description: '**Concept**\r\nA 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. \r\nA 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.\r\n\r\n**Purpose**\r\nInformation 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.\r\n**Evidence Base**\r\nTo describe the wound, there are 4 categories, based on the international NPUAP/EPUAP decubitus classification system: \r\n\r\n* Category 1: non-removable redness of intact skin;\r\n* Category 2: loss of a partial layer of skin or blister;\r\n* Category 3: loss of an entire layer of skin (visible fat);\r\n* Category 4: loss of an entire layer of tissue (visible muscle/bone).\r\n\r\n\r\n\r\n**Example Instances**'
package_name: healthdata.be.r4.cbb
derivation: specialization
name: HdBePressureUlcer
abstract: true
type: https://fhir.healthdata.be/StructureDefinition/LogicalModel/PressureUlcer
elements:
  Comment:
    short: Comment
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: Een toelichting op de decubituswond.}
    type: string
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: Toelichting}
    index: 8
  WoundImage:
    short: WoundImage
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: Een foto van de decubituswond als visuele informatie.}
    type: base64Binary
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: WondFoto}
    array: true
    index: 7
  DateOfLastDressingChange:
    short: DateOfLastDressingChange
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: De datum waarop het verband de laatste maal verwisseld is.}
    type: dateTime
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: DatumLaatsteVerbandwissel}
    index: 3
  WoundDepth:
    short: WoundDepth
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: De diepte van de decubituswond.}
    type: Quantity
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: Wonddiepte}
    index: 6
  WoundWidth:
    short: WoundWidth
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: De breedte van de decubituswond.}
    type: Quantity
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: Wondbreedte}
    index: 5
  DecubitusCategory:
    short: DecubitusCategory
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: 'Beschrijving van de toestand van decubituswond, oplopend van categorie 1 tot en met 4.'}
    type: CodeableConcept
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: DecubitusCategorie}
    binding: {strength: required, valueSet: 'https://fhir.healthdata.be/ValueSet/DecubitusCategorie'}
    index: 0
  DateOfOnset:
    short: DateOfOnset
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: De datum waarop de decubituswond is ontstaan.}
    type: dateTime
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: OntstaansDatum}
    index: 1
  AnatomicalLocation:
    short: AnatomicalLocation
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: De locatie op het lichaam waar de decubituswond zich bevindt.}
    refers: ['https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-AnatomicalLocation']
    type: Reference
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: AnatomischeLocatie}
    index: 2
  WoundLength:
    short: WoundLength
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: De lengte van de decubituswond.}
    type: Quantity
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: nl-NL}
        - {url: content, valueMarkdown: Wondlengte}
    index: 4
package_version: 0.9.0-alpha
class: logical
kind: logical
url: https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-PressureUlcer
base: http://hl7.org/fhir/StructureDefinition/Element
version: null
required: [DecubitusCategory]