Version 2.79

45780-4 Pressure injury stage [Minimum Data Set]

Term Description

Any lesion caused by pressure resulting in damage of underlying tissue

Observation ID in Form

M2a

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value is 0 (zero), if M1a through M1d are all 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Pressure injury stage
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.64 (NAM)
Change Reason
"Pressure ulcer" has been updated to "pressure injury" according to the new guidelines by the NPUAP and as approved by the Clinical LOINC.

Normative Answer List LL36-5

Answer Code Score Answer ID
Stage 1. A persistent area of skin redness (without a break in the skin) that does not disappear when pressure is relieved. 1 LA147-1
Stage 2. A partial thickness loss of skin layers that presents clinically as an abrasion, blister, or shallow crater. 2 LA148-9
Stage 3. A full thickness of skin is lost, exposing the subcutaneous tissues - presents as a deep crater with or without undermining adjacent tissue. 3 LA149-7
Stage 4. A full thickness of skin and subcutaneous tissue is lost, exposing muscle or bone. 4 LA150-5

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update

45781-2 Stasis ulcer stage [Minimum Data Set]

Term Description

Open lesion caused by poor circulation in the lower extremities

Observation ID in Form

M2b

Type of Entry

Question expects user entry - requires response [Q]

Form Consistency Checks

*1. Value is 0 (zero), if M1a through M1d are all 0 (zero).

Source: Centers for Medicare & Medicaid Services

Fully-Specified Name

Component
Stasis pressure injury stage
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
MDS

Basic Attributes

Class
SURVEY.MDS
Type
Surveys
First Released
Version 2.17
Last Updated
Version 2.73 (NAM)
Change Reason
Release 2.73: COMPONENT: update older "ulcer" terms;

Normative Answer List LL36-5

Answer Code Score Answer ID
Stage 1. A persistent area of skin redness (without a break in the skin) that does not disappear when pressure is relieved. 1 LA147-1
Stage 2. A partial thickness loss of skin layers that presents clinically as an abrasion, blister, or shallow crater. 2 LA148-9
Stage 3. A full thickness of skin is lost, exposing the subcutaneous tissues - presents as a deep crater with or without undermining adjacent tissue. 3 LA149-7
Stage 4. A full thickness of skin and subcutaneous tissue is lost, exposing muscle or bone. 4 LA150-5

Member of these Panels

LOINC Long Common Name
45981-8 Deprecated MDS full assessment form - version 2.0
46102-0 Deprecated MDS quarterly assessment form - version 2.0
46103-8 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III
46104-6 Deprecated MDS quarterly assessment form - version 2.0 - optional version for RUG-III 1997 update