General information
Name: nl.zorg.PressureUlcer
Version: 3.0
HCIM Status:Final
Publication: 2016
Release status: Published
Publication date: 1-5-2016
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
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.
|
|
|
|
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.
|
|
|
|
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.
|
|
|
|
NL-CM:19.1.11
|
|
WoundDepth
|
0..1
|
The depth of the decubitus wound.
|
|
|
|
NL-CM:19.1.6
|
|
Treatment::NursingProcedure
|
0..*
|
The procedures carried out to treat the decubitus wound.
|
|
|
|
NL-CM:19.1.7
|
|
Prevention::NursingProcedure
|
0..*
|
The preventative procedures to prevent the decubitus wound from worsening.
|
|
|
|
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
|
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
|
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[1]
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 28/09/2017 01:10:10