Open Nursing Core FHIR Implementation Guide (ONC-IG)
1.0.0 - release
Open Nursing Core FHIR Implementation Guide (ONC-IG) - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Draft as of 2026-07-11 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> . @prefix xsd: <http://www.w3.org/2001/XMLSchema#> . # - resource ------------------------------------------------------------------- <http://hl7.org/fhir/Questionnaire/onc-waterlow-questionnaire> a fhir:Questionnaire ; fhir:nodeRole fhir:treeRoot ; fhir:Resource.id [ fhir:value "onc-waterlow-questionnaire"] ; fhir:DomainResource.text [ fhir:Narrative.status [ fhir:value "extensions" ] ; fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Questionnaire onc-waterlow-questionnaire</b></p><a name=\"onc-waterlow-questionnaire\"> </a><a name=\"hconc-waterlow-questionnaire\"> </a><b>Structure</b><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The linkID for the item\">LinkID</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Text for the item\">Text</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Minimum and Maximum # of times the item can appear in the instance\">Cardinality</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"The type of the item\">Type</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Additional information about the item\">Description & Constraints</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_q_root.gif\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"QuestionnaireRoot\" class=\"hierarchy\"/> ONCWaterlowQuestionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">SDC questionnaire for the Waterlow pressure-ulcer risk assessment total score, with a mandatory Monk Skin Tone item (equity fairness gate embedded at the capture layer). The total extracts to an Observation using the ONC Waterlow code; linking the skin-tone Observation via hasMember[skinTone] is the capturing app's responsibility.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Questionnaire</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">https://opennursingcoreig.com/Questionnaire/onc-waterlow-questionnaire#1.0.0</td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.waterlow-total\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-integer.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"integer\" class=\"hierarchy\"/> waterlow-total</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Waterlow total score (sum of all risk-factor items on the Waterlow chart)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-integer\">integer</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.waterlow-factors\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-text.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"text\" class=\"hierarchy\"/> waterlow-factors</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Contributing risk factors (build/weight, skin type, continence, mobility, appetite, special risks)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-text\">text</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck10.png)\" id=\"item.waterlow-skintone\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-coding.png\" alt=\".\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"coding\" class=\"hierarchy\"/> waterlow-skintone</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Monk Skin Tone Scale rating (required — equity fairness gate: pressure-area assessment is incomplete without the patient's skin tone)</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">1..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-choice\">choice</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Options: <a href=\"#opt-item.waterlow-skintone\">10 options</a></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" id=\"item.waterlow-banding\" class=\"hierarchy\"><img src=\"tbl_spacer.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\".\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon-q-display.png\" alt=\".\" style=\"background-color: white; background-color: inherit\" title=\"display\" class=\"hierarchy\"/> waterlow-banding</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">Risk banding: ≥10 at risk · ≥15 high risk · ≥20 very high risk. On darker skin tones do not rely on redness/blanching alone — assess for localised heat, oedema, induration and pain.</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\">0..1</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/codesystem-item-type.html#item-type-display\">display</a></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"/></tr>#xD;\n<tr><td colspan=\"5\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table><hr/><p><b>Options Sets</b></p><a name=\"opt-item.waterlow-skintone\"> </a><p><b>Answer options for waterlow-skintone </b></p><ul><li style=\"font-size: 11px\">https://opennursingcoreig.com/CodeSystem/onc-monk-scale#A (\"Light Skin\")</li><li style=\"font-size: 11px\">https://opennursingcoreig.com/CodeSystem/onc-monk-scale#B (\"Light-Medium Skin\")</li><li style=\"font-size: 11px\">https://opennursingcoreig.com/CodeSystem/onc-monk-scale#C (\"Medium Skin\")</li><li style=\"font-size: 11px\">https://opennursingcoreig.com/CodeSystem/onc-monk-scale#D (\"Medium-Dark Skin\")</li><li style=\"font-size: 11px\">https://opennursingcoreig.com/CodeSystem/onc-monk-scale#E (\"Dark Skin\")</li><li style=\"font-size: 11px\">https://opennursingcoreig.com/CodeSystem/onc-monk-scale#F (\"Deep Dark Skin\")</li><li style=\"font-size: 11px\">https://opennursingcoreig.com/CodeSystem/onc-monk-scale#G (\"Very Dark Skin\")</li><li style=\"font-size: 11px\">https://opennursingcoreig.com/CodeSystem/onc-monk-scale#H (\"Deepest Dark Skin\")</li><li style=\"font-size: 11px\">https://opennursingcoreig.com/CodeSystem/onc-monk-scale#I (\"Ultra Dark Skin\")</li><li style=\"font-size: 11px\">https://opennursingcoreig.com/CodeSystem/onc-monk-scale#J (\"Black Skin\")</li></ul></div>" ] ; fhir:DomainResource.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/uv/sdc/StructureDefinition/sdc-questionnaire-observationExtract" ] ; fhir:Extension.valueBoolean [ fhir:value "true"^^xsd:boolean ] ] ; fhir:Questionnaire.url [ fhir:value "https://opennursingcoreig.com/Questionnaire/onc-waterlow-questionnaire"] ; fhir:Questionnaire.version [ fhir:value "1.0.0"] ; fhir:Questionnaire.name [ fhir:value "ONCWaterlowQuestionnaire"] ; fhir:Questionnaire.title [ fhir:value "Waterlow Score (Pressure Ulcer Risk)"] ; fhir:Questionnaire.status [ fhir:value "draft"] ; fhir:Questionnaire.subjectType [ fhir:value "Patient" ; fhir:index 0 ] ; fhir:Questionnaire.date [ fhir:value "2026-07-11T18:02:47+00:00"^^xsd:dateTime] ; fhir:Questionnaire.publisher [ fhir:value "The Open Nursing Community"] ; fhir:Questionnaire.description [ fhir:value "SDC questionnaire for the Waterlow pressure-ulcer risk assessment total score, with a mandatory Monk Skin Tone item (equity fairness gate embedded at the capture layer). The total extracts to an Observation using the ONC Waterlow code; linking the skin-tone Observation via hasMember[skinTone] is the capturing app's responsibility."] ; fhir:Questionnaire.item [ fhir:index 0 ; fhir:Element.extension [ fhir:index 0 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/questionnaire-unit" ] ; fhir:Extension.valueCoding [ fhir:Coding.system [ fhir:value "http://unitsofmeasure.org" ] ; fhir:Coding.code [ fhir:value "{score}" ] ; fhir:Coding.display [ fhir:value "{score}" ] ] ], [ fhir:index 1 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/minValue" ] ; fhir:Extension.valueInteger [ fhir:value "0"^^xsd:integer ] ], [ fhir:index 2 ; fhir:Extension.url [ fhir:value "http://hl7.org/fhir/StructureDefinition/maxValue" ] ; fhir:Extension.valueInteger [ fhir:value "64"^^xsd:integer ] ] ; fhir:Questionnaire.item.linkId [ fhir:value "waterlow-total" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-observation-codes" ] ; fhir:Coding.code [ fhir:value "waterlow-score" ] ; fhir:Coding.display [ fhir:value "Waterlow Score" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Waterlow total score (sum of all risk-factor items on the Waterlow chart)" ] ; fhir:Questionnaire.item.type [ fhir:value "integer" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ], [ fhir:index 1 ; fhir:Questionnaire.item.linkId [ fhir:value "waterlow-factors" ] ; fhir:Questionnaire.item.text [ fhir:value "Contributing risk factors (build/weight, skin type, continence, mobility, appetite, special risks)" ] ; fhir:Questionnaire.item.type [ fhir:value "text" ] ; fhir:Questionnaire.item.required [ fhir:value "false"^^xsd:boolean ] ], [ fhir:index 2 ; fhir:Questionnaire.item.linkId [ fhir:value "waterlow-skintone" ] ; fhir:Questionnaire.item.code [ fhir:index 0 ; fhir:Coding.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-observation-codes" ] ; fhir:Coding.code [ fhir:value "mst-score" ] ; fhir:Coding.display [ fhir:value "Monk Skin Tone Score" ] ] ; fhir:Questionnaire.item.text [ fhir:value "Monk Skin Tone Scale rating (required — equity fairness gate: pressure-area assessment is incomplete without the patient's skin tone)" ] ; fhir:Questionnaire.item.type [ fhir:value "choice" ] ; fhir:Questionnaire.item.required [ fhir:value "true"^^xsd:boolean ] ; fhir:Questionnaire.item.answerOption [ fhir:index 0 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-monk-scale" ] ; fhir:Coding.code [ fhir:value "A" ] ; fhir:Coding.display [ fhir:value "Light Skin" ] ] ], [ fhir:index 1 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-monk-scale" ] ; fhir:Coding.code [ fhir:value "B" ] ; fhir:Coding.display [ fhir:value "Light-Medium Skin" ] ] ], [ fhir:index 2 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-monk-scale" ] ; fhir:Coding.code [ fhir:value "C" ] ; fhir:Coding.display [ fhir:value "Medium Skin" ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-monk-scale" ] ; fhir:Coding.code [ fhir:value "D" ] ; fhir:Coding.display [ fhir:value "Medium-Dark Skin" ] ] ], [ fhir:index 4 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-monk-scale" ] ; fhir:Coding.code [ fhir:value "E" ] ; fhir:Coding.display [ fhir:value "Dark Skin" ] ] ], [ fhir:index 5 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-monk-scale" ] ; fhir:Coding.code [ fhir:value "F" ] ; fhir:Coding.display [ fhir:value "Deep Dark Skin" ] ] ], [ fhir:index 6 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-monk-scale" ] ; fhir:Coding.code [ fhir:value "G" ] ; fhir:Coding.display [ fhir:value "Very Dark Skin" ] ] ], [ fhir:index 7 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-monk-scale" ] ; fhir:Coding.code [ fhir:value "H" ] ; fhir:Coding.display [ fhir:value "Deepest Dark Skin" ] ] ], [ fhir:index 8 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-monk-scale" ] ; fhir:Coding.code [ fhir:value "I" ] ; fhir:Coding.display [ fhir:value "Ultra Dark Skin" ] ] ], [ fhir:index 9 ; fhir:Questionnaire.item.answerOption.valueCoding [ fhir:Coding.system [ fhir:value "https://opennursingcoreig.com/CodeSystem/onc-monk-scale" ] ; fhir:Coding.code [ fhir:value "J" ] ; fhir:Coding.display [ fhir:value "Black Skin" ] ] ] ], [ fhir:index 3 ; fhir:Questionnaire.item.linkId [ fhir:value "waterlow-banding" ] ; fhir:Questionnaire.item.text [ fhir:value "Risk banding: ≥10 at risk · ≥15 high risk · ≥20 very high risk. On darker skin tones do not rely on redness/blanching alone — assess for localised heat, oedema, induration and pain." ] ; fhir:Questionnaire.item.type [ fhir:value "display" ] ] . # - ontology header ------------------------------------------------------------ <http://hl7.org/fhir/Questionnaire/onc-waterlow-questionnaire.ttl> a owl:Ontology ; owl:imports fhir:fhir.ttl ; owl:versionIRI <http://build.fhir.org/Questionnaire/onc-waterlow-questionnaire.ttl> .
IG © 2025+ The Open Nursing Community. Package onc.ig#1.0.0 based on FHIR 4.0.1. Generated 2026-07-11
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QA Report