Wound-v3.1(2018EN): verschil tussen versies

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Regel 8: Regel 8:
 
Release<!--hdPublication-->: '''2018''' <br>
 
Release<!--hdPublication-->: '''2018''' <br>
 
Release status<!--hdPublicationStatus-->: Prepublished<br>
 
Release status<!--hdPublicationStatus-->: Prepublished<br>
−
Release date<!--hdPublicationDate-->: 01-10-2018
+
Release date<!--hdPublicationDate-->: 26-02-2019
 
-----
 
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
 
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
Regel 47: Regel 47:
 
|style="width:250px; "|DCM::Name||nl.zorg.Wond
 
|style="width:250px; "|DCM::Name||nl.zorg.Wond
 
|-  
 
|-  
−
|style="width:250px; "|DCM::PublicationDate||01-10-2018
+
|style="width:250px; "|DCM::PublicationDate||26-02-2019
 
|-  
 
|-  
 
|style="width:250px; "|DCM::PublicationStatus||Prepublished
 
|style="width:250px; "|DCM::PublicationStatus||Prepublished
Regel 126: Regel 126:
 
==Information Model==
 
==Information Model==
 
<BR>
 
<BR>
−
<imagemap> Bestand:Wound-v3.1Model(EN).png | center  
+
<imagemap> Bestand:Wound-v3.1Model(2018EN).png | center  
−
rect 765 635 885 685 [[#WoundEdgeCodelist]]
+
rect 775 643 895 693 [[#WoundEdgeCodelist]]
−
rect 25 309 217 359 [[#WoundAnatomicalLocationCodelist]]
+
rect 35 317 227 367 [[#WoundAnatomicalLocationCodelist]]
−
rect 250 210 386 280 [[#12329]]
+
rect 260 218 396 288 [[#12329]]
−
rect 194 35 386 85 [[#WoundTypeCodelist]]
+
rect 204 43 396 93 [[#WoundTypeCodelist]]
−
rect 587 118 723 188 [[#10125]]
+
rect 597 126 733 196 [[#10125]]
−
rect 260 529 388 599 [[#10129]]
+
rect 270 537 398 607 [[#10129]]
−
rect 585 529 713 599 [[#10130]]
+
rect 595 537 723 607 [[#10130]]
−
rect 425 118 561 188 [[#10131]]
+
rect 435 126 571 196 [[#10131]]
−
rect 925 391 1074 461 [[#10132]]
+
rect 935 399 1084 469 [[#10132]]
−
rect 428 529 556 599 [[#10133]]
+
rect 438 537 566 607 [[#10133]]
−
rect 149 635 305 685 [[#WoundTissueWCSCodelist]]
+
rect 159 643 315 693 [[#WoundTissueWCSCodelist]]
−
rect 577 635 727 685 [[#WoundMoistureCodelist]]
+
rect 587 643 737 693 [[#WoundMoistureCodelist]]
−
rect 250 118 386 188 [[#10120]]
+
rect 260 126 396 196 [[#10120]]
−
rect 250 300 386 370 [[#10117]]
+
rect 260 308 396 378 [[#10117]]
−
rect 582 295 682 375 [[#10119]]
+
rect 592 303 692 383 [[#10119]]
−
rect 244 410 386 480 [[MedicalDevice-v3.1.1(2018EN)]]
+
rect 254 418 396 488 [[MedicalDevice-v3.2(2018EN)]]
−
rect 752 529 900 599 [[#10321]]
+
rect 762 537 910 607 [[#10321]]
−
rect 333 635 523 685 [[#WoundTissueOncoUlcerCodelist]]
+
rect 343 643 533 693 [[#WoundTissueOncoUlcerCodelist]]
−
rect 749 118 898 188 [[#10720]]
+
rect 759 126 908 196 [[#10720]]
−
rect 924 118 1073 188 [[#10721]]
+
rect 934 126 1083 196 [[#10721]]
−
rect 925 209 1074 279 [[#10722]]
+
rect 935 217 1084 287 [[#10722]]
−
rect 925 300 1074 370 [[#10723]]
+
rect 935 308 1084 378 [[#10723]]
−
rect 80 410 216 480 [[#11574]]
+
rect 90 418 226 488 [[#11574]]
−
rect 63 531 217 581 [[#WoundDrainTypeCodelist]]
+
rect 73 539 227 589 [[#WoundDrainTypeCodelist]]
−
rect 25 220 217 270 [[#WoundLateralityCodelist]]
+
rect 35 228 227 278 [[#WoundLateralityCodelist]]
 
desc none
 
desc none
 
</imagemap>
 
</imagemap>
Regel 347: Regel 347:
 
{|
 
{|
 
|-
 
|-
−
|[[Bestand: block.png | link=MedicalDevice-v3.1.1(2018EN)]]||[[MedicalDevice-v3.1.1(2018EN) |MedicalDevice]]
+
|[[Bestand: block.png | link=MedicalDevice-v3.2(2018EN)]]||[[MedicalDevice-v3.2(2018EN) |MedicalDevice]]
 
|}
 
|}
 
|-style="vertical-align:top; background-color: transparent; "
 
|-style="vertical-align:top; background-color: transparent; "
Regel 460: Regel 460:
 
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
−
|SNOMED CT: < [https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki><span title = "Anatomische of verworven lichaamsstructuur" >Anatomical or acquired body structure</span><noWiki>|</noWiki>
+
|SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki><span title = "Anatomische of verworven lichaamsstructuur">Anatomical or acquired body structure</span><noWiki>|</noWiki>
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
Regel 475: Regel 475:
 
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
−
|SNOMED CT: << [https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=32712000 32712000]<noWiki>|</noWiki><span title = "Drain" >Drain</span><noWiki>|</noWiki>
+
|SNOMED CT: <<[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=32712000 32712000]<noWiki>|</noWiki><span title = "Drain">Drain</span><noWiki>|</noWiki>
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
Regel 498: Regel 498:
 
|Epithelisatie
 
|Epithelisatie
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
−
|<span title = "Irritatie van huid" >Skin irritation</span>
+
|<span title = "Irritatie van huid">Skin irritation</span>
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=367466007 367466007]
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=367466007 367466007]
 
|SNOMED CT
 
|SNOMED CT
Regel 535: Regel 535:
 
|Description<!--vsDescription-->
 
|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
−
|<span title = "Links" >Left</span>
+
|<span title = "Links">Left</span>
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000]
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000]
 
|SNOMED CT
 
|SNOMED CT
Regel 541: Regel 541:
 
|Links
 
|Links
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
−
|<span title = "Rechts" >Right</span>
+
|<span title = "Rechts">Right</span>
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007]
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007]
 
|SNOMED CT
 
|SNOMED CT
Regel 547: Regel 547:
 
|Rechts
 
|Rechts
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
−
|<span title = "Bilateraal" >Right and left</span>
+
|<span title = "Bilateraal">Right and left</span>
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=51440002 51440002]
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=51440002 51440002]
 
|SNOMED CT
 
|SNOMED CT
Regel 671: Regel 671:
 
|Description<!--vsDescription-->
 
|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
−
|<span title = "Operatiewond" >Surgical wound</span>
+
|<span title = "Operatiewond">Surgical wound</span>
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=112633009 112633009]
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=112633009 112633009]
 
|SNOMED CT
 
|SNOMED CT
Regel 677: Regel 677:
 
|Chirurgische wond
 
|Chirurgische wond
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
−
|<span title = "Verwonding" >Wound</span>
+
|<span title = "Verwonding">Wound</span>
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=416462003 416462003]
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=416462003 416462003]
 
|SNOMED CT
 
|SNOMED CT
Regel 683: Regel 683:
 
|Traumatische wond
 
|Traumatische wond
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
−
|<span title = "Ulcus van onderste extremiteit" >Ulcer of lower extremity</span>
+
|<span title = "Ulcus van onderste extremiteit">Ulcer of lower extremity</span>
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=95344007 95344007]
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=95344007 95344007]
 
|SNOMED CT
 
|SNOMED CT
Regel 689: Regel 689:
 
|Ulcus cruris
 
|Ulcus cruris
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
−
|<span title = "Metastase in huid" >Secondary malignant neoplasm of skin</span>
+
|<span title = "Metastase in huid">Secondary malignant neoplasm of skin</span>
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=94579000 94579000]
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=94579000 94579000]
 
|SNOMED CT
 
|SNOMED CT
Regel 695: Regel 695:
 
|Oncologische ulcer
 
|Oncologische ulcer
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
−
|<span title = "Röntgenulcus" >Ulceration of skin due to therapeutic ionizing radiation</span>
+
|<span title = "Röntgenulcus">Ulceration of skin due to therapeutic ionizing radiation</span>
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=403722002 403722002]
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=403722002 403722002]
 
|SNOMED CT
 
|SNOMED CT
Regel 707: Regel 707:
 
|Ulcus van diabetische voet
 
|Ulcus van diabetische voet
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
−
|<span title = "Skin tear" >Tear of skin</span>
+
|<span title = "Skin tear">Tear of skin</span>
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=428220001 428220001]
 
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=428220001 428220001]
 
|SNOMED CT
 
|SNOMED CT
Regel 726: Regel 726:
 
==Information model references<!--ftReferences-->==
 
==Information model references<!--ftReferences-->==
 
====This information model refers to<!--ftRefersTo-->====
 
====This information model refers to<!--ftRefersTo-->====
−
*[[MedicalDevice-v3.1.1(2018EN)|MedicalDevice-v3.1.1]]
+
*[[MedicalDevice-v3.2(2018EN)|MedicalDevice-v3.2]]
−
====This inforation model is used in<!--ftReferredBy-->====
+
====This information model is used in<!--ftReferredBy-->====
 
:--
 
:--
 
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
 
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
Regel 733: Regel 733:
 
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
 
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<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.19.2&effectiveDate=2018-10-01T00:00:00&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--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.19.2&effectiveDate=2019-02-26T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
 
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2018}}</li>
 
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2018}}</li>
 
</ul>
 
</ul>
Regel 739: Regel 739:
 
This information model is also available as [[Media:nl.zorg.Wound-v3.1(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Wound-v3.1(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
 
This information model is also available as [[Media:nl.zorg.Wound-v3.1(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Wound-v3.1(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
 
==About this information<!--ftHeader2-->==
 
==About this information<!--ftHeader2-->==
−
The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018 #1 <BR>
+
The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018-2 <BR>
 
SNOMED CT and LOINC codes are based on:
 
SNOMED CT and LOINC codes are based on:
 
<ul>
 
<ul>
Regel 746: Regel 746:
 
</ul>
 
</ul>
 
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
 
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
−
This page is generated on 01/11/2018 22:26:06 with ZibExtraction v. 2.0.6879.31307<!--ftDate--> <BR>
+
This page is generated on 12/03/2019 17:19:42 with ZibExtraction v. 3.0.7010.25883<!--ftDate--> <BR>
 
-----
 
-----
 
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
 
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Huidige versie van 13 mrt 2019 om 01:53


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: 2018
Release status: Prepublished
Release date: 26-02-2019

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 26-02-2019
DCM::PublicationStatus Prepublished
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-v3.2(2018EN)#10321#WoundTissueOncoUlcerCodelist#10720#10721#10722#10723#11574#WoundDrainTypeCodelist#WoundLateralityCodelistWound-v3.1Model(2018EN).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 [Interpretation] Narrative

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: Extensible
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: Extensible
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: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Wound epithelialization 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: Required
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: Extensible
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: Required
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: Required
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: Extensible
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
Ulceration of skin due to therapeutic ionizing radiation 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
Tear of skin 428220001 SNOMED CT 2.16.840.1.113883.6.96 Skin tear
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 Prerelease 2018-2
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
  • LOINC version 2.64

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