Zib-wounds

known-issues.yml

@@ -146,7 +146,24 @@ zib-BodyTemperature:
     Observation.code.coding:BodyTempCode:
       - message: "Constraint failed: sd-pg-13: 'Slice names should be camelCased starting with a lowercase letter.'"
         reason: The slice name "BodyTempCode" is chosen to align with the Vital Signs profile for BodyTemperature.
-
+
+zib-Burnwound:
+  zib deviations:
+    Condition:
+      - short: Burnwound instead of BurnWound
+        reason: The root of the zib is called "BurnWound", even though the zib itself is called "Burnwound" (which is incorrect).
+    Condition.bodySite:
+      - datatype: CodeableConcept instead of a reference
+        reason: The referenced zib AnatomicalLocation is profiled on a datatype level and not a resource. Therefore it cannot be referenced, rather its concepts and constraints are added inline. This element conforms to the zib AnatomicalLocation.
+  ignored issues:
+    Condition.bodySite.extension:laterality.value[x]:
+      - message: "Constraint failed: sd-pg-02: 'If mapping.map exists and the mapping is not implicit, short should exist'"
+        reason: The short description is defined in the extension profile and therefore not defined in the differential.
+      - message: "Constraint failed: sd-pg-03: 'If mapping.map exists and the mapping is not implicit and the element is not the root element, definition should exist.'"
+        reason: The definition is defined in the extension profile and therefore not defined in the differential.
+      - message: "Constraint failed: sd-pg-04: 'If mapping.map exists and the mapping is not implicit, alias should exist.'"
+        reason: The alias is defined in the extension profile and therefore not defined in the differential.
+
 zib-CareTeam:
   ignored issues:
     CareTeam.participant:*.member:
@@ -563,6 +580,12 @@ zib-Payer-Organization:
     Organization.address:
       - datatype: Address instead of a reference
         reason: An address in FHIR is represented using the Address datatype, not as a separate resource.
+
+zib-PressureUlcer:
+  zib deviations:
+    Condition.bodySite:
+      - datatype: CodeableConcept instead of a reference
+        reason: The referenced zib AnatomicalLocation is profiled on a datatype level and not a resource. Therefore it cannot be referenced, rather its concepts and constraints are added inline. This element conforms to the zib AnatomicalLocation.
 
 zib-Problem:
   zib deviations:
@@ -739,7 +762,22 @@ zib-VisualFunction.VisualAid.Product:
     Device.udiCarrier:*UdiCarrier.carrierHRF:
       - datatype: string instead of CD compatible datatype
         reason: The mapping of ProductID is not straightforward and relates to multiple elements in FHIR. In result, the mapping of the concept to FHIR will not match on a datatype level.
-
+
+zib-Wound:
+  zib deviations:  
+    Condition.bodySite:
+      - datatype: CodeableConcept instead of a reference
+        reason: The referenced zib AnatomicalLocation is profiled on a datatype level and not a resource. Therefore it cannot be referenced, rather its concepts and constraints are added inline. This element conforms to the zib AnatomicalLocation.
+
+zib-wounds.WoundImage:
+  zib deviations:
+    DocumentReference.content.attachment:
+      - alias: WondFoto instead of Wondfoto
+        for: NL-CM:19.4.11 (Burnwound.WoundImage)
+        reason: The zib concept name "Wondfoto" is incorrect and must be corrected to "WondFoto".
+      - cardinality: 1..* instead of 0..*
+        reason: The WoundImage concept itself has been mapped onto this separate DocumentReference resource. This resource may be instantiated 0..* times, but if it is used, its content is required.
+
 unmapped zib concepts:
   - NL-CM:17.2.10: HealthcareProvider.LocationNumber
     reason: This zib concept is problematic to map cleanly to FHIR and it has been deemed too uncommon in practice to warrant an extension.
@@ -748,6 +786,14 @@ unmapped zib concepts:
   - NL-CM:13.1.34: LaboratoryTestResult.Requester::HealthProfessional
     reason: This concept is deemed unimplementable and will be removed in the future. See https://bits.nictiz.nl/browse/ZIB-1269 for details.
 
+undefined zib concepts:
+  - concept id: NL-CM:19.4.9
+    name NL: BrandwondSoort
+    name EN: BurnType
+    datatype: CD
+    cardinality: 0..1
+    reason: The BurnType concept was added by an erratum.
+
 ---
 # The following issues are not "real" deviations stemming from design choices, but rather problems that pop up due to
 # shortcomings in tooling, the used terminology server, etc.

release-notes.md

@@ -67,6 +67,11 @@ This document contains release notes per zib, indicating differences with their
 * The mapping of the Stoma concept has been moved from extension to profile level.
 * MedicalDevice extension has been removed because the reference is reversed in FHIR. The MedicalDevice profile refers to this profile.
 
+## zib-Burnwound
+* BurnType is mapped to `Condition.code`.
+* The concept of 'DateOfLastDressingChange' has been relocated to the Wound Characteristics profile. 
+* The concept of 'Extent' has been relocated to the Wound Characteristics profile. 
+
 ## zib-CareTeam
 * CareTeam is a newly added zib in the 2020 release. It has no previous profile and therefore no diff.
 
@@ -300,6 +305,9 @@ This document contains release notes per zib, indicating differences with their
 ## zib-Pregnancy.PregnancyDuration
 * The zib-Pregnancy extension has moved from `Observation.extension` to `Observation.focus`.
 
+## zib-PressureUlcer
+* The concept of 'DateOfLastDressingChange' has been relocated to the Wound Characteristics profile.
+
 ## zib-Problem
 * ProblemType has been added on a slice of `Condition.category` allowing the category element to be used for other purposes too.
 * FurtherSpecificationProblemName has been added with an extension on `Condition.code`.
@@ -388,4 +396,14 @@ This document contains release notes per zib, indicating differences with their
 
 ## zib-VisualFunction
 * Changed fixed slice on `.code.coding` to a pattern on `.code`.
-* Relaxed cardinality of `value[x]` to 0..1 of the conceptual cardinalities of the zib.
+* Relaxed cardinality of `value[x]` to 0..1 of the conceptual cardinalities of the zib.
+
+## zib-Wound
+* The concept of 'DateOfLastDressingChange' has been relocated to the Wound Characteristics profile. 
+
+## zib-wounds.WoundCharacteristics
+* The profile's name has been changed from "WoundCharacteristics" to "zib-wounds.WoundCharacteristics".
+* The concept of "WoundImage" is a separate profile (zib-wounds.WoundImage) instead of a component.
+
+## zib-wounds.WoundImage
+* There was no profile in the STU3 version and therefore no diff.

resources/nl-core/nl-core-Burnwound.xml

@@ -0,0 +1,53 @@
+<?xml version="1.0" encoding="utf-8"?>
+<StructureDefinition xmlns="http://hl7.org/fhir">
+  <id value="nl-core-Burnwound" />
+  <url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Burnwound" />
+  <name value="NlcoreBurnwound" />
+  <title value="nl core Burnwound" />
+  <status value="draft" />
+  <publisher value="Nictiz" />
+  <contact>
+    <name value="Nictiz" />
+    <telecom>
+      <system value="url" />
+      <value value="https://www.nictiz.nl" />
+      <use value="work" />
+    </telecom>
+  </contact>
+  <description value="A burn wound is a wound caused by skin being exposed to heat for a certain time above a certain critical temperature. Heat above this critical temperature (+/- 40°C) will cause damage to the skin. There are different types of burn wounds, which are categorized according to the depth of the burn wound.&#xD;&#xA;&#xD;&#xA;The depth of the burn wound depends on:&#xD;&#xA;the temperature of the impacting heat;&#xD;&#xA;the duration of the impact of heat on the skin;&#xD;&#xA;the source of the burn (e.g. fire, fluid)." />
+  <purpose value="A derived profile from [zib-Burnwound](http://nictiz.nl/fhir/StructureDefinition/zib-Burnwound) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib." />
+  <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
+  <fhirVersion value="4.0.1" />
+  <mapping>
+    <identity value="zib-burnwound-v3.4-2020EN" />
+    <uri value="https://zibs.nl/wiki/Burnwound-v3.4(2020EN)" />
+    <name value="zib Burnwound-v3.4(2020EN)" />
+  </mapping>
+  <kind value="resource" />
+  <abstract value="false" />
+  <type value="Condition" />
+  <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-Burnwound" />
+  <derivation value="constraint" />
+  <differential>
+    <element id="Condition">
+      <path value="Condition" />
+      <alias value="nl-core-Burnwound" />
+    </element>
+    <element id="Condition.bodySite">
+      <path value="Condition.bodySite" />
+      <type>
+        <code value="CodeableConcept" />
+        <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation" />
+      </type>
+    </element>
+    <element id="Condition.subject">
+      <path value="Condition.subject" />
+      <type>
+        <code value="Reference" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
+        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" />
+      </type>
+    </element>
+  </differential>
+</StructureDefinition>

resources/nl-core/nl-core-MedicalDevice.xml

@@ -2,7 +2,7 @@
 <StructureDefinition xmlns="http://hl7.org/fhir">
   <id value="nl-core-MedicalDevice" />
   <text>
-    <status value="empty"/>
+    <status value="empty" />
     <div xmlns="http://www.w3.org/1999/xhtml">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div>
   </text>
   <url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-MedicalDevice" />
@@ -158,6 +158,14 @@
         <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Stoma" />
       </type>
     </element>
+    <element id="DeviceUseStatement.reasonReference:wound">
+      <path value="DeviceUseStatement.reasonReference" />
+      <sliceName value="wound" />
+      <type>
+        <code value="Reference" />
+        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Wound" />
+      </type>
+    </element>
     <element id="DeviceUseStatement.bodySite">
       <path value="DeviceUseStatement.bodySite" />
       <type>

resources/nl-core/nl-core-PressureUlcer.xml

@@ -0,0 +1,53 @@
+<?xml version="1.0" encoding="utf-8"?>
+<StructureDefinition xmlns="http://hl7.org/fhir">
+  <id value="nl-core-PressureUlcer" />
+  <url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-PressureUlcer" />
+  <name value="NlcorePressureUlcer" />
+  <title value="nl core PressureUlcer" />
+  <status value="draft" />
+  <publisher value="Nictiz" />
+  <contact>
+    <name value="Nictiz" />
+    <telecom>
+      <system value="url" />
+      <value value="https://www.nictiz.nl" />
+      <use value="work" />
+    </telecom>
+  </contact>
+  <description value="A pressure ulcer is localized damage to the skin and/or underlying tissue, often over a bony prominence, as a result of pressure or pressure combined with friction.&#xD;&#xA;A pressure ulcer involves a major disease burden and reduces the quality of life for a patient. Adequate risk evaluation, prevention and treatment of pressure ulcers can lead to a fewer incidences and prevalence of pressure ulcers." />
+  <purpose value="A derived profile from [zib-PressureUlcer](http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib." />
+  <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
+  <fhirVersion value="4.0.1" />
+  <mapping>
+    <identity value="zib-pressureulcer-v3.4-2020EN" />
+    <uri value="https://zibs.nl/wiki/PressureUlcer-v3.4(2020EN)" />
+    <name value="zib PressureUlcer-v3.4(2020EN)" />
+  </mapping>
+  <kind value="resource" />
+  <abstract value="false" />
+  <type value="Condition" />
+  <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-PressureUlcer" />
+  <derivation value="constraint" />
+  <differential>
+    <element id="Condition">
+      <path value="Condition" />
+      <alias value="nl-core-PressureUlcer" />
+    </element>
+    <element id="Condition.bodySite">
+      <path value="Condition.bodySite" />
+      <type>
+        <code value="CodeableConcept" />
+        <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation" />
+      </type>
+    </element>
+    <element id="Condition.subject">
+      <path value="Condition.subject" />
+      <type>
+        <code value="Reference" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
+        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" />
+      </type>
+    </element>
+  </differential>
+</StructureDefinition>

resources/nl-core/nl-core-Wound.xml

@@ -0,0 +1,53 @@
+<?xml version="1.0" encoding="utf-8"?>
+<StructureDefinition xmlns="http://hl7.org/fhir">
+  <id value="nl-core-Wound" />
+  <url value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Wound" />
+  <name value="NlcoreWound" />
+  <title value="nl core Wound" />
+  <status value="draft" />
+  <publisher value="Nictiz" />
+  <contact>
+    <name value="Nictiz" />
+    <telecom>
+      <system value="url" />
+      <value value="https://www.nictiz.nl" />
+      <use value="work" />
+    </telecom>
+  </contact>
+  <description value="A wound is an interruption of the continuity of the skin, often caused by external influences.&#xD;&#xA;A commonly used model for documenting the wound properties is the TIME (‘Tissue’, ‘Infection’, ‘Moisture’, ‘Edge’) model, which can be used to systematically describe the wound. For wound tissue (T in the TIME model), the structure of the WCS model (Woundcare Consultant Society, WCS Kenniscentrum Wondzorg) is used. The WCS model is not suited for describing oncological ulcers. There is a separate classification for that.&#xD;&#xA;Oncological ulcers are skin defects which result from the tumor process. They are different from wounds resulting from cancer treatment, such as radiotherapy, chemotherapy or surgery.&#xD;&#xA;&#xD;&#xA;The concept does not describe decubitus wounds and burn wounds. For these, the relevant information models can be used." />
+  <purpose value="A derived profile from [zib-Wound](http://nictiz.nl/fhir/StructureDefinition/zib-Wound) to provide a version better suited for implementation purposes. This profile augments the base profile with elements found in the various use cases that have adopted the zib." />
+  <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." />
+  <fhirVersion value="4.0.1" />
+  <mapping>
+    <identity value="zib-wound-v3.3-2020EN" />
+    <uri value="https://zibs.nl/wiki/Wound-v3.3(2020EN)" />
+    <name value="zib Wound-v3.3(2020EN)" />
+  </mapping>
+  <kind value="resource" />
+  <abstract value="false" />
+  <type value="Condition" />
+  <baseDefinition value="http://nictiz.nl/fhir/StructureDefinition/zib-Wound" />
+  <derivation value="constraint" />
+  <differential>
+    <element id="Condition">
+      <path value="Condition" />
+      <alias value="nl-core-Wound" />
+    </element>
+    <element id="Condition.bodySite">
+      <path value="Condition.bodySite" />
+      <type>
+        <code value="CodeableConcept" />
+        <profile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-AnatomicalLocation" />
+      </type>
+    </element>
+    <element id="Condition.subject">
+      <path value="Condition.subject" />
+      <type>
+        <code value="Reference" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
+        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
+        <targetProfile value="http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient" />
+      </type>
+    </element>
+  </differential>
+</StructureDefinition>