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
DecubitusWond
Root concept of the DecubitusWound information model. This root concept contains all data elements of the DecubitusWound information model.
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
DecubitusWond
DecubitusCategorie
or as spreadsheet 