|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?|
|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.
|HL7 Data Type:||Concept Descriptor (CD)|
|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|
|Until Date:||- -|
|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)|
National Pressure Ulcer Advisory Panel
|Rationale for Change:||Data Element Question and Answer Value clarification|
|Administrative Status Date:||04/03/2012|