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Run: Wound Photography and Measurement Record

A wound photography and measurement record for documenting wound location, size, appearance, drainage, and photo consent in one place. Use it to support week...

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Submission Notice

Record Date (required)

Record Time (required)

Documented By (required)

Enter the clinician or staff member completing this record.

Patient Identifier (required)

Use the facility-approved identifier only. Avoid collecting unnecessary PII.

Visit Type (required)

Wound Identification

Wound Location (required)

Wound Type (required)

Laterality

Stage / Classification

Approximate Onset Date

Use the best available estimate if the exact date is unknown.

Wound Measurements

Length (cm) (required)

Width (cm) (required)

Depth (cm)

Undermining Present? (required)

Undermining Details

If present, document clock-face location and depth.

Tunneling Present? (required)

Tunneling Details

If present, document clock-face location and depth.

Wound Appearance and Drainage

Wound Bed Description (required)

Drainage Amount (required)

Drainage Type

Odor Present? (required)

Periwound Condition

Pain Rating

Photography and Consent

Consent for Wound Photography (required)

Confirm that consent has been obtained for wound photography and clinical use.

Consent Method

Photo Taken? (required)

Photo Identifier / File Reference

Use the approved file name, image ID, or chart reference.

Ruler or Measurement Scale Included in Photo? (required)

Photo Notes

Document angle, lighting, or any reason the image may not be suitable for comparison.

Clinical Notes and Follow-Up

Change Since Last Visit

Briefly note improvement, decline, or no change.

Physician Notified? (required)

Next Follow-Up Date

Additional Notes

Include only clinically relevant information.

Get your results

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Email (required)

Your name (optional)

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