Burnwound-v3.0(2016EN): verschil tussen versies

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Regel 1: Regel 1:
==General information==
<!-- Hieronder wordt een transclude page aangeroepen -->
Name: '''nl.zorg.Burnwound''' [[Bestand:NL.png|link=Brandwond-v3.0(2016NL)]]<BR>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.4(EN)|1|Burnwound-v3.0(2016EN)}}
Version: '''3.0''' <br>
<!-- Tot hier de transclude page -->
HCIM Status:Final<br>
==General information<!--hdGeneralInformation-->==
Publication: '''2016''' <br>
Name<!--hdName-->: '''nl.zorg.Burnwound''' [[Bestand:NL.png|link=Brandwond-v3.0(2016NL)]]<BR>
Release status: Published<br>
Version<!--hdVersion-->: '''3.0''' <br>
Publication date: 1-5-2016
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2016''' <br>
Release status<!--hdPublicationStatus-->: Published<br>
Release date<!--hdPublicationDate-->: 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>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(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 76: Regel 79:
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>
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>
The depth of the burn wound depends on: <BR>
- the temperature of the impacting heat;<BR>
<ul>
- the duration of the impact of heat on the skin; <BR>
<li>the temperature of the impacting heat;</li>
- the source of the burn (e.g. fire, fluid).<BR>
<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==
==Purpose==
Regel 87: Regel 92:
<BR>
<BR>
First-degree burn (no wound):<BR>
First-degree burn (no wound):<BR>
• no blisters, no open wounds<BR>
<ul>
• redness<BR>
<li>no blisters, no open wounds </li>
• good capillary refill<BR>
<li>redness </li>
• supple<BR>
<li>good capillary refill </li>
• painful<BR>
<li>supple </li>
<li>painful </li>
</ul>
<BR>
<BR>
Superficial second-degree burn wound (partial thickness of the skin):<BR>
Superficial second-degree burn wound (partial thickness of the skin):<BR>
• intact / broken blisters<BR>
<ul>
• pink, shiny, uniform<BR>
<li>intact / broken blisters </li>
• good capillary refill<BR>
<li>pink, shiny, uniform </li>
• supple<BR>
<li>good capillary refill </li>
• painful<BR>
<li>supple </li>
<li>painful </li>
</ul>
<BR>
<BR>
Deep second-degree burn wound:<BR>
Deep second-degree burn wound:<BR>
• intact / broken blisters<BR>
<ul>
• pink, matte, not homogenous, damp<BR>
<li>intact / broken blisters </li>
• slow capillary refill<BR>
<li>pink, matte, not homogenous, damp </li>
• slightly more firm<BR>
<li>slow capillary refill </li>
• painful<BR>
<li>slightly more firm </li>
<li>painful </li>
</ul>
<BR>
<BR>
Third-degree burn wound<BR>
Third-degree burn wound<BR>
• intact / broken blisters, epidermis stuck to burned dermis<BR>
<ul>
• white, brown, yellow, red (when kept in hot water for a prolonged period of time)<BR>
<li>intact / broken blisters, epidermis stuck to burned dermis </li>
• no capillary refill, non-removable redness<BR>
<li>white, brown, yellow, red (when kept in hot water for a prolonged period of time) </li>
• firm<BR>
<li>no capillary refill, non-removable redness </li>
• less painful than the size of the wound makes it appear<BR>
<li>firm </li>
<li>less painful than the size of the wound makes it appear </li>
</ul>
<BR>
<BR>
(Source: Brandwondenprotocol 2010, Rode Kruis Brandwondencentrum Beverwijk [2010 Burn wound protocol, Beverwijk Red Cross Burn Wound Center])<BR>
(Source: Brandwondenprotocol 2010, Rode Kruis Brandwondencentrum Beverwijk [2010 Burn wound protocol, Beverwijk Red Cross Burn Wound Center])<BR>
Regel 118: Regel 131:
==Information Model==
==Information Model==
<BR>
<BR>
[[Bestand: Burnwound-v3.0Model(EN).png | center]]
<imagemap> Bestand:Burnwound-v3.0Model(2016EN).png | center  
rect 381 56 599 106 [[#BurnWoundAnatomicalLocationCodelist]]
rect 203 177 336 247 [[#10708]]
rect 410 463 570 513 [[#DepthCodelist]]
rect 650 177 783 247 [[NursingIntervention-v3.0(2016EN)]]
rect 650 43 783 113 [[#10709]]
rect 425 314 557 384 [[#10712]]
rect 203 46 335 116 [[#10713]]
rect 424 173 556 253 [[#10707]]
rect 204 316 337 386 [[#10718]]
rect 650 314 799 384 [[#10719]]
desc none
</imagemap>
<BR>
<BR>
{| 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]]
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:19.4.1
||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.
|Root concept of the BurnWound information model. This concept contains all data elements of the BurnWound information model.
Regel 132: Regel 157:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 48333001 Burn </span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=48333001 48333001] Burn</span>
|}
|}
|
|
|-style="vertical-align:top; background-color: transparent; "
|-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
||NL-CM:19.4.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|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
|1
|Description of the severity of the burn wound, ranging from degree 1 - 3.
|Description of the severity of the burn wound, ranging from degree 1 - 3.
Regel 146: Regel 171:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#DepthCodelist|DepthCodelist]]
|[[Bestand: List2.png | link=#DepthCodelist]]||[[#DepthCodelist|DepthCodelist]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-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
||NL-CM:19.4.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|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
|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.   
|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 161: Regel 186:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-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
||NL-CM:19.4.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|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]]StartDate</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10708 Title="NL: OntstaansDatum">[[Bestand: arrowright.png | 10px | link=]]StartDate</span>
|0..1
|0..1
|Date on which the burn wound appeared.
|Date on which the burn wound appeared.
Regel 170: Regel 195:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-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
||NL-CM:19.4.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|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
|0..1
|The location of the burn wound on the body.
|The location of the burn wound on the body.
Regel 180: Regel 205:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#BurnWoundAnatomicalLocationCodelist|BurnWoundAnatomicalLocationCodelist]]
|[[Bestand: List2.png | link=#BurnWoundAnatomicalLocationCodelist]]||[[#BurnWoundAnatomicalLocationCodelist|BurnWoundAnatomicalLocationCodelist]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-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
||NL-CM:19.4.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|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]]Explanation</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10709 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Explanation</span>
|0..1
|0..1
|Explanation of the burn wound.
|Explanation of the burn wound.
Regel 192: Regel 217:
{|
{|
|-
|-
|<span Title="Codesystem: LOINC"> 48767-8 Annotation comment</span>
|<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span>
|}
|}
|
|
|-style="vertical-align:top; background-color: transparent; "
|-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
||NL-CM:19.4.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|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
|0..1
|Date on which the dressing was last changed.
|Date on which the dressing was last changed.
Regel 205: Regel 230:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:19.4.6
||NL-CM:19.4.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|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: Behandeling::VerpleegkundigeActie">[[Bestand: arrowright.png | 10px]]Treatment::NursingProcedure</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10711 Title="NL: Behandeling::VerpleegkundigeActie">[[Bestand: arrowright.png | 10px | link=]]Treatment::NursingProcedure</span>
|0..*
|0..*
|The procedures carried out to treat the burn wound.
|The procedures carried out to treat the burn wound.
Regel 215: Regel 240:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[NursingIntervention-v3.0(2016EN) |NursingIntervention]]
|[[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>
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;"
|-style=vertical-align:top;
|-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=vertical-align:top;
| style="width: 42%; "|Dieptegraad
| style="width: 42%; "|Dieptegraad
| style="width: 58%; "|2e graad, oppervlakkig
| style="width: 58%; "|2<sup>e</sup> graad, oppervlakkig
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="width: 42%; "|Uitgebreidheid
| style="width: 42%; "|Uitgebreidheid
Regel 243: Regel 268:
| style="width: 58%; "|10-10-2014
| style="width: 58%; "|10-10-2014
|-style=vertical-align:top;
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Behandeling
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Behandeling</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="width: 42%; "|Activiteit
| style="width: 42%; "|Activiteit
Regel 268: Regel 293:
{| 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 299: Regel 325:
|-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 305: Regel 331:
|-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 311: Regel 337:
|-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 317: Regel 343:
|}
|}


 
==This information model in other releases<!--ftOtherReleases-->==
==More on this information model==
<!-- Hieronder wordt een transclude page aangeroepen -->
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>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.4(EN)|2|2016}}
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=]]
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==About this information==
==Information model references<!--ftReferences-->==
The information in this wikipage is based on Release summer 2016 <BR>
====This information model refers to<!--ftRefersTo-->====
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
*[[NursingIntervention-v3.0(2016EN)|NursingIntervention-v3.0]]
This page is generated on 28/09/2017 01:08:44 <BR>
====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>
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [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<!--ftSimplifierReference--> {{SimplefierLinks|2016}}</li>
</ul>
==Downloads<!--ftDownloadTitle-->==
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=]]<!--ftDownloads-->
==About this information<!--ftHeader2-->==
The information in this wikipage is based on<!--ftInfoBase--> Release summer 2016 <BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 21/12/2018 16:27:05 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR>
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Huidige versie van 24 dec 2018 om 12:08


Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.Burnwound NL.png
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016

Back 16.png 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 1-5-2016
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 8-9-2015
DCM::Superseeds nl.nfu.Brandwondv1.0
DCM::Version 3.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

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


#BurnWoundAnatomicalLocationCodelist#10708#DepthCodelistNursingIntervention-v3.0(2016EN)#10709#10712#10713#10707#10718#10719Burnwound-v3.0Model(2016EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:19.4.1 Arrowdown.pngBurnWound Root concept of the BurnWound information model. This concept contains all data elements of the BurnWound information model.
48333001 Burn
CO.png NL-CM:19.4.2 Arrowright.pngDepth 1 Description of the severity of the burn wound, ranging from degree 1 - 3.
List2.png DepthCodelist
PQ.png NL-CM:19.4.7 Arrowright.pngExtent 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?)

TS.png NL-CM:19.4.3 Arrowright.pngStartDate 0..1 Date on which the burn wound appeared.
CD.png NL-CM:19.4.4 Arrowright.pngAnatomicalLocation 0..1 The location of the burn wound on the body.
List2.png BurnWoundAnatomicalLocationCodelist
ST.png NL-CM:19.4.5 Arrowright.pngExplanation 0..1 Explanation of the burn wound.
48767-8 Annotation comment
TS.png NL-CM:19.4.8 Arrowright.pngDateOfLastDressingChange 0..1 Date on which the dressing was last changed.
Verwijzing.png NL-CM:19.4.6 Arrowright.pngTreatment::NursingProcedure 0..* The procedures carried out to treat the burn wound.
Block.png NursingIntervention

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

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 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

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

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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Release summer 2016
Conditions for use are located on the mainpage List2.png
This page is generated on 21/12/2018 16:27:05 with ZibExtraction v. 3.0.6929.24609

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=Burnwound-v3.0(2016EN)&oldid=16195"