Update bot op 24 dec 2018 om 11:15

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	==Information Model==		==Information Model==
	<BR>		<BR>
	<imagemap> Bestand:PressureUlcer-v1.0Model(EN).png \| center		<imagemap> Bestand:PressureUlcer-v1.0Model(2015EN).png \| center
	rect 140 524 350 574 [[#DecubitusAnatomicalLocationCodelist]]		rect 140 524 350 574 [[#DecubitusAnatomicalLocationCodelist]]
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	The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>		The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
	Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>		Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
	This page is generated on 20/12/2018 16:34:32 with ZibExtraction v. 3.0.~~6928~~.~~28729~~<!--ftDate--> <BR>		This page is generated on 24/12/2018 12:35:18 with ZibExtraction v. 3.0.6932.1989<!--ftDate--> <BR>
	-----		-----
	<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>		<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Update bot op 20 dec 2018 om 15:23

2018-12-20T15:23:00Z

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	The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>		The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
	Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>		Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
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	<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>		<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Update bot op 20 dec 2018 om 12:14

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Update bot op 24 jan 2018 om 23:20

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Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.nfu.PressureUlcer''' link=DecubitusWond-v1.0(2015NL)
Version: '''1.0'''
HCIM Status:Final
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==General information==
Name: '''nl.nfu.PressureUlcer''' [[Bestand:NL.png|link=DecubitusWond-v1.0(2015NL)]] 
Version: '''1.0''' 
HCIM Status:Final 
Publication: '''2015''' 
Release status: Published 
Publication date: 8-9-2015
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::CreationDate||7-7-2014
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||NFU & V&VN
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.19.1
|-
|style="width:250px; "|DCM::KeywordList||Decubitus, doorligwond, wond
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::Name||nl.nfu.DecubitusWond
|-
|style="width:250px; "|DCM::PublicationDate||8-9-2015
|-
|style="width:250px; "|DCM::PublicationStatus||Published
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||8-9-2015
|-
|style="width:250px; "|DCM::Superseeds||
|-
|style="width:250px; "|DCM::Version||1.0
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''

Publicatieversie 1.0 (01-07-2015).
</div>

==Concept==
A decubitus wound is localized damage to the skin and/or underlying tissue, often over a bony prominence, as a result of pressure or pressure combined with friction. 
A decubitus wound involves a major disease burden and reduces the quality of life for a patient. Adequate risk evaluation, prevention and treatment of decubitus wounds can lead to a fewer incidences and prevalence of decubitus wounds. 

==Purpose==
Information on the decubitus ulcer is of importance in starting or continuing the best possible wound treatment, curatively and preventatively, and to be able to properly monitor the wound healing process.

==Evidence Base==
To describe the wound, there are 4 categories, based on the international NPUAP/EPUAP decubitus classification system: 
<ul>
<li>Category 1: non-removable redness of intact skin;</li>
<li>Category 2: loss of a partial layer of skin or blister;</li>
<li>Category 3: loss of an entire layer of skin (visible fat);</li>
<li>Category 4: loss of an entire layer of tissue (visible muscle/bone).</li>
</ul>

==Information Model==
 
[[Bestand: PressureUlcer-v1.0Model(EN).png | center]]
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px]]
||NL-CM:19.1.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px]]DecubitusWound
|
|Root concept of the DecubitusWound building block. This root concept contains all data elements of the DecubitusWound building block.
|
{|
|-
| 400192002 Decubitus ulcer
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:19.1.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]DecubitusCategory
|1
|Description of the condition of the decubitus wound, ranging from category 1 - 4.
|
|
{|
|-
|[[Bestand: List2.png]]||[[#DecubitusCategoryCodelist|DecubitusCategoryCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:19.1.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]StartDate
|0..1
|The date on which the decubitus wound appeared.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
||NL-CM:19.1.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]AnatomicalLocation
|0..1
|The location of the decubitus wound on the body.
|
|
{|
|-
|[[Bestand: List2.png]]||[[#DecubitusAnatomicalLocationCodelist|DecubitusAnatomicalLocationCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:19.1.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]DateOfLastDressingChange
|0..1
|The date on which the dressing was last changed.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px]]
||NL-CM:19.1.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]WoundLength
|0..1
|The length of the decubitus wound.
|
{|
|-
| 401238003 Length of wound
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px]]
||NL-CM:19.1.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]WoundWidth
|0..1
|The width of the decubitus wound.
|
{|
|-
| 401239006 Width of wound
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px]]
||NL-CM:19.1.11
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]WoundDepth
|0..1
|The depth of the decubitus wound.
|
{|
|-
| 425094009 Depth of wound
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
||NL-CM:19.1.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Treatment::NursingProcedure
|0..*
|The procedures carried out to treat the decubitus wound.
|
|
{|
|-
|[[Bestand: block.png]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
||NL-CM:19.1.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Prevention::NursingProcedure
|0..*
|The preventative procedures to prevent the decubitus wound from worsening.
|
|
{|
|-
|[[Bestand: block.png]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ED.png| 16px]]
||NL-CM:19.1.12
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]WoundImage
|0..1
|A photo of the decubitus wound as visual information.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
||NL-CM:19.1.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Explanation
|0..1
|An explanation of the decubitus wound.
|
{|
|-
| 48767-8 Annotation comment
|}
|
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="632px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|DecubitusWond
|-style=vertical-align:top;
| style="width: 30%; "|AnatomischeLocatie
| style="width: 70%; "|Linkerhiel
|-style=vertical-align:top;
| style="width: 30%; "|DecubitusCategorie
| style="width: 70%; "|Decubitus categorie 2
|-style=vertical-align:top;
| style="width: 30%; "|Wondlengte
| style="width: 70%; "|3 cm
|-style=vertical-align:top;
| style="width: 30%; "|Wondbreedte
| style="width: 70%; "|2 cm
|-style=vertical-align:top;
| style="width: 30%; "|Wonddiepte
| style="width: 70%; "|<noWiki>-</noWiki>
|-style=vertical-align:top;
| style="width: 30%; "|OntstaansDatum
| style="width: 70%; "|01-09-2014
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Behandeling
|-style=vertical-align:top;
| style="width: 30%; "|Activiteit
| style="width: 70%; "|Dagelijkse wondcontrole en verbandwissel.
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Preventie
|-style=vertical-align:top;
| style="width: 30%; "|Activiteit
| style="width: 70%; "|Ad-matras, toepassen van wisselligging.
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: White; "|
|-style=vertical-align:top;
| style="width: 30%; "|Toelichting
| style="width: 70%; "|Blaar met vocht op hiel.
|}

==References==
1. V&VN (2011) Landelijke multidisciplinaire richtlijn. Decubitus preventie en behandeling. [Online] Beschikbaar op:www.diliguide.nl/document/1613/file/pdf/ [Geraadpleegd: 13 februari 2015]

== Valuesets ==
=== DecubitusAnatomicalLocationCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|SNOMED CT: <<91723000 <noWiki>|</noWiki> anatomical structure <noWiki>|</noWiki>
|SNOMED CT
|2.16.840.1.113883.6.96
|}

=== DecubitusCategoryCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Pressure ulcer stage 1
|421076008
|1
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 1
|-style="vertical-align:top; "
|Pressure ulcer stage 2
|420324007
|2
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 2
|-style="vertical-align:top; "
|Pressure ulcer stage 3
|421927004
|3
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 3
|-style="vertical-align:top; "
|Pressure ulcer stage 4
|420597008
|4
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 4
|}

==More on this information model==
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.19.1] 
This information model is also available as [[Media:nl.nfu.PressureUlcer-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.PressureUlcer-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 28/09/2017 00:05:46 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>

PressureUlcer-v1.0(2015EN) - Bewerkingsoverzicht

Update bot op 24 dec 2018 om 11:15

Update bot op 20 dec 2018 om 15:23

Update bot op 20 dec 2018 om 12:14

Update bot op 24 jan 2018 om 23:20

Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.nfu.PressureUlcer''' link=DecubitusWond-v1.0(2015NL) Version: '''1.0''' HCIM Status:Final Pu...'

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