Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Extension: HCIM BurnWound Extent
| Official URL: http://nictiz.nl/fhir/StructureDefinition/zib-BurnWound-Extent | Version: 1.3.15 | |||
| Draft as of 2024-04-09 | Computable Name: Zib BurnWound Extent | |||
Copyright/Legal: CC0 |
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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?)
Context of Use
This extension may be used on the following element(s):
- Element ID Condition
Usage info
Usage:
- Use this Extension: HCIM BurnWound
- Examples for this Extension: Condition/zib-burnwound-01
Formal Views of Extension Content
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
Summary
Simple Extension of type Quantity: 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?)
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Extension |
0..* | Extension | Extent | |
 url |
1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-BurnWound-Extent" | |
  valueQuantity:valueQuantity |
0..1 | Quantity | Value of extension | |
  value |
0..1 | decimal | Numerical value (with implicit precision) | |
| unit |
0..1 | string | Unit representation | |
| system |
0..1 | uri | System that defines coded unit form | |
 code |
0..1 | code | Coded form of the unit | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
0..* | Extension | Extent | |
 id |
0..1 | string | xml:id (or equivalent in JSON) | |
 extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url |
1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-BurnWound-Extent" | |
 Slices for value[x] |
0..1 | Quantity | Value of extension Slice: Unordered, Closed by type:$this | |
 value[x]:valueQuantity |
0..1 | Quantity | Value of extension | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
Σ | 0..1 | string | Unit representation |
| system |
ΣC | 0..1 | uri | System that defines coded unit form |
| code |
Σ | 0..1 | code | Coded form of the unit |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Simple Extension of type Quantity: 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?)
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
0..* | Extension | Extent | |
| url |
1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-BurnWound-Extent" | |
| valueQuantity:valueQuantity |
0..1 | Quantity | Value of extension | |
| value |
0..1 | decimal | Numerical value (with implicit precision) | |
| unit |
0..1 | string | Unit representation | |
| system |
0..1 | uri | System that defines coded unit form | |
| code |
0..1 | code | Coded form of the unit | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Extension |
0..* | Extension | Extent | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url |
1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-BurnWound-Extent" | |
| Slices for value[x] |
0..1 | Quantity | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueQuantity |
0..1 | Quantity | Value of extension | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) |
| comparator |
?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. |
| unit |
Σ | 0..1 | string | Unit representation |
| system |
ΣC | 0..1 | uri | System that defines coded unit form |
| code |
Σ | 0..1 | code | Coded form of the unit |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| Extension.value[x]:valueQuantity.comparator | required | QuantityComparatorhttp://hl7.org/fhir/ValueSet/quantity-comparatorfrom the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |