservationQualifier
|
0 or more | A description of the conditions or context of an observation, for example, under sedation, fasting or post-exercise. Body position and body site are also qualifiers, but handled separately. A qualifier cannot modify the measurement type; for example, a fasting blood sugar is still a blood sugar. | |
Specimen
|
optional | Sample for analysis | |
Device
|
optional | A specific durable physical device used in diagnosis or treatment. The value is the coding for a type of device, for example, a CPAP machine. The same device might be used on multiple patients. | |
ReferenceRange
|
0 or more | The usual or acceptable range for a test result. | |
Members
|
required | Members represent the elements of a group of a related but independent observations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent observation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself. | |
Subject
|
optional | The person or thing that this entry relates to, usually the Person of Record. However, not all entries have health information specifically about the patient, but in different contexts, could refer to a fetus, family member (living or dead), device, location, organization, finding, condition, or intervention. | |
FocalSubject
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FocalSubjectReference
|
optional | For use when FHIR's subject does not allow the desired type of Subject in the Finding.Subject field. | |
FindingMethod
|
optional | The technique used to create the finding, for example, the specific imaging technical, lab test code, or assessment vehicle. | |
Evidence
|
0 or more | A symptom, observation, or other item, for example, a radiology report, that serves as evidence for the current assessment. | |
RelatedEncounter
|
optional | If content was generated during a patient encounter, related encounter is the encounter where the information was gained. | |
Author
|
optional | The person or organization who created the entry and is responsible for (and may certify) the content. | |
Informant
|
optional | The person or entity that provided the information in the entry, as distinct from who created the entry, e.g. the subject (patient), medical professional, family member, device or software program. |