Burnwound-v3.1(2017EN): verschil tussen versies

Huidige versie van 20 feb 2018 om 10:04

General information

Name: nl.zorg.Burnwound
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Prepublished
Release date: 04-09-2017

Back to HCIM list

Metadata

DCM::CoderList	Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate	18-9-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	PM
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.19.4
DCM::KeywordList	Brandwond
DCM::LifecycleStatus	Final
DCM::ModelerList	Werkgroep RadB Verpleegkundige Gegevens
DCM::Name	nl.zorg.Brandwond
DCM::PublicationDate	04-09-2017
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	04-09-2017
DCM::Superseeds	nl.zorg.Brandwond-v3.0
DCM::Version	3.1
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

Publicatieversie 3.1 (04-09-2017)

ZIB-530	Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
ZIB-532	Toevoegen concept BrandwondSoort met waardelijst
ZIB-585	Toevoegen concept Lateraliteit aan het concept Anatomische Locatie

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.
The depth of the burn wound depends on:

the temperature of the impacting heat;

the duration of the impact of heat on the skin;

the source of the burn (e.g. fire, fluid).

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:

First-degree burn (no wound):

redness

good capillary refill

supple

painful

Superficial second-degree burn wound (partial thickness of the skin):

intact / broken blisters

pink, shiny, uniform

good capillary refill

supple

painful

Deep second-degree burn wound:

intact / broken blisters

pink, matte, not homogenous, damp

slow capillary refill

slightly more firm

painful

Third-degree burn wound

intact / broken blisters, epidermis stuck to burned dermis

white, brown, yellow, red (when kept in hot water for a prolonged period of time)

no capillary refill, non-removable redness

firm

less painful than the size of the wound makes it appear

(Source: Brandwondenprotocol 2010, Rode Kruis Brandwondencentrum Beverwijk [2010 Burn wound protocol, Beverwijk Red Cross Burn Wound Center])

Information Model

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:19.4.1

BurnWound

Root concept of the BurnWound information model. This concept contains all data elements of the BurnWound information model.

125666000 Brandwond

NL-CM:19.4.3

DateOfOnset

0..1

Date on which the burn wound appeared.

NL-CM:19.4.7

Extent

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?)

NL-CM:19.4.9

BrandwondSoort

0..1

Indication of the kind of the burn wound, differentiated into the cause of the injury.

BurnTypeCodelist

NL-CM:19.4.4

AnatomicalLocation

0..1

The location of the burn wound on the body.

363698007 Finding site

BurnWoundAnatomicalLocationCodelist

NL-CM:19.4.10

Laterality

0..1

Laterality adds information about body side to the anatomic location, e.g. left

272741003 Laterality

BurnWoundLateralityCodelist

NL-CM:19.4.2

Depth

1

Description of the severity of the burn wound, ranging from degree 1 - 3.

DepthCodelist

NL-CM:19.4.5

Comment

0..1

Comment on the burn wound.

48767-8 Annotation comment

NL-CM:19.4.8

DateOfLastDressingChange

0..1

Date on which the dressing was last changed.

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page

Example Instances

Only available in Dutch

Brandwond
Dieptegraad	2^e graad, oppervlakkig
Uitgebreidheid	1%
AnatomischeLocatie	onderarm
Lateraliteit	rechts
Soort	thermische brandwond
OntstaansDatum	29-09-2014
DatumLaatste Verbandwissel	10-10-2014
Toelichting	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:https://www.rkz.nl/brandwondenprotocol_online [Geraadpleegd: 13 februari 2015]

2. Brandwonden genezen. Hoe verder? [Online] Beschikbaar op:http://brandwondenstichting.nl/wp-content/uploads/2013/08/NBS_Hoe-verder-huisartsen-2011.pdf [Geraadpleegd: 13 februari 2015]

Valuesets

BurnTypeCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.3

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Chemical burn	26696002	SNOMED CT	2.16.840.1.113883.6.96	Chemisch brandwond
Electrical burn	21720007	SNOMED CT	2.16.840.1.113883.6.96	Elektrische brandwond
Thermal burn	105594005	SNOMED CT	2.16.840.1.113883.6.96	Thermische brandwond

BurnWoundAnatomicalLocationCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.2

Conceptname	Codesystem name	Codesystem OID
SNOMED CT: < 442083009 \|Anatomical or acquired body structure\|	SNOMED CT	2.16.840.1.113883.6.96

BurnWoundLateralityCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.4

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Left	7771000	SNOMED CT	2.16.840.1.113883.6.96	Links
Right	24028007	SNOMED CT	2.16.840.1.113883.6.96	Rechts
Right and left	51440002	SNOMED CT	2.16.840.1.113883.6.96	Rechts en links

DepthCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
first degree burn injury	77140003	SNOMED CT	2.16.840.1.113883.6.96	1e graad
superficial partial thickness burn	262587005	SNOMED CT	2.16.840.1.113883.6.96	2e graad, oppervlakkig
deep partial thickness burn	262588000	SNOMED CT	2.16.840.1.113883.6.96	2e graad, diep
third degree burn injury	80247002	SNOMED CT	2.16.840.1.113883.6.96	3e graad

This information model in other releases

More on this information model

To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:

HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage
This page is generated on 30/11/2017 13:24:15

Back to HCIM list

@@ Regel 3: / Regel 3: @@
 Version: '''3.1''' <br>
 HCIM Status:Final<br>
-Publication: '''2017''' <br>
+Release: '''2017''' <br>
 Release status: Prepublished<br>
-Publication date: 04-09-2017
+Release date: 04-09-2017
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
@@ Regel 87: / Regel 87: @@
 The depth of the burn wound depends on: <BR>
 <ul>
-	<li>the temperature of the impacting heat; </li>
+	<li>the temperature of the impacting heat;</li>
 </ul>
 <ul>
-	<li>the duration of the impact of heat on the skin;  </li>
+	<li>the duration of the impact of heat on the skin; </li>
 </ul>
 <ul>
@@ Regel 173: / Regel 173: @@
 ==Information Model==
 <BR>
-[[Bestand: Burnwound-v3.1Model(EN).png | center]]
+<imagemap> Bestand:Burnwound-v3.1Model(EN).png | center
+rect 382 480 610 530 [[#BurnWoundAnatomicalLocationCodelist]]
+rect 656 358 789 428 [[#12315]]
+rect 655 479 835 529 [[#BurnWoundLateralityCodelist]]
+rect 226 75 358 145 [[#10708]]
+rect 25 220 185 270 [[#DepthCodelist]]
+rect 655 75 788 145 [[#10709]]
+rect 226 210 358 280 [[#10712]]
+rect 429 358 561 428 [[#10713]]
+rect 429 205 561 285 [[#10707]]
+rect 655 209 788 279 [[#10718]]
+rect 421 75 569 145 [[#10719]]
+rect 226 358 358 428 [[#11532]]
+rect 189 480 358 530 [[#BurnTypeCodelist]]
+desc none
+</imagemap>
 <BR>
 {| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
@@ Regel 179: / Regel 194: @@
 |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]]
+|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
 ||NL-CM:19.4.1
-|colspan ="6" style ="padding-left: 0px"|<span Title="NL: Brandwond">[[Bestand: arrowdown.png | 10px]]BurnWound</span>
+|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.
@@ Regel 191: / Regel 206: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: TS.png| 16px]]
+|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 Title="NL: OntstaansDatum">[[Bestand: arrowright.png | 10px]]DateOfOnset</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=10708 Title="NL: OntstaansDatum">[[Bestand: arrowright.png | 10px | link=]]DateOfOnset</span>
 |0..1
 |Date on which the burn wound appeared.
@@ Regel 200: / Regel 215: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: PQ.png| 16px]]
+|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 Title="NL: Uitgebreidheid">[[Bestand: arrowright.png | 10px]]Extent</span>
+|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.
@@ Regel 212: / Regel 227: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CD.png| 16px]]
+|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
 ||NL-CM:19.4.9
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="E: BurnType">[[Bestand: arrowright.png | 10px]]BrandwondSoort</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11532 Title="E: BurnType">[[Bestand: arrowright.png | 10px | link=]]BrandwondSoort</span>
 |0..1
 |Indication of the kind of the burn wound, differentiated into the cause of the injury.
@@ Regel 222: / Regel 237: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#BurnTypeCodelist|BurnTypeCodelist]]
+|[[Bestand: List2.png | link=#BurnTypeCodelist]]||[[#BurnTypeCodelist|BurnTypeCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CD.png| 16px]]
+|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 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px]]AnatomicalLocation</span>
+|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.
@@ Regel 239: / Regel 254: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#BurnWoundAnatomicalLocationCodelist|BurnWoundAnatomicalLocationCodelist]]
+|[[Bestand: List2.png | link=#BurnWoundAnatomicalLocationCodelist]]||[[#BurnWoundAnatomicalLocationCodelist|BurnWoundAnatomicalLocationCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CD.png| 16px]]
+|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
 ||NL-CM:19.4.10
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px]]Laterality</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=12315 Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px | link=]]Laterality</span>
 |0..1
 |Laterality adds information about body side to the anatomic location, <i>e.g.</i> left
@@ Regel 256: / Regel 271: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#BurnWoundLateralityCodelist|BurnWoundLateralityCodelist]]
+|[[Bestand: List2.png | link=#BurnWoundLateralityCodelist]]||[[#BurnWoundLateralityCodelist|BurnWoundLateralityCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CO.png| 16px]]
+|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 Title="NL: Dieptegraad">[[Bestand: arrowright.png | 10px]]Depth</span>
+|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.
@@ Regel 269: / Regel 284: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#DepthCodelist|DepthCodelist]]
+|[[Bestand: List2.png | link=#DepthCodelist]]||[[#DepthCodelist|DepthCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: ST.png| 16px]]
+|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 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=10709 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
 |0..1
 |Comment on the burn wound.
@@ Regel 285: / Regel 300: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: TS.png| 16px]]
+|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 Title="NL: DatumLaatsteVerbandwissel">[[Bestand: arrowright.png | 10px]]DateOfLastDressingChange</span>
+|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.
@@ Regel 302: / Regel 317: @@
 {|class="wikitable" width="564px" style= "font-size: 9.5pt;"
 |-style=vertical-align:top;
-|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|Brandwond
+|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%; "|2e graad, oppervlakkig
+| style="width: 58%; "|2<sup>e</sup> graad, oppervlakkig
 |-style=vertical-align:top;
 | style="width: 42%; "|Uitgebreidheid
@@ Regel 453: / Regel 468: @@
+==This information model in other releases==
+<ul>
+<li>[[Burnwound-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li>
+<li>[[Burnwound-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
+</ul>
 ==More on this information model==
-More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.19.4] <BR>
+To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
-This information model is also available as [[Media:nl.zorg.Burnwound-v3.1(EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Burnwound-v3.1(EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
+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--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.19.4&effectiveDate=2017-09-04T00:00:00&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=Profile [[File:fhir.png|link=]]]</li>
+</ul>
+This information model is also available as [[Media:nl.zorg.Burnwound-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Burnwound-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
 ==About this information==
 The information in this wikipage is based on Prerelease 2017 #1 <BR>
 Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
-This page is generated on 21/09/2017 18:24:15 <BR>
+This page is generated on 30/11/2017 13:24:15 <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

Burnwound-v3.1(2017EN): verschil tussen versies

Huidige versie van 20 feb 2018 om 10:04

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Information Model

Example Instances

Issues

References