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PressureUlcer-v3.4(2021EN) - Bewerkingsoverzicht
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.1(EN)|1|PressureUlcer-v3.4(2021EN)}}<br />
<!-- Tot hier de transclude page --><br />
==General information<!--hdGeneralInformation-->==<br />
Name<!--hdName-->: '''nl.zorg.PressureUlcer''' [[Bestand:NL.png|link=DecubitusWond-v3.4(2021NL)]]<BR><br />
Version<!--hdVersion-->: '''3.4''' <br><br />
HCIM Status<!--hdStatus-->:Final<br><br />
Release<!--hdPublication-->: '''2021''' <br><br />
Release status<!--hdPublicationStatus-->: Prepublished<br><br />
Release date<!--hdPublicationDate-->: 01-12-2021<br />
<!-- Aanroep Errata transclude page --><br />
{{ErrataEN<!--hdErrata-->|2021|{{PAGENAME}}}}<br />
<!-- tot hier --><br />
-----<br />
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2021(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2021(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div><br />
<br />
==Metadata==<br />
{| class="wikitable" style="font-size:90%; width: 750px"<br />
|- <br />
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Address||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Name||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Telecom||*<br />
|- <br />
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::CreationDate||7-7-2014<br />
|- <br />
|style="width:250px; "|DCM::DeprecatedDate||<br />
|- <br />
|style="width:250px; "|DCM::DescriptionLanguage||nl<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Address||<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Name||NFU & V&VN<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||<br />
|- <br />
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.19.1<br />
|- <br />
|style="width:250px; "|DCM::KeywordList||Decubitus, doorligwond, wond<br />
|- <br />
|style="width:250px; "|DCM::LifecycleStatus||Final<br />
|- <br />
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::Name||nl.zorg.DecubitusWond<br />
|- <br />
|style="width:250px; "|DCM::PublicationDate||01-12-2021<br />
|- <br />
|style="width:250px; "|DCM::PublicationStatus||Prepublished<br />
|- <br />
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron<br />
|- <br />
|style="width:250px; "|DCM::RevisionDate||25-08-2020<br />
|- <br />
|style="width:250px; "|DCM::Supersedes||nl.zorg.DecubitusWond-v3.3<br />
|- <br />
|style="width:250px; "|DCM::Version||3.4<br />
|- <br />
|style="width:250px; "|HCIM::PublicationLanguage||EN<br />
|}<br />
<br />
==Revision History==<br />
<div class="mw-collapsible mw-collapsed"><br />
'' Only available in Dutch<!--noTranslation-->''<br />
<br />
<u>Publicatieversie 1.0</u> (01-07-2015)<br />
<br />
<u>Publicatieversie 3.0</u> (01-05-2016)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-453 | ZIB-453 ]]<br />
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer<br />
|}<br />
<br />
<u>Publicatieversie 3.1</u> (04-09-2017)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-530 | ZIB-530 ]]<br />
|Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-533 | ZIB-533 ]]<br />
|Toestaan dat de bouwsteen meer dan één foto kan bevatten<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-549 | ZIB-549 ]]<br />
|De Engelse naam van de bouwsteen en het rootconcept zijn niet correct<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-585 | ZIB-585 ]]<br />
|Toevoegen concept Lateraliteit aan het concept Anatomische Locatie<br />
|}<br />
<br />
<u>Publicatieversie 3.2</u> (31-12-2017)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-646 | ZIB-646 ]]<br />
|Aanpassing SNOMED codes<br />
|}<br />
<br />
Publicatieversie <u>3.3</u> (31-01-2020)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-828 | ZIB-828 ]]<br />
|wondfoto toevoegen aan zib brandwond<br />
|}<br />
<br />
Publicatieversie <u>3.4</u> (01-09-2020)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-1116 | ZIB-1116 ]]<br />
|Geen informatie<br />
|}<br />
</div><br />
<br />
==Concept==<br />
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.<BR><br />
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.<BR><br />
<br />
==Purpose==<br />
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.<br />
<br />
==Evidence Base==<br />
To describe the wound, there are 4 categories, based on the international NPUAP/EPUAP decubitus classification system:<BR><br />
<ul><br />
<li>Category 1: non-removable redness of intact skin;</li><br />
<li>Category 2: loss of a partial layer of skin or blister;</li><br />
<li>Category 3: loss of an entire layer of skin (visible fat);</li><br />
<li>Category 4: loss of an entire layer of tissue (visible muscle/bone).</li><br />
</ul><br />
<br />
==Information Model==<br />
<BR><br />
<imagemap> Bestand:PressureUlcer-v3.4Model(2021EN).png | center <br />
rect 376 208 508 288 [[#10088]]<br />
rect 599 394 731 464 [[#10089]]<br />
rect 599 277 731 347 [[#10090]]<br />
rect 585 512 745 562 [[#DecubitusCategoryCodelist]]<br />
rect 599 43 731 113 [[#10177]]<br />
rect 368 43 516 113 [[#10681]]<br />
rect 185 43 295 113 [[#10724]]<br />
rect 185 160 295 230 [[#10725]]<br />
rect 185 277 295 347 [[#10726]]<br />
rect 599 160 731 230 [[#10727]]<br />
rect 376 394 508 464 [[AnatomicalLocation-v1.0.1(2021EN)]]<br />
desc none<br />
</imagemap><br />
<BR><br />
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" <br />
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "<br />
|style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference--><br />
|-style="vertical-align:top; background-color: #E3E3E3; "<br />
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]<br />
||NL-CM:19.1.1<br />
|colspan ="6" style ="padding-left: 0px"|<span Id=10088 Title="NL: DecubitusWond">[[Bestand: arrowdown.png | 10px | link=]]PressureUlcer</span><br />
|<br />
|Root concept of the DecubitusWound information model. This root concept contains all data elements of the DecubitusWound information model.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Decubitus (disorder)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=399912005 399912005] Pressure ulcer</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]<br />
||NL-CM:19.1.2<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10089 Title="NL: DecubitusCategorie">[[Bestand: arrowright.png | 10px | link=]]DecubitusCategory</span><br />
|1<br />
|Description of the condition of the pressure ulcer, ranging from category 1 - 4.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC (Nom)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=45780-4 45780-4] Pressure injury stage [Minimum Data Set]</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#DecubitusCategoryCodelist]]||[[#DecubitusCategoryCodelist|DecubitusCategoryCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]<br />
||NL-CM:19.1.3<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10177 Title="NL: OntstaansDatum">[[Bestand: arrowright.png | 10px | link=]]DateOfOnset</span><br />
|0..1<br />
|The date on which the pressure ulcer appeared.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]<br />
||NL-CM:19.1.14<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=12623 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span><br />
|0..1<br />
|The location of the decubitus wound on the body.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Locatie van bevinding (attribute)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=363698007 363698007] Finding site</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: block.png | link=AnatomicalLocation-v1.0.1(2021EN)]]||[[AnatomicalLocation-v1.0.1(2021EN) |AnatomicalLocation]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]<br />
||NL-CM:19.1.8<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10681 Title="NL: DatumLaatsteVerbandwissel">[[Bestand: arrowright.png | 10px | link=]]DateOfLastDressingChange</span><br />
|0..1<br />
|The date on which the dressing was last changed.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]<br />
||NL-CM:19.1.9<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10724 Title="NL: Wondlengte">[[Bestand: arrowright.png | 10px | link=]]WoundLength</span><br />
|0..1<br />
|The length of the decubitus wound.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC; Duur [lengte] in wond (Qn)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=39126-8 39126-8] Length of Wound</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]<br />
||NL-CM:19.1.10<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10725 Title="NL: Wondbreedte">[[Bestand: arrowright.png | 10px | link=]]WoundWidth</span><br />
|0..1<br />
|The width of the decubitus wound.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC; Breedte [lengte] in wond (Qn)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=39125-0 39125-0] Width of Wound</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]<br />
||NL-CM:19.1.11<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10726 Title="NL: Wonddiepte">[[Bestand: arrowright.png | 10px | link=]]WoundDepth</span><br />
|0..1<br />
|The depth of the decubitus wound.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC; Diepte [lengte] in wond (Qn)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=39127-6 39127-6] Depth of Wound</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: ED.png| 16px | link=]]<br />
||NL-CM:19.1.12<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10727 Title="NL: WondFoto">[[Bestand: arrowright.png | 10px | link=]]WoundImage</span><br />
|0..*<br />
|A photo of the decubitus wound as visual information.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC (Doc)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=72170-4 72170-4] Photographic image</span><br />
|}<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]<br />
||NL-CM:19.1.5<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10090 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span><br />
|0..1<br />
|A comment of the decubitus wound.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span><br />
|}<br />
|<br />
|}<br />
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR><br />
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]<br />
<br />
==Example Instances==<br />
''Only available in Dutch<!--noTranslation-->''<br />
<br />
{|class="wikitable" width="428px" style= "font-size: 9.5pt;"<br />
|-style=vertical-align:top;<br />
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Decubitus</b></font><font color=#FFFFFF><b>Wond</b></font><br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|AnatomischeLocatie<br />
| style="width: 56%; "|Hiel<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|Lateraliteit<br />
| style="width: 56%; "|Links<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|DecubitusCategorie<br />
| style="width: 56%; "|Decubitus categorie 2<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|Wondlengte<br />
| style="width: 56%; "|3 cm<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|Wondbreedte<br />
| style="width: 56%; "|2 cm<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|Wonddiepte<br />
| style="width: 56%; "|<noWiki>-</noWiki><br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|OntstaansDatum<br />
| style="width: 56%; "|01-09-2014<br />
|-style=vertical-align:top;<br />
| style="width: 44%; "|Toelichting<br />
| style="width: 56%; "|Blaar met vocht op hiel.<br />
|}<br />
<br />
==References==<br />
1. V&amp;VN (2011) <i>Landelijke multidisciplinaire richtlijn. Decubitus preventie en behandeling. </i>[Online] Beschikbaar op:<font color="#0000ff"><u>www.diliguide.nl/document/1613/file/pdf/</u></font> [Geraadpleegd: 13 februari 2015]<br />
<br />
== Valuesets ==<br />
=== DecubitusCategoryCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1<br />
|Binding<!--vsBindingTag-->: Required<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Conceptvalue<!--vsConceptValue--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|<span title = "Decubitus graad 1 (disorder)">Pressure ulcer stage 1</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=421076008 421076008]<br />
|1<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Decubitus categorie 1<br />
|-style="vertical-align:top; "<br />
|<span title = "Decubitus graad 2 (disorder)">Pressure ulcer stage 2</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=420324007 420324007]<br />
|2<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Decubitus categorie 2<br />
|-style="vertical-align:top; "<br />
|<span title = "Decubitus graad 3 (disorder)">Pressure ulcer stage 3</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=421927004 421927004]<br />
|3<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Decubitus categorie 3<br />
|-style="vertical-align:top; "<br />
|<span title = "Decubitus graad 4 (disorder)">Pressure ulcer stage 4</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=420597008 420597008]<br />
|4<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Decubitus categorie 4<br />
|}<br />
<br />
==This information model in other releases<!--ftOtherReleases-->==<br />
<!-- Hieronder wordt een transclude page aangeroepen --><br />
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.1(EN)|2|2021}}<br />
<!-- Tot hier de transclude page --><br />
==Information model references<!--ftReferences-->==<br />
====This information model refers to<!--ftRefersTo-->====<br />
*[[AnatomicalLocation-v1.0.1(2021EN)|AnatomicalLocation-v1.0.1]]<br />
====This information model is used in<!--ftReferredBy-->====<br />
:--<br />
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==<br />
To exchange information based on health and care information models, additional, more technical specifications are required.<BR><br />
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--><br />
<ul><br />
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2021bbr-?id=2.16.840.1.113883.2.4.3.11.60.11.4.2.19.1&effectiveDate=2021-12-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li><br />
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2021}}</li><br />
</ul><br />
==Downloads<!--ftDownloadTitle-->==<br />
This information model is also available as [[Media:nl.zorg.PressureUlcer-v3.4(2021EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.PressureUlcer-v3.4(2021EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--><br />
==About this information<!--ftHeader2-->==<br />
The information in this wikipage is based on<!--ftInfoBase--> Pre-release 2021-2 <BR><br />
SNOMED CT and LOINC codes are based on:<br />
<ul><br />
<li>SNOMED Clinical Terms version: 20210731 [R] (July 2021 Release)</li><br />
<li>LOINC version 2.67</li><br />
</ul><br />
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