Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.10.3(EN)|1|FeedingTubeSystem-v3.6(2026-1EN)}} ==General information== Name: '''nl.zorg.FeedingTubeSystem''' link=SondeSysteem-v3.6(2026-1NL)
Version: '''3.6'''
HCIM Status:Final
Release: '''2026…'

2026-04-18T16:46:13Z

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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.10.3(EN)|1|FeedingTubeSystem-v3.6(2026-1EN)}}

==General information==
Name: '''nl.zorg.FeedingTubeSystem''' [[Bestand:NL.png|link=SondeSysteem-v3.6(2026-1NL)]] 
Version: '''3.6''' 
HCIM Status:Final 
Release: '''2026-1''' 
Release status: Prepublished 
Release date: 17-04-2026

{{ErrataEN|2026-1|{{PAGENAME}}}}

-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::CreationDate||3-4-2014
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.10.3
|-
|style="width:250px; "|DCM::KeywordList||Sonde, feeding tube, toedieningssyteem
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::Name||nl.zorg.SondeSysteem
|-
|style="width:250px; "|DCM::PublicationDate||17-04-2026
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||10-04-2025
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.SondeSysteem-v3.5
|-
|style="width:250px; "|DCM::Version||3.6
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
'' Only available in Dutch''

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)
{|
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
|}

Publicatieversie 3.1 (04-09-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-530 | ZIB-530 ]]
|Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-545 | ZIB-545 ]]
|Toevoegen sondelengte
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-607 | ZIB-607 ]]
|Aanpassen verwijzingen naar medicatie zib ivm nieuwe medicatie zib's
|}

Publicatieversie 3.2 (31-12-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-646 | ZIB-646 ]]
|Aanpassing SNOMED codes
|}

Publicatieversie 3.3 (06-07-2019)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-732 | ZIB-732 ]]
|Een aantal Snomed codes blijken bij nadere controle invalide. Een aantal andere codes zijn inmiddels Inactive verklaard in SNOMED
|}

Publicatieversie 3.3.1 (01-12-2021)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1575 | ZIB-1575 ]]
|Deprecated termen en waardelijsten uit de prepublicatie halen
|}

Publicatieversie 3.4 (10-06-2022)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1614 | ZIB-1614 ]]
|Beschrijving Sondesysteem is in strijd met kardinaliteit
|}

Publicatieversie 3.5 (15-10-2023)
{|
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2103 | ZIB-2103 ]]
|Concepten waarvan de SNOMED codes deprecated zijn geworden na de 2022 pre-publicatie
|}

Publicatieversie 3.6 (24-04-2024)
{|
|-
|style="width:75px; "|[[ZIBIssues500_5#ZIB-2735 | ZIB-2735 ]]
|Pre-publicatie check op deprecated codes
|}
</div>

==Concept==
A feeding tube is a special catheter used to: 
<ul>
<li>administer liquid food to people who are incapable of oral intake of food or liquid,</li>
<li>administer medication,</li>
<li>drain (siphon) or pump out gastric juice.</li>
</ul>
 
There are different ways to place a feeding tube. A feeding tube can be inserted through the nose, in the stomach or in the intestines (duodenum, jejunum). 
Percutaneous endoscopic gastrostomy (PEG) is a technique in which a feeding tube is placed into the stomach through the abdominal wall. This thin tube (PEG tube) is used to feed a patient who is incapable of oral food intake for a prolonged period of time. 

==Purpose==
The purpose of a feeding tube is usually to administer food and/or medication. 
Information on present feeding tubes is recorded to inform other health professionals. This information is of importance in determining the care required for the patient and in safely administering medication. In a transfer situation, the information offers the option to realize continuity of care by organizing specific expertise and materials in advance, for example. 

==Information Model==
 
<imagemap> Bestand:FeedingTubeSystem-v3.6Model(2026-1EN).png | center
rect 559 161 699 231 [[#3777]]
rect 179 299 319 369 [[MedicalDevice-v5.0(2026-1EN)]]
rect 179 43 319 113 [[#3775]]
rect 594 299 684 369 [[#3770]]
rect 578 417 702 467 [[#FeedingTubeTypeCodelist]]
rect 179 162 319 232 [[MedicationAdministration2-v3.1(2026-1EN)]]
rect 414 299 554 369 [[MedicalDevice-v5.0(2026-1EN)]]
rect 382 156 482 236 [[#3773]]
desc none
</imagemap>
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:10.3.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]FeedingTubeSystem
|
|Root concept of the FeedingTubeSystem information model. This root concept contains all data elements of the FeedingTubeSystem information model.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:10.3.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]FeedingTube::MedicalDevice
|1
|FeedingTube describes the presence of a feeding tube. If this is the case, the date of placement and insertion location can be described in addition to the type of feeding tube. Furthermore, it offers the option to record identification information of the feeding tube if desired.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=83059008 83059008] Tube
|}
|
{|
|-
|[[Bestand: block.png | link=MedicalDevice-v5.0(2026-1EN)]]||[[MedicalDevice-v5.0(2026-1EN) |MedicalDevice]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:10.1.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]ProductType
|
|A description of the type of feeding tube based on the location where it was inserted and the position of the tip of the tube.
|
|
{|
|-
|[[Bestand: List2.png | link=#FeedingTubeTypeCodelist]]||[[#FeedingTubeTypeCodelist|FeedingTubeTypeCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:10.3.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]FeedingTubeLength
|0..1
|The input length of the feeding tube in cm for the patient in question as determined by formulas based on for example the NEX i.e. nosepoint-earlobe-xyphoid distance (adults) or body length (children).
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:10.3.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]EnteralNutrition::MedicationAdministration
|0..*
|The description of the fluid administered through the feeding tube and the dose administered, as given in the medication prescription.
Though most cases involve food being administered through the feeding tube, medication is often administered through these tubes as well.

|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=225748000 225748000] Artificial feed
|}
|
{|
|-
|[[Bestand: block.png | link=MedicationAdministration2-v3.1(2026-1EN)]]||[[MedicationAdministration2-v3.1(2026-1EN) |MedicationAdministration2]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:10.3.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]MedicalDevice
|0..*
|A description of aids required to use the feeding tube, such as an enteral feeding pump or a vacuum pump in the event of draining fluid.
|
|
{|
|-
|[[Bestand: block.png | link=MedicalDevice-v5.0(2026-1EN)]]||[[MedicalDevice-v5.0(2026-1EN) |MedicalDevice]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:10.3.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Comment
|0..1
|A comment on the feeding tube.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative
|}
|
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="564px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; "|SondeSysteem
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; "|Sonde
|-style=vertical-align:top;
| style="width: 38%; "|ProductType
| style="width: 62%; "|PEG sonde
|-style=vertical-align:top;
| style="width: 38%; "|SondeLengte
| style="width: 62%; "|<noWiki>-</noWiki>-
|-style=vertical-align:top;
| style="width: 38%; "|BeginDatum
| style="width: 62%; "|30-11-2014
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; "|SondeVoeding
|-style=vertical-align:top;
| style="width: 38%; "|ProductNaam
| style="width: 62%; "|Nutrison
|}

==References==
1. V&VN. Landelijke multidisciplinaire richtlijn Neusmaagsonde. (2011) [Online] Beschikbaar op:http://www.stuurgroepondervoeding.nl/wp-content/uploads/2015/02/Richtlijn-Neusmaagsonde-definitief.pdf [Geraadpleegd: 13 februari 2015]

== Valuesets ==
=== FeedingTubeTypeCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.10.3.1
|Binding: Extensible
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Jejunostomy tube
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=126065006 126065006]
|SNOMED CT
|2.16.840.1.113883.6.96
|Jejunostomie katheter
|-style="vertical-align:top; "
|Gastrostomy tube
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=470571004 470571004]
|SNOMED CT
|2.16.840.1.113883.6.96
|Gastrostomie katheter
|-style="vertical-align:top; "
|Percutaneous endoscopic gastrostomy catheter
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=108541000146103 108541000146103]
|SNOMED CT
|2.16.840.1.113883.6.96
|PEG sonde
|-style="vertical-align:top; "
|Percutaneous radiological gastrostomy catheter
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=8921000146109 8921000146109]
|SNOMED CT
|2.16.840.1.113883.6.96
|PRG sonde
|-style="vertical-align:top; "
|Percutaneous endoscopic gastrojejunostomy catheter
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=8851000146109 8851000146109]
|SNOMED CT
|2.16.840.1.113883.6.96
|PEG-J sonde
|-style="vertical-align:top; "
|Percutaneous endoscopic jejunostomy catheter
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=8911000146104 8911000146104]
|SNOMED CT
|2.16.840.1.113883.6.96
|PEJ sonde
|-style="vertical-align:top; "
|Nasogastric tube
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=17102003 17102003]
|SNOMED CT
|2.16.840.1.113883.6.96
|Neus-maagsonde
|-style="vertical-align:top; "
|Nasojejunal tube [DEPRECATED]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=8581000146101 8581000146101]
|SNOMED CT
|2.16.840.1.113883.6.96
|Neus-jejunumsonde
|-style="vertical-align:top; "
|Nasojejunal feeding tube
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=773703007 773703007]
|SNOMED CT
|2.16.840.1.113883.6.96
|Neus-jejunumsonde
|-style="vertical-align:top; "
|Nasoduodenal tube [DEPRECATED]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=8591000146104 8591000146104]
|SNOMED CT
|2.16.840.1.113883.6.96
|Neus-duodenumsonde
|-style="vertical-align:top; "
|Nasoduodenal feeding tube
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=773725001 773725001]
|SNOMED CT
|2.16.840.1.113883.6.96
|Neus-duodenumsonde
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="5"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="5"|Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
|}

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.10.3(EN)|2|2026-1}}

==Information model references==
====This information model refers to====
:--
====This information model is used in====
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR==
To exchange information based on health and care information models, additional, more technical specifications are required. 
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment {{ArtDecorLinks|2026-1|10.3}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2026-1|SondeSysteem}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.FeedingTubeSystem-v3.6(2026-1EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FeedingTubeSystem-v3.6(2026-1EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on prerelease 2026-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20260331 [R] (maart 2026-editie)</li>
<li>LOINC version 2.81</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 18/04/2026 18:38:34 with ZibExtraction v. 10.0.9604.31200 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

FeedingTubeSystem-v3.6(2026-1EN) - Bewerkingsoverzicht

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.10.3(EN)|1|FeedingTubeSystem-v3.6(2026-1EN)}} ==General information== Name: '''nl.zorg.FeedingTubeSystem''' link=SondeSysteem-v3.6(2026-1NL) Version: '''3.6''' HCIM Status:Final Release: '''2026…'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.10.3(EN)|1|FeedingTubeSystem-v3.6(2026-1EN)}} ==General information== Name: '''nl.zorg.FeedingTubeSystem''' link=SondeSysteem-v3.6(2026-1NL)
Version: '''3.6'''
HCIM Status:Final
Release: '''2026…'