LOINC 39135-9 (Wound assessment panel)

Code or Quantity representing lOINC 39135-9 (Wound assessment panel)

Description

The concept representing the finding or action that is the topic of the statement. For action topics, the TopicCode represents the action being described. For findings, the TopicCode represents the 'question' or property being investigated. For evaluation result findings, the TopicCode contains a concept for an observable entity, such as systolic blood pressure. For assertion findings, the TopicCode contains a code representing the condition, allergy, or other item being asserted. In all cases, the TopicCode describes the topic of the action or the finding.

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A simplified, non-separable evaluation consisting of a finding code (represented by the Concept), value (or exception value), reference range, and interpretation. The subject of the evaluation component is the same as in the parent evaluation.

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

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

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

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)

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)

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)

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

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

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PanelMembers represent the elements of a group of a related but independent evaluations. Examples are the measurements that compose a complete blood count (CBC), or the elements of a pathology report. Each member is an independent evaluation, but the grouping reflects a composite lab order, shared specimen, or a single report author. Typically the Category and Reason are not given for individual findings that are part of the panel, but rather given at the level of the panel itself.

A base class for representing observed facts, including provenance

Assertion of the existence of a wound on a patient

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

• LOINC 89256-2 (Wound edge panel)

• LOINC 72292-6 (Wound exudate panel)

• LOINC 72287-6 (Wound size panel)

LOINC 89257-0 (Wound tunneling panel)

LOINC 89258-8 (Wound undermining panel)