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Status of Stage 3, 4, or unstageable pressure ulcer on admission


Data Element ID: DE414
Name: Status of Stage 3, 4, or unstageable pressure ulcer on admission
Version: Hospital Version 1.1, Hospital Version 1.2
Data Element ISO Name: Pressure Ulcer_Stage 3 4 unstageable-Status_On admission,CD
Definition: Determination of the status of the existing pressure ulcer on admission to the facility.
Question: What was the status on admission of the Stage/Category III, IV, or unstageable pressure ulcer?
Multiple Choice: No
Form Name: Pressure Ulcer
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Comments: None defined at this time
Description of Change: Changed the Data Element Question from "What was the status of the Stage 3, 4, or unstageable pressure ulcer on admission?" to "What was the status on admission of the Stage/Category III, IV, or unstageable pressure ulcer?";
Changed A1698 (b) from "Stage 1" to "Stage/Category I", A1701 (c) from "Stage 2" to "Stage/Category II", A1704 (e) from "Stage 3" to "Stage/Category III", and A1707 (f) from "Stage 4" to "Stage/Category IV" in the answer value set
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: Select 'Stage/Category I' if the most advanced stage of the skin lesion being reported was intact skin with non-blanchable redness of a localized area usually over a bony prominence.
Select 'Stage/Category II' if the most advanced stage of the skin lesion being reported was partial-thickness tissue loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough.
Select 'Stage/Category III' if the most advanced stage of the skin lesion being reported was full-thickness tissue loss. Subcutaneous fat may be visible, but bone, tendon or muscle are not exposed.
Select 'Stage/Category IV' if the most advanced stage of the skin lesion being reported was full-thickness tissue loss with exposed bone, tendon or muscle.
Select 'Unstageable (any type)' if the most advanced stage of the skin lesion being reported was full-thickness tissue loss in which the base of the ulcer is covered by slough and/or eschar in the wound bed.
Format: N/A
HL7 Data Type: Concept Descriptor (CD)
Data Type: Character
Maximum Length: 5
Answer Code Answer ID Answer Value Code System Code System Name
A1716 a Not present 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A1698 b Stage/Category I 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A1701 c Stage/Category II 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A1713 d Suspected Deep Tissue Injury 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A1704 e Stage/Category III 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A1707 f Stage/Category IV 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A1710 g Unstageable (any type) 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
UNK h Unknown 2.16.840.1.113883.5.1008 HL7 NullFlavor
Effective Date: 03/31/2010
Until Date: - -
Update Date: 04/03/2012
Source: Agency for Healthcare Research and Quality
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: - -
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: Amy Helwig, MD, MS
Data Steward: Agency for Healthcare Research and Quality (AHRQ)
References: National Pressure Ulcer Advisory Panel
http://www.npuap.org/resources.htm Exit Disclaimer
Rationale for Change: Data Element Question and Answer Value clarification
Administrative Status: Final
Administrative Status Date: 04/03/2012
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