SkinAndWound
Class WoundAssessment

Attributes
«CS» Code exudatePresence exudatePresence

"Presence or absence of wound drainage." - LOINC 89259-6 (Presence of wound exudate)
In Loinc this is a code with Yes, No values

Image image image

"This term is based on the submitter's description, which states the document will contain photos taken from a mobile device application. When the user clicks Send, it sends it as a PDF document. The patient information will be on the header of the report. On the body, there will be a title and a description, which may include the body part, and a description of the issue, like skin rash.
Also, the name of the doctor who took the picture will be displayed on the document. This is a not a picture or scanned of another document (an information object). In that case, use the LOINC code that names the content." - LOINC 72170-4 (Photographic image)

«CS» Code periwoundDescription periwoundDescription

"A description of the skin around the wound (periwound). Color, induration, warmth and edema should be assessed. Redness of the surrounding skin can be indicative of unrelieved pressure. Irritation of the surrounding skin can result from exposure to feces or urine, a reaction to the dressing or tape, or inappropriate removal of dressing or tape. Redness, tenderness, warmth and swelling are classical clinical signs of infection. [Reference: Brown, P., 2009]" - LOINC 72301-5 (Description of Periwound)

«CS» Code pressureUlcerStage pressureUlcerStage

"The National Pressure Ulcer Advisory Panel redefined the definition of a pressure ulcer and the stages of pressure ulcers in 2007, including the original 4 stages (Non-blanchable erythema - Stage I, partial thickness – Stage II, full thickness skin loss – Stage III, and full thickness tissue loss – Stage IV) and adding 2 stages on deep tissue injury and unstageable pressure ulcers. As defined by the NPUAP, a pressure ulcer is localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear." - LOINC 72527-5 (Pressure ulcer stage NPUAP)

«CS» Code tunnelingPresence tunnelingPresence

"Tunneling of a wound refers to a narrow opening or pathway underneath the skin that may extend in any direction, resulting in dead space with potential for abscess formation." - LOINC 72298-3 (Tunneling of Wound)
In Loinc this is a code with Yes, No values

«CS» Code underminingPresence underminingPresence

"Undermining of a wound refers to tissue destruction that extends under the intact wound edge. The wound is larger at its base (wound bed) than at the skin surface. With pressure ulcers, undermining may be caused by a bacterial infection or associated with osteomyelitis." - LOINC 72295-9 (Undermining of Wound)
In Loinc this is a code with Yes, No values

«CS» Code visibleStructure visibleStructure

"Exposed body structures, devices, and/or foreign bodies visible by the naked eye in a wound." - LOINC 89250-5 (Device or anatomic structure visible in wound)

«CS» Code woundAsessment woundAsessment

"" - LOINC 80338-7 (Wound assessment [Interpretation])

WoundPresenceAssertion woundAssertion woundAssertion
WoundBedByAppearance woundBedByAppearance woundBedByAppearance

"" - LOINC 72372-6 (Wound bed and edge panel)

WoundBedByColor woundBedByColor woundBedByColor

"" - LOINC 72372-6 (Wound bed and edge panel)

WoundEdge woundEdge woundEdge

"" - LOINC 89256-2 (Wound edge panel)

WoundExudate woundExudate woundExudate

"" - LOINC 72292-6 (Wound exudate panel)

WoundSize woundSize woundSize

"" - LOINC 72287-6 (Wound size panel)

«CS» Code woundTrend woundTrend

"Whether a condition is improving, worsening, stable, or resolved." - LOINC 89253-9 (Trend)

WoundTunneling woundTunneling woundTunneling
WoundUndermining woundUndermining woundUndermining

Attributes inherited from FHIM::ClinicalObservation::ObservationStatement FHIM::ClinicalObservation::ObservationStatement
basedOn basedOn, bodySite bodySite, category category, componentObservation componentObservation, dataAbsentReason dataAbsentReason, dateTime dateTime, dateTimeIssued dateTimeIssued, deltaFlag deltaFlag, description description, deviceInstance deviceInstance, evaluationProcedure evaluationProcedure, exceptionValue exceptionValue, interpretationEvent interpretationEvent, method method, multimedia multimedia, observed observed, observedCharacteristic observedCharacteristic, referenceRange referenceRange, reliability reliability, resultStatus resultStatus, specimen specimen, value value, derivedFrom derivedFrom, hasMember hasMember, partOf partOf

Attributes inherited from FHIM::Common::ClinicalStatement FHIM::Common::ClinicalStatement
clinicalDataSource clinicalDataSource, contentVersion contentVersion, contextCode contextCode, encounter encounter, note note, recordStatus recordStatus, relatedClinicalInformation relatedClinicalInformation, sourceRecordType sourceRecordType, sourceSystem sourceSystem, subjectGroup subjectGroup, subjectOfInformation subjectOfInformation, subjectOfRecord subjectOfRecord, temporalContext temporalContext, topicCode topicCode, cosigned cosigned, recorded recorded, signed signed, verified verified

Attributes inherited from FHIM::Common::InformationEntry FHIM::Common::InformationEntry
identifier identifier

Properties:

Alias
Classifier Behavior
Is Abstractfalse
Is Activefalse
Is Leaffalse
Keywords
NameWoundAssessment
Name Expression
NamespaceSkinAndWound
Owned Template Signature
OwnerSkinAndWound
Owning Template Parameter
PackageSkinAndWound
Qualified NameFHIM::SkinAndWound::WoundAssessment
Representation
Stereotype
Template Parameter
VisibilityPublic

Attribute Details

 exudatePresence
Public «CS» Code exudatePresence

"Presence or absence of wound drainage." - LOINC 89259-6 (Presence of wound exudate)
In Loinc this is a code with Yes, No values

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameexudatePresence
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::exudatePresence
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 image
Public Image image

"This term is based on the submitter's description, which states the document will contain photos taken from a mobile device application. When the user clicks Send, it sends it as a PDF document. The patient information will be on the header of the report. On the body, there will be a title and a description, which may include the body part, and a description of the issue, like skin rash.
Also, the name of the doctor who took the picture will be displayed on the document. This is a not a picture or scanned of another document (an information object). In that case, use the LOINC code that names the content." - LOINC 72170-4 (Photographic image)

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
Nameimage
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::image
Stereotype
Template Parameter
TypeImage
Upper*
Upper Value(*)
VisibilityPublic


 periwoundDescription
Public «CS» Code periwoundDescription

"A description of the skin around the wound (periwound). Color, induration, warmth and edema should be assessed. Redness of the surrounding skin can be indicative of unrelieved pressure. Irritation of the surrounding skin can result from exposure to feces or urine, a reaction to the dressing or tape, or inappropriate removal of dressing or tape. Redness, tenderness, warmth and swelling are classical clinical signs of infection. [Reference: Brown, P., 2009]" - LOINC 72301-5 (Description of Periwound)

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameperiwoundDescription
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::periwoundDescription
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 pressureUlcerStage
Public «CS» Code pressureUlcerStage

"The National Pressure Ulcer Advisory Panel redefined the definition of a pressure ulcer and the stages of pressure ulcers in 2007, including the original 4 stages (Non-blanchable erythema - Stage I, partial thickness – Stage II, full thickness skin loss – Stage III, and full thickness tissue loss – Stage IV) and adding 2 stages on deep tissue injury and unstageable pressure ulcers. As defined by the NPUAP, a pressure ulcer is localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear." - LOINC 72527-5 (Pressure ulcer stage NPUAP)

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamepressureUlcerStage
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::pressureUlcerStage
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 tunnelingPresence
Public «CS» Code tunnelingPresence

"Tunneling of a wound refers to a narrow opening or pathway underneath the skin that may extend in any direction, resulting in dead space with potential for abscess formation." - LOINC 72298-3 (Tunneling of Wound)
In Loinc this is a code with Yes, No values

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NametunnelingPresence
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::tunnelingPresence
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 underminingPresence
Public «CS» Code underminingPresence

"Undermining of a wound refers to tissue destruction that extends under the intact wound edge. The wound is larger at its base (wound bed) than at the skin surface. With pressure ulcers, undermining may be caused by a bacterial infection or associated with osteomyelitis." - LOINC 72295-9 (Undermining of Wound)
In Loinc this is a code with Yes, No values

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NameunderminingPresence
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::underminingPresence
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 visibleStructure
Public «CS» Code visibleStructure

"Exposed body structures, devices, and/or foreign bodies visible by the naked eye in a wound." - LOINC 89250-5 (Device or anatomic structure visible in wound)

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamevisibleStructure
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::visibleStructure
Stereotype
Template Parameter
Type«CS» Code
Upper*
Upper Value(*)
VisibilityPublic


 woundAsessment
Public «CS» Code woundAsessment

"" - LOINC 80338-7 (Wound assessment [Interpretation])

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamewoundAsessment
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::woundAsessment
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 woundAssertion
Public WoundPresenceAssertion woundAssertion
Constraints:
Properties:

AggregationNone
Alias
AssociationwoundAssessment_woundAssertion
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower1
Lower Value(1)
Multiplicity1
NamewoundAssertion
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::woundAssertion
Stereotype
Template Parameter
TypeWoundPresenceAssertion
Upper1
Upper Value(1)
VisibilityPublic


 woundBedByAppearance
Public WoundBedByAppearance woundBedByAppearance

"" - LOINC 72372-6 (Wound bed and edge panel)

Constraints:
Properties:

AggregationNone
Alias
AssociationwoundAssessment_woundBedByAppearance
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamewoundBedByAppearance
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::woundBedByAppearance
Stereotype
Template Parameter
TypeWoundBedByAppearance
Upper*
Upper Value(*)
VisibilityPublic


 woundBedByColor
Public WoundBedByColor woundBedByColor

"" - LOINC 72372-6 (Wound bed and edge panel)

Constraints:
Properties:

AggregationNone
Alias
AssociationwoundAssessment_woundBedByColor
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamewoundBedByColor
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::woundBedByColor
Stereotype
Template Parameter
TypeWoundBedByColor
Upper*
Upper Value(*)
VisibilityPublic


 woundEdge
Public WoundEdge woundEdge

"" - LOINC 89256-2 (Wound edge panel)

Constraints:
Properties:

AggregationNone
Alias
AssociationwoundAssessment_woundEdge
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamewoundEdge
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::woundEdge
Stereotype
Template Parameter
TypeWoundEdge
Upper*
Upper Value(*)
VisibilityPublic


 woundExudate
Public WoundExudate woundExudate

"" - LOINC 72292-6 (Wound exudate panel)

Constraints:
Properties:

AggregationNone
Alias
AssociationwoundAssessment_woundExudate
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamewoundExudate
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::woundExudate
Stereotype
Template Parameter
TypeWoundExudate
Upper*
Upper Value(*)
VisibilityPublic


 woundSize
Public WoundSize woundSize

"" - LOINC 72287-6 (Wound size panel)

Constraints:
Properties:

AggregationNone
Alias
AssociationwoundAssessment_woundSize
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamewoundSize
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::woundSize
Stereotype
Template Parameter
TypeWoundSize
Upper1
Upper Value(1)
VisibilityPublic


 woundTrend
Public «CS» Code woundTrend

"Whether a condition is improving, worsening, stable, or resolved." - LOINC 89253-9 (Trend)

Constraints:
Properties:

AggregationNone
Alias
Association
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity0..1
NamewoundTrend
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::woundTrend
Stereotype
Template Parameter
Type«CS» Code
Upper1
Upper Value(1)
VisibilityPublic


 woundTunneling
Public WoundTunneling woundTunneling
Constraints:
Properties:

AggregationNone
Alias
AssociationwoundAssessment_woundTunneling
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamewoundTunneling
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::woundTunneling
Stereotype
Template Parameter
TypeWoundTunneling
Upper*
Upper Value(*)
VisibilityPublic


 woundUndermining
Public WoundUndermining woundUndermining
Constraints:
Properties:

AggregationNone
Alias
AssociationwoundAssessment_woundUndermining
Association End
ClassWoundAssessment
Datatype
Default
Default Value
Is Compositefalse
Is Derivedfalse
Is Derived Unionfalse
Is Leaffalse
Is Orderedfalse
Is Read Onlyfalse
Is Staticfalse
Is Uniquetrue
Keywords
Lower0
Lower Value(0)
Multiplicity*
NamewoundUndermining
Name Expression
NamespaceWoundAssessment
Opposite
OwnerWoundAssessment
Owning Association
Owning Template Parameter
Qualified NameFHIM::SkinAndWound::WoundAssessment::woundUndermining
Stereotype
Template Parameter
TypeWoundUndermining
Upper*
Upper Value(*)
VisibilityPublic