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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: 1.1
Data Element ISO Name: Pressure Ulcer_Stage 3 4 unstageable-Status_On admission,CD
Synonym: None defined at this time
Definition: Determination of the status of the existing pressure ulcer on admission to the facility.
Question: What was the status of the Stage 3, 4, or unstageable pressure ulcer on admission?
Conditionality: Reserved for future use
Multiple Choice: Not Applicable
Form Name: Pressure Ulcer
Data Set: Reserved for future use
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Language: U.S. English
Comments: None defined at this time
Description of Change: Not applicable for this release
Go-To Logic: Refer to Common Formats Flow Charts
Guide For Use: Select 'Stage 1' 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 2' 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 3' 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 4' if the most advanced stage of the skin lesion being reported was full-thickness tissue loss with exposed bone, tendon or muscle.

Select 'Unstageable (presumed to be stage 3 or 4)' 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.

Select 'Suspected Deep Tissue Injury' if the most advanced stage of the skin lesion being reported was a purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear.
Format: Not Applicable
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 1 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A1701 c Stage 2 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 3 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A1707 f Stage 4 2.16.840.1.113883.3.263.1.12 AHRQ Common Formats
A1710 g Unstageable 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: - -
Source: Agency for Healthcare Research and Quality
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: 03/31/2010
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: John C. Moquin
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: Not Applicable
Administrative Status: Final
Administrative Status Date: 03/31/2010
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