Burnwound-v3.2(2018EN)

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General information

Name: nl.zorg.Burnwound NL.png
Version: 3.2
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018


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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 01-10-2018
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


#BurnWoundAnatomicalLocationCodelist#12315#BurnWoundLateralityCodelist#10708#DepthCodelist#10709#10712#10713#10707#10718#10719#11532#BurnTypeCodelistBurnwound-v3.2Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:19.4.1 Arrowdown.pngBurnWound Root concept of the BurnWound information model. This concept contains all data elements of the BurnWound information model.
125666000 Burn
TS.png NL-CM:19.4.3 Arrowright.pngDateOfOnset 0..1 Date on which the burn wound appeared.
PQ.png NL-CM:19.4.7 Arrowright.pngExtent 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?)

CD.png NL-CM:19.4.9 Arrowright.pngBrandwondSoort 0..1 Indication of the kind of the burn wound, differentiated into the cause of the injury.
List2.png BurnTypeCodelist
CD.png NL-CM:19.4.4 Arrowright.pngAnatomicalLocation 0..1 The location of the burn wound on the body.
363698007 Finding site
List2.png BurnWoundAnatomicalLocationCodelist
CD.png NL-CM:19.4.10 Arrowright.pngLaterality 0..1 Laterality adds information about body side to the anatomic location, e.g. left
272741003 Laterality
List2.png BurnWoundLateralityCodelist
CO.png NL-CM:19.4.2 Arrowright.pngDepth 1 Description of the severity of the burn wound, ranging from degree 1 - 3.
116676008 Associated morphology
List2.png DepthCodelist
ST.png NL-CM:19.4.5 Arrowright.pngComment 0..1 Comment on the burn wound.
48767-8 Annotation comment [Interpretation] Narrative
TS.png NL-CM:19.4.8 Arrowright.pngDateOfLastDressingChange 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 List2.png

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

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 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 Prerelease 2018 #1
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 List2.png
This page is generated on 01/11/2018 22:21:02 with ZibExtraction v. 2.0.6879.31307


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