Wound-v1.0(2015EN): verschil tussen versies

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Regel 1: Regel 1:
==General information==
<!-- Hieronder wordt een transclude page aangeroepen -->
Name: '''nl.nfu.Wound''' [[Bestand:NL.png|link=Wond-v1.0(2015NL)]]<BR>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.2(EN)|1|Wound-v1.0(2015EN)}}
Version: '''1.0''' <br>
<!-- Tot hier de transclude page -->
HCIM Status:Final<br>
==General information<!--hdGeneralInformation-->==
Release: '''2015''' <br>
Name<!--hdName-->: '''nl.nfu.Wound''' [[Bestand:NL.png|link=Wond-v1.0(2015NL)]]<BR>
Release status: Published<br>
Version<!--hdVersion-->: '''1.0''' <br>
Release date: 8-9-2015
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2015''' <br>
Release status<!--hdPublicationStatus-->: Published<br>
Release date<!--hdPublicationDate-->: 8-9-2015
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>


==Metadata==
==Metadata==
Regel 61: Regel 64:
==Revision History==
==Revision History==
<div class="mw-collapsible mw-collapsed">
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''
''Only available in Dutch<!--noTranslation-->''


<u>Publicatieversie 1.0</u> (01-07-2015).
<u>Publicatieversie 1.0</u> (01-07-2015).
Regel 99: Regel 102:
==Information Model==
==Information Model==
<BR>
<BR>
<imagemap> Bestand:Wound-v1.0Model(EN).png | center  
<imagemap> Bestand:Wound-v1.0Model(2015EN).png | center  
rect 800 628 920 678 [[#WoundEdgeCodelist]]
rect 810 636 930 686 [[#WoundEdgeCodelist]]
rect 81 324 273 374 [[#WoundAnatomicalLocationCodelist]]
rect 91 332 283 382 [[#WoundAnatomicalLocationCodelist]]
rect 82 227 274 277 [[#WoundTypeCodelist]]
rect 92 235 284 285 [[#WoundTypeCodelist]]
rect 461 35 589 105 [[NursingIntervention-v1.0(2015EN)]]
rect 471 43 599 113 [[NursingIntervention-v1.0(2015EN)]]
rect 293 400 421 470 [[#10125]]
rect 303 408 431 478 [[#10125]]
rect 295 507 423 577 [[#10129]]
rect 305 515 433 585 [[#10129]]
rect 623 507 751 577 [[#10130]]
rect 633 515 761 585 [[#10130]]
rect 293 126 421 196 [[#10131]]
rect 303 134 431 204 [[#10131]]
rect 785 399 934 469 [[#10132]]
rect 795 407 944 477 [[#10132]]
rect 465 507 593 577 [[#10133]]
rect 475 515 603 585 [[#10133]]
rect 195 629 351 679 [[#WoundTissueWCSCodelist]]
rect 205 637 361 687 [[#WoundTissueWCSCodelist]]
rect 612 629 762 679 [[#WoundMoistureCodelist]]
rect 622 637 772 687 [[#WoundMoistureCodelist]]
rect 293 217 421 287 [[#10120]]
rect 303 225 431 295 [[#10120]]
rect 292 314 420 384 [[#10117]]
rect 302 322 430 392 [[#10117]]
rect 549 184 649 264 [[#10119]]
rect 559 192 659 272 [[#10119]]
rect 626 35 754 105 [[PlannedCareActivityForTransfer-v1.2.1(2015EN)]]
rect 636 43 764 113 [[PlannedCareActivityForTransfer-v1.2.1(2015EN)]]
rect 290 35 426 105 [[MedicalDevice-v1.2(2015EN)]]
rect 300 43 436 113 [[MedicalDevice-v1.2(2015EN)]]
rect 785 508 933 578 [[#10321]]
rect 795 516 943 586 [[#10321]]
rect 226 696 381 746 [[#WoundTissueOncoUlcerCodelist]]
rect 236 704 391 754 [[#WoundTissueOncoUlcerCodelist]]
rect 785 35 934 105 [[#10720]]
rect 795 43 944 113 [[#10720]]
rect 785 126 934 196 [[#10721]]
rect 795 134 944 204 [[#10721]]
rect 785 217 934 287 [[#10722]]
rect 795 225 944 295 [[#10722]]
rect 785 308 934 378 [[#10723]]
rect 795 316 944 386 [[#10723]]
desc none
desc none
</imagemap>
</imagemap>
Regel 128: Regel 131:
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference-->
|-style="vertical-align:top; background-color: #E3E3E3; "
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
Regel 175: Regel 178:
{|
{|
|-
|-
|<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>
|}
|}
|
|
Regel 188: Regel 191:
{|
{|
|-
|-
|<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>
|}
|}
|
|
Regel 205: Regel 208:
{|
{|
|-
|-
|<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>
|}
|}
|
|
Regel 222: Regel 225:
{|
{|
|-
|-
|<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>
|}
|}
|
|
Regel 235: Regel 238:
{|
{|
|-
|-
|<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>
|}
|}
|
|
Regel 248: Regel 251:
{|
{|
|-
|-
|<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>
|}
|}
|
|
Regel 292: Regel 295:
{|
{|
|-
|-
|<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>
|}
|}
|
|
Regel 344: Regel 347:
{|
{|
|-
|-
|<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;"
Regel 415: Regel 418:
{| 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: <<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
|}
|}
=== 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 446: Regel 450:
|-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 452: Regel 456:
|-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 458: Regel 462:
|-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 469: Regel 473:
|Anders
|Anders
|}
|}
=== 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 500: Regel 504:
|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 543: Regel 547:
|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 574: Regel 578:
|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 594: Regel 598:
|-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 600: Regel 604:
|-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 606: Regel 610:
|-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 612: Regel 616:
|-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 618: Regel 622:
|-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 630: Regel 634:
|}
|}


 
==This information model in other releases<!--ftOtherReleases-->==
==This information model in other releases==
<!-- Hieronder wordt een transclude page aangeroepen -->
<ul>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.2(EN)|2|2015}}
<li>[[Wound-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
<!-- Tot hier de transclude page -->
<li>[[Wound-v3.1(2017EN) | Release 2017, (Version 3.1)]]</li>
==Information model references<!--ftReferences-->==
</ul>
====This information model refers to<!--ftRefersTo-->====
==More on this information model==
*[[MedicalDevice-v1.2(2015EN)|MedicalDevice-v1.2]]
*[[NursingIntervention-v1.0(2015EN)|NursingIntervention-v1.0]]
*[[PlannedCareActivityForTransfer-v1.2.1(2015EN)|PlannedCareActivityForTransfer-v1.2.1]]
====This information model is used in<!--ftReferredBy-->====
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.19.2&effectiveDate=2015-09-08T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.19.2&effectiveDate=2015-09-08T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [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|2015}}</li>
</ul>
</ul>
This information model is also available as [[Media:nl.nfu.Wound-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.Wound-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==Downloads<!--ftDownloadTitle-->==
==About this information==
This information model is also available as [[Media:nl.nfu.Wound-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.Wound-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
==About this information<!--ftHeader2-->==
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
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Huidige versie van 24 dec 2018 om 12:16


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

General information

Name: nl.nfu.Wound NL.png
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015

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 NFU & V&VN
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.nfu.Wond
DCM::PublicationDate 8-9-2015
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 8-9-2015
DCM::Superseeds
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015).

Concept

A 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 building blocks can be used.

Purpose

Information on the wound is recorded to share this information with other healthcare providers. 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#WoundTypeCodelistNursingIntervention-v1.0(2015EN)#10125#10129#10130#10131#10132#10133#WoundTissueWCSCodelist#WoundMoistureCodelist#10120#10117#10119PlannedCareActivityForTransfer-v1.2.1(2015EN)MedicalDevice-v1.2(2015EN)#10321#WoundTissueOncoUlcerCodelist#10720#10721#10722#10723Wound-v1.0Model(2015EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:19.2.1 Arrowdown.pngWound Root concept of the Wound building block. This root concept contains all data elements of the Wound building block.
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.
List2.png WoundAnatomicalLocationCodelist
TS.png NL-CM:19.2.2 Arrowright.pngWoundStartDate 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::MedicalAid 0..1 A drain is a medical aid placed to drain blood and exudate from the wound area.
258646005 Wound drain
Block.png MedicalDevice
Verwijzing.png NL-CM:19.2.10 Arrowright.pngTreatment::NursingProcedure 0..* The nursing procedures required to care for the wound, such as cleaning the wound. Things like the used dressing and bandage materials and the frequency of the dressing changes can be described as well.
Block.png NursingIntervention
Verwijzing.png NL-CM:19.2.16 Arrowright.pngPlannedProcedure::PlannedCareActivity 0..* The planned (nursing) procedure or 'clinical reminder'. This could for example be a reminder for the time at which the wound dressing is to be replaced or at which the drain is to be placed.
Block.png PlannedCareActivityForTransfer
ED.png NL-CM:19.2.15 Arrowright.pngWoundImage 0..1 A photo of the wound.
ST.png NL-CM:19.2.9 Arrowright.pngExplanation 0..1 Explanation of 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 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
Behandeling
Activiteit Dagelijks behandelen met jodium, niet klevend gaasverband en hydrofyber.
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: <<91723000|anatomical structure| 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

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
Other OTH NullFlavor 2.16.840.1.113883.5.1008 Anders

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About this information

The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage List2.png
This page is generated on 24/12/2018 12:37:44 with ZibExtraction v. 3.0.6932.1989

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=Wound-v1.0(2015EN)&oldid=16696"