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Wound-v3.2(2019EN) - Bewerkingsoverzicht
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<!-- Tot hier de transclude page --><br />
==General information<!--hdGeneralInformation-->==<br />
Name<!--hdName-->: '''nl.zorg.Wound''' [[Bestand:NL.png|link=Wond-v3.2(2019NL)]]<BR><br />
Version<!--hdVersion-->: '''3.2''' <br><br />
HCIM Status<!--hdStatus-->:Final<br><br />
Release<!--hdPublication-->: '''2019''' <br><br />
Release status<!--hdPublicationStatus-->: Prepublished<br><br />
Release date<!--hdPublicationDate-->: 29-01-2020<br />
-----<br />
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2019(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2019(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div><br />
<br />
==Metadata==<br />
{| class="wikitable" style="font-size:90%; width: 750px"<br />
|- <br />
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Address||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Name||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Telecom||*<br />
|- <br />
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::CreationDate||7-7-2014<br />
|- <br />
|style="width:250px; "|DCM::DeprecatedDate||<br />
|- <br />
|style="width:250px; "|DCM::DescriptionLanguage||nl<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Address||<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||<br />
|- <br />
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.19.2<br />
|- <br />
|style="width:250px; "|DCM::KeywordList||Wond, wondzorg, WCS,TIME, ulcus<br />
|- <br />
|style="width:250px; "|DCM::LifecycleStatus||Final<br />
|- <br />
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::Name||nl.zorg.Wond<br />
|- <br />
|style="width:250px; "|DCM::PublicationDate||29-01-2020<br />
|- <br />
|style="width:250px; "|DCM::PublicationStatus||Prepublished<br />
|- <br />
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron<br />
|- <br />
|style="width:250px; "|DCM::RevisionDate||08-01-2020<br />
|- <br />
|style="width:250px; "|DCM::Supersedes||nl.zorg.Wond-v3.1<br />
|- <br />
|style="width:250px; "|DCM::Version||3.2<br />
|- <br />
|style="width:250px; "|HCIM::PublicationLanguage||EN<br />
|}<br />
<br />
==Revision History==<br />
<div class="mw-collapsible mw-collapsed"><br />
'' Only available in Dutch<!--noTranslation-->''<br />
<br />
<u>Publicatieversie 1.0</u> (01-07-2015)<br />
<br />
<u>Publicatieversie 3.0</u> (01-05-2016)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-453 | ZIB-453 ]]<br />
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer<br />
|}<br />
<br />
<u>Publicatieversie 3.1</u> (04-09-2017)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-530 | ZIB-530 ]]<br />
|Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-533 | ZIB-533 ]]<br />
|Toestaan dat de bouwsteen meer dan één foto kan bevatten<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-572 | ZIB-572 ]]<br />
|Toevoegen code voor Skin Tear<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-585 | ZIB-585 ]]<br />
|Toevoegen concept Lateraliteit aan het concept Anatomische Locatie<br />
|}<br />
<br />
Publicatieversie <u>3.2</u> (29-01-2020)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-903 | ZIB-903 ]]<br />
|codes voor wonddiepte, -breedte, -lengte verschllen tussen zib decubitus en zib wond<br />
|}<br />
</div><br />
<br />
==Concept==<br />
A wound is an interruption of the continuity of the skin, often caused by external influences.<BR><br />
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.<BR><br />
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.<BR><br />
<BR><br />
The concept does not describe decubitus wounds and burn wounds. For these, the relevant information models can be used.<BR><br />
<br />
==Purpose==<br />
Information on the wound is recorded to share this information with other health professionals. This information can be used to monitor the wound’s healing process and provide insight into the implemented policy. In a transfer situation, it facilitates continuation of the treatment.<br />
<br />
==Evidence Base==<br />
Though the TIME model can be applied to all types of wounds in the list of wound types, the wound tissue classification (T in the TIME model) is different for different types.<BR><br />
<BR><br />
The WCS classification is used for surgical wounds, trauma wounds, diabetic foot and venous ulcers. The following values are used:<BR><br />
<ul><br />
<li>Red wound: granulation tissue</li><br />
<li>Yellow wound: signs of infection or fibrin layer</li><br />
<li>Black wound: with necrosis</li><br />
</ul><br />
<BR><br />
(Source: www.wcs.nl)<BR><br />
<BR><br />
Tissue in oncological ulcers is classified as follows:<BR><br />
<ul><br />
<li>Degree I: intact epidermis with imminent damage to the skin through underlying tumor tissue</li><br />
<li>Degree II: beginning damage to the subcutis</li><br />
<li>Degree III: deep continued growth with damaged subcutis</li><br />
<li>Degree IV: dry and/or liquefactive necrosis of up to 30% of the wound surface</li><br />
<li>Degree V: dry and/or liquefactive necrosis of more than 30% of the wound surface</li><br />
</ul><br />
<BR><br />
(Source: www.oncoline.nl)<BR><br />
<br />
==Information Model==<br />
<BR><br />
<imagemap> Bestand:Wound-v3.2Model(2019EN).png | center <br />
rect 775 643 895 693 [[#WoundEdgeCodelist]]<br />
rect 35 317 227 367 [[#WoundAnatomicalLocationCodelist]]<br />
rect 260 218 396 288 [[#12329]]<br />
rect 204 43 396 93 [[#WoundTypeCodelist]]<br />
rect 597 126 733 196 [[#10125]]<br />
rect 270 537 398 607 [[#10129]]<br />
rect 595 537 723 607 [[#10130]]<br />
rect 435 126 571 196 [[#10131]]<br />
rect 935 399 1084 469 [[#10132]]<br />
rect 438 537 566 607 [[#10133]]<br />
rect 159 643 315 693 [[#WoundTissueWCSCodelist]]<br />
rect 587 643 737 693 [[#WoundMoistureCodelist]]<br />
rect 260 126 396 196 [[#10120]]<br />
rect 260 308 396 378 [[#10117]]<br />
rect 592 303 692 383 [[#10119]]<br />
rect 254 418 396 488 [[MedicalDevice-v3.3(2019EN)]]<br />
rect 762 537 910 607 [[#10321]]<br />
rect 343 643 533 693 [[#WoundTissueOncoUlcerCodelist]]<br />
rect 759 126 908 196 [[#10720]]<br />
rect 934 126 1083 196 [[#10721]]<br />
rect 935 217 1084 287 [[#10722]]<br />
rect 935 308 1084 378 [[#10723]]<br />
rect 90 418 226 488 [[#11574]]<br />
rect 73 539 227 589 [[#WoundDrainTypeCodelist]]<br />
rect 35 228 227 278 [[#WoundLateralityCodelist]]<br />
desc none<br />
</imagemap><br />
<BR><br />
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" <br />
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "<br />
|style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference--><br />
|-style="vertical-align:top; background-color: #E3E3E3; "<br />
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]<br />
||NL-CM:19.2.1<br />
|colspan ="6" style ="padding-left: 0px"|<span Id=10119 Title="NL: Wond">[[Bestand: arrowdown.png | 10px | link=]]Wound</span><br />
|<br />
|Root concept of the Wound information model. This root concept contains all data elements of the Wound information model.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:19.2.5<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10120 Title="NL: WondSoort">[[Bestand: arrowright.png | 10px | link=]]WoundType</span><br />
|1<br />
|Description of the type of wound.<br />
|<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#WoundTypeCodelist]]||[[#WoundTypeCodelist|WoundTypeCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:19.2.4<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10129 Title="NL: WondWeefsel">[[Bestand: arrowright.png | 10px | link=]]WoundTissue</span><br />
|0..1<br />
|Description of the tissue of the wound. For this, the WCS model can be used. A different classification is used for oncological ulcers.<br />
|<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#WoundTissueOncoUlcerCodelist]]||[[#WoundTissueOncoUlcerCodelist|WoundTissueOncoUlcerCodelist]]<br />
|-<br />
|[[Bestand: List2.png | link=#WoundTissueWCSCodelist]]||[[#WoundTissueWCSCodelist|WoundTissueWCSCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: BL.png| 16px | link=]]<br />
||NL-CM:19.2.7<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10133 Title="NL: WondInfectie">[[Bestand: arrowright.png | 10px | link=]]WoundInfection</span><br />
|0..1<br />
|Indication stating whether the wound is infected.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Infectiestatus" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=405009004 405009004] Infection status</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:19.2.6<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10130 Title="NL: WondVochtigheid">[[Bestand: arrowright.png | 10px | link=]]WoundMoisture</span><br />
|0..1<br />
|Description of the moisture in the wound.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Vochtigheid van verwonding" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=298007001 298007001] Moistness of wound</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#WoundMoistureCodelist]]||[[#WoundMoistureCodelist|WoundMoistureCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:19.2.11<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10321 Title="NL: WondRand">[[Bestand: arrowright.png | 10px | link=]]WoundEdge</span><br />
|0..1<br />
|Description of the condition of the outer edges of the wound.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Bevinding betreffende rand van wond" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=449747006 449747006] Wound edge finding</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#WoundEdgeCodelist]]||[[#WoundEdgeCodelist|WoundEdgeCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]<br />
||NL-CM:19.2.12<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10720 Title="NL: Wondlengte">[[Bestand: arrowright.png | 10px | link=]]WoundLength</span><br />
|0..1<br />
|The length of the wound.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC; Duur [lengte] in wond" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=39126-8 39126-8] Length of Wound</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]<br />
||NL-CM:19.2.13<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10721 Title="NL: Wondbreedte">[[Bestand: arrowright.png | 10px | link=]]WoundWidth</span><br />
|0..1<br />
|The width of the wound.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC; Breedte [lengte] in wond" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=39125-0 39125-0] Width of Wound</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]<br />
||NL-CM:19.2.14<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10722 Title="NL: Wonddiepte">[[Bestand: arrowright.png | 10px | link=]]WoundDepth</span><br />
|0..1<br />
|The depth of the wound.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC; Diepte [lengte] in wond" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=39127-6 39127-6] Depth of Wound</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:19.2.8<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10117 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span><br />
|0..1<br />
|The location of the wound on the body.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Locatie van bevinding" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=363698007 363698007] Finding site</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#WoundAnatomicalLocationCodelist]]||[[#WoundAnatomicalLocationCodelist|WoundAnatomicalLocationCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:19.2.18<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=12329 Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px | link=]]Laterality</span><br />
|0..1<br />
|Laterality adds information about body side to the anatomic location, <i>e.g.</i> left<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Lateraliteit" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=272741003 272741003] Laterality</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#WoundLateralityCodelist]]||[[#WoundLateralityCodelist|WoundLateralityCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]<br />
||NL-CM:19.2.2<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10131 Title="NL: WondOntstaansdatum">[[Bestand: arrowright.png | 10px | link=]]WoundDateOfOnset</span><br />
|0..1<br />
|The date on which the wound appeared.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]<br />
||NL-CM:19.2.3<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10132 Title="NL: DatumLaatsteVerbandwissel">[[Bestand: arrowright.png | 10px | link=]]DateOfLastDressingChange</span><br />
|0..1<br />
|Date on which the dressing was last changed.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]<br />
||NL-CM:19.2.17<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10879 Title="NL: Drain::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]Drain::MedicalDevice</span><br />
|0..1<br />
|A drain is a medical aid placed to drain blood and exudate from the wound area.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Wonddrain" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=258646005 258646005] Wound drain</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: block.png | link=MedicalDevice-v3.3(2019EN)]]||[[MedicalDevice-v3.3(2019EN) |MedicalDevice]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:10.1.3<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="3" style ="padding-left: 0px"|<span Id=11574 Title="NL: ProductType">[[Bestand: arrowright.png | 10px | link=]]ProductType</span><br />
|<br />
|Type of drain applied to the wound.<br />
|<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#WoundDrainTypeCodelist]]||[[#WoundDrainTypeCodelist|WoundDrainTypeCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: ED.png| 16px | link=]]<br />
||NL-CM:19.2.15<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10723 Title="NL: WondFoto">[[Bestand: arrowright.png | 10px | link=]]WoundImage</span><br />
|0..*<br />
|A photo of the wound.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]<br />
||NL-CM:19.2.9<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10125 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span><br />
|0..1<br />
|Comment on the wound.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span><br />
|}<br />
|<br />
|}<br />
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR><br />
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]<br />
<br />
==Example Instances==<br />
''Only available in Dutch<!--noTranslation-->''<br />
<br />
{|class="wikitable" width="621px" style= "font-size: 9.5pt;"<br />
|-style=vertical-align:top;<br />
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Wond</b></font><br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|WondSoort<br />
| style="width: 58%; "|Chirurgische wond<br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|AnatomischeLocatie<br />
| style="width: 58%; "|Bovenbuik<br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|Lateraliteit<br />
| style="width: 58%; "|Rechts<br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|WondOntstaansdatum<br />
| style="width: 58%; "|10-10-2014<br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|WondWeefsel<br />
| style="width: 58%; "|Gele wond<br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|WondInfectie<br />
| style="width: 58%; "|Nee<br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|WondVochtigheid<br />
| style="width: 58%; "|Vochtige wond<br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|WondRand<br />
| style="width: 58%; "|Ondermijning<br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|Wondlengte<br />
| style="width: 58%; "|5 cm<br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|Wondbreedte<br />
| style="width: 58%; "|2 cm<br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|Wonddiepte<br />
| style="width: 58%; "|1 cm<br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|DatumLaatsteVerbandwissel<br />
| style="width: 58%; "|18-10-2014<br />
|-style=vertical-align:top;<br />
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<br />
|-style=vertical-align:top;<br />
| style="width: 42%; "|Toelichting<br />
| style="width: 58%; "|Wond lekt steeds minder.<br />
|}<br />
<br />
==References==<br />
1. Richtlijn Wondzorg (Nederlandse Vereniging voor Heelkunde, 2013) [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.heelkunde.nl/uploads/o1/hI/o1hIRR2oR4QDojTm5pGjGA/Richtlijn-Wondzorg-final.pdf</u></font> [Geraadpleegd: 13 februari 2015]<br />
<br />
2. Richtlijn Oncologische ulcera (2010) [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.oncoline.nl/index.php?pagina=/richtlijn/item/pagina.php&amp;id=32570&amp;richtlijn_id=769</u></font> [Geraadpleegd: 13 februari 2015]<br />
<br />
3. WCS [Online] Beschikbaar op:<font color="#0000ff"><u>www.wcs.nl</u></font> [Geraadpleegd: 13 februari 2015]<br />
<br />
4. Oncoline [Online] Beschikbaar op:<font color="#0000ff"><u>www.oncoline.nl</u></font> [Geraadpleegd: 13 februari 2015]<br />
<br />
== Valuesets ==<br />
=== WoundAnatomicalLocationCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|-style="vertical-align:top; "<br />
|SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki><span title = "Anatomische of verworven lichaamsstructuur">Anatomical or acquired body structure</span><noWiki>|</noWiki><br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|}<br />
=== WoundDrainTypeCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.7<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|-style="vertical-align:top; "<br />
|SNOMED CT: <<[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=32712000 32712000]<noWiki>|</noWiki><span title = "Drain">Drain</span><noWiki>|</noWiki><br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|}<br />
=== WoundEdgeCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.5<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|<span title = "Epithelisatie van verwonding">Wound epithelialization</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=449743005 449743005]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Epithelisatie<br />
|-style="vertical-align:top; "<br />
|<span title = "Irritatie van huid">Skin irritation</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=367466007 367466007]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Irritatie<br />
|-style="vertical-align:top; "<br />
|<span title = "Ondermijning van weefsel van verwonding">Wound tissue undermining</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=449752001 449752001]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Ondermijning<br />
|-style="vertical-align:top; "<br />
|<span title = "Maceratie van huid">Macerated skin</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=3644009 3644009]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Verweking<br />
|-style="vertical-align:top; "<br />
|Other<br />
|OTH<br />
|NullFlavor<br />
|2.16.840.1.113883.5.1008<br />
|Anders<br />
|}<br />
=== WoundLateralityCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8<br />
|Binding<!--vsBindingTag-->: Required<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|<span title = "Links">Left</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Links<br />
|-style="vertical-align:top; "<br />
|<span title = "Rechts">Right</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Rechts<br />
|-style="vertical-align:top; "<br />
|<span title = "Bilateraal">Right and left</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=51440002 51440002]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Rechts en links<br />
|}<br />
=== WoundMoistureCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.3<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|Droge wond<br />
|DROOG<br />
|WondVochtigheid<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.7.3<br />
|Droge wond<br />
|-style="vertical-align:top; "<br />
|Vochtige wond<br />
|VOCHTIG<br />
|WondVochtigheid<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.7.3<br />
|Vochtige wond<br />
|-style="vertical-align:top; "<br />
|Natte wond<br />
|NAT<br />
|WondVochtigheid<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.7.3<br />
|Natte wond<br />
|}<br />
=== WoundTissueOncoUlcerCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.2<br />
|Binding<!--vsBindingTag-->: Required<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|Graad I<br />
|GRAAD1<br />
|OncoUlcerWeefsel<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.7.1<br />
|Graad I<br />
|-style="vertical-align:top; "<br />
|Graad II<br />
|GRAAD2<br />
|OncoUlcerWeefsel<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.7.1<br />
|Graad II<br />
|-style="vertical-align:top; "<br />
|Graad III<br />
|GRAAD3<br />
|OncoUlcerWeefsel<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.7.1<br />
|Graad III<br />
|-style="vertical-align:top; "<br />
|Graad IV<br />
|GRAAD4<br />
|OncoUlcerWeefsel<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.7.1<br />
|Graad IV<br />
|-style="vertical-align:top; "<br />
|Graad V<br />
|GRAAD5<br />
|OncoUlcerWeefsel<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.7.1<br />
|Graad V<br />
|}<br />
=== WoundTissueWCSCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.1<br />
|Binding<!--vsBindingTag-->: Required<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|Rode wond<br />
|ROOD<br />
|WondWeefselWCS<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.7.2<br />
|granulerend weefsel<br />
|-style="vertical-align:top; "<br />
|Gele wond<br />
|GEEL<br />
|WondWeefselWCS<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.7.2<br />
|met infectieverschijnselen of fibrinebeslag<br />
|-style="vertical-align:top; "<br />
|Zwarte wond<br />
|ZWART<br />
|WondWeefselWCS<br />
|2.16.840.1.113883.2.4.3.11.60.40.4.7.2<br />
|met necrose<br />
|}<br />
=== WoundTypeCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|<span title = "Operatiewond">Surgical wound</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=112633009 112633009]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Chirurgische wond<br />
|-style="vertical-align:top; "<br />
|<span title = "Verwonding">Wound</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=416462003 416462003]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Traumatische wond<br />
|-style="vertical-align:top; "<br />
|<span title = "Ulcus van onderste extremiteit">Ulcer of lower extremity</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=95344007 95344007]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Ulcus cruris<br />
|-style="vertical-align:top; "<br />
|<span title = "Metastase in huid">Secondary malignant neoplasm of skin</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=94579000 94579000]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Oncologische ulcer<br />
|-style="vertical-align:top; "<br />
|<span title = "Röntgenulcus">Ulceration of skin due to therapeutic ionizing radiation</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=403722002 403722002]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Stralingswond<br />
|-style="vertical-align:top; "<br />
|<span title = "Diabetisch voetulcus">Diabetic foot ulcer</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=371087003 371087003]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Ulcus van diabetische voet<br />
|-style="vertical-align:top; "<br />
|<span title = "Skin tear">Tear of skin</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=428220001 428220001]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Skin tear<br />
|-style="vertical-align:top; "<br />
|Other<br />
|OTH<br />
|NullFlavor<br />
|2.16.840.1.113883.5.1008<br />
|Anders<br />
|}<br />
<br />
==This information model in other releases<!--ftOtherReleases-->==<br />
<!-- Hieronder wordt een transclude page aangeroepen --><br />
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.2(EN)|2|2019}}<br />
<!-- Tot hier de transclude page --><br />
==Information model references<!--ftReferences-->==<br />
====This information model refers to<!--ftRefersTo-->====<br />
*[[MedicalDevice-v3.3(2019EN)|MedicalDevice-v3.3]]<br />
====This information model is used in<!--ftReferredBy-->====<br />
:--<br />
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==<br />
To exchange information based on health and care information models, additional, more technical specifications are required.<BR><br />
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--><br />
<ul><br />
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2019bbr-?id=2.16.840.1.113883.2.4.3.11.60.9.4.2.19.2&effectiveDate=2020-01-29T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li><br />
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2019}}</li><br />
</ul><br />
==Downloads<!--ftDownloadTitle-->==<br />
This information model is also available as [[Media:nl.zorg.Wound-v3.2(2019EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Wound-v3.2(2019EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--><br />
==About this information<!--ftHeader2-->==<br />
The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2019-2 <BR><br />
SNOMED CT and LOINC codes are based on:<br />
<ul><br />
<li>SNOMED Clinical Terms version: 20190731 [R] (July 2019 Release)</li><br />
<li>LOINC version 2.64</li><br />
</ul><br />
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR><br />
This page is generated on 03/02/2020 01:30:34 with ZibExtraction v. 4.0.7338.2051<!--ftDate--> <BR><br />
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