ARCHETYPE Burn-affected body surface area (openEHR-EHR-OBSERVATION.affected_body_surface_area-burn.v0)

ARCHETYPE IDopenEHR-EHR-OBSERVATION.affected_body_surface_area-burn.v0
ConceptBurn-affected body surface area
DescriptionEstimation of the proportion of body surface area affected by a burn.
UseUse to record details about the estimated proportion of body surface area affected by a burn injury, including the total body surface area affected, the body surface area affected per body site and the body surface area affected per severity. This archetype has been designed as a component of a templated full burn assessment which may comprise a range of ENTRY archetypes and nested CLUSTERs, describing the history, physical examination findings, and other measurements.
MisuseNot to be used to record the measured or calculated body surface area of an individual - use the OBSERVATION.body_surface_area for this purpose. Not to be used to record the estimated proportion of body surface area affected by other conditions of the skin - use the parent archetype OBSERVATION.affected_body_surface_area for this purpose.
PurposeTo record details about the estimated proportion of body surface area affected by a burn injury.
ReferencesBurn Management Guidelines [Internet]. Melbourne: Alfred Health. Paediatric Burn Assessment Ruler; 2007 [updated 2012 May 08; cited 2021 07 16]; Available from: https://www.vicburns.org.au/wp-content/uploads/2016/06/poster4-paediatric-burns-assessment-ruler.pdf.

Hettiaratchy S, Papini R. Initial management of a major burn: II--assessment and resuscitation. BMJ. 2004 Jul 10;329(7457):101-3. doi: 10.1136/bmj.329.7457.101. PMID: 15242917; PMCID: PMC449823. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC449823/.

Radiation Emergency Medical Management [Internet]. U.S. Department of Health & Human Services. Burn triage and treatment of thermal injuries in a radiation emergency; [updated 2021 May 14; cited 2021 Jul 16]. Available from: https://www.remm.nlm.gov/burns.htm.

Rhodes J, Clay C, Phillips M. The surface area of the hand and the palm for estimating percentage of total body surface area: results of a meta-analysis. Br J Dermatol. 2013 Jul;169(1):76-84. doi: 10.1111/bjd.12290. PMID: 23448271.

Scarisbrick JJ, Morris S. How big is your hand and should you use it to score skin in cutaneous T-cell lymphoma? Br J Dermatol. 2013 Aug;169(2):260-5. doi: 10.1111/bjd.12403. PMID: 23621659.

The Royal Children's Hospital Melbourne [Internet]. Melbourne: The Royal Children's Hospital. Burns unit: Clinical information; [cited 2021 07 16]. Available from:
https://www.rch.org.au/burns/clinical_information/#Lund_and_Browder_chart

Wikipedia [Internet]. Wikimedia Foundation, Inc. Lund and Browder chart; [updated 2021 Mar 23; cited 2021 Jul 16]; Available from: https://en.wikipedia.org/wiki/Lund_and_Browder_chart.

Wikipedia [Internet]. Wikimedia Foundation, Inc. Total body surface area; [updated 2018 Jul 06; cited 2021 Jul 16]; Available from: https://en.wikipedia.org/wiki/Total_body_surface_area.
Copyright© openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2020-10-06
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2020-10-06
OtherDetails Language Independent{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, references=Burn Management Guidelines [Internet]. Melbourne: Alfred Health. Paediatric Burn Assessment Ruler; 2007 [updated 2012 May 08; cited 2021 07 16]; Available from: https://www.vicburns.org.au/wp-content/uploads/2016/06/poster4-paediatric-burns-assessment-ruler.pdf. Hettiaratchy S, Papini R. Initial management of a major burn: II--assessment and resuscitation. BMJ. 2004 Jul 10;329(7457):101-3. doi: 10.1136/bmj.329.7457.101. PMID: 15242917; PMCID: PMC449823. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC449823/. Radiation Emergency Medical Management [Internet]. U.S. Department of Health & Human Services. Burn triage and treatment of thermal injuries in a radiation emergency; [updated 2021 May 14; cited 2021 Jul 16]. Available from: https://www.remm.nlm.gov/burns.htm. Rhodes J, Clay C, Phillips M. The surface area of the hand and the palm for estimating percentage of total body surface area: results of a meta-analysis. Br J Dermatol. 2013 Jul;169(1):76-84. doi: 10.1111/bjd.12290. PMID: 23448271. Scarisbrick JJ, Morris S. How big is your hand and should you use it to score skin in cutaneous T-cell lymphoma? Br J Dermatol. 2013 Aug;169(2):260-5. doi: 10.1111/bjd.12403. PMID: 23621659. The Royal Children's Hospital Melbourne [Internet]. Melbourne: The Royal Children's Hospital. Burns unit: Clinical information; [cited 2021 07 16]. Available from: https://www.rch.org.au/burns/clinical_information/#Lund_and_Browder_chart Wikipedia [Internet]. Wikimedia Foundation, Inc. Lund and Browder chart; [updated 2021 Mar 23; cited 2021 Jul 16]; Available from: https://en.wikipedia.org/wiki/Lund_and_Browder_chart. Wikipedia [Internet]. Wikimedia Foundation, Inc. Total body surface area; [updated 2018 Jul 06; cited 2021 Jul 16]; Available from: https://en.wikipedia.org/wiki/Total_body_surface_area., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=8F4DBE7C7F8924D18DC5EC1629F0FB68, build_uid=25bb1107-42ed-48f8-aaa2-37f79d99df85, revision=0.0.1-alpha}
KeywordsTBSA, BSA, burn, surface, area, burns, assessment, Lund-Browder, skin, rule, nines, palmar, method, TBSA%
Lifecyclein_development
UIDb188108d-128e-4221-9cc8-1b459d31690b
Language useden
Citeable Identifier1013.1.5140
Revision Number0.0.1-alpha
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Estimation of the proportion of body surface area affected by a burn., archetypeConceptComment=null, otherContributors=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), originalLanguage=en, translators=, subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={items=[], description=[], context=[], activities=[], identities=[], capabilities=[], provider=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0009]/items[at0021], code=at0021, itemType=SLOT, level=2, 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., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null]], content=[], source=[], credentials=[], events=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002], code=at0002, itemType=EVENT, level=2, text=Any event, description=Default, unspecified point in time or interval event which may be explicitly defined in a template or at run-time., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=EVENT, bindings=null, values=null, extendedValues=null]], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0004.1], code=at0004.1, itemType=ELEMENT, level=4, 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. , uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
  • Burn [The condition is a burn.]
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Description, description=Narrative description about the affected body surface area assessment., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0014], code=at0014, itemType=ELEMENT, level=4, 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%., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
Numerator: 0.0..100.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=CLUSTER, level=4, text=Per body site, description=Details about body surface area affected at each body site., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0007], code=at0007, itemType=ELEMENT, level=5, 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. , uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0008], code=at0008, itemType=ELEMENT, level=5, 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., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
Numerator: 0.0..100.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0010], code=at0010, itemType=ELEMENT, level=5, 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%., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
Numerator: 0.0..100.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0011], code=at0011, itemType=CLUSTER, level=5, text=Per severity, description=Details about each severity of findings at the identified body site., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0011]/items[at0012], code=at0012, itemType=ELEMENT, level=6, 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., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006]/items[at0011]/items[at0013], code=at0013, itemType=ELEMENT, level=6, 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%., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
Numerator: 0.0..100.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0015], code=at0015, itemType=CLUSTER, level=4, text=Total body surface area per severity, description=Details about the total sum of surface area affected per severity, across all body sites., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0015]/items[at0016], code=at0016, itemType=ELEMENT, level=5, 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., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0015]/items[at0017], code=at0017, itemType=ELEMENT, level=5, 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 %., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_PROPORTION, bindings=null, values=
  • Percent
Numerator: 0.0..100.0
, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0018], code=at0018, itemType=SLOT, level=4, text=Additional detail, description=Additional details about the estimation of affected body surface area., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0019], code=at0019, itemType=SLOT, level=4, text=Image representation, description=Digital image, video or diagram representing the affected body surface area findings., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
openEHR-EHR-CLUSTER.media_file.v1 and specialisations, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0020], code=at0020, itemType=ELEMENT, level=4, text=Comment, description=Additional narrative about the estimation of affected body surface area, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0.2], code=at0.2, itemType=ELEMENT, level=4, text=Cause of burn, description=The aetiology of the burn., comment=For example: thermal; cold; radiation; chemical; or electrical., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], contacts=[], ism_transition=[], details=[], relationships=[], state=[], target=[], other_participations=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0009], code=at0009, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001]/events[at0002]/data[at0003], code=at0003, itemType=ITEM_TREE, level=2, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0009]/items[at0021], code=at0021, itemType=SLOT, level=2, 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., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]