Score and Assessment Systems

Scale Skin Assessment Panel

Author: Nancy Bergstrom
Original Work: Null
Coypright: Copyright

Copyright. Barbara Braden and Nancy Bergstrom, 1988. Seeking permission to reprint.
Trademark: unknown

HL7 v2.x datatype: NM
HL7 V3 datatype: INT


Interpretation must be defined!


Comp. Decription Bezeichnung Code System: Codes/
Score Value
Details /
Score Range
HL7 DT v2 + V3 /
Snomed CT
1 Back of Head: Skin

2 Back of Head: Depth

3 Back of Head: Stage

no redness or breakdown 0 - NM + CO
erythema only: redness does not disappear for 24 hours after pressure is relieved 1 - NM + CO
break in skin such as blisters or abrasions 2 - NM + CO
break in skin exposing subcutaneous tissue 3 - NM + CO
break in kin extending through tissue and subcutaneous layers, esposing muscle or bone 4 - NM + CO
dark necrotic tissue 9 - NM + CO
4 Right Ear: Skin

5 Right Ear: Depth

6 Right Ear: Stage

7 Left Ear: Skin

8 Left Ear: Depth

9 Left Ear: Stage

10 Right Scapula: Skin

11 Right Scapula: Depth

12 Right Scapula: Stage

13 Left Scapula: Skin

14 Left Scapula: Depth

15 Left Scapula: Stage

16 Right Elbow: Skin

17 Right Elbow: Depth

18 Right Elbow: Stage

19 Left Elbow: Skin

20 Left Elbow: Depth

21 Left Elbow: Stage

22 Vertebrae (upper-mid): Skin

23 Vertebrae (upper-mid): Depth

24 Vertebrae (upper-mid): Stage

25 Sacrum: Skin

26 Sacrum: Depth

27 Sacrum: Stage

28 Coccyx: Skin

29 Coccyx: Depth

30 Coccyx: Stage

31 Right Iliac Crest: Skin

32 Right Iliac Crest: Depth

33 Right Iliac Crest: Stage

34 Left Iliac Crest: Skin

35 Left Iliac Crest: Depth

36 Left Iliac Crest: Stage

37 Right Trochanter (hip): Skin

38 Right Trochanter (hip): Depth

39 Right Trochanter (hip): Stage

40 Left Trochanter (hip): Skin

41 Left Trochanter (hip): Depth

42 Left Trochanter (hip): Stage

43 Right Ischial Tuberosity: Skin

44 Right Ischial Tuberosity: Depth

45 Right Ischial Tuberosity: Stage

46 Left Ischial Tuberosity: Skin

47 Left Ischial Tuberosity: Depth

48 Left Ischial Tuberosity: Stage

49 Right Tigh: Skin

50 Right Tigh: Depth

51 Right Tigh: Stage

52 Left Tigh: Skin

53 Left Tigh: Depth

54 Left Tigh: Stage

55 Right Knee: Skin

56 Right Knee: Depth

57 Right Knee: Stage

58 Left Knee: Skin

59 Left Knee: Depth

60 Left Knee: Stage

61 Right Lower Leg: Skin

62 Right Lower Leg: Depth

63 Right Lower Leg: Stage

64 Left Lower Leg: Skin

65 Left Lower Leg: Depth

66 Left Lower Leg: Stage

67 Right Ankle (inner/outer): Skin

68 Right Ankle (inner/outer): Depth

69 Right Ankle (inner/outer): Stage

70 Left Ankle (inner/outer): Skin

71 Left Ankle (inner/outer): Depth

72 Left Ankle (inner/outer): Stage

73 Right Heel: Skin

74 Right Heel: Depth

75 Right Heel: Stage

76 Left Heel: Skin

77 Left Heel: Depth

78 Left Heel: Stage

79 Right Toe(s): Skin

80 Right Toe(s): Depth

81 Right Toe(s)

82 Left Toe(s): Skin

83 Left Toe(s): Depth

84 Left Toe(s): Stage

85 Other (Specify): Skin

86 Other (Specify): Depth

87 Other (Specify): Stage

TOTAL SCORE Scale Skin Assessment Panel

LOINC: 38228-3

Please send corrections and additions to hl7(at)

Links to Further Information

General Note

The primary purpose of the information provided above is to enhance interoperability. The primary focus lies on the assigned codes.
Therefore, no guarantee can be given whether the use of the score or assessment system is allowed or not. It is highly recommended to check with the author directly. We are aware that the presented information may be not enough in order to work with it. The authors have done their best to ensure copyright and other jurisdictional requirements.

Date of Last Change: Nov 06, 2008 (FO)