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Version: '''3.8'''
HCIM Status:Final
Release: '''2026-1''' <…'

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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.1(EN)|1|PressureUlcer-v3.8(2026-1EN)}}

==General information==
Name: '''nl.zorg.PressureUlcer''' [[Bestand:NL.png|link=DecubitusWond-v3.8(2026-1NL)]] 
Version: '''3.8''' 
HCIM Status:Final 
Release: '''2026-1''' 
Release status: Prepublished 
Release date: 17-04-2026

{{ErrataEN|2026-1|{{PAGENAME}}}}

-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(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||17-04-2026
|-
|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||10-04-2025
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.DecubitusWond-v3.7
|-
|style="width:250px; "|DCM::Version||3.8
|-
|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)
{|
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
|}

Publicatieversie 3.1 (04-09-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-530 | ZIB-530 ]]
|Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-533 | ZIB-533 ]]
|Toestaan dat de bouwsteen meer dan één foto kan bevatten
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-549 | ZIB-549 ]]
|De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-585 | ZIB-585 ]]
|Toevoegen concept Lateraliteit aan het concept Anatomische Locatie
|}

Publicatieversie 3.2 (31-12-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-646 | ZIB-646 ]]
|Aanpassing SNOMED codes
|}

Publicatieversie 3.3 (31-01-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-828 | ZIB-828 ]]
|wondfoto toevoegen aan zib brandwond
|}

Publicatieversie 3.4 (01-09-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1116 | ZIB-1116 ]]
|Geen informatie
|}

Publicatieversie 3.5 (10-06-2022)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1674 | ZIB-1674 ]]
|Terminologie codes ontbreken in de zib
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1765 | ZIB-1765 ]]
|Deprecated SNOMED codes
|}

Publicatieversie 3.6 (15-10-2023)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1980 | ZIB-1980 ]]
|Terminologie code voor wond foto
|}

Publicatieversie 3.7 (15-04-2024)
{|
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2106 | ZIB-2106 ]]
|Aanvraag terminologie code voor Extent en DateOfLastDressingChange
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2218 | ZIB-2218 ]]
|Oth toevoegen aan Waardenlijsten met een required binding
|}

Publicatieversie 3.8 (24-04-2024)
{|
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2079 | ZIB-2079 ]]
|Wondfoto met hoofdletter of kleine letter?
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2080 | ZIB-2080 ]]
|Nederlandse vertaling wordt gebruik op de Engelse Pagina
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2459 | ZIB-2459 ]]
|Deprecated values in zib pre-publicatie 2024-1
|}
</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==
 
<imagemap> Bestand:PressureUlcer-v3.8Model(2026-1EN).png | center
rect 590 490 740 540 [[#DecubitusCategoryCodelist]]
rect 376 394 508 464 [[AnatomicalLocation-v1.0.4(2026-1EN)]]
rect 599 160 731 230 [[#6722]]
rect 185 277 295 347 [[#6714]]
rect 185 160 295 230 [[#6715]]
rect 185 43 295 113 [[#6713]]
rect 368 43 516 113 [[#6721]]
rect 599 43 731 113 [[#6720]]
rect 599 277 731 347 [[#6724]]
rect 599 394 731 464 [[#6723]]
rect 376 208 508 288 [[#6718]]
desc none
</imagemap>
 
{| 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 | link=]]
||NL-CM:19.1.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]PressureUlcer
|
|Root concept of the PressureUlcer information model.This root concept contains all data elements of the PressureUlcer information model.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=1163215007 1163215007] Pressure injury
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||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 | link=]]DecubitusCategory
|1
|Description of the condition of the pressure ulcer, ranging from category 1 - 4.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=45780-4 45780-4] Pressure injury stage [Minimum Data Set]
|}
|
{|
|-
|[[Bestand: List2.png | link=#DecubitusCategoryCodelist]]||[[#DecubitusCategoryCodelist|DecubitusCategoryCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||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 | link=]]DateOfOnset
|0..1
|The date on which the pressure ulcer appeared.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:19.1.14
|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 | link=]]AnatomicalLocation
|0..1
|The location of the pressure ulcer on the body.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=363698007 363698007] Finding site
|}
|
{|
|-
|[[Bestand: block.png | link=AnatomicalLocation-v1.0.4(2026-1EN)]]||[[AnatomicalLocation-v1.0.4(2026-1EN) |AnatomicalLocation]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||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 | link=]]DateOfLastDressingChange
|0..1
|The date on which the dressing was last changed.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=360541000146109 360541000146109] Date of last change of wound dressing
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||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 | link=]]WoundLength
|0..1
|The length of the pressure ulcer.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=39126-8 39126-8] Length of Wound
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||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 | link=]]WoundWidth
|0..1
|The width of the pressure ulcer.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=39125-0 39125-0] Width of Wound
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||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 | link=]]WoundDepth
|0..1
|The depth of the pressure ulcer.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=39127-6 39127-6] Depth of Wound
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ED.png| 16px | link=]]
||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 | link=]]WoundImage
|0..*
|A photo of the pressure ulcer as visual information.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=72170-4 72170-4] Photographic image
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=9561000146103 9561000146103] Medical photograph
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||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 | link=]]Comment
|0..1
|A comment on the pressure ulcer.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative
|}
|
|}
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%; "|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 ==
=== 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
|Binding: Required
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Pressure injury stage I
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=1163217004 1163217004]
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus graad 1
|-style="vertical-align:top; "
|Pressure injury stage II
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=1163220007 1163220007]
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus graad 2
|-style="vertical-align:top; "
|Pressure injury stage III
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=1163222004 1163222004]
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus graad 3
|-style="vertical-align:top; "
|Pressure injury stage IV
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=1163224003 1163224003]
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus graad 4
|-style="vertical-align:top; "
|Unstageable pressure injury
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=1163226001 1163226001]
|SNOMED CT
|2.16.840.1.113883.6.96
|Niet-gradeerbare decubitus
|-style="vertical-align:top; "
|Pressure injury of deep tissue suspected
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=723073000 723073000]
|SNOMED CT
|2.16.840.1.113883.6.96
|Verdenking op decubitus van onderhuids weefsel
|-style="vertical-align:top; "
|Pressure ulcer stage 1 [DEPRECATED]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=421076008 421076008]
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 1 [DEPRECATED]
|-style="vertical-align:top; "
|Pressure ulcer stage 2 [DEPRECATED]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=420324007 420324007]
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 2 [DEPRECATED]
|-style="vertical-align:top; "
|Pressure ulcer stage 3 [DEPRECATED]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=421927004 421927004]
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 3 [DEPRECATED]
|-style="vertical-align:top; "
|Pressure ulcer stage 4 [DEPRECATED]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=420597008 420597008]
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 4 [DEPRECATED]
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="5"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="5"|Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
|}

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.1(EN)|2|2026-1}}

==Information model references==
====This information model refers to====
:--
====This information model is used in====
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR==
To exchange information based on health and care information models, additional, more technical specifications are required. 
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment {{ArtDecorLinks|2026-1|19.1}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2026-1|DecubitusWond}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.PressureUlcer-v3.8(2026-1EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.PressureUlcer-v3.8(2026-1EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on prerelease 2026-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20260331 [R] (maart 2026-editie)</li>
<li>LOINC version 2.81</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 18/04/2026 18:37:24 with ZibExtraction v. 10.0.9604.31200 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

PressureUlcer-v3.8(2026-1EN) - Bewerkingsoverzicht

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.1(EN)|1|PressureUlcer-v3.8(2026-1EN)}} ==General information== Name: '''nl.zorg.PressureUlcer''' link=DecubitusWond-v3.8(2026-1NL) Version: '''3.8''' HCIM Status:Final Release: '''2026-1''' <…'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.19.1(EN)|1|PressureUlcer-v3.8(2026-1EN)}} ==General information== Name: '''nl.zorg.PressureUlcer''' link=DecubitusWond-v3.8(2026-1NL)
Version: '''3.8'''
HCIM Status:Final
Release: '''2026-1''' <…'