PressureUlcer-v3.1(2017EN)

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General information

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

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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 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

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


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 Prerelease 2017 #1
Conditions for use are located on the mainpage
This page is generated on 28/09/2017 11:18:28

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