Burnwound-v1.0(2015EN): verschil tussen versies
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Geen bewerkingssamenvatting |
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Regel 1: | Regel 1: | ||
==General information== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
Name: '''nl.nfu.Burnwound''' [[Bestand:NL.png|link=Brandwond-v1.0(2015NL)]]<BR> | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.4(EN)|1|Burnwound-v1.0(2015EN)}} | ||
Version: '''1.0''' <br> | <!-- Tot hier de transclude page --> | ||
HCIM Status:Final<br> | ==General information<!--hdGeneralInformation-->== | ||
Release: '''2015''' <br> | Name<!--hdName-->: '''nl.nfu.Burnwound''' [[Bestand:NL.png|link=Brandwond-v1.0(2015NL)]]<BR> | ||
Release status: Published<br> | Version<!--hdVersion-->: '''1.0''' <br> | ||
Release date: 8-9-2015 | HCIM Status<!--hdStatus-->:Final<br> | ||
Release<!--hdPublication-->: '''2015''' <br> | |||
Release status<!--hdPublicationStatus-->: Published<br> | |||
Release date<!--hdPublicationDate-->: 8-9-2015 | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | ||
==Metadata== | ==Metadata== | ||
Regel 61: | Regel 64: | ||
==Revision History== | ==Revision History== | ||
<div class="mw-collapsible mw-collapsed"> | <div class="mw-collapsible mw-collapsed"> | ||
''Only available in Dutch'' | ''Only available in Dutch<!--noTranslation-->'' | ||
<u>Publicatieversie 1.0</u> (01-07-2015). | <u>Publicatieversie 1.0</u> (01-07-2015). | ||
Regel 122: | Regel 125: | ||
<BR> | <BR> | ||
<imagemap> Bestand:Burnwound-v1.0Model(EN).png | center | <imagemap> Bestand:Burnwound-v1.0Model(EN).png | center | ||
rect | rect 381 56 599 106 [[#BurnWoundAnatomicalLocationCodelist]] | ||
rect | rect 203 177 336 247 [[#10708]] | ||
rect | rect 410 463 570 513 [[#DepthCodelist]] | ||
rect | rect 650 177 783 247 [[NursingIntervention-v1.0(2015EN)]] | ||
rect | rect 650 43 783 113 [[#10709]] | ||
rect | rect 425 314 557 384 [[#10712]] | ||
rect | rect 203 46 335 116 [[#10713]] | ||
rect | rect 424 173 556 253 [[#10707]] | ||
rect | rect 204 316 337 386 [[#10718]] | ||
rect | rect 650 314 799 384 [[#10719]] | ||
desc none | desc none | ||
</imagemap> | </imagemap> | ||
Regel 137: | Regel 140: | ||
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | {| 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="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="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--> | ||
|-style="vertical-align:top; background-color: #E3E3E3; " | |-style="vertical-align:top; background-color: #E3E3E3; " | ||
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
Regel 147: | Regel 150: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=48333001 48333001] Burn</span> | ||
|} | |} | ||
| | | | ||
Regel 207: | Regel 210: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span> | ||
|} | |} | ||
| | | | ||
Regel 233: | Regel 236: | ||
|} | |} | ||
|} | |} | ||
Columns Concept and DefinitionCode: hover over the values for more information<BR> | Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR> | ||
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]] | For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]] | ||
==Example Instances== | ==Example Instances== | ||
''Only available in Dutch'' | ''Only available in Dutch<!--noTranslation-->'' | ||
{|class="wikitable" width="564px" style= "font-size: 9.5pt;" | {|class="wikitable" width="564px" style= "font-size: 9.5pt;" | ||
Regel 283: | Regel 286: | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.2 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.2 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|SNOMED CT: <<91723000 <noWiki>|</noWiki> anatomical structure <noWiki>|</noWiki> | |SNOMED CT: <<[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=91723000 91723000]<noWiki>|</noWiki>anatomical structure<noWiki>|</noWiki> | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|} | |} | ||
=== DepthCodelist=== | === DepthCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|first degree burn injury | |first degree burn injury | ||
|77140003 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=77140003 77140003] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 314: | Regel 318: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|superficial partial thickness burn | |superficial partial thickness burn | ||
|46541008 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=46541008 46541008] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 320: | Regel 324: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|deep partial thickness burn | |deep partial thickness burn | ||
|262588000 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=262588000 262588000] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 326: | Regel 330: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|third degree burn injury | |third degree burn injury | ||
|80247002 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=80247002 80247002] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 332: | Regel 336: | ||
|} | |} | ||
==This information model in other releases<!--ftOtherReleases-->== | |||
==This information model in other releases== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
< | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.4(EN)|2|2015}} | ||
<!-- Tot hier de transclude page --> | |||
< | ==Information model references<!--ftReferences-->== | ||
====This information model refers to<!--ftRefersTo-->==== | |||
== | *[[NursingIntervention-v1.0(2015EN)|NursingIntervention-v1.0]] | ||
====This information model is used in<!--ftReferredBy-->==== | |||
:-- | |||
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->== | |||
To exchange information based on health and care information models, additional, more technical specifications are required.<BR> | 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: | Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | ||
<ul> | <ul> | ||
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.19.4&effectiveDate=2015-09-08T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.19.4&effectiveDate=2015-09-08T00:00:00&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 | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2015}}</li> | ||
</ul> | </ul> | ||
This information model is also available as [[Media:nl.nfu.Burnwound-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.Burnwound-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ==Downloads<!--ftDownloadTitle-->== | ||
==About this information== | This information model is also available as [[Media:nl.nfu.Burnwound-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.Burnwound-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | ||
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR> | ==About this information<!--ftHeader2-->== | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR> | ||
This page is generated on | Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | ||
This page is generated on 20/12/2018 12:40:55 with ZibExtraction v. 3.0.6928.22723<!--ftDate--> <BR> | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> |
Versie van 20 dec 2018 13:13
General information
Name: nl.nfu.Burnwound
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015
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 | NFU & V&VN |
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.nfu.Brandwond |
DCM::PublicationDate | 8-9-2015 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 8-9-2015 |
DCM::Superseeds | |
DCM::Version | 1.0 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-07-2015).
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):
- no blisters, no open wounds
- 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 building block. This concept contains all data elements of the BurnWound building block. |
|
||||||||||
NL-CM:19.4.2 | Depth | 1 | Description of the severity of the burn wound, ranging from degree 1 - 3. |
| |||||||||
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:19.4.3 | StartDate | 0..1 | Date on which the burn wound appeared. | ||||||||||
NL-CM:19.4.4 | AnatomicalLocation | 0..1 | The location of the burn wound on the body. |
| |||||||||
NL-CM:19.4.5 | Explanation | 0..1 | Explanation of the burn wound. |
|
|||||||||
NL-CM:19.4.8 | DateOfLastDressingChange | 0..1 | Date on which the dressing was last changed. | ||||||||||
NL-CM:19.4.6 | Treatment::NursingProcedure | 0..* | The procedures carried out to treat the burn wound. |
|
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 | 2e graad, oppervlakkig |
Uitgebreidheid | 1% |
AnatomischeLocatie | onderarm rechts |
OntstaansDatum | 29-09-2014 |
DatumLaatste Verbandwissel | 10-10-2014 |
Behandeling | |
Activiteit | Verbinden met hydrofyber verband, dagelijkse wondinspectie, zo nodig verwisselen van niet adherente delen van hydrofyber verband. |
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 building block to become a generic thermal wound building block. 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
BurnWoundAnatomicalLocationCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.2 | Binding: |
Conceptname | Codesystem name | Codesystem OID |
SNOMED CT: <<91723000|anatomical structure| | SNOMED CT | 2.16.840.1.113883.6.96 |
DepthCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1 | Binding: |
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 | 46541008 | 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
- Release 2016, (Version 3.0)
- Release 2017, (Version 3.2)
- Prerelease 2018-2, (Version 3.2)
- Prerelease 2019-2, (Version 3.3)
- Release 2020, (Version 3.4)
- Prerelease 2021-2, (Version 3.5)
- Prerelease 2022-1, (Version 3.5)
- Prerelease 2023-1, (Version 4.0)
- Prerelease 2024-1, (Version 4.1)
Information model references
This information model refers to
This information model is used in
- --
Technical specifications in HL7v3 CDA and HL7 FHIR
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
Downloads
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 20/12/2018 12:40:55 with ZibExtraction v. 3.0.6928.22723