PressureUlcer-v3.1(2017EN): verschil tussen versies

Huidige versie van 30 nov 2017 om 13:28

General information

Name: nl.zorg.PressureUlcer
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Prepublished
Release date: 04-09-2017

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	04-09-2017
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	04-09-2017
DCM::Superseeds	nl.zorg.DecubitusWond-v3.0
DCM::Version	3.1
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

.

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 ulcer stage

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

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

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

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

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

More on this information model

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

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

About this information

The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage
This page is generated on 30/11/2017 13:24:33

Back to HCIM list

@@ Regel 3: / Regel 3: @@
 Version: '''3.1''' <br>
 HCIM Status:Final<br>
-Publication: '''2017''' <br>
+Release: '''2017''' <br>
 Release status: Prepublished<br>
-Publication date: 04-09-2017
+Release 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>
@@ Regel 105: / Regel 105: @@
 ==Information Model==
 <BR>
-[[Bestand: PressureUlcer-v3.1Model(EN).png | center]]
+<imagemap> Bestand:PressureUlcer-v3.1Model(EN).png | center
+rect 340 504 560 554 [[#DecubitusAnatomicalLocationCodelist]]
+rect 194 389 304 459 [[#12318]]
+rect 384 386 516 456 [[#10087]]
+rect 384 200 516 280 [[#10088]]
+rect 607 386 739 456 [[#10089]]
+rect 607 269 739 339 [[#10090]]
+rect 593 504 753 554 [[#DecubitusCategoryCodelist]]
+rect 607 35 739 105 [[#10177]]
+rect 103 503 304 553 [[#DecubitusWoundLateralityCodelist]]
+rect 193 35 303 105 [[#10724]]
+rect 376 35 524 105 [[#10681]]
+rect 193 152 303 222 [[#10725]]
+rect 193 269 303 339 [[#10726]]
+rect 607 152 739 222 [[#10727]]
+desc none
+</imagemap>
 <BR>
 {| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
@@ Regel 111: / Regel 127: @@
 |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]]
+|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
 ||NL-CM:19.1.1
-|colspan ="6" style ="padding-left: 0px"|<span Title="NL: DecubitusWond">[[Bestand: arrowdown.png | 10px]]PressureUlcer</span>
+|colspan ="6" style ="padding-left: 0px"|<span Id=10088 Title="NL: DecubitusWond">[[Bestand: arrowdown.png | 10px | link=]]PressureUlcer</span>
 |
 |Root concept of the DecubitusWound information model. This root concept contains all data elements of the DecubitusWound information model.
@@ Regel 123: / Regel 139: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CO.png| 16px]]
+|style = "text-align:center" |[[Bestand: CO.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"|<span Title="NL: DecubitusCategorie">[[Bestand: arrowright.png | 10px]]DecubitusCategory</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=10089 Title="NL: DecubitusCategorie">[[Bestand: arrowright.png | 10px | link=]]DecubitusCategory</span>
 |1
 |Description of the condition of the pressure ulcer, ranging from category 1 - 4.
@@ Regel 137: / Regel 153: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#DecubitusCategoryCodelist|DecubitusCategoryCodelist]]
+|[[Bestand: List2.png | link=#DecubitusCategoryCodelist]]||[[#DecubitusCategoryCodelist|DecubitusCategoryCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: TS.png| 16px]]
+|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"|<span Title="NL: OntstaansDatum">[[Bestand: arrowright.png | 10px]]DateOfOnset</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=10177 Title="NL: OntstaansDatum">[[Bestand: arrowright.png | 10px | link=]]DateOfOnset</span>
 |0..1
 |The date on which the pressure ulcer appeared.
@@ Regel 149: / Regel 165: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CD.png| 16px]]
+|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
 ||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"|<span Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px]]AnatomicalLocation</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=10087 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span>
 |0..1
 |The location of the decubitus wound on the body.
@@ Regel 163: / Regel 179: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#DecubitusAnatomicalLocationCodelist|DecubitusAnatomicalLocationCodelist]]
+|[[Bestand: List2.png | link=#DecubitusAnatomicalLocationCodelist]]||[[#DecubitusAnatomicalLocationCodelist|DecubitusAnatomicalLocationCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CD.png| 16px]]
+|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
 ||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"|<span Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px]]Laterality</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=12318 Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px | link=]]Laterality</span>
 |0..1
 |Laterality adds information about body side to the anatomic location, <i>e.g.</i> left
@@ Regel 180: / Regel 196: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#DecubitusWoundLateralityCodelist|DecubitusWoundLateralityCodelist]]
+|[[Bestand: List2.png | link=#DecubitusWoundLateralityCodelist]]||[[#DecubitusWoundLateralityCodelist|DecubitusWoundLateralityCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: TS.png| 16px]]
+|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"|<span Title="NL: DatumLaatsteVerbandwissel">[[Bestand: arrowright.png | 10px]]DateOfLastDressingChange</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=10681 Title="NL: DatumLaatsteVerbandwissel">[[Bestand: arrowright.png | 10px | link=]]DateOfLastDressingChange</span>
 |0..1
 |The date on which the dressing was last changed.
@@ Regel 192: / Regel 208: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: PQ.png| 16px]]
+|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"|<span Title="NL: Wondlengte">[[Bestand: arrowright.png | 10px]]WoundLength</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=10724 Title="NL: Wondlengte">[[Bestand: arrowright.png | 10px | link=]]WoundLength</span>
 |0..1
 |The length of the decubitus wound.
@@ Regel 205: / Regel 221: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: PQ.png| 16px]]
+|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"|<span Title="NL: Wondbreedte">[[Bestand: arrowright.png | 10px]]WoundWidth</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=10725 Title="NL: Wondbreedte">[[Bestand: arrowright.png | 10px | link=]]WoundWidth</span>
 |0..1
 |The width of the decubitus wound.
@@ Regel 218: / Regel 234: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: PQ.png| 16px]]
+|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"|<span Title="NL: Wonddiepte">[[Bestand: arrowright.png | 10px]]WoundDepth</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=10726 Title="NL: Wonddiepte">[[Bestand: arrowright.png | 10px | link=]]WoundDepth</span>
 |0..1
 |The depth of the decubitus wound.
@@ Regel 231: / Regel 247: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: ED.png| 16px]]
+|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"|<span Title="NL: WondFoto">[[Bestand: arrowright.png | 10px]]WoundImage</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=10727 Title="NL: WondFoto">[[Bestand: arrowright.png | 10px | link=]]WoundImage</span>
 |0..*
 |A photo of the decubitus wound as visual information.
@@ Regel 244: / Regel 260: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: ST.png| 16px]]
+|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"|<span Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=10090 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
 |0..1
 |A comment of the decubitus wound.
@@ Regel 265: / Regel 281: @@
 {|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
+|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Decubitus</b></font><font color=#FFFFFF><b>Wond</b></font>
 |-style=vertical-align:top;
 | style="width: 44%; "|AnatomischeLocatie
@@ Regel 385: / Regel 401: @@
+==This information model in other releases==
+<ul>
+<li>[[PressureUlcer-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li>
+<li>[[PressureUlcer-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
+</ul>
 ==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>
+To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
+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 [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.19.1&effectiveDate=2017-09-04T00:00:00&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 [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
+</ul>
 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==
 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>
-This page is generated on 28/09/2017 11:18:28 <BR>
+This page is generated on 30/11/2017 13:24:33 <BR>
 -----
 <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): verschil tussen versies

Huidige versie van 30 nov 2017 om 13:28

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Information Model

Example Instances

References