Update bot op 30 nov 2017 om 12:28

2017-11-30T12:28:38Z

Update bot op 28 sep 2017 om 09:27

2017-09-28T09:27:39Z

← Oudere versie		Versie van 28 sep 2017 11:27
Regel 387:		Regel 387:
	==More on this information model==		==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] <BR>		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] <BR>
	This information model is also available as [[Media:nl.zorg.PressureUlcer-v3.1(EN).pdf\|pdf file]] [[File:PDF.png\|link=]] or as [[Media:nl.zorg.PressureUlcer-v3.1(EN).xlsx\|spreadsheet]] [[File:xlsx.png\|link=]]		This information model is also available as [[Media:nl.zorg.PressureUlcer-v3.1(2017EN).pdf\|pdf file]] [[File:PDF.png\|link=]] or as [[Media:nl.zorg.PressureUlcer-v3.1(2017EN).xlsx\|spreadsheet]] [[File:xlsx.png\|link=]]
	==About this information==		==About this information==
	The information in this wikipage is based on Prerelease 2017 #1 <BR>		The information in this wikipage is based on Prerelease 2017 #1 <BR>
	Conditions for use are located on the mainpage [[Bestand:list2.png\|link=HCIM_Mainpage]]<BR>		Conditions for use are located on the mainpage [[Bestand:list2.png\|link=HCIM_Mainpage]]<BR>
	This page is generated on 21/09/2017 18:~~24:33~~ <BR>		This page is generated on 28/09/2017 11:18:28 <BR>
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Update bot op 21 sep 2017 om 16:27

2017-09-21T16:27:13Z

← Oudere versie		Versie van 21 sep 2017 18:27
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	The information in this wikipage is based on Prerelease 2017 #1 <BR>		The information in this wikipage is based on Prerelease 2017 #1 <BR>
	Conditions for use are located on the mainpage [[Bestand:list2.png\|link=HCIM_Mainpage]]<BR>		Conditions for use are located on the mainpage [[Bestand:list2.png\|link=HCIM_Mainpage]]<BR>
	This page is generated on 21/09/2017 18:14:26 <BR>		This page is generated on 21/09/2017 18:24:33 <BR>
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Update bot op 21 sep 2017 om 16:18

2017-09-21T16:18:13Z

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Regel 391:		Regel 391:
	The information in this wikipage is based on Prerelease 2017 #1 <BR>		The information in this wikipage is based on Prerelease 2017 #1 <BR>
	Conditions for use are located on the mainpage [[Bestand:list2.png\|link=HCIM_Mainpage]]<BR>		Conditions for use are located on the mainpage [[Bestand:list2.png\|link=HCIM_Mainpage]]<BR>
	This page is generated on 21/09/2017 15:46:42 <BR>		This page is generated on 21/09/2017 18:14:26 <BR>
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Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.PressureUlcer''' link=DecubitusWond-v3.1(2017NL)
Version: '''3.1'''
HCIM Status:Final
P...'

2017-09-21T15:26:42Z

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==General information==
Name: '''nl.zorg.PressureUlcer''' [[Bestand:NL.png|link=DecubitusWond-v3.1(2017NL)]] 
Version: '''3.1''' 
HCIM Status:Final 
Publication: '''2017''' 
Release status: Prepublished 
Publication date: 04-09-2017
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(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.zorg.DecubitusWond
|-
|style="width:250px; "|DCM::PublicationDate||04-09-2017
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||04-09-2017
|-
|style="width:250px; "|DCM::Superseeds||nl.zorg.DecubitusWond-v3.0
|-
|style="width:250px; "|DCM::Version||3.1
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

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

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)
{|
|}

Publicatieversie 3.1 (04-09-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-530 | ZIB-530 ]]
|Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
|-
|style="width:75px; "|[[ZIBIssues#ZIB-533 | ZIB-533 ]]
|Toestaan dat de bouwsteen meer dan één foto kan bevatten
|-
|style="width:75px; "|[[ZIBIssues#ZIB-549 | ZIB-549 ]]
|De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
|-
|style="width:75px; "|[[ZIBIssues#ZIB-585 | ZIB-585 ]]
|Toevoegen concept Lateraliteit aan het concept Anatomische Locatie
|}
.
</div>

==Concept==
A pressure ulcer 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 pressure ulcer involves a major disease burden and reduces the quality of life for a patient. Adequate risk evaluation, prevention and treatment of pressure ulcers can lead to a fewer incidences and prevalence of pressure ulcers. 

==Purpose==
Information on the pressure 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-v3.1Model(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]]PressureUlcer
|
|Root concept of the DecubitusWound information model. This root concept contains all data elements of the DecubitusWound information model.
|
{|
|-
| 399912005 Pressure 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 pressure ulcer, ranging from category 1 - 4.
|
{|
|-
| 45780-4 Pressure ulcer stage 
|}
|
{|
|-
|[[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]]DateOfOnset
|0..1
|The date on which the pressure ulcer 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.
|
{|
|-
| 363698007 Finding site
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#DecubitusAnatomicalLocationCodelist|DecubitusAnatomicalLocationCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
||NL-CM:19.1.13
|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]]Laterality
|0..1
|Laterality adds information about body side to the anatomic location, e.g. left
|
{|
|-
| 272741003 Laterality
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#DecubitusWoundLateralityCodelist|DecubitusWoundLateralityCodelist]]
|}
|-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.
|
{|
|-
| 39126-8 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.
|
{|
|-
| 39125-0 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.
|
{|
|-
| 39127-6 Depth of Wound
|}
|
|-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..*
|A photo of the decubitus wound as visual information.
|
{|
|-
| 72170-4 Photographic image
|}
|
|-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]]Comment
|0..1
|A comment 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="428px" 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: 44%; "|AnatomischeLocatie
| style="width: 56%; "|Hiel
|-style=vertical-align:top;
| style="width: 44%; "|Lateraliteit
| style="width: 56%; "|Links
|-style=vertical-align:top;
| style="width: 44%; "|DecubitusCategorie
| style="width: 56%; "|Decubitus categorie 2
|-style=vertical-align:top;
| style="width: 44%; "|Wondlengte
| style="width: 56%; "|3 cm
|-style=vertical-align:top;
| style="width: 44%; "|Wondbreedte
| style="width: 56%; "|2 cm
|-style=vertical-align:top;
| style="width: 44%; "|Wonddiepte
| style="width: 56%; "|<noWiki>-</noWiki>
|-style=vertical-align:top;
| style="width: 44%; "|OntstaansDatum
| style="width: 56%; "|01-09-2014
|-style=vertical-align:top;
| style="width: 44%; "|Toelichting
| style="width: 56%; "|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: < 442083009 <noWiki>|</noWiki>Anatomical or acquired body 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
|}

=== DecubitusWoundLateralityCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.3
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Left
|7771000
|SNOMED CT
|2.16.840.1.113883.6.96
|Links
|-style="vertical-align:top; "
|Right
|24028007
|SNOMED CT
|2.16.840.1.113883.6.96
|Rechts
|-style="vertical-align:top; "
|Right and left
|51440002
|SNOMED CT
|2.16.840.1.113883.6.96
|Rechts en links
|}

==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.zorg.PressureUlcer-v3.1(EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.PressureUlcer-v3.1(EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Prerelease 2017 #1 
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 21/09/2017 15:46:42 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

PressureUlcer-v3.1(2017EN) - Bewerkingsoverzicht

Update bot op 30 nov 2017 om 12:28

Update bot op 28 sep 2017 om 09:27

Update bot op 21 sep 2017 om 16:27

Update bot op 21 sep 2017 om 16:18

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