Wound Photography and Measurement Record

A standardized form for documenting wound photos, measurements, and clinical observations with date-stamped records.

Record Details

• Record Date
  Date the wound was assessed and documented.
• Record Time
  Optional time of assessment if your workflow requires a time stamp.
• Care Setting
  Where the assessment took place.
• Assessor Name
  Name or identifier of the person completing the record.

Wound Identification

• Wound Location
  Anatomical location of the wound.
• Wound Type
  Primary wound classification.
• Laterality
  Select if applicable.
• Stage or Grade
  Enter stage, grade, or classification if used in your care setting.

Wound Measurements

• Length (cm)
  Longest wound dimension in centimeters.
• Width (cm)
  Perpendicular wound dimension in centimeters.
• Depth (cm)
  Depth of the wound in centimeters, if measurable.
• Undermining or Tunneling Present?
  Indicate whether undermining or tunneling is present.
• Undermining or Tunneling Details
  Describe location and extent if present.

Wound Appearance and Drainage

• Wound Bed Tissue
  Select all tissue types present.
• Drainage Amount
  Amount of wound drainage observed.
• Drainage Type
  Select all drainage characteristics present.
• Periwound Condition
  Select all surrounding skin findings that apply.
• Pain Score
  Patient-reported pain score on a 0-10 scale.

Photography and Consent

• Photo Taken?
  Indicate whether wound photographs were captured.
• Upload Wound Photo(s)
  Upload one or more wound images. Avoid including unnecessary PII in the image frame.
• Photo Orientation
  Optional note on how the image was captured.
• Consent or Authorization Confirmed
  Confirm that photo capture is permitted under your organization’s policy and applicable consent requirements.

Clinical Notes and Follow-Up

• Dressing in Place?
  Indicate whether a dressing was present at the time of assessment.
• Intervention Performed
  Select any actions completed during this visit.
• Clinical Notes
  Brief narrative note with relevant observations, trends, or concerns.
• Follow-Up Date
  Planned date for the next wound reassessment.