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

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Regel 1: Regel 1:
==General information==
<!-- Hieronder wordt een transclude page aangeroepen -->
Name: '''nl.zorg.Wound''' [[Bestand:NL.png|link=Wond-v3.1(2017NL)]]<BR>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.2(EN)|1|Wound-v3.1(2017EN)}}
Version: '''3.1''' <br>
<!-- Tot hier de transclude page -->
HCIM Status:Final<br>
==General information<!--hdGeneralInformation-->==
Publication: '''2017''' <br>
Name<!--hdName-->: '''nl.zorg.Wound''' [[Bestand:NL.png|link=Wond-v3.1(2017NL)]]<BR>
Release status: Prepublished<br>
Version<!--hdVersion-->: '''3.1''' <br>
Publication date: 04-09-2017
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2017''' <br>
Release status<!--hdPublicationStatus-->: Published<br>
Release date<!--hdPublicationDate-->: 31-12-2017
-----
-----
<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>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>


==Metadata==
==Metadata==
Regel 44: Regel 47:
|style="width:250px; "|DCM::Name||nl.zorg.Wond
|style="width:250px; "|DCM::Name||nl.zorg.Wond
|-  
|-  
|style="width:250px; "|DCM::PublicationDate||04-09-2017
|style="width:250px; "|DCM::PublicationDate||31-12-2017
|-  
|-  
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|style="width:250px; "|DCM::PublicationStatus||Published
|-  
|-  
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-  
|-  
|style="width:250px; "|DCM::RevisionDate||04-09-2017
|style="width:250px; "|DCM::RevisionDate||31-12-2017
|-  
|-  
|style="width:250px; "|DCM::Superseeds||nl.zorg.Wond-v3.0
|style="width:250px; "|DCM::Superseeds||nl.zorg.Wond-v3.0
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 103: Regel 106:
The WCS classification is used for surgical wounds, trauma wounds, diabetic foot and venous ulcers. The following values are used:<BR>
The WCS classification is used for surgical wounds, trauma wounds, diabetic foot and venous ulcers. The following values are used:<BR>
<ul>
<ul>
<li>Red wound: granulation tissue</li>
<li>Red wound: granulation tissue</li>
<li>Yellow wound: signs of infection or fibrin layer</li>
<li>Yellow wound: signs of infection or fibrin layer</li>
<li>Black wound: with necrosis</li>
<li>Black wound: with necrosis</li>
</ul>
</ul>
<BR>
(Source: www.wcs.nl)<BR>
(Source: www.wcs.nl)<BR>
<BR>
<BR>
Tissue in oncological ulcers is classified as follows:<BR>
Tissue in oncological ulcers is classified as follows:<BR>
<ul>
<ul>
<li>Degree I: intact epidermis with imminent damage to the skin through underlying tumor tissue</li>
<li>Degree I: intact epidermis with imminent damage to the skin through underlying tumor tissue</li>
<li>Degree II: beginning damage to the subcutis</li>
<li>Degree II: beginning damage to the subcutis</li>
<li>Degree III: deep continued growth with damaged subcutis</li>
<li>Degree III: deep continued growth with damaged subcutis</li>
<li>Degree IV: dry and/or liquefactive necrosis of up to 30% of the wound surface</li>
<li>Degree IV: dry and/or liquefactive necrosis of up to 30% of the wound surface</li>
<li>Degree V: dry and/or liquefactive necrosis of more than 30% of the wound surface</li>
<li>Degree V: dry and/or liquefactive necrosis of more than 30% of the wound surface</li>
</ul>
</ul>
<BR>
(Source: www.oncoline.nl)<BR>
(Source: www.oncoline.nl)<BR>


==Information Model==
==Information Model==
<BR>
<BR>
[[Bestand: Wound-v3.1Model(EN).png | center]]
<imagemap> Bestand:Wound-v3.1Model(2017EN).png | center  
rect 775 643 895 693 [[#WoundEdgeCodelist]]
rect 35 317 227 367 [[#WoundAnatomicalLocationCodelist]]
rect 260 218 396 288 [[#12329]]
rect 204 43 396 93 [[#WoundTypeCodelist]]
rect 597 126 733 196 [[#10125]]
rect 270 537 398 607 [[#10129]]
rect 595 537 723 607 [[#10130]]
rect 435 126 571 196 [[#10131]]
rect 935 399 1084 469 [[#10132]]
rect 438 537 566 607 [[#10133]]
rect 159 643 315 693 [[#WoundTissueWCSCodelist]]
rect 587 643 737 693 [[#WoundMoistureCodelist]]
rect 260 126 396 196 [[#10120]]
rect 260 308 396 378 [[#10117]]
rect 592 303 692 383 [[#10119]]
rect 254 418 396 488 [[MedicalDevice-v3.1(2017EN)]]
rect 762 537 910 607 [[#10321]]
rect 343 643 533 693 [[#WoundTissueOncoUlcerCodelist]]
rect 759 126 908 196 [[#10720]]
rect 934 126 1083 196 [[#10721]]
rect 935 217 1084 287 [[#10722]]
rect 935 308 1084 378 [[#10723]]
rect 90 418 226 488 [[#11574]]
rect 73 539 227 589 [[#WoundDrainTypeCodelist]]
rect 35 228 227 278 [[#WoundLateralityCodelist]]
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:19.2.1
||NL-CM:19.2.1
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: Wond">[[Bestand: arrowdown.png | 10px]]Wound</span>
|colspan ="6" style ="padding-left: 0px"|<span Id=10119 Title="NL: Wond">[[Bestand: arrowdown.png | 10px | link=]]Wound</span>
|
|
|Root concept of the Wound information model. This root concept contains all data elements of the Wound information model.
|Root concept of the Wound information model. This root concept contains all data elements of the Wound information model.
Regel 135: Regel 167:
|
|
|-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:19.2.5
||NL-CM:19.2.5
|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: WondSoort">[[Bestand: arrowright.png | 10px]]WoundType</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10120 Title="NL: WondSoort">[[Bestand: arrowright.png | 10px | link=]]WoundType</span>
|1
|1
|Description of the type of wound.
|Description of the type of wound.
Regel 145: Regel 177:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#WoundTypeCodelist|WoundTypeCodelist]]
|[[Bestand: List2.png | link=#WoundTypeCodelist]]||[[#WoundTypeCodelist|WoundTypeCodelist]]
|}
|}
|-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:19.2.4
||NL-CM:19.2.4
|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: WondWeefsel">[[Bestand: arrowright.png | 10px]]WoundTissue</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10129 Title="NL: WondWeefsel">[[Bestand: arrowright.png | 10px | link=]]WoundTissue</span>
|0..1
|0..1
|Description of the tissue of the wound. For this, the WCS model can be used. A different classification is used for oncological ulcers.
|Description of the tissue of the wound. For this, the WCS model can be used. A different classification is used for oncological ulcers.
Regel 158: Regel 190:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#WoundTissueOncoUlcerCodelist|WoundTissueOncoUlcerCodelist]]
|[[Bestand: List2.png | link=#WoundTissueOncoUlcerCodelist]]||[[#WoundTissueOncoUlcerCodelist|WoundTissueOncoUlcerCodelist]]
|-
|-
|[[Bestand: List2.png]]||[[#WoundTissueWCSCodelist|WoundTissueWCSCodelist]]
|[[Bestand: List2.png | link=#WoundTissueWCSCodelist]]||[[#WoundTissueWCSCodelist|WoundTissueWCSCodelist]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: BL.png| 16px]]
|style = "text-align:center" |[[Bestand: BL.png| 16px | link=]]
||NL-CM:19.2.7
||NL-CM:19.2.7
|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: WondInfectie">[[Bestand: arrowright.png | 10px]]WoundInfection</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10133 Title="NL: WondInfectie">[[Bestand: arrowright.png | 10px | link=]]WoundInfection</span>
|0..1
|0..1
|Indication stating whether the wound is infected.
|Indication stating whether the wound is infected.
Regel 172: Regel 204:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 405009004 Infection status</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=405009004 405009004] Infection status</span>
|}
|}
|
|
|-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:19.2.6
||NL-CM:19.2.6
|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: WondVochtigheid">[[Bestand: arrowright.png | 10px]]WoundMoisture</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10130 Title="NL: WondVochtigheid">[[Bestand: arrowright.png | 10px | link=]]WoundMoisture</span>
|0..1
|0..1
|Description of the moisture in the wound.
|Description of the moisture in the wound.
Regel 185: Regel 217:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 298007001 Moistness of wound</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=298007001 298007001] Moistness of wound</span>
|}
|}
|
|
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#WoundMoistureCodelist|WoundMoistureCodelist]]
|[[Bestand: List2.png | link=#WoundMoistureCodelist]]||[[#WoundMoistureCodelist|WoundMoistureCodelist]]
|}
|}
|-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:19.2.11
||NL-CM:19.2.11
|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: WondRand">[[Bestand: arrowright.png | 10px]]WoundEdge</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10321 Title="NL: WondRand">[[Bestand: arrowright.png | 10px | link=]]WoundEdge</span>
|0..1
|0..1
|Description of the condition of the outer edges of the wound.
|Description of the condition of the outer edges of the wound.
Regel 202: Regel 234:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 449747006 Wound edge finding</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=449747006 449747006] Wound edge finding</span>
|}
|}
|
|
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#WoundEdgeCodelist|WoundEdgeCodelist]]
|[[Bestand: List2.png | link=#WoundEdgeCodelist]]||[[#WoundEdgeCodelist|WoundEdgeCodelist]]
|}
|}
|-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:19.2.12
||NL-CM:19.2.12
|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: Wondlengte">[[Bestand: arrowright.png | 10px]]WoundLength</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10720 Title="NL: Wondlengte">[[Bestand: arrowright.png | 10px | link=]]WoundLength</span>
|0..1
|0..1
|The length of the wound.
|The length of the wound.
Regel 219: Regel 251:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 401238003 Length of wound</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=401238003 401238003] Length of wound</span>
|}
|}
|
|
|-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:19.2.13
||NL-CM:19.2.13
|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: Wondbreedte">[[Bestand: arrowright.png | 10px]]WoundWidth</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10721 Title="NL: Wondbreedte">[[Bestand: arrowright.png | 10px | link=]]WoundWidth</span>
|0..1
|0..1
|The width of the wound.
|The width of the wound.
Regel 232: Regel 264:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 401239006 Width of wound</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=401239006 401239006] Width of wound</span>
|}
|}
|
|
|-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:19.2.14
||NL-CM:19.2.14
|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: Wonddiepte">[[Bestand: arrowright.png | 10px]]WoundDepth</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10722 Title="NL: Wonddiepte">[[Bestand: arrowright.png | 10px | link=]]WoundDepth</span>
|0..1
|0..1
|The depth of the wound.
|The depth of the wound.
Regel 245: Regel 277:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 425094009 Depth of wound</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=425094009 425094009] Depth of wound</span>
|}
|}
|
|
|-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:19.2.8
||NL-CM:19.2.8
|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: AnatomischeLocatie">[[Bestand: arrowright.png | 10px]]AnatomicalLocation</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10117 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span>
|0..1
|0..1
|The location of the wound on the body.
|The location of the wound on the body.
Regel 258: Regel 290:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 363698007 Finding site</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=363698007 363698007] Finding site</span>
|}
|}
|
|
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#WoundAnatomicalLocationCodelist|WoundAnatomicalLocationCodelist]]
|[[Bestand: List2.png | link=#WoundAnatomicalLocationCodelist]]||[[#WoundAnatomicalLocationCodelist|WoundAnatomicalLocationCodelist]]
|}
|}
|-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:19.2.18
||NL-CM:19.2.18
|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: Lateraliteit">[[Bestand: arrowright.png | 10px]]Laterality</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=12329 Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px | link=]]Laterality</span>
|0..1
|0..1
|Laterality adds information about body side to the anatomic location, <i>e.g.</i> left
|Laterality adds information about body side to the anatomic location, <i>e.g.</i> left
Regel 275: Regel 307:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 272741003 Laterality</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=272741003 272741003] Laterality</span>
|}
|}
|
|
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#WoundLateralityCodelist|WoundLateralityCodelist]]
|[[Bestand: List2.png | link=#WoundLateralityCodelist]]||[[#WoundLateralityCodelist|WoundLateralityCodelist]]
|}
|}
|-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:19.2.2
||NL-CM:19.2.2
|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: WondOntstaansdatum">[[Bestand: arrowright.png | 10px]]WoundDateOfOnset</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10131 Title="NL: WondOntstaansdatum">[[Bestand: arrowright.png | 10px | link=]]WoundDateOfOnset</span>
|0..1
|0..1
|The date on which the wound appeared.
|The date on which the wound appeared.
Regel 292: Regel 324:
|
|
|-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:19.2.3
||NL-CM:19.2.3
|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: DatumLaatsteVerbandwissel">[[Bestand: arrowright.png | 10px]]DateOfLastDressingChange</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10132 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 301: Regel 333:
|
|
|-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:19.2.17
||NL-CM:19.2.17
|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: Drain::MedischHulpmiddel">[[Bestand: arrowright.png | 10px]]Drain::MedicalDevice</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10879 Title="NL: Drain::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]Drain::MedicalDevice</span>
|0..1
|0..1
|A drain is a medical aid placed to drain blood and exudate from the wound area.
|A drain is a medical aid placed to drain blood and exudate from the wound area.
Regel 310: Regel 342:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 258646005 Wound drain</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=258646005 258646005] Wound drain</span>
|}
|}
|
|
{|
{|
|-
|-
|[[Bestand: block.png]]||[[MedicalDevice-v3.1(2017EN) |MedicalDevice]]
|[[Bestand: block.png | link=MedicalDevice-v3.1(2017EN)]]||[[MedicalDevice-v3.1(2017EN) |MedicalDevice]]
|}
|}
|-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:10.1.3
||NL-CM:10.1.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|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 ="3" style ="padding-left: 0px"|<span Title="NL: ProductType">[[Bestand: arrowright.png | 10px]]ProductType</span>
|colspan ="3" style ="padding-left: 0px"|<span Id=11574 Title="NL: ProductType">[[Bestand: arrowright.png | 10px | link=]]ProductType</span>
|
|
|Type of drain applied to the wound.
|Type of drain applied to the wound.
Regel 330: Regel 362:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#WoundDrainTypeCodelist|WoundDrainTypeCodelist]]
|[[Bestand: List2.png | link=#WoundDrainTypeCodelist]]||[[#WoundDrainTypeCodelist|WoundDrainTypeCodelist]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ED.png| 16px]]
|style = "text-align:center" |[[Bestand: ED.png| 16px | link=]]
||NL-CM:19.2.15
||NL-CM:19.2.15
|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: WondFoto">[[Bestand: arrowright.png | 10px]]WoundImage</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10723 Title="NL: WondFoto">[[Bestand: arrowright.png | 10px | link=]]WoundImage</span>
|0..*
|0..*
|A photo of the wound.
|A photo of the wound.
Regel 342: Regel 374:
|
|
|-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:19.2.9
||NL-CM:19.2.9
|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]]Comment</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10125 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|0..1
|0..1
|Comment on the wound.
|Comment on the wound.
Regel 351: Regel 383:
{|
{|
|-
|-
|<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>
|}
|}
|
|
|}
|}
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="621px" style= "font-size: 9.5pt;"
{|class="wikitable" width="621px" 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; "|Wond
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Wond</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="width: 42%; "|WondSoort
| style="width: 42%; "|WondSoort
Regel 420: Regel 452:
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6
|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: < 442083009 <noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki>
|SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki>
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
|}
|}
=== WoundDrainTypeCodelist===
=== WoundDrainTypeCodelist===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.7
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.7
|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: << 32712000<noWiki>|</noWiki> drain <noWiki>|</noWiki>
|SNOMED CT: <<[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=32712000 32712000]<noWiki>|</noWiki>drain<noWiki>|</noWiki>
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
|}
|}
=== WoundEdgeCodelist===
=== WoundEdgeCodelist===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.5
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.5
|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; "
|Wound epithelialisation
|Wound epithelialisation
|449743005
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=449743005 449743005]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 466: Regel 499:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Skin irritation
|Skin irritation
|367466007
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=367466007 367466007]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 472: Regel 505:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Wound tissue undermining
|Wound tissue undermining
|449752001
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=449752001 449752001]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 478: Regel 511:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Macerated skin
|Macerated skin
|3644009
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=3644009 3644009]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 489: Regel 522:
|Anders
|Anders
|}
|}
=== WoundLateralityCodelist===
=== WoundLateralityCodelist===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8
|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; "
|Left
|Left
|7771000
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 509: Regel 542:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Right
|Right
|24028007
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 515: Regel 548:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Right and left
|Right and left
|51440002
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=51440002 51440002]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
|Rechts en links
|Rechts en links
|}
|}
=== WoundMoistureCodelist===
=== WoundMoistureCodelist===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.3
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.3
|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; "
|Droge wond
|Droge wond
Regel 551: Regel 584:
|Natte wond
|Natte wond
|}
|}
=== WoundTissueOncoUlcerCodelist===
=== WoundTissueOncoUlcerCodelist===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.2
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.2
|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-->
|Conceptcode
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Graad I
|Graad I
Regel 594: Regel 627:
|Graad V
|Graad V
|}
|}
=== WoundTissueWCSCodelist===
=== WoundTissueWCSCodelist===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.1
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.1
|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; "
|Rode wond
|Rode wond
Regel 625: Regel 658:
|met necrose
|met necrose
|}
|}
=== WoundTypeCodelist===
=== WoundTypeCodelist===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4
|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; "
|Surgical wound
|Surgical wound
|112633009
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=112633009 112633009]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 645: Regel 678:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Wound
|Wound
|416462003
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=416462003 416462003]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 651: Regel 684:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Ulcer of lower extremity
|Ulcer of lower extremity
|95344007
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=95344007 95344007]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 657: Regel 690:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Secondary malignant neoplasm of skin
|Secondary malignant neoplasm of skin
|94579000
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=94579000 94579000]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 663: Regel 696:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Radiation ulcer
|Radiation ulcer
|403722002
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=403722002 403722002]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 669: Regel 702:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Diabetic foot ulcer
|Diabetic foot ulcer
|371087003
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=371087003 371087003]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 675: Regel 708:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Skin tear
|Skin tear
|428220001
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=428220001 428220001]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 687: Regel 720:
|}
|}


 
==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=2.16.840.1.113883.2.4.3.11.60.40.3.19.2] <BR>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.2(EN)|2|2017}}
This information model is also available as [[Media:nl.zorg.Wound-v3.1(EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Wound-v3.1(EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
<!-- Tot hier de transclude page -->
==About this information==
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*[[MedicalDevice-v3.1(2017EN)|MedicalDevice-v3.1]]
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====This information model is used in<!--ftReferredBy-->====
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==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>
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<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.19.2&effectiveDate=2017-12-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
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Huidige versie van 24 dec 2018 om 12:05


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.Wound NL.png
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017

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 7-7-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.19.2
DCM::KeywordList Wond, wondzorg, WCS,TIME, ulcus
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.Wond
DCM::PublicationDate 31-12-2017
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.Wond-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-533 Toestaan dat de bouwsteen meer dan één foto kan bevatten
ZIB-572 Toevoegen code voor Skin Tear
ZIB-585 Toevoegen concept Lateraliteit aan het concept Anatomische Locatie

.

Concept

A wound is an interruption of the continuity of the skin, often caused by external influences.
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.
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.

The concept does not describe decubitus wounds and burn wounds. For these, the relevant information models can be used.

Purpose

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.

Evidence Base

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.

The WCS classification is used for surgical wounds, trauma wounds, diabetic foot and venous ulcers. The following values are used:

  • Red wound: granulation tissue
  • Yellow wound: signs of infection or fibrin layer
  • Black wound: with necrosis


(Source: www.wcs.nl)

Tissue in oncological ulcers is classified as follows:

  • Degree I: intact epidermis with imminent damage to the skin through underlying tumor tissue
  • Degree II: beginning damage to the subcutis
  • Degree III: deep continued growth with damaged subcutis
  • Degree IV: dry and/or liquefactive necrosis of up to 30% of the wound surface
  • Degree V: dry and/or liquefactive necrosis of more than 30% of the wound surface


(Source: www.oncoline.nl)

Information Model


#WoundEdgeCodelist#WoundAnatomicalLocationCodelist#12329#WoundTypeCodelist#10125#10129#10130#10131#10132#10133#WoundTissueWCSCodelist#WoundMoistureCodelist#10120#10117#10119MedicalDevice-v3.1(2017EN)#10321#WoundTissueOncoUlcerCodelist#10720#10721#10722#10723#11574#WoundDrainTypeCodelist#WoundLateralityCodelistWound-v3.1Model(2017EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:19.2.1 Arrowdown.pngWound Root concept of the Wound information model. This root concept contains all data elements of the Wound information model.
CD.png NL-CM:19.2.5 Arrowright.pngWoundType 1 Description of the type of wound.
List2.png WoundTypeCodelist
CD.png NL-CM:19.2.4 Arrowright.pngWoundTissue 0..1 Description of the tissue of the wound. For this, the WCS model can be used. A different classification is used for oncological ulcers.
List2.png WoundTissueOncoUlcerCodelist
List2.png WoundTissueWCSCodelist
BL.png NL-CM:19.2.7 Arrowright.pngWoundInfection 0..1 Indication stating whether the wound is infected.
405009004 Infection status
CD.png NL-CM:19.2.6 Arrowright.pngWoundMoisture 0..1 Description of the moisture in the wound.
298007001 Moistness of wound
List2.png WoundMoistureCodelist
CD.png NL-CM:19.2.11 Arrowright.pngWoundEdge 0..1 Description of the condition of the outer edges of the wound.
449747006 Wound edge finding
List2.png WoundEdgeCodelist
PQ.png NL-CM:19.2.12 Arrowright.pngWoundLength 0..1 The length of the wound.
401238003 Length of wound
PQ.png NL-CM:19.2.13 Arrowright.pngWoundWidth 0..1 The width of the wound.
401239006 Width of wound
PQ.png NL-CM:19.2.14 Arrowright.pngWoundDepth 0..1 The depth of the wound.
425094009 Depth of wound
CD.png NL-CM:19.2.8 Arrowright.pngAnatomicalLocation 0..1 The location of the wound on the body.
363698007 Finding site
List2.png WoundAnatomicalLocationCodelist
CD.png NL-CM:19.2.18 Arrowright.pngLaterality 0..1 Laterality adds information about body side to the anatomic location, e.g. left
272741003 Laterality
List2.png WoundLateralityCodelist
TS.png NL-CM:19.2.2 Arrowright.pngWoundDateOfOnset 0..1 The date on which the wound appeared.
TS.png NL-CM:19.2.3 Arrowright.pngDateOfLastDressingChange 0..1 Date on which the dressing was last changed.
Verwijzing.png NL-CM:19.2.17 Arrowright.pngDrain::MedicalDevice 0..1 A drain is a medical aid placed to drain blood and exudate from the wound area.
258646005 Wound drain
Block.png MedicalDevice
CD.png NL-CM:10.1.3 Arrowright.pngProductType Type of drain applied to the wound.
List2.png WoundDrainTypeCodelist
ED.png NL-CM:19.2.15 Arrowright.pngWoundImage 0..* A photo of the wound.
ST.png NL-CM:19.2.9 Arrowright.pngComment 0..1 Comment on the wound.
48767-8 Annotation comment

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

Wond
WondSoort Chirurgische wond
AnatomischeLocatie Bovenbuik
Lateraliteit Rechts
WondOntstaansdatum 10-10-2014
WondWeefsel Gele wond
WondInfectie Nee
WondVochtigheid Vochtige wond
WondRand Ondermijning
Wondlengte 5 cm
Wondbreedte 2 cm
Wonddiepte 1 cm
DatumLaatsteVerbandwissel 18-10-2014
Toelichting Wond lekt steeds minder.

References

1. Richtlijn Wondzorg (Nederlandse Vereniging voor Heelkunde, 2013) [Online] Beschikbaar op:http://www.heelkunde.nl/uploads/o1/hI/o1hIRR2oR4QDojTm5pGjGA/Richtlijn-Wondzorg-final.pdf [Geraadpleegd: 13 februari 2015]

2. Richtlijn Oncologische ulcera (2010) [Online] Beschikbaar op:http://www.oncoline.nl/index.php?pagina=/richtlijn/item/pagina.php&id=32570&richtlijn_id=769 [Geraadpleegd: 13 februari 2015]

3. WCS [Online] Beschikbaar op:www.wcs.nl [Geraadpleegd: 13 februari 2015]

4. Oncoline [Online] Beschikbaar op:www.oncoline.nl [Geraadpleegd: 13 februari 2015]

Valuesets

WoundAnatomicalLocationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.6 Binding:
Conceptname Codesystem name Codesystem OID
SNOMED CT: <442083009|Anatomical or acquired body structure| SNOMED CT 2.16.840.1.113883.6.96

WoundDrainTypeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.7 Binding:
Conceptname Codesystem name Codesystem OID
SNOMED CT: <<32712000|drain| SNOMED CT 2.16.840.1.113883.6.96

WoundEdgeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.5 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Wound epithelialisation 449743005 SNOMED CT 2.16.840.1.113883.6.96 Epithelisatie
Skin irritation 367466007 SNOMED CT 2.16.840.1.113883.6.96 Irritatie
Wound tissue undermining 449752001 SNOMED CT 2.16.840.1.113883.6.96 Ondermijning
Macerated skin 3644009 SNOMED CT 2.16.840.1.113883.6.96 Verweking
Other OTH NullFlavor 2.16.840.1.113883.5.1008 Anders

WoundLateralityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.8 Binding:
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

WoundMoistureCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.3 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Droge wond DROOG WondVochtigheid 2.16.840.1.113883.2.4.3.11.60.40.4.7.3 Droge wond
Vochtige wond VOCHTIG WondVochtigheid 2.16.840.1.113883.2.4.3.11.60.40.4.7.3 Vochtige wond
Natte wond NAT WondVochtigheid 2.16.840.1.113883.2.4.3.11.60.40.4.7.3 Natte wond

WoundTissueOncoUlcerCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.2 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Graad I GRAAD1 OncoUlcerWeefsel 2.16.840.1.113883.2.4.3.11.60.40.4.7.1 Graad I
Graad II GRAAD2 OncoUlcerWeefsel 2.16.840.1.113883.2.4.3.11.60.40.4.7.1 Graad II
Graad III GRAAD3 OncoUlcerWeefsel 2.16.840.1.113883.2.4.3.11.60.40.4.7.1 Graad III
Graad IV GRAAD4 OncoUlcerWeefsel 2.16.840.1.113883.2.4.3.11.60.40.4.7.1 Graad IV
Graad V GRAAD5 OncoUlcerWeefsel 2.16.840.1.113883.2.4.3.11.60.40.4.7.1 Graad V

WoundTissueWCSCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.1 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Rode wond ROOD WondWeefselWCS 2.16.840.1.113883.2.4.3.11.60.40.4.7.2 granulerend weefsel
Gele wond GEEL WondWeefselWCS 2.16.840.1.113883.2.4.3.11.60.40.4.7.2 met infectieverschijnselen of fibrinebeslag
Zwarte wond ZWART WondWeefselWCS 2.16.840.1.113883.2.4.3.11.60.40.4.7.2 met necrose

WoundTypeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.2.4 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Surgical wound 112633009 SNOMED CT 2.16.840.1.113883.6.96 Chirurgische wond
Wound 416462003 SNOMED CT 2.16.840.1.113883.6.96 Traumatische wond
Ulcer of lower extremity 95344007 SNOMED CT 2.16.840.1.113883.6.96 Ulcus cruris
Secondary malignant neoplasm of skin 94579000 SNOMED CT 2.16.840.1.113883.6.96 Oncologische ulcer
Radiation ulcer 403722002 SNOMED CT 2.16.840.1.113883.6.96 Stralingswond
Diabetic foot ulcer 371087003 SNOMED CT 2.16.840.1.113883.6.96 Ulcus van diabetische voet
Skin tear 428220001 SNOMED CT 2.16.840.1.113883.6.96 Skin tear
Other OTH NullFlavor 2.16.840.1.113883.5.1008 Anders

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 2017
Conditions for use are located on the mainpage List2.png
This page is generated on 21/12/2018 14:49:49 with ZibExtraction v. 3.0.6929.24609

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=Wound-v3.1(2017EN)&oldid=15965"