Brontekst bekijken van Burnwound-v3.0(2016EN)

==General information==
Name: '''nl.zorg.Burnwound''' [[Bestand:NL.png|link=Brandwond-v3.0(2016NL)]]<BR>
Version: '''3.0''' <br>
HCIM Status:Final<br>
Release: '''2016''' <br>
Release status: Published<br>
Release date: 1-5-2016
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|- 
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens
|- 
|style="width:250px; "|DCM::ContactInformation.Address||*
|- 
|style="width:250px; "|DCM::ContactInformation.Name||*
|- 
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|- 
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens
|- 
|style="width:250px; "|DCM::CreationDate||18-9-2014
|- 
|style="width:250px; "|DCM::DeprecatedDate||
|- 
|style="width:250px; "|DCM::DescriptionLanguage||nl
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|- 
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.19.4
|- 
|style="width:250px; "|DCM::KeywordList||Brandwond
|- 
|style="width:250px; "|DCM::LifecycleStatus||Final
|- 
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|- 
|style="width:250px; "|DCM::Name||nl.zorg.Brandwond
|- 
|style="width:250px; "|DCM::PublicationDate||1-5-2016
|- 
|style="width:250px; "|DCM::PublicationStatus||Published
|- 
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|- 
|style="width:250px; "|DCM::RevisionDate||8-9-2015
|- 
|style="width:250px; "|DCM::Superseeds||nl.nfu.Brandwondv1.0
|- 
|style="width:250px; "|DCM::Version||3.0
|- 
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''

<u>Publicatieversie 1.0</u> (01-07-2015)

<u>Publicatieversie 3.0</u> (01-05-2016)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-453 | ZIB-453 ]]
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
|}
</div>

==Concept==
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. <BR>
The depth of the burn wound depends on: <BR>
<ul>
	<li>the temperature of the impacting heat;</li>
	<li>the duration of the impact of heat on the skin; </li>
	<li>the source of the burn (e.g. fire, fluid).</li>
</ul>

==Purpose==
The description of the burn wound is of importance for starting or continuing the best possible wound treatment and to be able to properly monitor the wound healing process.

==Evidence Base==
Different degrees are used to evaluate the depth of the burn wound:<BR>
<BR>
First-degree burn (no wound):<BR>
<ul>
	<li>no blisters, no open wounds </li>
	<li>redness </li>
	<li>good capillary refill </li>
	<li>supple </li>
	<li>painful </li>
</ul>
<BR>
Superficial second-degree burn wound (partial thickness of the skin):<BR>
<ul>
	<li>intact / broken blisters </li>
	<li>pink, shiny, uniform </li>
	<li>good capillary refill </li>
	<li>supple </li>
	<li>painful </li>
</ul>
<BR>
Deep second-degree burn wound:<BR>
<ul>
	<li>intact / broken blisters </li>
	<li>pink, matte, not homogenous, damp </li>
	<li>slow capillary refill </li>
	<li>slightly more firm </li>
	<li>painful </li>
</ul>
<BR>
Third-degree burn wound<BR>
<ul>
	<li>intact / broken blisters, epidermis stuck to burned dermis </li>
	<li>white, brown, yellow, red (when kept in hot water for a prolonged period of time) </li>
	<li>no capillary refill, non-removable redness </li>
	<li>firm </li>
	<li>less painful than the size of the wound makes it appear </li>
</ul>
<BR>
(Source: Brandwondenprotocol 2010, Rode Kruis Brandwondencentrum Beverwijk [2010 Burn wound protocol, Beverwijk Red Cross Burn Wound Center])<BR>

==Information Model==
<BR>
<imagemap> Bestand:Burnwound-v3.0Model(EN).png | center 
rect 371 48 589 98 [[#BurnWoundAnatomicalLocationCodelist]]
rect 193 169 326 239 [[#10708]]
rect 400 455 560 505 [[#DepthCodelist]]
rect 640 169 773 239 [[NursingIntervention-v3.0(2016EN)]]
rect 640 35 773 105 [[#10709]]
rect 415 306 547 376 [[#10712]]
rect 193 38 325 108 [[#10713]]
rect 414 165 546 245 [[#10707]]
rect 194 308 327 378 [[#10718]]
rect 640 306 789 376 [[#10719]]
desc none
</imagemap>
<BR>
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" 
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:19.4.1
|colspan ="6" style ="padding-left: 0px"|<span Id=10707 Title="NL: Brandwond">[[Bestand: arrowdown.png | 10px | link=]]BurnWound</span>
|
|Root concept of the BurnWound information model. This concept contains all data elements of the BurnWound information model.
|
{|
|-
|<span Title="Codesystem: SNOMED CT"> 48333001 Burn	</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:19.4.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10712 Title="NL: Dieptegraad">[[Bestand: arrowright.png | 10px | link=]]Depth</span>
|1
|Description of the severity of the burn wound, ranging from degree 1 - 3.
|
|
{|
|-
|[[Bestand: List2.png | link=#DepthCodelist]]||[[#DepthCodelist|DepthCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:19.4.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10718 Title="NL: Uitgebreidheid">[[Bestand: arrowright.png | 10px | link=]]Extent</span>
|0..1
|The extent of a burn wound is indicated in a percentage of the ‘Total Body Surface Area’ (TBSA). For adults, the TBSA can be calculated on the basis of the ‘rule of nines’, in which body parts are expressed in the percentage 9 and multiples of 9. This ‘rule of nines’ cannot be used for children because a child’s body proportions are different from those of an adult. For children, separate tables were developed per age group to determine the extent of burn wounds. Another option is measuring the extent using the patient’s hand surface area. The surface area of a patient’s hand (including the fingers) equals approximately 1% of their total body surface area.  
 
(Source: Brandwonden genezen. Hoe verder? [Healing Burn Wounds. What now?)

|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:19.4.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10708 Title="NL: OntstaansDatum">[[Bestand: arrowright.png | 10px | link=]]StartDate</span>
|0..1
|Date on which the burn wound appeared.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:19.4.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10713 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span>
|0..1
|The location of the burn wound on the body.
|
|
{|
|-
|[[Bestand: List2.png | link=#BurnWoundAnatomicalLocationCodelist]]||[[#BurnWoundAnatomicalLocationCodelist|BurnWoundAnatomicalLocationCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:19.4.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10709 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Explanation</span>
|0..1
|Explanation of the burn wound.
|
{|
|-
|<span Title="Codesystem: LOINC"> 48767-8 Annotation comment</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:19.4.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10719 Title="NL: DatumLaatsteVerbandwissel">[[Bestand: arrowright.png | 10px | link=]]DateOfLastDressingChange</span>
|0..1
|Date on which the dressing was last changed.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:19.4.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10711 Title="NL: Behandeling::VerpleegkundigeActie">[[Bestand: arrowright.png | 10px | link=]]Treatment::NursingProcedure</span>
|0..*
|The procedures carried out to treat the burn wound.
|
|
{|
|-
|[[Bestand: block.png | link=NursingIntervention-v3.0(2016EN)]]||[[NursingIntervention-v3.0(2016EN) |NursingIntervention]]
|}
|}
Columns Concept and DefinitionCode: hover over the values for more information<BR>
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="564px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Brandwond</b></font>
|-style=vertical-align:top;
| style="width: 42%; "|Dieptegraad
| style="width: 58%; "|2<sup>e</sup> graad, oppervlakkig
|-style=vertical-align:top;
| style="width: 42%; "|Uitgebreidheid
| style="width: 58%; "|1%
|-style=vertical-align:top;
| style="width: 42%; "|AnatomischeLocatie
| style="width: 58%; "|onderarm rechts
|-style=vertical-align:top;
| style="width: 42%; "|OntstaansDatum
| style="width: 58%; "|29-09-2014
|-style=vertical-align:top;
| style="width: 42%; "|DatumLaatste Verbandwissel
| style="width: 58%; "|10-10-2014
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Behandeling</b></font>
|-style=vertical-align:top;
| style="width: 42%; "|Activiteit
| style="width: 58%; "|Verbinden met hydrofyber verband, dagelijkse wondinspectie, zo nodig verwisselen van niet adherente delen van hydrofyber verband.
|}
{|class="wikitable" width="564px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; "|
|-style=vertical-align:top;
| style="width: 42%; "|Toelichting
| style="width: 58%; "|Mevrouw kreeg hete thee over zich heen, wond is ongeveer 10 bij 4 cm.
|}

==Issues==
Damages to the skin as a result of exposure to intense heat and cold can lead to similar wounds. Nevertheless, we have decided not to expand the information model to become a generic thermal wound information model. The reason for this was the lack of a guideline for treating freeze wounds and insufficient agreement in the field on the applicability of the burn wound classification for freeze wounds. Freeze wounds also rarely occur in the Netherlands, due to the climate.

==References==
1. Brandwondenprotocol 2010 [Online] Beschikbaar op:<font color="#0000ff"><u>https://www.rkz.nl/brandwondenprotocol_online</u></font> [Geraadpleegd: 13 februari 2015]

2. Brandwonden genezen. Hoe verder? [Online] Beschikbaar op:<font color="#0000ff"><u>http://brandwondenstichting.nl/wp-content/uploads/2013/08/NBS_Hoe-verder-huisartsen-2011.pdf</u></font> [Geraadpleegd: 13 februari 2015]

== Valuesets ==
=== BurnWoundAnatomicalLocationCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.2
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|SNOMED CT: <<91723000 <noWiki>|</noWiki> anatomical structure <noWiki>|</noWiki>
|SNOMED CT
|2.16.840.1.113883.6.96
|}

=== DepthCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|first degree burn injury
|77140003
|SNOMED CT
|2.16.840.1.113883.6.96
|1e graad
|-style="vertical-align:top; "
|superficial partial thickness burn
|46541008
|SNOMED CT
|2.16.840.1.113883.6.96
|2e graad, oppervlakkig
|-style="vertical-align:top; "
|deep partial thickness burn
|262588000
|SNOMED CT
|2.16.840.1.113883.6.96
|2e graad, diep
|-style="vertical-align:top; "
|third degree burn injury
|80247002
|SNOMED CT
|2.16.840.1.113883.6.96
|3e graad
|}


==This information model in other releases==
<ul>
<li>[[Burnwound-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li>
<li>[[Burnwound-v3.2(2017EN) | Release 2017, (Version 3.2)]]</li>
</ul>
==More on this information model==
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.19.4&effectiveDate=2016-05-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
</ul>
This information model is also available as [[Media:nl.zorg.Burnwound-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Burnwound-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Release summer 2016 <BR>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
This page is generated on 24/01/2018 23:42:16 <BR>
-----
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