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

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
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016

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

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.

48333001 Burn

NL-CM:19.4.2

Depth

1

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

DepthCodelist

NL-CM:19.4.7

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.

BurnWoundAnatomicalLocationCodelist

NL-CM:19.4.5

Explanation

0..1

Explanation of the burn wound.

48767-8 Annotation comment

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.

NursingIntervention

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 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

NursingIntervention-v3.0

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 Release summer 2016
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 16:27:05 with ZibExtraction v. 3.0.6929.24609

Back to HCIM list

@@ 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-->==
-Release: '''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>
-Release 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==
@@ Regel 61: / Regel 64: @@
 ==Revision History==
 <div class="mw-collapsible mw-collapsed">
-''Only available in Dutch''
+''Only available in Dutch<!--noTranslation-->''
 <u>Publicatieversie 1.0</u> (01-07-2015)
@@ Regel 128: / Regel 131: @@
 ==Information Model==
 <BR>
-<imagemap> Bestand:Burnwound-v3.0Model(EN).png | center
+<imagemap> Bestand:Burnwound-v3.0Model(2016EN).png | center
-rect 371 48 589 98 [[#BurnWoundAnatomicalLocationCodelist]]
+rect 381 56 599 106 [[#BurnWoundAnatomicalLocationCodelist]]
-rect 193 169 326 239 [[#10708]]
+rect 203 177 336 247 [[#10708]]
-rect 400 455 560 505 [[#DepthCodelist]]
+rect 410 463 570 513 [[#DepthCodelist]]
-rect 640 169 773 239 [[NursingIntervention-v3.0(2016EN)]]
+rect 650 177 783 247 [[NursingIntervention-v3.0(2016EN)]]
-rect 640 35 773 105 [[#10709]]
+rect 650 43 783 113 [[#10709]]
-rect 415 306 547 376 [[#10712]]
+rect 425 314 557 384 [[#10712]]
-rect 193 38 325 108 [[#10713]]
+rect 203 46 335 116 [[#10713]]
-rect 414 165 546 245 [[#10707]]
+rect 424 173 556 253 [[#10707]]
-rect 194 308 327 378 [[#10718]]
+rect 204 316 337 386 [[#10718]]
-rect 640 306 789 376 [[#10719]]
+rect 650 314 799 384 [[#10719]]
 desc none
 </imagemap>
@@ Regel 144: / Regel 147: @@
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 |-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 = "text-align:center" |[[Bestand: block.png| 20px | link=]]
@@ Regel 154: / 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>
 |}
 |
@@ Regel 214: / 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>
 |}
 |
@@ Regel 240: / Regel 243: @@
 |}
 |}
-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==
-''Only available in Dutch''
+''Only available in Dutch<!--noTranslation-->''
 {|class="wikitable" width="564px" style= "font-size: 9.5pt;"
@@ Regel 290: / Regel 293: @@
 {| class="wikitable" width="60%"
 |-style='vertical-align:top; background-color: #E8D7BE;'
-|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.2
+|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.2
+|Binding<!--vsBindingTag-->:
 |}
 {| class="wikitable"  width="60% "
 |-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; "
-|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
 |2.16.840.1.113883.6.96
 |}
 === DepthCodelist===
 {| class="wikitable" width="60%"
 |-style='vertical-align:top; background-color: #E8D7BE;'
-|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1
+|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1
+|Binding<!--vsBindingTag-->:
 |}
 {| class="wikitable"  width="60% "
 |-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; "
 |first degree burn injury
-|77140003
+|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=77140003 77140003]
 |SNOMED CT
 |2.16.840.1.113883.6.96
@@ Regel 321: / Regel 325: @@
 |-style="vertical-align:top; "
 |superficial partial thickness burn
-|46541008
+|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=46541008 46541008]
 |SNOMED CT
 |2.16.840.1.113883.6.96
@@ Regel 327: / Regel 331: @@
 |-style="vertical-align:top; "
 |deep partial thickness burn
-|262588000
+|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=262588000 262588000]
 |SNOMED CT
 |2.16.840.1.113883.6.96
@@ Regel 333: / Regel 337: @@
 |-style="vertical-align:top; "
 |third degree burn injury
-|80247002
+|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=80247002 80247002]
 |SNOMED CT
 |2.16.840.1.113883.6.96
@@ Regel 339: / Regel 343: @@
 |}
+==This information model in other releases<!--ftOtherReleases-->==
-==This information model in other releases==
+<!-- Hieronder wordt een transclude page aangeroepen -->
-<ul>
+{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.4(EN)|2|2016}}
-<li>[[Burnwound-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li>
+<!-- Tot hier de transclude page -->
-<li>[[Burnwound-v3.2(2017EN) | Release 2017, (Version 3.2)]]</li>
+==Information model references<!--ftReferences-->==
-</ul>
+====This information model refers to<!--ftRefersTo-->====
-==More on this information model==
+*[[NursingIntervention-v3.0(2016EN)|NursingIntervention-v3.0]]
+====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>
-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>
-<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.19.4&effectiveDate=2016-05-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
+<li>HL7® 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 [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
+<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2016}}</li>
 </ul>
-This information model is also available as [[Media:nl.zorg.Burnwound-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Burnwound-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
+==Downloads<!--ftDownloadTitle-->==
-==About this information==
+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-->
-The information in this wikipage is based on Release summer 2016 <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--> Release summer 2016 <BR>
-This page is generated on 24/01/2018 23:42:16 <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>
 -----
-<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>

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

Huidige versie van 24 dec 2018 om 12:08

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Information Model

Example Instances

Issues

References