Modellbiblioteket openEHR Fork
Name
Affected body surface area
Description
Estimation of the proportion of body surface area affected by a skin injury or disease.
Keywords
TBSA BSA burn rash psoriasis
Purpose
To record details about the estimated proportion of body surface area affected by a skin injury or disease.
Use
Use to record details about the estimated proportion of body surface area affected by a skin injury or disease, including the total body surface area affected, the body surface area affected per body site and the body surface area affected per severity.
Misuse
Not to be used to record the measured or calculated body surface area of an individual - use the OBSERVATION.body_surface_area for this purpose.
Archetype Id
openEHR-EHR-OBSERVATION.affected_body_surface_area.v0
Copyright
Licencing
This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.
Original Author
Heather Leslie
Atomica Informatics
Date Originally Authored
2020-10-06
Name Card Type Description
Condition name
0..1 DV_TEXT The name of the injury or disease affected the skin.
Comment
For example: burn; or psoriasis. Coding of the condition name with an external terminology is preferred, where possible.
Description
0..1 DV_TEXT Narrative description about the affected body surface area assessment.
Total body surface area (TBSA) affected
0..1 DV_PROPORTION The total sum of affected surface area across all body sites.
Comment
For example: if 4.5% of an arm and 6% of the back is affected, then the TBSA is 10%.
DV_PROPORTION
Per body site
0..* CLUSTER Details about body surface area affected at each body site.
CLUSTER
Body site name
1..1 DV_TEXT The name of the body site assessed.
Comment
Coding of the body site name with an external terminology is preferred, where possible.
Site surface area
0..1 DV_PROPORTION The estimated percentage of total body surface area apportioned for the entire identified body site.
Comment
For example: when using the 'Rule of nines' method of estimation, 9% is apportioned for each arm, 18% for the back of the torso, and 1% for the genitalia.
DV_PROPORTION
Affected site surface area
0..1 DV_PROPORTION The estimated extent of total body surface area affected at the identified body site.
Comment
For example: when using the 'Rule of nines' method, if half of an arm is affected, the affected site surface area value is 4.5%; or if a third of the back is affected, the value is 6%.
DV_PROPORTION
Per severity
0..1 CLUSTER Details about each severity of findings at the identified body site.
CLUSTER
Severity
1..1 DV_TEXT The degree of severity of the condition at the identified site.
Comment
For example: mild, moderate or severe for a rash; or first degree, second degree or third degree for a burn. Coding of the severity with an external terminology is preferred, where possible. It is expected that the severity values will be identical as the values used in the 'Affected body surface area per severity' cluster.
Affected site surface area
1..1 DV_PROPORTION The estimated extent of total body surface area affected by the degree of identified severity, at the identified body site.
Comment
For example: when using the 'Rule of nines' method, if half of an arm is affected, the affected site surface area value is 4.5%; or if a third of the back is affected, the value is 6%.
DV_PROPORTION
Total body surface area per severity
0..1 CLUSTER Details about the total sum of surface area affected per severity, across all body sites.
CLUSTER
Severity
1..1 DV_TEXT The degree of severity of the condition.
Comment
For example: mild, moderate or severe for a rash; or first degree, second degree or third degree for a burn. Coding of the severity with an external terminology is preferred, where possible. It is expected that the severity values will be identical as the values used in the 'Per severity' cluster.
Total body surface area affected
1..1 DV_PROPORTION The total sum of body surface area affected by the degree of the identified severity, across all body sites.
Comment
For example: when using the 'Rule of nines' method, if half of an arm is affected, the affected site surface area value is 4.5 %; or if a third of the back is affected, the value is 6 %.
DV_PROPORTION
Additional detail
0..* Slot (Cluster) Additional details about the estimation of affected body surface area.
Slot
Slot
Image representation
0..* Slot (Cluster) Digital image, video or diagram representing the affected body surface area findings.
Slot
Slot
Comment
0..1 DV_TEXT Additional narrative about the estimation of affected body surface area, not captured in other fields.
Name Card Type Description
Extension
0..* Slot (Cluster) Additional information required to extend the model with local content or to align with other reference models or formalisms.
Comment
For example: local information requirements; or additional metadata to align with FHIR.
Slot
Slot
archetype (adl_version=1.4; uid=8e75904f-1f01-47a7-b835-448ba1a287bc)
	openEHR-EHR-OBSERVATION.affected_body_surface_area.v0

concept
	[at0000]	-- Affected body surface area
language
	original_language = <[ISO_639-1::en]>
description
	original_author = <
		["name"] = <"Heather Leslie">
		["organisation"] = <"Atomica Informatics">
		["email"] = <"heather.leslie@atomicainformatics.com">
		["date"] = <"2020-10-06">
	>
	details = <
		["en"] = <
			language = <[ISO_639-1::en]>
			purpose = <"To record details about the estimated proportion of body surface area affected by a skin injury or disease.">
			use = <"Use to record details about the estimated proportion of body surface area affected by a skin injury or disease, including the total body surface area affected, the body surface area affected per body site and the body surface area affected per severity.">
			keywords = <"TBSA", "BSA", "burn", "rash", "psoriasis">
			misuse = <"Not to be used to record the measured or calculated body surface area of an individual - use the OBSERVATION.body_surface_area for this purpose.">
		>
	>
	lifecycle_state = <"in_development">
	other_contributors = <"Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)", "Heather Leslie, Atomica Informatics, Australia (openEHR Editor)", "Åsa Skagerhult, Region Östergötland, Sweden (openEHR Editor)", "Erik Sundvall, Region Östergötland + Linköping University, Sweden (openEHR Editor)">
	other_details = <
		["licence"] = <"This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/.">
		["custodian_organisation"] = <"openEHR Foundation">
		["original_namespace"] = <"org.openehr">
		["original_publisher"] = <"openEHR Foundation">
		["custodian_namespace"] = <"org.openehr">
		["MD5-CAM-1.0.1"] = <"23D0148D78948A0A43DDC18CD62DC789">
		["build_uid"] = <"7dadd608-b833-4b6f-812e-08b18bcb0302">
		["revision"] = <"0.0.1-alpha">
	>

definition
	OBSERVATION[at0000] matches {    -- Affected body surface area
		data matches {
			HISTORY[at0001] matches {    -- History
				events cardinality matches {0..*; unordered} matches {
					EVENT[at0002] occurrences matches {0..*} matches {    -- Any event
						data matches {
							ITEM_TREE[at0003] matches {    -- Tree
								items cardinality matches {0..*; unordered} matches {
									ELEMENT[at0004] occurrences matches {0..1} matches {    -- Condition name
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0005] occurrences matches {0..1} matches {    -- Description
										value matches {
											DV_TEXT matches {*}
										}
									}
									ELEMENT[at0014] occurrences matches {0..1} matches {    -- Total body surface area (TBSA) affected
										value matches {
											DV_PROPORTION matches {
												numerator matches {|0.0..100.0|}
												type matches {2}
											}
										}
									}
									CLUSTER[at0006] occurrences matches {0..*} matches {    -- Per body site
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0007] matches {    -- Body site name
												value matches {
													DV_TEXT matches {*}
												}
											}
											ELEMENT[at0008] occurrences matches {0..1} matches {    -- Site surface area
												value matches {
													DV_PROPORTION matches {
														numerator matches {|0.0..100.0|}
														type matches {2}
													}
												}
											}
											ELEMENT[at0010] occurrences matches {0..1} matches {    -- Affected site surface area
												value matches {
													DV_PROPORTION matches {
														numerator matches {|0.0..100.0|}
														type matches {2}
													}
												}
											}
											CLUSTER[at0011] occurrences matches {0..1} matches {    -- Per severity
												items cardinality matches {1..*; unordered} matches {
													ELEMENT[at0012] matches {    -- Severity
														value matches {
															DV_TEXT matches {*}
														}
													}
													ELEMENT[at0013] matches {    -- Affected site surface area
														value matches {
															DV_PROPORTION matches {
																numerator matches {|0.0..100.0|}
																type matches {2}
															}
														}
													}
												}
											}
										}
									}
									CLUSTER[at0015] occurrences matches {0..1} matches {    -- Total body surface area per severity
										items cardinality matches {1..*; unordered} matches {
											ELEMENT[at0016] matches {    -- Severity
												value matches {
													DV_TEXT matches {*}
												}
											}
											ELEMENT[at0017] matches {    -- Total body surface area affected
												value matches {
													DV_PROPORTION matches {
														numerator matches {|0.0..100.0|}
														type matches {2}
													}
												}
											}
										}
									}
									allow_archetype CLUSTER[at0018] occurrences matches {0..*} matches {    -- Additional detail
										include
											archetype_id/value matches {/.*/}
									}
									allow_archetype CLUSTER[at0019] occurrences matches {0..*} matches {    -- Image representation
										include
											archetype_id/value matches {/openEHR-EHR-CLUSTER\.media_file(-[a-zA-Z0-9_]+)*\.v1/}
									}
									ELEMENT[at0020] occurrences matches {0..1} matches {    -- Comment
										value matches {
											DV_TEXT matches {*}
										}
									}
								}
							}
						}
					}
				}
			}
		}
		protocol matches {
			ITEM_TREE[at0009] matches {    -- Item tree
				items cardinality matches {0..*; unordered} matches {
					allow_archetype CLUSTER[at0021] occurrences matches {0..*} matches {    -- Extension
						include
							archetype_id/value matches {/.*/}
					}
				}
			}
		}
	}


ontology
	term_definitions = <
		["en"] = <
			items = <
				["at0000"] = <
					text = <"Affected body surface area">
					description = <"Estimation of the proportion of body surface area affected by a skin injury or disease.">
				>
				["at0001"] = <
					text = <"History">
					description = <"@ internal @">
				>
				["at0002"] = <
					text = <"Any event">
					description = <"Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time.">
				>
				["at0003"] = <
					text = <"Tree">
					description = <"@ internal @">
				>
				["at0004"] = <
					text = <"Condition name">
					description = <"The name of the injury or disease affected the skin.">
					comment = <"For example: burn; or psoriasis. Coding of the condition name with an external terminology is preferred, where possible. ">
				>
				["at0005"] = <
					text = <"Description">
					description = <"Narrative description about the affected body surface area assessment.">
				>
				["at0006"] = <
					text = <"Per body site">
					description = <"Details about body surface area affected at each body site.">
				>
				["at0007"] = <
					text = <"Body site name">
					description = <"The name of the body site assessed.">
					comment = <"Coding of the body site name with an external terminology is preferred, where possible. ">
				>
				["at0008"] = <
					text = <"Site surface area">
					description = <"The estimated percentage of total body surface area apportioned for the entire identified body site.">
					comment = <"For example: when using the 'Rule of nines' method of estimation, 9% is apportioned for each arm, 18% for the back of the torso, and 1% for the genitalia.">
				>
				["at0009"] = <
					text = <"Item tree">
					description = <"@ internal @">
				>
				["at0010"] = <
					text = <"Affected site surface area">
					description = <"The estimated extent of total body surface area affected at the identified body site.">
					comment = <"For example: when using the 'Rule of nines' method, if half of an arm is affected, the affected site surface area value is 4.5%; or if a third of the back is affected, the value is 6%.">
				>
				["at0011"] = <
					text = <"Per severity">
					description = <"Details about each severity of findings at the identified body site.">
				>
				["at0012"] = <
					text = <"Severity">
					description = <"The degree of severity of the condition at the identified site.">
					comment = <"For example: mild, moderate or severe for a rash; or first degree, second degree or third degree for a burn. Coding of the severity with an external terminology is preferred, where possible. It is expected that the severity values will be identical as the values used in the 'Affected body surface area per severity' cluster.">
				>
				["at0013"] = <
					text = <"Affected site surface area">
					description = <"The estimated extent of total body surface area affected by the degree of identified severity, at the identified body site.">
					comment = <"For example: when using the 'Rule of nines' method, if half of an arm is affected, the affected site surface area value is 4.5%; or if a third of the back is affected, the value is 6%.">
				>
				["at0014"] = <
					text = <"Total body surface area (TBSA) affected">
					description = <"The total sum of affected surface area across all body sites.">
					comment = <"For example: if 4.5% of an arm and 6% of the back is affected, then the TBSA is 10%.">
				>
				["at0015"] = <
					text = <"Total body surface area per severity">
					description = <"Details about the total sum of surface area affected per severity, across all body sites.">
				>
				["at0016"] = <
					text = <"Severity">
					description = <"The degree of severity of the condition.">
					comment = <"For example: mild, moderate or severe for a rash; or first degree, second degree or third degree for a burn. Coding of the severity with an external terminology is preferred, where possible. It is expected that the severity values will be identical as the values used in the 'Per severity' cluster.">
				>
				["at0017"] = <
					text = <"Total body surface area affected">
					description = <"The total sum of body surface area affected by the degree of the identified severity, across all body sites.">
					comment = <"For example: when using the 'Rule of nines' method, if half of an arm is affected, the affected site surface area value is 4.5 %; or if a third of the back is affected, the value is 6 %.">
				>
				["at0018"] = <
					text = <"Additional detail">
					description = <"Additional details about the estimation of affected body surface area.">
				>
				["at0019"] = <
					text = <"Image representation">
					description = <"Digital image, video or diagram representing the affected body surface area findings.">
				>
				["at0020"] = <
					text = <"Comment">
					description = <"Additional narrative about the estimation of affected body surface area, not captured in other fields.">
				>
				["at0021"] = <
					text = <"Extension">
					description = <"Additional information required to extend the model with local content or to align with other reference models or formalisms.">
					comment = <"For example: local information requirements; or additional metadata to align with FHIR.">
				>
			>
		>
	>