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General information

Name: nl.zorg.PressureUlcer NL.png
Version: 3.7
HCIM Status:Final
Release: 2024
Release status: Prepublished
Release date: 15-04-2024

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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::DescriptionLanguage nl
DCM::EndorsingAuthority.Name NFU & V&VN
DCM::Id 2.16.840.1.113883.
DCM::KeywordList Decubitus, doorligwond, wond
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.DecubitusWond
DCM::PublicationDate 15-04-2024
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 08-04-2024
DCM::Supersedes nl.zorg.DecubitusWond-v3.6
DCM::Version 3.7
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

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

Publicatieversie 3.2 (31-12-2017)

ZIB-646 Aanpassing SNOMED codes

Publicatieversie 3.3 (31-01-2020)

ZIB-828 wondfoto toevoegen aan zib brandwond

Publicatieversie 3.4 (01-09-2020)

ZIB-1116 Geen informatie

Publicatieversie 3.5 (10-06-2022)

ZIB-1674 Terminologie codes ontbreken in de zib
ZIB-1765 Deprecated SNOMED codes

Publicatieversie 3.6 (15-10-2023)

ZIB-1980 Terminologie code voor wond foto

Publicatieversie 3.7 (15-04-2024)

ZIB-2106 Aanvraag terminologie code voor Extent en DateOfLastDressingChange
ZIB-2218 Oth toevoegen aan Waardenlijsten met een required binding


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.


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
Block.png NL-CM:19.1.1 Arrowdown.pngPressureUlcer Root concept of the PressureUlcer information model.This root concept contains all data elements of the PressureUlcer information model.
1163215007 Pressure injury
CD.png NL-CM:19.1.2 Arrowright.pngDecubitusCategory 1 Description of the condition of the pressure ulcer, ranging from category 1 - 4.
45780-4 Pressure injury stage [Minimum Data Set]
List2.png DecubitusCategoryCodelist
TS.png NL-CM:19.1.3 Arrowright.pngDateOfOnset 0..1 The date on which the pressure ulcer appeared.
Verwijzing.png NL-CM:19.1.14 Arrowright.pngAnatomicalLocation 0..1 The location of the decubitus wound on the body.
363698007 Finding site
Block.png AnatomicalLocation
TS.png NL-CM:19.1.8 Arrowright.pngDateOfLastDressingChange 0..1 The date on which the dressing was last changed.
360541000146109 Date of last change of wound dressing
PQ.png NL-CM:19.1.9 Arrowright.pngWoundLength 0..1 The length of the decubitus wound.
39126-8 Length of Wound
PQ.png NL-CM:19.1.10 Arrowright.pngWoundWidth 0..1 The width of the decubitus wound.
39125-0 Width of Wound
PQ.png NL-CM:19.1.11 Arrowright.pngWoundDepth 0..1 The depth of the decubitus wound.
39127-6 Depth of Wound
ED.png NL-CM:19.1.12 Arrowright.pngWoundImage 0..* A photo of the decubitus wound as visual information.
72170-4 Photographic image
9561000146103 Medical photograph
ST.png NL-CM:19.1.5 Arrowright.pngComment 0..1 A comment of the decubitus wound.
48767-8 Annotation comment [Interpretation] Narrative

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

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.


1. V&VN (2011) Landelijke multidisciplinaire richtlijn. Decubitus preventie en behandeling. [Online] Beschikbaar [Geraadpleegd: 13 februari 2015]



Valueset OID: 2.16.840.1.113883. Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Pressure injury stage I 1163217004 SNOMED CT 2.16.840.1.113883.6.96 Decubitus graad 1
Pressure injury stage II 1163220007 SNOMED CT 2.16.840.1.113883.6.96 Decubitus graad 2
Pressure injury stage III 1163222004 SNOMED CT 2.16.840.1.113883.6.96 Decubitus graad 3
Pressure injury stage IV 1163224003 SNOMED CT 2.16.840.1.113883.6.96 Decubitus graad 4
Unstageable pressure injury 1163226001 SNOMED CT 2.16.840.1.113883.6.96 Niet-gradeerbare decubitus
Suspected pressure injury of deep tissue 723073000 SNOMED CT 2.16.840.1.113883.6.96 Verdenking op decubitus van onderhuids weefsel
Pressure ulcer stage 1 [DEPRECATED] 421076008 SNOMED CT 2.16.840.1.113883.6.96 Decubitus categorie 1 [DEPRECATED]
Pressure ulcer stage 2 [DEPRECATED] 420324007 SNOMED CT 2.16.840.1.113883.6.96 Decubitus categorie 2 [DEPRECATED]
Pressure ulcer stage 3 [DEPRECATED] 421927004 SNOMED CT 2.16.840.1.113883.6.96 Decubitus categorie 3 [DEPRECATED]
Pressure ulcer stage 4 [DEPRECATED] 420597008 SNOMED CT 2.16.840.1.113883.6.96 Decubitus categorie 4 [DEPRECATED]
Other OTH NullFlavor 2.16.840.1.113883.5.1008 Anders

This information model in other releases

Information model references

This information model refers to

This information model is used in


Technical specifications in HL7v3 CDA and HL7 FHIR

To exchange information based on health and care information models, additional, more technical specifications are required.<BR> 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


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 Prerelease 2024-1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20240331 [R] (maart 2024-editie)
  • LOINC version 2.77

Conditions for use are located on the mainpage List2.png
This page is generated on 25/04/2024 12:21:58 with ZibExtraction v. 9.3.8880.19756

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