PressureUlcer-v3.6(2023EN)

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General information

Name: nl.zorg.PressureUlcer
Version: 3.6
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023

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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 15-10-2023
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 12-09-2023
DCM::Supersedes nl.zorg.DecubitusWond-v3.5
DCM::Version 3.6
HCIM::PublicationLanguage EN

Revision History

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


#DecubitusCategoryCodelistAnatomicalLocation-v1.0.3(2023EN)#3140#3132#3133#3131#3139#3138#3142#3141#3136


Type Id Concept Card. Definition DefinitionCode Reference
NL-CM:19.1.1 PressureUlcer Root concept of the PressureUlcer information model.This root concept contains all data elements of the PressureUlcer information model.
1163215007 Pressure injury
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:19.1.14 AnatomicalLocation 0..1 The location of the decubitus wound on the body.
363698007 Finding site
AnatomicalLocation
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
9561000146103 Medical photograph
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

DecubitusCategoryCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1 Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Pressure injury stage I 1163217004 SNOMED CT 2.16.840.1.113883.6.96 Decubitus graad 1
Pressure injury stage II 1163220007 SNOMED CT 2.16.840.1.113883.6.96 Decubitus graad 2
Pressure injury stage III 1163222004 SNOMED CT 2.16.840.1.113883.6.96 Decubitus graad 3
Pressure injury stage IV 1163224003 SNOMED CT 2.16.840.1.113883.6.96 Decubitus graad 4
Unstageable pressure injury 1163226001 SNOMED CT 2.16.840.1.113883.6.96 Niet-gradeerbare decubitus
Suspected pressure injury of deep tissue 723073000 SNOMED CT 2.16.840.1.113883.6.96 Verdenking op decubitus van onderhuids weefsel
Pressure ulcer stage 1 [DEPRECATED] 421076008 SNOMED CT 2.16.840.1.113883.6.96 Decubitus categorie 1 [DEPRECATED]
Pressure ulcer stage 2 [DEPRECATED] 420324007 SNOMED CT 2.16.840.1.113883.6.96 Decubitus categorie 2 [DEPRECATED]
Pressure ulcer stage 3 [DEPRECATED] 421927004 SNOMED CT 2.16.840.1.113883.6.96 Decubitus categorie 3 [DEPRECATED]
Pressure ulcer stage 4 [DEPRECATED] 420597008 SNOMED CT 2.16.840.1.113883.6.96 Decubitus categorie 4 [DEPRECATED]

This information model in other releases

Information model references

This information model refers to

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 Prerelease 2023-1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
  • LOINC version 2.76

Conditions for use are located on the mainpage
This page is generated on 31/10/2023 19:30:19 with ZibExtraction v. 9.3.8704.31782

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