Burnwound-v3.2(2018EN)

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General information

Name: nl.zorg.Burnwound
Version: 3.2
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 26-02-2019

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Metadata

DCM::CoderList	Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate	18-9-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	PM
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.19.4
DCM::KeywordList	Brandwond
DCM::LifecycleStatus	Final
DCM::ModelerList	Werkgroep RadB Verpleegkundige Gegevens
DCM::Name	nl.zorg.Brandwond
DCM::PublicationDate	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.Brandwond-v3.1
DCM::Version	3.2
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-532	Toevoegen concept BrandwondSoort met waardelijst
ZIB-585	Toevoegen concept Lateraliteit aan het concept Anatomische Locatie

Publicatieversie 3.2 (31-12-2017)

ZIB-646

Aanpassing SNOMED codes

Concept

A burn wound is a wound caused by skin being exposed to heat for a certain time above a certain critical temperature. Heat above this critical temperature (+/- 40°C) will cause damage to the skin. There are different types of burn wounds, which are categorized according to the depth of the burn wound.
The depth of the burn wound depends on:

• the temperature of the impacting heat;
• the duration of the impact of heat on the skin;
• the source of the burn (e.g. fire, fluid).

Purpose

The description of the burn wound is of importance for starting or continuing the best possible wound treatment and to be able to properly monitor the wound healing process.

Evidence Base

Different degrees are used to evaluate the depth of the burn wound:

First-degree burn (no wound):

• redness
• good capillary refill
• supple
• painful

Superficial second-degree burn wound (partial thickness of the skin):

• intact / broken blisters
• pink, shiny, uniform
• good capillary refill
• supple
• painful

Deep second-degree burn wound:

• intact / broken blisters
• pink, matte, not homogenous, damp
• slow capillary refill
• slightly more firm
• painful

Third-degree burn wound

• intact / broken blisters, epidermis stuck to burned dermis
• white, brown, yellow, red (when kept in hot water for a prolonged period of time)
• no capillary refill, non-removable redness
• firm
• less painful than the size of the wound makes it appear

(Source: Brandwondenprotocol 2010, Rode Kruis Brandwondencentrum Beverwijk [2010 Burn wound protocol, Beverwijk Red Cross Burn Wound Center])

Information Model

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:19.4.1	BurnWound							Root concept of the BurnWound information model. This concept contains all data elements of the BurnWound information model.	125666000 Burn
	NL-CM:19.4.3		DateOfOnset					0..1	Date on which the burn wound appeared.
	NL-CM:19.4.7		Extent					0..1	The extent of a burn wound is indicated in a percentage of the ‘Total Body Surface Area’ (TBSA). For adults, the TBSA can be calculated on the basis of the ‘rule of nines’, in which body parts are expressed in the percentage 9 and multiples of 9. This ‘rule of nines’ cannot be used for children because a child’s body proportions are different from those of an adult. For children, separate tables were developed per age group to determine the extent of burn wounds. Another option is measuring the extent using the patient’s hand surface area. The surface area of a patient’s hand (including the fingers) equals approximately 1% of their total body surface area. (Source: Brandwonden genezen. Hoe verder? [Healing Burn Wounds. What now?)
	NL-CM:19.4.9		BurnType					0..1	Indication of the kind of the burn wound, differentiated into the cause of the injury.		BurnTypeCodelist
	NL-CM:19.4.4		AnatomicalLocation					0..1	The location of the burn wound on the body.	363698007 Finding site	BurnWoundAnatomicalLocationCodelist
	NL-CM:19.4.10		Laterality					0..1	Laterality adds information about body side to the anatomic location, e.g. left	272741003 Laterality	BurnWoundLateralityCodelist
	NL-CM:19.4.2		Depth					1	Description of the severity of the burn wound, ranging from degree 1 - 3.	116676008 Associated morphology	DepthCodelist
	NL-CM:19.4.5		Comment					0..1	Comment on the burn wound.	48767-8 Annotation comment [Interpretation] Narrative
	NL-CM:19.4.8		DateOfLastDressingChange					0..1	Date on which the dressing was last changed.

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

Example Instances

Only available in Dutch

Brandwond
Dieptegraad	2e graad, oppervlakkig
Uitgebreidheid	1%
AnatomischeLocatie	onderarm
Lateraliteit	rechts
Soort	thermische brandwond
OntstaansDatum	29-09-2014
DatumLaatste Verbandwissel	10-10-2014
Toelichting	Mevrouw kreeg hete thee over zich heen, wond is ongeveer 10 bij 4 cm.

Issues

Damages to the skin as a result of exposure to intense heat and cold can lead to similar wounds. Nevertheless, we have decided not to expand the information model to become a generic thermal wound information model. The reason for this was the lack of a guideline for treating freeze wounds and insufficient agreement in the field on the applicability of the burn wound classification for freeze wounds. Freeze wounds also rarely occur in the Netherlands, due to the climate.

References

1. Brandwondenprotocol 2010 [Online] Beschikbaar op:https://www.rkz.nl/brandwondenprotocol_online [Geraadpleegd: 13 februari 2015]

2. Brandwonden genezen. Hoe verder? [Online] Beschikbaar op:http://brandwondenstichting.nl/wp-content/uploads/2013/08/NBS_Hoe-verder-huisartsen-2011.pdf [Geraadpleegd: 13 februari 2015]

Valuesets

BurnTypeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.3

Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Chemical burn	26696002	SNOMED CT	2.16.840.1.113883.6.96	Chemisch brandwond
Electrical burn	21720007	SNOMED CT	2.16.840.1.113883.6.96	Elektrische brandwond
Thermal burn	105594005	SNOMED CT	2.16.840.1.113883.6.96	Thermische brandwond

BurnWoundAnatomicalLocationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.2

Binding: Extensible

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

BurnWoundLateralityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.4

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

DepthCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.4.1

Binding: Required

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
First degree burn injury	77140003	SNOMED CT	2.16.840.1.113883.6.96	1e graad
Superficial partial thickness burn	262587005	SNOMED CT	2.16.840.1.113883.6.96	2e graad, oppervlakkig
Deep partial thickness burn	262588000	SNOMED CT	2.16.840.1.113883.6.96	2e graad, diep
Third degree burn injury	80247002	SNOMED CT	2.16.840.1.113883.6.96	3e graad

This information model in other releases

• Release 2015, (Version 1.0)
• Release 2016, (Version 3.0)
• Release 2017, (Version 3.2)
• Prerelease 2019-2, (Version 3.3)
• Release 2020, (Version 3.4)
• Prerelease 2021-2, (Version 3.5)
• Prerelease 2022-1, (Version 3.5)
• Prerelease 2023-1, (Version 4.0)

Information model references

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Technical specifications in HL7v3 CDA and HL7 FHIR

To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:

• HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
• HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

Downloads

This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Prerelease 2018-2
SNOMED CT and LOINC codes are based on:

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

Conditions for use are located on the mainpage
This page is generated on 12/03/2019 17:15:59 with ZibExtraction v. 3.0.7010.25883

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