PressureUlcer-v1.0(2015EN): verschil tussen versies
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Regel 3: | Regel 3: | ||
Version: '''1.0''' <br> | Version: '''1.0''' <br> | ||
HCIM Status:Final<br> | HCIM Status:Final<br> | ||
Release: '''2015''' <br> | |||
Release status: Published<br> | Release status: Published<br> | ||
Release date: 8-9-2015 | |||
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div> | ||
Regel 84: | Regel 84: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:PressureUlcer-v1.0Model(EN).png | center | |||
rect 130 516 340 566 [[#DecubitusAnatomicalLocationCodelist]] | |||
rect 169 401 301 471 [[#10087]] | |||
rect 383 242 515 322 [[#10088]] | |||
rect 383 401 515 471 [[#10089]] | |||
rect 609 400 742 470 [[#10090]] | |||
rect 609 311 742 381 [[NursingIntervention-v1.0(2015EN)]] | |||
rect 369 517 529 567 [[#DecubitusCategoryCodelist]] | |||
rect 490 35 639 105 [[#10177]] | |||
rect 609 221 742 291 [[NursingIntervention-v1.0(2015EN)]] | |||
rect 169 130 302 200 [[#10724]] | |||
rect 274 36 423 106 [[#10681]] | |||
rect 169 221 302 291 [[#10725]] | |||
rect 169 311 302 381 [[#10726]] | |||
rect 608 130 741 200 [[#10727]] | |||
desc none | |||
</imagemap> | |||
<BR> | <BR> | ||
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | {| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | ||
Regel 90: | Regel 106: | ||
|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="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="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 | ||NL-CM:19.1.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: DecubitusWond">[[Bestand: arrowdown.png | 10px]]DecubitusWound</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=10088 Title="NL: DecubitusWond">[[Bestand: arrowdown.png | 10px | link=]]DecubitusWound</span> | ||
| | | | ||
|Root concept of the DecubitusWound building block. This root concept contains all data elements of the DecubitusWound building block. | |Root concept of the DecubitusWound building block. This root concept contains all data elements of the DecubitusWound building block. | ||
Regel 102: | Regel 118: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-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 | ||NL-CM:19.1.2 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |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 | |1 | ||
|Description of the condition of the decubitus wound, ranging from category 1 - 4. | |Description of the condition of the decubitus wound, ranging from category 1 - 4. | ||
Regel 112: | Regel 128: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#DecubitusCategoryCodelist|DecubitusCategoryCodelist]] | |[[Bestand: List2.png | link=#DecubitusCategoryCodelist]]||[[#DecubitusCategoryCodelist|DecubitusCategoryCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-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 | ||NL-CM:19.1.3 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |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]]StartDate</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10177 Title="NL: OntstaansDatum">[[Bestand: arrowright.png | 10px | link=]]StartDate</span> | ||
|0..1 | |0..1 | ||
|The date on which the decubitus wound appeared. | |The date on which the decubitus wound appeared. | ||
Regel 124: | Regel 140: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-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 | ||NL-CM:19.1.4 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |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 | |0..1 | ||
|The location of the decubitus wound on the body. | |The location of the decubitus wound on the body. | ||
Regel 134: | Regel 150: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#DecubitusAnatomicalLocationCodelist|DecubitusAnatomicalLocationCodelist]] | |[[Bestand: List2.png | link=#DecubitusAnatomicalLocationCodelist]]||[[#DecubitusAnatomicalLocationCodelist|DecubitusAnatomicalLocationCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-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 | ||NL-CM:19.1.8 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |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 | |0..1 | ||
|The date on which the dressing was last changed. | |The date on which the dressing was last changed. | ||
Regel 146: | Regel 162: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-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 | ||NL-CM:19.1.9 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |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 | |0..1 | ||
|The length of the decubitus wound. | |The length of the decubitus wound. | ||
Regel 159: | Regel 175: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-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 | ||NL-CM:19.1.10 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |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 | |0..1 | ||
|The width of the decubitus wound. | |The width of the decubitus wound. | ||
Regel 172: | Regel 188: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-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 | ||NL-CM:19.1.11 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |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 | |0..1 | ||
|The depth of the decubitus wound. | |The depth of the decubitus wound. | ||
Regel 185: | Regel 201: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:19.1.6 | ||NL-CM:19.1.6 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |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: Behandeling::VerpleegkundigeActie">[[Bestand: arrowright.png | 10px]]Treatment::NursingProcedure</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10092 Title="NL: Behandeling::VerpleegkundigeActie">[[Bestand: arrowright.png | 10px | link=]]Treatment::NursingProcedure</span> | ||
|0..* | |0..* | ||
|The procedures carried out to treat the decubitus wound. | |The procedures carried out to treat the decubitus wound. | ||
Regel 195: | Regel 211: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]] | |[[Bestand: block.png | link=NursingIntervention-v1.0(2015EN)]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:19.1.7 | ||NL-CM:19.1.7 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |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: Preventie::VerpleegkundigeActie">[[Bestand: arrowright.png | 10px]]Prevention::NursingProcedure</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10355 Title="NL: Preventie::VerpleegkundigeActie">[[Bestand: arrowright.png | 10px | link=]]Prevention::NursingProcedure</span> | ||
|0..* | |0..* | ||
|The preventative procedures to prevent the decubitus wound from worsening. | |The preventative procedures to prevent the decubitus wound from worsening. | ||
Regel 208: | Regel 224: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]] | |[[Bestand: block.png | link=NursingIntervention-v1.0(2015EN)]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-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 | ||NL-CM:19.1.12 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |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..1 | |0..1 | ||
|A photo of the decubitus wound as visual information. | |A photo of the decubitus wound as visual information. | ||
Regel 220: | Regel 236: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-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 | ||NL-CM:19.1.5 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |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]]Explanation</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10090 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Explanation</span> | ||
|0..1 | |0..1 | ||
|An explanation of the decubitus wound. | |An explanation of the decubitus wound. | ||
Regel 241: | Regel 257: | ||
{|class="wikitable" width="632px" style= "font-size: 9.5pt;" | {|class="wikitable" width="632px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #1F497D; width: 100%; color | |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=vertical-align:top; | ||
| style="width: 30%; "|AnatomischeLocatie | | style="width: 30%; "|AnatomischeLocatie | ||
Regel 261: | Regel 277: | ||
| style="width: 70%; "|01-09-2014 | | style="width: 70%; "|01-09-2014 | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #4F81BD; width: 100%; color | |colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Behandeling</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 30%; "|Activiteit | | style="width: 30%; "|Activiteit | ||
| style="width: 70%; "|Dagelijkse wondcontrole en verbandwissel. | | style="width: 70%; "|Dagelijkse wondcontrole en verbandwissel. | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #4F81BD; width: 100%; color | |colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Preventie</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 30%; "|Activiteit | | style="width: 30%; "|Activiteit | ||
| style="width: 70%; "|Ad-matras, toepassen van wisselligging. | | style="width: 70%; "|Ad-matras, toepassen van wisselligging. | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #4F81BD; width: 100%; color | |colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=White> </font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 30%; "|Toelichting | | style="width: 30%; "|Toelichting | ||
Regel 339: | Regel 355: | ||
==This information model in other releases== | |||
<ul> | |||
<li>[[PressureUlcer-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li> | |||
<li>[[PressureUlcer-v3.2(2017EN) | Release 2017, (Version 3.2)]]</li> | |||
</ul> | |||
==More on this information model== | ==More on this information model== | ||
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--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.19.1&effectiveDate=2015-09-08T00:00:00&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.nfu.PressureUlcer-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.PressureUlcer-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | This information model is also available as [[Media:nl.nfu.PressureUlcer-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.PressureUlcer-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ||
==About this information== | ==About this information== | ||
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR> | The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <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 | This page is generated on 24/01/2018 17:35:53 <BR> | ||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div> |
Versie van 25 jan 2018 01:20
General information
Name: nl.nfu.PressureUlcer
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015
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.nfu.DecubitusWond |
DCM::PublicationDate | 8-9-2015 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 8-9-2015 |
DCM::Superseeds | |
DCM::Version | 1.0 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-07-2015).
Concept
A decubitus wound 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 decubitus wound involves a major disease burden and reduces the quality of life for a patient. Adequate risk evaluation, prevention and treatment of decubitus wounds can lead to a fewer incidences and prevalence of decubitus wounds.
Purpose
Information on the decubitus 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
![PressureUlcer-v1.0Model(EN).png](/images/9/95/PressureUlcer-v1.0Model%28EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
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NL-CM:19.1.1 | ![]() |
Root concept of the DecubitusWound building block. This root concept contains all data elements of the DecubitusWound building block. |
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NL-CM:19.1.2 | ![]() |
1 | Description of the condition of the decubitus wound, ranging from category 1 - 4. |
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NL-CM:19.1.3 | ![]() |
0..1 | The date on which the decubitus wound appeared. | |||||||||
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NL-CM:19.1.4 | ![]() |
0..1 | The location of the decubitus wound on the body. |
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NL-CM:19.1.8 | ![]() |
0..1 | The date on which the dressing was last changed. | |||||||||
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NL-CM:19.1.9 | ![]() |
0..1 | The length of the decubitus wound. |
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NL-CM:19.1.10 | ![]() |
0..1 | The width of the decubitus wound. |
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NL-CM:19.1.11 | ![]() |
0..1 | The depth of the decubitus wound. |
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NL-CM:19.1.6 | ![]() |
0..* | The procedures carried out to treat the decubitus wound. |
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NL-CM:19.1.7 | ![]() |
0..* | The preventative procedures to prevent the decubitus wound from worsening. |
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NL-CM:19.1.12 | ![]() |
0..1 | A photo of the decubitus wound as visual information. | |||||||||
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NL-CM:19.1.5 | ![]() |
0..1 | An explanation of the decubitus wound. |
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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 | Linkerhiel |
DecubitusCategorie | Decubitus categorie 2 |
Wondlengte | 3 cm |
Wondbreedte | 2 cm |
Wonddiepte | - |
OntstaansDatum | 01-09-2014 |
Behandeling | |
Activiteit | Dagelijkse wondcontrole en verbandwissel. |
Preventie | |
Activiteit | Ad-matras, toepassen van wisselligging. |
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: <<91723000 | anatomical 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 |
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 Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 24/01/2018 17:35:53