PressureUlcer-v3.2(2018EN): verschil tussen versies

Huidige versie van 13 mrt 2019 om 01:52

Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.PressureUlcer
Version: 3.2
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 26-02-2019

Back to HCIM list

Metadata

DCM::CoderList	Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate	7-7-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	NFU & V&VN
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.19.1
DCM::KeywordList	Decubitus, doorligwond, wond
DCM::LifecycleStatus	Final
DCM::ModelerList	Werkgroep RadB Verpleegkundige Gegevens
DCM::Name	nl.zorg.DecubitusWond
DCM::PublicationDate	26-02-2019
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	31-12-2017
DCM::Superseeds	nl.zorg.DecubitusWond-v3.1
DCM::Version	3.2
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

Publicatieversie 3.1 (04-09-2017)

ZIB-530	Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
ZIB-533	Toestaan dat de bouwsteen meer dan één foto kan bevatten
ZIB-549	De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
ZIB-585	Toevoegen concept Lateraliteit aan het concept Anatomische Locatie

Publicatieversie 3.2 (31-12-2017)

ZIB-646

Aanpassing SNOMED codes

.

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:

Category 1: non-removable redness of intact skin;
Category 2: loss of a partial layer of skin or blister;
Category 3: loss of an entire layer of skin (visible fat);
Category 4: loss of an entire layer of tissue (visible muscle/bone).

Information Model

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:19.1.1

PressureUlcer

Root concept of the DecubitusWound information model. This root concept contains all data elements of the DecubitusWound information model.

399912005 Pressure ulcer

NL-CM:19.1.2

DecubitusCategory

1

Description of the condition of the pressure ulcer, ranging from category 1 - 4.

45780-4 Pressure injury stage [Minimum Data Set]

DecubitusCategoryCodelist

NL-CM:19.1.3

DateOfOnset

0..1

The date on which the pressure ulcer appeared.

NL-CM:19.1.4

AnatomicalLocation

0..1

The location of the decubitus wound on the body.

363698007 Finding site

DecubitusAnatomicalLocationCodelist

NL-CM:19.1.13

Laterality

0..1

Laterality adds information about body side to the anatomic location, e.g. left

272741003 Laterality

DecubitusWoundLateralityCodelist

NL-CM:19.1.8

DateOfLastDressingChange

0..1

The date on which the dressing was last changed.

NL-CM:19.1.9

WoundLength

0..1

The length of the decubitus wound.

39126-8 Length of Wound

NL-CM:19.1.10

WoundWidth

0..1

The width of the decubitus wound.

39125-0 Width of Wound

NL-CM:19.1.11

WoundDepth

0..1

The depth of the decubitus wound.

39127-6 Depth of Wound

NL-CM:19.1.12

WoundImage

0..*

A photo of the decubitus wound as visual information.

72170-4 Photographic image

NL-CM:19.1.5

Comment

0..1

A comment of the decubitus wound.

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

Example Instances

Only available in Dutch

DecubitusWond
AnatomischeLocatie	Hiel
Lateraliteit	Links
DecubitusCategorie	Decubitus categorie 2
Wondlengte	3 cm
Wondbreedte	2 cm
Wonddiepte	-
OntstaansDatum	01-09-2014
Toelichting	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

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2	Binding: Extensible

Conceptname	Codesystem name	Codesystem OID
SNOMED CT: <442083009\|Anatomical or acquired body structure\|	SNOMED CT	2.16.840.1.113883.6.96

DecubitusCategoryCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1	Binding: Required

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Pressure ulcer stage 1	421076008	1	SNOMED CT	2.16.840.1.113883.6.96	Decubitus categorie 1
Pressure ulcer stage 2	420324007	2	SNOMED CT	2.16.840.1.113883.6.96	Decubitus categorie 2
Pressure ulcer stage 3	421927004	3	SNOMED CT	2.16.840.1.113883.6.96	Decubitus categorie 3
Pressure ulcer stage 4	420597008	4	SNOMED CT	2.16.840.1.113883.6.96	Decubitus categorie 4

DecubitusWoundLateralityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.3	Binding: Required

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Left	7771000	SNOMED CT	2.16.840.1.113883.6.96	Links
Right	24028007	SNOMED CT	2.16.840.1.113883.6.96	Rechts
Right and left	51440002	SNOMED CT	2.16.840.1.113883.6.96	Rechts en links

This information model in other releases

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:

HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

Downloads

This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Prerelease 2018-2
SNOMED CT and LOINC codes are based on:

SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
LOINC version 2.64

Conditions for use are located on the mainpage
This page is generated on 12/03/2019 17:16:27 with ZibExtraction v. 3.0.7010.25883

Back to HCIM list

@@ Regel 8: / Regel 8: @@
 Release<!--hdPublication-->: '''2018''' <br>
 Release status<!--hdPublicationStatus-->: Prepublished<br>
-Release date<!--hdPublicationDate-->: 01-10-2018
+Release date<!--hdPublicationDate-->: 26-02-2019
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
@@ Regel 47: / Regel 47: @@
 |style="width:250px; "|DCM::Name||nl.zorg.DecubitusWond
 |-
-|style="width:250px; "|DCM::PublicationDate||01-10-2018
+|style="width:250px; "|DCM::PublicationDate||26-02-2019
 |-
 |style="width:250px; "|DCM::PublicationStatus||Prepublished
@@ Regel 116: / Regel 116: @@
 ==Information Model==
 <BR>
-<imagemap> Bestand:PressureUlcer-v3.2Model(EN).png | center
+<imagemap> Bestand:PressureUlcer-v3.2Model(2018EN).png | center
-rect 262 504 482 554 [[#DecubitusAnatomicalLocationCodelist]]
+rect 332 512 552 562 [[#DecubitusAnatomicalLocationCodelist]]
-rect 116 389 226 459 [[#12318]]
+rect 186 397 296 467 [[#12318]]
-rect 306 386 438 456 [[#10087]]
+rect 376 394 508 464 [[#10087]]
-rect 306 200 438 280 [[#10088]]
+rect 376 208 508 288 [[#10088]]
-rect 529 386 661 456 [[#10089]]
+rect 599 394 731 464 [[#10089]]
-rect 529 269 661 339 [[#10090]]
+rect 599 277 731 347 [[#10090]]
-rect 515 504 675 554 [[#DecubitusCategoryCodelist]]
+rect 585 512 745 562 [[#DecubitusCategoryCodelist]]
-rect 529 35 661 105 [[#10177]]
+rect 599 43 731 113 [[#10177]]
-rect 25 503 226 553 [[#DecubitusWoundLateralityCodelist]]
+rect 95 511 296 561 [[#DecubitusWoundLateralityCodelist]]
-rect 115 35 225 105 [[#10724]]
+rect 185 43 295 113 [[#10724]]
-rect 298 35 446 105 [[#10681]]
+rect 368 43 516 113 [[#10681]]
-rect 115 152 225 222 [[#10725]]
+rect 185 160 295 230 [[#10725]]
-rect 115 269 225 339 [[#10726]]
+rect 185 277 295 347 [[#10726]]
-rect 529 152 661 222 [[#10727]]
+rect 599 160 731 230 [[#10727]]
 desc none
 </imagemap>
@@ Regel 334: / Regel 334: @@
 |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 |-style="vertical-align:top; "
-|SNOMED CT: < [https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki><span title = "Anatomische of verworven lichaamsstructuur" >Anatomical or acquired body structure</span><noWiki>|</noWiki>
+|SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki><span title = "Anatomische of verworven lichaamsstructuur">Anatomical or acquired body structure</span><noWiki>|</noWiki>
 |SNOMED CT
 |2.16.840.1.113883.6.96
@@ Regel 359: / Regel 359: @@
 |Decubitus categorie 1
 |-style="vertical-align:top; "
-|<span title = "Decubitus stadium 2" >Pressure ulcer stage 2</span>
+|<span title = "Decubitus stadium 2">Pressure ulcer stage 2</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=420324007 420324007]
 |2
@@ Regel 366: / Regel 366: @@
 |Decubitus categorie 2
 |-style="vertical-align:top; "
-|<span title = "Decubitus stadium 3" >Pressure ulcer stage 3</span>
+|<span title = "Decubitus stadium 3">Pressure ulcer stage 3</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=421927004 421927004]
 |3
@@ Regel 373: / Regel 373: @@
 |Decubitus categorie 3
 |-style="vertical-align:top; "
-|<span title = "Decubitus stadium 4" >Pressure ulcer stage 4</span>
+|<span title = "Decubitus stadium 4">Pressure ulcer stage 4</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=420597008 420597008]
 |4
@@ Regel 393: / Regel 393: @@
 |Description<!--vsDescription-->
 |-style="vertical-align:top; "
-|<span title = "Links" >Left</span>
+|<span title = "Links">Left</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000]
 |SNOMED CT
@@ Regel 399: / Regel 399: @@
 |Links
 |-style="vertical-align:top; "
-|<span title = "Rechts" >Right</span>
+|<span title = "Rechts">Right</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007]
 |SNOMED CT
@@ Regel 405: / Regel 405: @@
 |Rechts
 |-style="vertical-align:top; "
-|<span title = "Bilateraal" >Right and left</span>
+|<span title = "Bilateraal">Right and left</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=51440002 51440002]
 |SNOMED CT
@@ Regel 419: / Regel 419: @@
 ====This information model refers to<!--ftRefersTo-->====
 :--
-====This inforation model is used in<!--ftReferredBy-->====
+====This information model is used in<!--ftReferredBy-->====
 :--
 ==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
@@ Regel 425: / Regel 425: @@
 Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
 <ul>
-<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.19.1&effectiveDate=2018-10-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
+<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.19.1&effectiveDate=2019-02-26T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
 <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2018}}</li>
 </ul>
@@ Regel 431: / Regel 431: @@
 This information model is also available as [[Media:nl.zorg.PressureUlcer-v3.2(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.PressureUlcer-v3.2(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
 ==About this information<!--ftHeader2-->==
-The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018 #1 <BR>
+The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018-2 <BR>
 SNOMED CT and LOINC codes are based on:
 <ul>
@@ Regel 438: / Regel 438: @@
 </ul>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 01/11/2018 22:21:37 with ZibExtraction v. 2.0.6879.31307<!--ftDate--> <BR>
+This page is generated on 12/03/2019 17:16:27 with ZibExtraction v. 3.0.7010.25883<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

PressureUlcer-v3.2(2018EN): verschil tussen versies

Huidige versie van 13 mrt 2019 om 01:52

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Information Model

Example Instances

References