PressureUlcer-v3.0(2016EN)

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General information

Name: nl.zorg.PressureUlcer NL.png
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016


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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 1-5-2016
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 8-9-2015
DCM::Superseeds
DCM::Version 3.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Concept

A decubitus wound 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 decubitus wound involves a major disease burden and reduces the quality of life for a patient. Adequate risk evaluation, prevention and treatment of decubitus wounds can lead to a fewer incidences and prevalence of decubitus wounds.

Purpose

Information on the decubitus 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


#DecubitusAnatomicalLocationCodelist#10087#10088#10089#10090NursingIntervention-v3.0(2016EN)#DecubitusCategoryCodelist#10177NursingIntervention-v3.0(2016EN)#10724#10681#10725#10726#10727PressureUlcer-v3.0Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:19.1.1 Arrowdown.pngDecubitusWound Root concept of the DecubitusWound information model. This root concept contains all data elements of the DecubitusWound information model.
400192002 Decubitus ulcer
CO.png NL-CM:19.1.2 Arrowright.pngDecubitusCategory 1 Description of the condition of the decubitus wound, ranging from category 1 - 4.
List2.png DecubitusCategoryCodelist
TS.png NL-CM:19.1.3 Arrowright.pngStartDate 0..1 The date on which the decubitus wound appeared.
CD.png NL-CM:19.1.4 Arrowright.pngAnatomicalLocation 0..1 The location of the decubitus wound on the body.
List2.png DecubitusAnatomicalLocationCodelist
TS.png NL-CM:19.1.8 Arrowright.pngDateOfLastDressingChange 0..1 The date on which the dressing was last changed.
PQ.png NL-CM:19.1.9 Arrowright.pngWoundLength 0..1 The length of the decubitus wound.
401238003 Length of wound
PQ.png NL-CM:19.1.10 Arrowright.pngWoundWidth 0..1 The width of the decubitus wound.
401239006 Width of wound
PQ.png NL-CM:19.1.11 Arrowright.pngWoundDepth 0..1 The depth of the decubitus wound.
425094009 Depth of wound
Verwijzing.png NL-CM:19.1.6 Arrowright.pngTreatment::NursingProcedure 0..* The procedures carried out to treat the decubitus wound.
Block.png NursingIntervention
Verwijzing.png NL-CM:19.1.7 Arrowright.pngPrevention::NursingProcedure 0..* The preventative procedures to prevent the decubitus wound from worsening.
Block.png NursingIntervention
ED.png NL-CM:19.1.12 Arrowright.pngWoundImage 0..1 A photo of the decubitus wound as visual information.
ST.png NL-CM:19.1.5 Arrowright.pngExplanation 0..1 An explanation 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 List2.png

Example Instances

Only available in Dutch

DecubitusWond
AnatomischeLocatie Linkerhiel
DecubitusCategorie Decubitus categorie 2
Wondlengte 3 cm
Wondbreedte 2 cm
Wonddiepte -
OntstaansDatum 01-09-2014
Behandeling
Activiteit Dagelijkse wondcontrole en verbandwissel.
Preventie
Activiteit Ad-matras, toepassen van wisselligging.
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 Binding:
Conceptname Codesystem name Codesystem OID
SNOMED CT: <<91723000|anatomical 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 Binding:
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

This information model in other releases

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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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Release summer 2016
Conditions for use are located on the mainpage List2.png
This page is generated on 20/12/2018 10:36:09 with ZibExtraction v. 3.0.6928.1309


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