PressureUlcer-v3.0(2016EN)

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: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016

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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	1-5-2016
DCM::PublicationStatus	Published
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	8-9-2015
DCM::Superseeds
DCM::Version	3.0
HCIM::PublicationLanguage	EN

Revision History

Uitvouwen

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

ZIB-453

Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

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

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:19.1.1	DecubitusWound							Root concept of the DecubitusWound information model. This root concept contains all data elements of the DecubitusWound information model.	400192002 Decubitus ulcer
	NL-CM:19.1.2		DecubitusCategory					1	Description of the condition of the decubitus wound, ranging from category 1 - 4.		DecubitusCategoryCodelist
	NL-CM:19.1.3		StartDate					0..1	The date on which the decubitus wound appeared.
	NL-CM:19.1.4		AnatomicalLocation					0..1	The location of the decubitus wound on the body.		DecubitusAnatomicalLocationCodelist
	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.	401238003 Length of wound
	NL-CM:19.1.10		WoundWidth					0..1	The width of the decubitus wound.	401239006 Width of wound
	NL-CM:19.1.11		WoundDepth					0..1	The depth of the decubitus wound.	425094009 Depth of wound
	NL-CM:19.1.6		Treatment::NursingProcedure					0..*	The procedures carried out to treat the decubitus wound.		NursingIntervention
	NL-CM:19.1.7		Prevention::NursingProcedure					0..*	The preventative procedures to prevent the decubitus wound from worsening.		NursingIntervention
	NL-CM:19.1.12		WoundImage					0..1	A photo of the decubitus wound as visual information.
	NL-CM:19.1.5		Explanation					0..1	An explanation 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	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

Binding:

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

Binding:

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

• Release 2015, (Version 1.0)
• Release 2017, (Version 3.2)
• Prerelease 2018-2, (Version 3.2)
• Prerelease 2019-2, (Version 3.3)
• Release 2020, (Version 3.4)
• Prerelease 2021-2, (Version 3.4)
• Prerelease 2022-1, (Version 3.5)
• Prerelease 2023-1, (Version 3.6)
• Prerelease 2024-1, (Version 3.7)

Information model references

This information model refers to

• NursingIntervention-v3.0

This information model is used in

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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 Release summer 2016
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 16:27:20 with ZibExtraction v. 3.0.6929.24609

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