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==General information<!--hdGeneralInformation-->==<br />
Name<!--hdName-->: '''nl.zorg.Stoma''' [[Bestand:NL.png|link=Stoma-v3.4(2026-1NL)]]<BR><br />
Version<!--hdVersion-->: '''3.4''' <br><br />
HCIM Status<!--hdStatus-->:Final<br><br />
Release<!--hdPublication-->: '''2026-1''' <br><br />
Release status<!--hdPublicationStatus-->: Prepublished<br><br />
Release date<!--hdPublicationDate-->: 17-04-2026<br />
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2026-1(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2026-1(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div><br />
<br />
==Metadata==<br />
{| class="wikitable" style="font-size:90%; width: 750px"<br />
|- <br />
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
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|- <br />
|style="width:250px; "|DCM::ContactInformation.Name||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Telecom||*<br />
|- <br />
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::CreationDate||16-10-2014<br />
|- <br />
|style="width:250px; "|DCM::DeprecatedDate||<br />
|- <br />
|style="width:250px; "|DCM::DescriptionLanguage||nl<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Address||<br />
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|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||<br />
|- <br />
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.5.2<br />
|- <br />
|style="width:250px; "|DCM::KeywordList||Stoma, urostoma<br />
|- <br />
|style="width:250px; "|DCM::LifecycleStatus||Final<br />
|- <br />
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::Name||nl.zorg.Stoma<br />
|- <br />
|style="width:250px; "|DCM::PublicationDate||17-04-2026<br />
|- <br />
|style="width:250px; "|DCM::PublicationStatus||Prepublished<br />
|- <br />
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron<br />
|- <br />
|style="width:250px; "|DCM::RevisionDate||11-05-2022<br />
|- <br />
|style="width:250px; "|DCM::Supersedes||nl.zorg.Stoma-v3.3<br />
|- <br />
|style="width:250px; "|DCM::Version||3.4<br />
|- <br />
|style="width:250px; "|HCIM::PublicationLanguage||EN<br />
|}<br />
<br />
==Revision History==<br />
<div class="mw-collapsible mw-collapsed"><br />
'' Only available in Dutch<!--noTranslation-->''<br />
<br />
<u>Publicatieversie 1.0</u> (01-07-2015)<br />
<br />
<u>Publicatieversie 3.0</u> (01-05-2016)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]<br />
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer<br />
|}<br />
<br />
<u>Publicatieversie 3.1</u> (04-09-2017)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues500_1#ZIB-530 | ZIB-530 ]]<br />
|Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd<br />
|-<br />
|style="width:75px; "|[[ZIBIssues500_1#ZIB-537 | ZIB-537 ]]<br />
|Toevoegen code voor Malon stoma aan de StomaTypeCodelijst<br />
|-<br />
|style="width:75px; "|[[ZIBIssues500_1#ZIB-585 | ZIB-585 ]]<br />
|Toevoegen concept Lateraliteit aan het concept Anatomische Locatie<br />
|}<br />
<br />
<u>Publicatieversie 3.2</u> (31-12-2017)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues500_1#ZIB-646 | ZIB-646 ]]<br />
|Aanpassing SNOMED codes<br />
|}<br />
<br />
Publicatieversie <u>3.3</u> (01-09-2020)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1116 | ZIB-1116 ]]<br />
|Geen informatie<br />
|}<br />
<br />
Publicatieversie <u>3.4</u> (10-06-2022)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1596 | ZIB-1596 ]]<br />
|Zib Stoma bevat geen einddatum en/of status<br />
|}<br />
</div><br />
<br />
==Concept==<br />
A stoma is an unnatural, surgically created opening connecting a body cavity with the outside world. A stoma is created e.g. as an exit opening for feces or urine in the event that they cannot leave the body naturally. In the case of a tracheostomy, the stoma is intended to facilitate breathing if that is no longer possible via the oral, nasal and throat cavity.<br />
<br />
==Purpose==<br />
Information on present stomas is recorded to inform other health professionals. This information is of importance in determining the care required for the patient. In a transfer situation, the information offers the option to realize continuity of care by organizing specific expertise and materials in advance, for example.<br />
<br />
==Information Model==<br />
<BR><br />
<imagemap> Bestand:Stoma-v3.4Model(2026-1EN).png | center <br />
rect 553 71 643 141 [[#3809]]<br />
rect 182 184 308 254 [[AnatomicalLocation-v1.0.4(2026-1EN)]]<br />
rect 359 53 485 123 [[MedicalDevice-v5.0(2026-1EN)]]<br />
rect 561 321 687 371 [[#StomaTypeCodelist]]<br />
rect 359 311 485 381 [[#3807]]<br />
rect 546 178 672 248 [[#3802]]<br />
rect 182 75 308 145 [[#3806]]<br />
rect 370 174 474 254 [[#3808]]<br />
desc none<br />
</imagemap><br />
<BR><br />
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" <br />
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "<br />
|style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference--><br />
|-style="vertical-align:top; background-color: #E3E3E3; "<br />
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]<br />
||NL-CM:5.2.1<br />
|colspan ="6" style ="padding-left: 0px"|<span Id=3808 Title="NL: Stoma">[[Bestand: arrowdown.png | 10px | link=]]Stoma</span><br />
|<br />
|Root concept of the Stoma information model. This root concept contains all data elements of the Stoma information model.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:5.2.2<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=3807 Title="NL: StomaType">[[Bestand: arrowright.png | 10px | link=]]StomaType</span><br />
|1<br />
|Stoma type indicates which body cavity the stoma is in and the kind of stoma used.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Stoma (morphologic abnormality)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=245857005 245857005] Stoma</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#StomaTypeCodelist]]||[[#StomaTypeCodelist|StomaTypeCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]<br />
||NL-CM:5.2.3<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=3804 Title="NL: StomaMateriaal::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]StomaMaterial::MedicalDevice</span><br />
|0..*<br />
|Stoma material describes the medical aids used, such as a skin plate (the adhesive part around the stoma), the stoma pouch (to catch the stoma output) and other stoma aids for caring for the stoma. For tracheostomies, it also describes aids such as voice prostheses and stoma filters. <br />
Catheters inserted through the stoma such as tracheal cannulas are not described in this concept. These aids must be modeled in a higher information model describing the catheter and referring to the stoma.<br />
<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Stomahulpmiddel (physical object)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=407744008 407744008] Stoma appliance</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: block.png | link=MedicalDevice-v5.0(2026-1EN)]]||[[MedicalDevice-v5.0(2026-1EN) |MedicalDevice]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]<br />
||NL-CM:5.2.9<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=3803 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span><br />
|0..1<br />
|Anatomical location of the stoma on the patient.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Locatie van bevinding (attribute)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=363698007 363698007] Finding site</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: block.png | link=AnatomicalLocation-v1.0.4(2026-1EN)]]||[[AnatomicalLocation-v1.0.4(2026-1EN) |AnatomicalLocation]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]<br />
||NL-CM:5.2.5<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=3806 Title="NL: AanlegDatum">[[Bestand: arrowright.png | 10px | link=]]CreationDate</span><br />
|0..1<br />
|The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]<br />
||NL-CM:5.2.10<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=3809 Title="NL: Einddatum">[[Bestand: arrowright.png | 10px | link=]]Enddate</span><br />
|0..1<br />
|The date the patient's stoma has been removed. A ‘vague’ date, such as only the year, is permitted.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]<br />
||NL-CM:5.2.7<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=3802 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span><br />
|0..1<br />
|A comment on the stoma.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC; Verklarend commentaar [interpretatie] in {systeem} (tekstueel) (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span><br />
|}<br />
|<br />
|}<br />
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR><br />
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]<br />
<br />
==Example Instances==<br />
''Only available in Dutch<!--noTranslation-->''<br />
<br />
{|class="wikitable" width="610px" style= "font-size: 9.5pt;"<br />
|-style=vertical-align:top;<br />
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Stoma</b></font><br />
|-style=vertical-align:top;<br />
| style="width: 35%; "|StomaType<br />
| style="width: 65%; "|Eindstandige colostoma<br />
|-style=vertical-align:top;<br />
| style="width: 35%; "|AanlegDatum<br />
| style="width: 65%; "|2014<br />
|-style=vertical-align:top;<br />
| style="width: 35%; "|AnatomischeLocatie<br />
| style="width: 65%; "|Buik, onder<br />
|-style=vertical-align:top;<br />
| style="width: 35%; "|Lateraliteit<br />
| style="width: 65%; "|Rechts<br />
|-style=vertical-align:top;<br />
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>StomaMateriaal</b></font><br />
|-style=vertical-align:top;<br />
| style="width: 35%; "|ProductType<br />
| style="width: 65%; "|Stomazakje<br />
|-style=vertical-align:top;<br />
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<br />
|-style=vertical-align:top;<br />
| style="width: 35%; "|Toelichting<br />
| style="width: 65%; "|<noWiki>-</noWiki><br />
|}<br />
<br />
==References==<br />
1. V&amp;VN afdeling Stomaverpleegkundigen. <i>Evidence-based Richtlijn Stomazorg Nederland.</i> (2012) [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.mdl.nl/uploads/240/1143/Evidence-based_Richtlijn_Stomazorg_Nederland.pdf</u></font> [Geraadpleegd: 13 februari 2015]<br />
<br />
== Valuesets ==<br />
=== StomaTypeCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.1<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|Status<!--vsStatusTag-->: Active<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|<span title = "Urostoma (morphologic abnormality)">Urological stoma</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=281601009 281601009]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|urostoma<br />
|-style="vertical-align:top; "<br />
|<span title = "Dubbelloops colostoma (morphologic abnormality)">Double-barrelled colostomy</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=261072008 261072008]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|dubbelloops colostoma<br />
|-style="vertical-align:top; "<br />
|<span title = "Eindstandig colostoma (morphologic abnormality)">End colostomy - stoma</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=261030007 261030007]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|eindstandige colostoma<br />
|-style="vertical-align:top; "<br />
|<span title = "Stoma van lis van ileum (morphologic abnormality)">Loop ileostomy stoma</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=311413000 311413000]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|dubbelloops ileostoma<br />
|-style="vertical-align:top; "<br />
|<span title = "Eindstandig ileostoma (morphologic abnormality)">End ileostomy stoma</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=311412005 311412005]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|eindstandige ileostoma<br />
|-style="vertical-align:top; "<br />
|<span title = "Tracheostoma (morphologic abnormality)">Tracheostomy stoma</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=280361007 280361007]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|tracheostoma<br />
|-style="vertical-align:top; "<br />
|<span title = "Malone-stoma (morphologic abnormality)">Malone stoma</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=29241000146106 29241000146106]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|stoma t.b.v. Malone procedure<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|colspan="5"|<br />
|-style="vertical-align:top; background-color: #EBF5FB;"<br />
|colspan="5"|Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.<!--vsIncludeOTH--><br />
|}<br />
<br />
==This information model in other releases<!--ftOtherReleases-->==<br />
<!-- Hieronder wordt een transclude page aangeroepen --><br />
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.2(EN)|2|2026-1}}<br />
<!-- Tot hier de transclude page --><br />
==Information model references<!--ftReferences-->==<br />
====This information model refers to<!--ftRefersTo-->====<br />
:--<br />
====This information model is used in<!--ftReferredBy-->====<br />
:--<br />
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==<br />
To exchange information based on health and care information models, additional, more technical specifications are required.<BR><br />
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--><br />
<ul><br />
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2026-1|5.2}}</li><br />
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2026-1|Stoma}}</li><br />
</ul><br />
==Downloads<!--ftDownloadTitle-->==<br />
This information model is also available as [[Media:nl.zorg.Stoma-v3.4(2026-1EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Stoma-v3.4(2026-1EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--><br />
==About this information<!--ftHeader2-->==<br />
The information in this wikipage is based on<!--ftInfoBase--> prerelease 2026-1 <BR><br />
SNOMED CT and LOINC codes are based on:<br />
<ul><br />
<li>SNOMED Clinical Terms versie: 20260331 [R] (maart 2026-editie)</li><br />
<li>LOINC version 2.81</li><br />
</ul><br />
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR><br />
This page is generated on 18/04/2026 18:38:36 with ZibExtraction v. 10.0.9604.31200<!--ftDate--> <BR><br />
-----<br />
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2026-1(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2026-1(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div></div>
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