Use Case(s)

A clinician wishes to record the quantity of a wound exudate.

Artifact

Wound exudate qualitative amount refset

Purpose

Provide values for recording and retrieving clinical observations / findings / phenomena that come about from a clinician examining a patient with a wound. 

Reference – Bates-Jenson Wound Assessment Tool

Excerpts from Reference

Exudate Amount: Use a transparent metric measuring guide with concentric circles divided into 4 (25%) pie-shaped quadrants to determine percent of dressing involved with exudate. Use this guide:

None = wound tissues dry.

Scant = wound tissues moist; no measurable exudate.

Small = wound tissues wet; moisture evenly distributed in wound; drainage involves < 25% dressing.

Moderate = wound tissues saturated; drainage may or may not be evenly distributed in wound; drainage involves > 25% to < 75% dressing.

Large = wound tissues bathed in fluid; drainage freely expressed; may or may not be evenly distributed in wound; drainage involves > 75% of dressing.

Examples of included content

“Wound exudate - None”

Examples of excluded content (counterexamples)

“Scant”, “Heavy, foul-smelling wound exudate”

Zero or one OR Zero or more

Only one value of this refset can be selected.

Editorial Guidelines

Concepts are based on the Bates-Jenson assessment tool for wound exudate amount.

Similar Refsets

Not applicable.

Associated Clinical Quality Measures

<Identify if this refset will be associated with any clinical quality measures>