PressureUlcer-v3.1(2017EN)

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

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

Publicatieversie 3.1 (04-09-2017)

ZIB-530	Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
ZIB-533	Toestaan dat de bouwsteen meer dan één foto kan bevatten
ZIB-549	De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
ZIB-585	Toevoegen concept Lateraliteit aan het concept Anatomische Locatie

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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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