<status value="draft" /> <date value="2022-07-07T15:04:03.2592055+00:00" /> <publisher value="Healthdata.be (Sciensano)" /> <contact> <name value="Service portal – healthdata.be" /> <telecom> <system value="url" /> <value value="https://sciensano.service-now.com/sp" /> <use value="work" /> </telecom> </contact> <description value="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)."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een decubituswond is een gelokaliseerde beschadiging van de huid en/of onderliggend weefsel, meestal ter hoogte van een botuitsteeksel, als gevolg van druk of druk in samenhang met schuifkracht. Decubitus gaat gepaard met veel ziektelast en vermindert de kwaliteit van leven voor patiënten. Adequate risico-inschatting, preventie en behandeling van decubitus leiden tot een lagere incidentie en prevalentie van decubitus. #### Purpose Informatie over de decubitus is van belang bij het inzetten of continueren van de optimale wondbehandeling, curatief en preventief, en om de voortgang van de wondgenezing goed te kunnen monitoren. #### Evidence Base Voor het beschrijven van de wond wordt gebruik gemaakt van de indeling in 4 categoriën, , gebaseerd op het internationale NPUAP/EPUAP decubitus classificatiesysteem: * Categorie 1: niet wegdrukbare roodheid bij een intacte huid; * Categorie 2: verlies van een deel van de huidlaag of blaar; * Categorie 3: verlies van een volledige huidlaag (vet zichtbaar); * Categorie 4: verlies van een volledige weefsellaag (spier/bot zichtbaar). **References** 1. V&VN (2011) *Landelijke multidisciplinaire richtlijn. Decubitus preventie en behandeling. *[Online] Beschikbaar op: [www.diliguide.nl/document/1613/file/pdf/](www.diliguide.nl/document/1613/file/pdf/) [Geraadpleegd: 13 februari 2015]" /> </extension> </extension> </description> <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." /> <fhirVersion value="4.0.1" /> <kind value="logical" /> <abstract value="true" /> <type value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/PressureUlcer" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <derivation value="specialization" /> <differential> <element id="PressureUlcer"> <path value="PressureUlcer" /> <short value="PressureUlcer"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="DecubitusWond" /> </extension> </extension> </short> <definition value="Root concept of the DecubitusWound information model. This root concept contains all data elements of the DecubitusWound information model."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Rootconcept van bouwsteen DecubitusWond. Dit concept bevat alle gegevenselementen van de bouwsteen DecubitusWond." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> </element> <element id="PressureUlcer.DecubitusCategory"> <path value="PressureUlcer.DecubitusCategory" /> <short value="DecubitusCategory"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="DecubitusCategorie" /> </extension> </extension> </short> <definition value="Description of the condition of the pressure ulcer, ranging from category 1 - 4."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Beschrijving van de toestand van decubituswond, oplopend van categorie 1 tot en met 4." /> </extension> </extension> </definition> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="DecubitusCategory codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/DecubitusCategorie" /> </binding> </element> <element id="PressureUlcer.DateOfOnset"> <path value="PressureUlcer.DateOfOnset" /> <short value="DateOfOnset"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="OntstaansDatum" /> </extension> </extension> </short> <definition value="The date on which the pressure ulcer appeared."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De datum waarop de decubituswond is ontstaan." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="PressureUlcer.AnatomicalLocation"> <path value="PressureUlcer.AnatomicalLocation" /> <short value="AnatomicalLocation"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="AnatomischeLocatie" /> </extension> </extension> </short> <definition value="The location of the decubitus wound on the body."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De locatie op het lichaam waar de decubituswond zich bevindt." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="Reference" /> <targetProfile value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AnatomicalLocation" /> </type> </element> <element id="PressureUlcer.DateOfLastDressingChange"> <path value="PressureUlcer.DateOfLastDressingChange" /> <short value="DateOfLastDressingChange"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="DatumLaatsteVerbandwissel" /> </extension> </extension> </short> <definition value="The date on which the dressing was last changed."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De datum waarop het verband de laatste maal verwisseld is." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="dateTime" /> </type> </element> <element id="PressureUlcer.WoundLength"> <path value="PressureUlcer.WoundLength" /> <short value="WoundLength"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Wondlengte" /> </extension> </extension> </short> <definition value="The length of the decubitus wound."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De lengte van de decubituswond." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="Quantity" /> </type> </element> <element id="PressureUlcer.WoundWidth"> <path value="PressureUlcer.WoundWidth" /> <short value="WoundWidth"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Wondbreedte" /> </extension> </extension> </short> <definition value="The width of the decubitus wound."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De breedte van de decubituswond." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="Quantity" /> </type> </element> <element id="PressureUlcer.WoundDepth"> <path value="PressureUlcer.WoundDepth" /> <short value="WoundDepth"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Wonddiepte" /> </extension> </extension> </short> <definition value="The depth of the decubitus wound."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="De diepte van de decubituswond." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="Quantity" /> </type> </element> <element id="PressureUlcer.WoundImage"> <path value="PressureUlcer.WoundImage" /> <short value="WoundImage"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="WondFoto" /> </extension> </extension> </short> <definition value="A photo of the decubitus wound as visual information."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een foto van de decubituswond als visuele informatie." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> <type> <code value="base64Binary" /> </type> </element> <element id="PressureUlcer.Comment"> <path value="PressureUlcer.Comment" /> <short value="Comment"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Toelichting" /> </extension> </extension> </short> <definition value="A comment of the decubitus wound."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Een toelichting op de decubituswond." /> </extension> </extension> </definition> <min value="0" /> <max value="1" /> <type> <code value="string" /> </type> </element> </differential> </StructureDefinition>