| Package | healthdata.be.r4.cbb |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=healthdata.be.r4.cbb@0.16.0-beta&canonical=https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Burnwound |
| Url | https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Burnwound |
| Status | draft |
| Date | 2022-07-07T15:04:03.2592055+00:00 |
| Name | HdBeBurnwound |
| Title | HdBe-Burnwound |
| Experimental | False |
| Description | 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]) #### Instructions **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. |
| Copyright | Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise. |
| Type | https://fhir.healthdata.be/StructureDefinition/LogicalModel/Burnwound |
| Kind | logical |
No resources found
| StructureDefinition | |
https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AnatomicalLocation  | HdBe-AnatomicalLocation |
| https://fhir.healthdata.be/ValueSet/BurnwoundDepth | BurnwoundDepth |
| https://fhir.healthdata.be/ValueSet/BurnwoundLaterality | BurnwoundLaterality |
FHIR{
"resourceType" : "StructureDefinition",
"id" : "HdBe-Burnwound",
"language" : "en-US",
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/resource-effectivePeriod",
"valuePeriod" : {
"start" : "2020-09-01T00:00:00+02:00"
}
},
{
"url" : "https://fhir.healthdata.be/StructureDefinition/ext-CBB-MM",
"valueInteger" : 0
}
],
"url" : "https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Burnwound",
"name" : "HdBeBurnwound",
"_name" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "HdBeBrandwond"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"title" : "HdBe-Burnwound",
"status" : "draft",
"date" : "2022-07-07T15:04:03.2592055+00:00",
"publisher" : "Healthdata.be (Sciensano)",
"contact" : [
{
"name" : "Service portal – healthdata.be",
"telecom" : [
{
"system" : "url",
"value" : "https://sciensano.service-now.com/sp",
"use" : "work"
}
]
}
],
"description" : "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. \r\nThe depth of the burn wound depends on: \r\n\r\n* the temperature of the impacting heat;\r\n* the duration of the impact of heat on the skin;\r\n* the source of the burn (e.g. fire, fluid).\r\n\r\n#### Purpose\r\nThe 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.\r\n\r\n#### Evidence Base\r\nDifferent degrees are used to evaluate the depth of the burn wound: \r\n\r\nFirst-degree burn (no wound): \r\n\r\n* redness\r\n* good capillary refill\r\n* supple\r\n* painful\r\nSuperficial second-degree burn wound (partial thickness of the skin): \r\n\r\n* intact / broken blisters\r\n* pink, shiny, uniform\r\n* good capillary refill\r\n* supple\r\n* painful\r\nDeep second-degree burn wound:\r\n\r\n* intact / broken blisters\r\n* pink, matte, not homogenous, damp\r\n* slow capillary refill\r\n* slightly more firm\r\n* painful\r\nThird-degree burn wound \r\n\r\n* intact / broken blisters, epidermis stuck to burned dermis\r\n* white, brown, yellow, red (when kept in hot water for a prolonged period of time)\r\n* no capillary refill, non-removable redness\r\n* firm\r\n* less painful than the size of the wound makes it appear\r\n(Source: Brandwondenprotocol 2010, Rode Kruis Brandwondencentrum Beverwijk [2010 Burn wound protocol, Beverwijk Red Cross Burn Wound Center])\r\n\r\n\r\n\r\n#### Instructions\r\n\r\n**Issues**\r\nDamages 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.",
"_description" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Een brandwond is een verwonding door invloed van hitte op de huid gedurende een bepaalde tijd en boven een bepaalde kritische temperatuur. Boven deze kritische temperatuur (+/- 40° C) treedt beschadiging van de huid op. Er zijn verschillende soorten brandwonden en deze worden ingedeeld naar de diepte van de brandwond. \r\nDe diepte van de brandwond hangt af van: \r\n\r\n* de temperatuur van de inwerkende hitte;\r\n* de tijd dat de hitte inwerkt op de huid;\r\n* de oorzaak van de verbranding (bijvoorbeeld hete vloeistof, vuur).\r\n\r\n\r\n\r\n#### Purpose\r\nDe beschrijving van de brandwond is van belang voor het inzetten of continueren van de optimale wondbehandeling en om de voortgang van de wondgenezing goed te kunnen monitoren. \r\n#### Evidence Base\r\nVoor het beoordelen van de diepte van de brandwond wordt gebruik gemaakt van graden:\r\n\r\nEerstegraads verbranding (geen wond):\r\n\r\n* geen blaren, geen open wonden\r\n* roodheid\r\n* goede capillaire refill\r\n* soepel\r\n* pijnlijk\r\nOppervlakkige tweedegraads brandwond (gedeeltelijke dikte van de huid):\r\n\r\n* blaren intact / kapot\r\n* roze, glanzend, egaal,\r\n* goede capillaire refill\r\n* soepel\r\n* pijnlijk\r\nDiepe tweedegraads brandwond:\r\n\r\n* blaren intact / kapot\r\n* roze, mat, niet homogeen, mottig\r\n* trage capillaire refill\r\n* iets stugger\r\n* pijnlijk\r\nDerdegraads brandwond:\r\n\r\n* blaren intact / kapot, epidermis verkleefd op verbrande dermis\r\n* wit, bruin, geel, rood (bij langdurige verblijf in heet water)\r\n* geen capillaire refill, niet wegdrukbare roodheid\r\n* stug\r\n* minder pijnlijk dat de grootte van de wond doet vermoeden\r\n(Bron: Brandwondenprotocol 2010, Rode Kruis Brandwondencentrum Beverwijk)\r\n\r\n\r\n#### Instructions\r\n\r\n**Issues**\r\nBeschadigingen van de huid ten gevolge van blootstelling aan grote hitte en koude kunnen leiden tot vergelijkbare wonden. Niettemin is besloten om de bouwsteen niet te verbreden tot een generiekere bouwsteen thermische wonden. Reden hiervoor is het ontbreken van een richtlijn voor de behandeling van bevriezingswonden en onvoldoende overeenstemming in het veld over de toepasbaarheid van de brandwondenclassificatie voor bevriezingswonden. Tevens komen bevriezingswonden in Nederland weinig voor vanwege het klimaat.\r\n**References**\r\n1. Brandwondenprotocol 2010 [Online] Beschikbaar op: [https://www.rkz.nl/brandwondenprotocol_online](https://www.rkz.nl/brandwondenprotocol_online) [Geraadpleegd: 13 februari 2015]\r\n\r\n2. Brandwonden genezen. Hoe verder? [Online] Beschikbaar op: [http://brandwondenstichting.nl/wp-content/uploads/2013/08/NBS_Hoe-verder-huisartsen-2011.pdf](http://brandwondenstichting.nl/wp-content/uploads/2013/08/NBS_Hoe-verder-huisartsen-2011.pdf) [Geraadpleegd: 13 februari 2015]"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"copyright" : "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
"fhirVersion" : "4.0.1",
"kind" : "logical",
"abstract" : true,
"type" : "https://fhir.healthdata.be/StructureDefinition/LogicalModel/Burnwound",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Element",
"derivation" : "specialization",
"differential" : {
"element" : [
{
"id" : "Burnwound",
"path" : "Burnwound",
"short" : "Burnwound",
"_short" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Brandwond"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition" : "Root concept of the Burnwound information model. This concept contains all data elements of the Burnwound information model.",
"_definition" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Rootconcept van bouwsteen Brandwond. Dit concept bevat alle gegevenselementen van de bouwsteen Brandwond."
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min" : 0,
"max" : "*"
},
{
"id" : "Burnwound.DateOfOnset",
"path" : "Burnwound.DateOfOnset",
"short" : "DateOfOnset",
"_short" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "OntstaansDatum"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition" : "Date on which the burn wound appeared.",
"_definition" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Datum waarop de brandwond is ontstaan."
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
]
},
{
"id" : "Burnwound.Extent",
"path" : "Burnwound.Extent",
"short" : "Extent",
"_short" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Uitgebreidheid"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition" : "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. \r\n(Source: Brandwonden genezen. Hoe verder? [Healing Burn Wounds. What now?)",
"_definition" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "De uitgebreidheid van een brandwond wordt weergegeven in een percentage van het ‘Totaal Verbrande Lichaamsoppervlak’ (TVLO). Voor volwassenen is het TVLO te berekenen aan de hand van de ‘regel van negen’, waarbij de lichaamsdelen worden uitgedrukt in het percentage 9 en veelvouden hiervan. Deze ’regel van negen’ is voor kinderen niet bruikbaar omdat de lichaamsverhoudingen van een kind en een volwassene verschillen. Voor kinderen zijn per leeftijdsgroep aparte tabellen ontwikkeld om de uitgebreidheid van een brandwond vast te stellen. Een andere mogelijkheid is de uitgebreidheid te meten met het handoppervlak van de patiënt. De oppervlakte van een hand van de patiënt (met aaneengesloten vingers) komt overeen met ± 1% van het lichaamsoppervlak. \r\n(Bron: Brandwonden genezen. Hoe verder?)"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Quantity"
}
]
},
{
"id" : "Burnwound.AnatomicalLocation",
"path" : "Burnwound.AnatomicalLocation",
"short" : "AnatomicalLocation",
"_short" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "AnatomischeLocatie"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition" : "The location of the burn wound on the body.",
"_definition" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Locatie op het lichaam waar de brandwond zich bevindt."
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "Reference",
"targetProfile" : [
"https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AnatomicalLocation"
]
}
]
},
{
"id" : "Burnwound.Laterality",
"path" : "Burnwound.Laterality",
"short" : "Laterality",
"_short" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Lateraliteit"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition" : "Laterality adds information about body side to the anatomic location, *e.g.* left",
"_definition" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Lateraliteit verbijzondert de anatomische locatie door, indien van toepassing, de zijdigheid vast te leggen, bijvoorbeeld links."
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "required",
"description" : "Laterality codes",
"valueSet" : "https://fhir.healthdata.be/ValueSet/BurnwoundLaterality"
}
},
{
"id" : "Burnwound.Depth",
"path" : "Burnwound.Depth",
"short" : "Depth",
"_short" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Dieptegraad"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition" : "Description of the severity of the burn wound, ranging from degree 1 - 3.",
"_definition" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Beschrijving van de ernst van de brandwond, oplopend van graad 1 tot en met 3."
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min" : 1,
"max" : "1",
"type" : [
{
"code" : "CodeableConcept"
}
],
"binding" : {
"strength" : "required",
"description" : "BurnwoundDepth codes",
"valueSet" : "https://fhir.healthdata.be/ValueSet/BurnwoundDepth"
}
},
{
"id" : "Burnwound.Comment",
"path" : "Burnwound.Comment",
"short" : "Comment",
"_short" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Toelichting"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition" : "Comment on the burn wound.",
"_definition" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Toelichting over de brandwond."
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "string"
}
]
},
{
"id" : "Burnwound.DateOfLastDressingChange",
"path" : "Burnwound.DateOfLastDressingChange",
"short" : "DateOfLastDressingChange",
"_short" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "DatumLaatsteVerbandwissel"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition" : "Date on which the dressing was last changed.",
"_definition" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "De datum waarop de laatste verbandwissel heeft plaatsgevonden."
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min" : 0,
"max" : "1",
"type" : [
{
"code" : "dateTime"
}
]
},
{
"id" : "Burnwound.WoundImage",
"path" : "Burnwound.WoundImage",
"short" : "WoundImage",
"_short" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Wondfoto"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"definition" : "A photo of the wound as visual information.",
"_definition" : {
"extension" : [
{
"extension" : [
{
"url" : "lang",
"valueCode" : "nl-BE"
},
{
"url" : "content",
"valueMarkdown" : "Een foto van de wond als visuele informatie."
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/translation"
}
]
},
"min" : 0,
"max" : "*",
"type" : [
{
"code" : "base64Binary"
}
]
}
]
},
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.