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"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)
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)
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)
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
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
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)
woundAsessment woundAssertion woundBedByAppearance woundBedByColor woundEdge woundExudate woundSize woundTrend"Whether a condition is improving, worsening, stable, or resolved." - LOINC 89253-9 (Trend)
woundTunneling woundUndermining
FHIM::ClinicalObservation::ObservationStatement