Wound Type Refset



Acceptance Criteria SOL

1. The refset will have a stated inclusion criterion, exclusion criterion, and purpose (which as whole is the definition). The definition includes examples that are part of the refset, as well as boundary cases that should not be part of the refset.

2. The stated definition, inclusion criterion, exclusion criterion, and boundary cases must be understandable, reproducible, and useful, in that at least two independent modelers can review the contents of the refset, and agree on the inclusion of concepts, and exclusion of related concepts (siblings and lexically similar terms). If URU is not achieved, then the stated definition, inclusion criterion, exclusion criterion, purpose, and boundary cases that should not be part of the refset needs to be revised until URU is achieved.


John Kilbourne
October 24, 2017, 6:17 PM

The dialect terms above have been added, as well as the new concept "Damage to skin due to moisture" (with nursing dialect preferred term "Moisture associated skin damage")

Holly Miller
November 1, 2017, 11:02 PM

Please remove current definition and add (lengthy) definition from spreadsheet for Ischemic ulcer.
Also, I don't see a definition for pressure injury of deep tissue.

John Kilbourne
November 2, 2017, 1:29 PM

Ischemic ulcer def changed.

Looking at most recent spreadsheet; I don't see a entry or a definition for Pressur injury of deep tissue in the 'Wound Type' Class; am I overlooking it?

Holly Miller
November 2, 2017, 3:09 PM

This is what I have in row 43. It should be in the current spreadsheet. Also, I will be uploading an updated copy sometime today that will have it.
Deep Tissue Pressure Injury: Persistent non-blanchable deep red, maroon or purple discoloration
Intact or non-intact skin with localized area of persistent non-blanchable deep red, maroon, purple discoloration or epidermal separation revealing a dark wound bed or blood filled blister. Pain and temperature change often precede skin color changes. Discoloration may appear differently in darkly pigmented skin. This injury results from intense and/or prolonged pressure and shear forces at the bone-muscle interface. The wound may evolve rapidly to reveal the actual extent of tissue injury, or may resolve without tissue loss. If necrotic tissue, subcutaneous tissue, granulation tissue, fascia, muscle or other underlying structures are visible, this indicates a full thickness pressure injury (Unstageable, Stage 3 or Stage 4). Do not use DTPI to describe vascular, traumatic, neuropathic, or dermatologic conditions. http://www.npuap.org/resources/educational-and-clinical-resources/npuap-pressure-injury-stages/

John Kilbourne
November 2, 2017, 3:39 PM

I see it now Holly; alphabetic order threw me off . Definition added


Susan Castillo


Susan Castillo



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