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Version: '''3.2'''
HCIM Status:Final
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==General information==
Name: '''nl.zorg.PressureUlcer''' [[Bestand:NL.png|link=DecubitusWond-v3.2(2017NL)]] 
Version: '''3.2''' 
HCIM Status:Final 
Release: '''2017''' 
Release status: Published 
Release date: 31-12-2017
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::CreationDate||7-7-2014
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||NFU & V&VN
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.19.1
|-
|style="width:250px; "|DCM::KeywordList||Decubitus, doorligwond, wond
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::Name||nl.zorg.DecubitusWond
|-
|style="width:250px; "|DCM::PublicationDate||31-12-2017
|-
|style="width:250px; "|DCM::PublicationStatus||Published
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||31-12-2017
|-
|style="width:250px; "|DCM::Superseeds||nl.zorg.DecubitusWond-v3.1
|-
|style="width:250px; "|DCM::Version||3.2
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)
{|
|}

Publicatieversie 3.1 (04-09-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-530 | ZIB-530 ]]
|Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
|-
|style="width:75px; "|[[ZIBIssues#ZIB-533 | ZIB-533 ]]
|Toestaan dat de bouwsteen meer dan één foto kan bevatten
|-
|style="width:75px; "|[[ZIBIssues#ZIB-549 | ZIB-549 ]]
|De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
|-
|style="width:75px; "|[[ZIBIssues#ZIB-585 | ZIB-585 ]]
|Toevoegen concept Lateraliteit aan het concept Anatomische Locatie
|}

Publicatieversie 3.2 (31-12-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-646 | ZIB-646 ]]
|Geen informatie
|}

.
</div>

==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: 
<ul>
<li>Category 1: non-removable redness of intact skin;</li>
<li>Category 2: loss of a partial layer of skin or blister;</li>
<li>Category 3: loss of an entire layer of skin (visible fat);</li>
<li>Category 4: loss of an entire layer of tissue (visible muscle/bone).</li>
</ul>

==Information Model==
 
<imagemap> Bestand:PressureUlcer-v3.2Model(EN).png | center
rect 340 504 560 554 [[#DecubitusAnatomicalLocationCodelist]]
rect 194 389 304 459 [[#12318]]
rect 384 386 516 456 [[#10087]]
rect 384 200 516 280 [[#10088]]
rect 607 386 739 456 [[#10089]]
rect 607 269 739 339 [[#10090]]
rect 593 504 753 554 [[#DecubitusCategoryCodelist]]
rect 607 35 739 105 [[#10177]]
rect 103 503 304 553 [[#DecubitusWoundLateralityCodelist]]
rect 193 35 303 105 [[#10724]]
rect 376 35 524 105 [[#10681]]
rect 193 152 303 222 [[#10725]]
rect 193 269 303 339 [[#10726]]
rect 607 152 739 222 [[#10727]]
desc none
</imagemap>
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:19.1.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]PressureUlcer
|
|Root concept of the DecubitusWound information model. This root concept contains all data elements of the DecubitusWound information model.
|
{|
|-
| 399912005 Pressure ulcer
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:19.1.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]DecubitusCategory
|1
|Description of the condition of the pressure ulcer, ranging from category 1 - 4.
|
{|
|-
| 45780-4 Pressure ulcer stage 
|}
|
{|
|-
|[[Bestand: List2.png | link=#DecubitusCategoryCodelist]]||[[#DecubitusCategoryCodelist|DecubitusCategoryCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:19.1.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]DateOfOnset
|0..1
|The date on which the pressure ulcer appeared.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:19.1.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation
|0..1
|The location of the decubitus wound on the body.
|
{|
|-
| 363698007 Finding site
|}
|
{|
|-
|[[Bestand: List2.png | link=#DecubitusAnatomicalLocationCodelist]]||[[#DecubitusAnatomicalLocationCodelist|DecubitusAnatomicalLocationCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:19.1.13
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Laterality
|0..1
|Laterality adds information about body side to the anatomic location, e.g. left
|
{|
|-
| 272741003 Laterality
|}
|
{|
|-
|[[Bestand: List2.png | link=#DecubitusWoundLateralityCodelist]]||[[#DecubitusWoundLateralityCodelist|DecubitusWoundLateralityCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:19.1.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]DateOfLastDressingChange
|0..1
|The date on which the dressing was last changed.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:19.1.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]WoundLength
|0..1
|The length of the decubitus wound.
|
{|
|-
| 39126-8 Length of Wound
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:19.1.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]WoundWidth
|0..1
|The width of the decubitus wound.
|
{|
|-
| 39125-0 Width of Wound
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:19.1.11
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]WoundDepth
|0..1
|The depth of the decubitus wound.
|
{|
|-
| 39127-6 Depth of Wound
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ED.png| 16px | link=]]
||NL-CM:19.1.12
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]WoundImage
|0..*
|A photo of the decubitus wound as visual information.
|
{|
|-
| 72170-4 Photographic image
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:19.1.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]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 [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="428px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; "|DecubitusWond
|-style=vertical-align:top;
| style="width: 44%; "|AnatomischeLocatie
| style="width: 56%; "|Hiel
|-style=vertical-align:top;
| style="width: 44%; "|Lateraliteit
| style="width: 56%; "|Links
|-style=vertical-align:top;
| style="width: 44%; "|DecubitusCategorie
| style="width: 56%; "|Decubitus categorie 2
|-style=vertical-align:top;
| style="width: 44%; "|Wondlengte
| style="width: 56%; "|3 cm
|-style=vertical-align:top;
| style="width: 44%; "|Wondbreedte
| style="width: 56%; "|2 cm
|-style=vertical-align:top;
| style="width: 44%; "|Wonddiepte
| style="width: 56%; "|<noWiki>-</noWiki>
|-style=vertical-align:top;
| style="width: 44%; "|OntstaansDatum
| style="width: 56%; "|01-09-2014
|-style=vertical-align:top;
| style="width: 44%; "|Toelichting
| style="width: 56%; "|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===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|SNOMED CT: < 442083009 <noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki>
|SNOMED CT
|2.16.840.1.113883.6.96
|}

=== DecubitusCategoryCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Pressure ulcer stage 1
|421076008
|1
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 1
|-style="vertical-align:top; "
|Pressure ulcer stage 2
|420324007
|2
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 2
|-style="vertical-align:top; "
|Pressure ulcer stage 3
|421927004
|3
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 3
|-style="vertical-align:top; "
|Pressure ulcer stage 4
|420597008
|4
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 4
|}

=== DecubitusWoundLateralityCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.3
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Left
|7771000
|SNOMED CT
|2.16.840.1.113883.6.96
|Links
|-style="vertical-align:top; "
|Right
|24028007
|SNOMED CT
|2.16.840.1.113883.6.96
|Rechts
|-style="vertical-align:top; "
|Right and left
|51440002
|SNOMED CT
|2.16.840.1.113883.6.96
|Rechts en links
|}

==This information model in other releases==
<ul>
<li>[[PressureUlcer-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li>
<li>[[PressureUlcer-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
</ul>
==More on this information model==
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:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.19.1&effectiveDate=2017-12-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
</ul>
This information model is also available as [[Media:nl.zorg.PressureUlcer-v3.2(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.PressureUlcer-v3.2(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Release 2017 
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 22/01/2018 11:03:57 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

@@ Regel 116: / Regel 116: @@
 ==Information Model==
 <BR>
-<imagemap> Bestand:PressureUlcer-v3.2Model(EN).png | center
+<imagemap> Bestand:PressureUlcer-v3.2Model(2017EN).png | center
 rect 350 512 570 562 [[#DecubitusAnatomicalLocationCodelist]]
 rect 204 397 314 467 [[#12318]]
@@ Regel 334: / Regel 334: @@
 |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 |-style="vertical-align:top; "
-|SNOMED CT: < [https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki>
+|SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki>
 |SNOMED CT
 |2.16.840.1.113883.6.96
@@ Regel 433: / Regel 433: @@
 The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 19/12/2018 18:43:18 with ZibExtraction v. 3.0.6927.32850<!--ftDate--> <BR>
+This page is generated on 21/12/2018 14:47:05 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

@@ Regel 89: / Regel 89: @@
 |-
 |style="width:75px; "|[[ZIBIssues#ZIB-646 | ZIB-646 ]]
-|Geen informatie
+|Aanpassing SNOMED codes
 |}
@@ Regel 425: / Regel 425: @@
 The information in this wikipage is based on Release 2017 <BR>
 Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
-This page is generated on 22/01/2018 11:03:57 <BR>
+This page is generated on 24/01/2018 16:09:22 <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

PressureUlcer-v3.2(2017EN) - Bewerkingsoverzicht

Update bot op 24 dec 2018 om 11:04

Update bot op 20 dec 2018 om 12:31

Update bot op 24 jan 2018 om 15:16

Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.PressureUlcer''' link=DecubitusWond-v3.2(2017NL) Version: '''3.2''' HCIM Status:Final R...'

Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.PressureUlcer''' link=DecubitusWond-v3.2(2017NL)
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HCIM Status:Final
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