BowelFunction-v1.0(2015EN): verschil tussen versies
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
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| Regel 121: | Regel 121: | ||
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|<span title = "Codesystem: ICF>b5253 Fecale continentie</span> | |<span title = "Codesystem: ICF>[https://terminologie.nictiz.nl/art-decor/claml?collection=icf-nl-data&conceptId=b5253 b5253] Fecale continentie</span> | ||
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| Regel 433: | Regel 433: | ||
The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR> | The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR> | ||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | ||
This page is generated on 20/12/2018 | This page is generated on 20/12/2018 16:34:25 with ZibExtraction v. 3.0.6928.28729<!--ftDate--> <BR> | ||
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Versie van 20 dec 2018 16:22
General information
Name: nl.nfu.BowelFunction 
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015
Metadata
| DCM::CoderList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::CreationDate | 1-4-2014 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | NFU & V&VN |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.4.15 |
| DCM::KeywordList | Defecatie, continentie |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::Name | nl.nfu.Darmfunctie |
| DCM::PublicationDate | 8-9-2015 |
| DCM::PublicationStatus | Published |
| DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 8-9-2015 |
| DCM::Superseeds | |
| DCM::Version | 1.0 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-07-2015).
Concept
An important function of the rectum in particular is the temporary storage and excretion of feces, at the moment there is cause to do so. Disrupting the bowel functions can lead to fecal incontinence and constipation.
Purpose
Information on bowel function disorders is important in drawing up the nursing plan and for patient care. Furthermore, information on feces (shape and color) offers additional information on the patient’s health condition.
In a transfer situation, it offers the ability to anticipate the arrival of the patient and to achieve continuity in healthcare for the patient. This way, material or expertise can be coordinated beforehand, for example.
Evidence Base
The definitions of the concepts were (partially) taken from the ICF definitions.
Information Model
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||
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NL-CM:4.15.1 |  BowelFunction
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Root concept of the BowelFunction building block. This root concept contains all data elements of the BowelFunction building block. |
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NL-CM:4.15.2 |  Continence
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0..1 | Continence is the voluntary control over the excretion of feces. |
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NL-CM:4.15.3 | Stoma
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0..1 | Stoma describes the presence of an unnatural, surgically created opening. If the patient has a stoma, the type of stoma must be entered along with the date on and location at which the stoma and any stoma pouches were placed. An explanation can also be entered. |
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NL-CM:4.15.4 | Frequency
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0..1 | The defecation frequency. |
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NL-CM:4.15.9 | DefecationConsistency
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0..1 | The consistency of the feces indicates the hardness of the stool. The Bristol Stool scale is used to determine this. |
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NL-CM:4.15.5 | LastDefecationDate
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0..1 | Date of the last defecation. | ||||||||||
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NL-CM:4.15.6 | IncontinenceMaterial::MedicalAid
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0..1 | A description of the incontinence material used. |
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NL-CM:4.15.8 | NursingProcedure
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0..* | Description of the help needed to defecate. |
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NL-CM:4.15.7 | Explanation
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0..1 | An explanation of the BowelFunction. |
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Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page 
Example Instances
Only available in Dutch
| Darmfunctie (stoma) | ||
| Algemeen | ||
| Continentie | - | |
| Frequentie | 3 maal per dag | |
| DatumLaatsteDefecatie | Vanmorgen | |
| Incontinentiemateriaal | - | |
| DefecatieConsistentie | Als een worst of slang, glad en zacht. | |
| Stoma | ||
| StomaType | Dubbelloops colostoma | |
| AanlegDatum | 31-02-2014 | |
| AnatomischeLocatie | Bovenbuik links | |
| Toelichting | Stoma is definitief. Vandaag stoma verzorgd, samen met patiënt. Peristomale huid is licht geïrriteerd. | |
| VerpleegkundigeActie | ||
| Activiteit | Ondersteuning bij stomaverzorging door partner. | |
| Darmfunctie (continentie stoornis) | |
| Algemeen | |
| Continentie | Matige stoornis |
| Frequentie | 4 maal per dag |
| DatumLaatsteDefecatie | Vanmorgen |
| Incontinentiemateriaal | Elastisch broekje |
| DefecatieConsistentie | Zachte stukjes met gehavende randen. |
| VerpleegkundigeActie | |
| Activiteit | Patiënt stimuleren regelmatig naar het toilet te gaan. |
| Toelichting | Patiënt was vanmorgen incontinent. |
References
1. International Classification of Functioning Disability and Health (ICF) [Online] Beschikbaar op:http:/www.rivm.nl/who-fic/icf.htm [Geraadpleegd: 13 februari 2015]
2. Richtlijn stomazorg V&VN. [Online] Beschikbaar op:http://venvn.xcess-5.xec.nl/Portals/1/Nieuws/2013%20Documenten/20130527%20%20Richtlijn%20Stomazorg.pdf [Geraadpleegd: 13 februari 2015]
3. LEWIS, SJ. HEATON, KW. (1997) Stool form scale as a useful guide to intestinal transit time. Scand. J. Gastroenterol. 32 (9). p.920–924.
Valuesets
ContinenceCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.1 | Binding: |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Geen stoornis | b5253.0 | ICF | 2.16.840.1.113883.6.254 | Stoornis 0-4% |
| Lichte stoornis | b5253.1 | ICF | 2.16.840.1.113883.6.254 | Stoornis 5-24% |
| Matige stoornis | b5253.2 | ICF | 2.16.840.1.113883.6.254 | Stoornis 25-49% |
| Ernstige stoornis | b5253.3 | ICF | 2.16.840.1.113883.6.254 | Stoornis 50-95% |
| Volledige stoornis | b5253.4 | ICF | 2.16.840.1.113883.6.254 | Stoornis 96-100% |
DefecationConsistencyCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.2 | Binding: |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Separate hard lumps, like nuts. | Type 1 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Losse harde keutels, zoals noten |
| Sausage-shaped but lumpy. | Type 2 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Als een worst, maar klonterig |
| Like sausage but with cracks on its surface. | Type 3 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Als een worst, maar met barstjes aan de buitenkant |
| Like sausage or snake, smooth and soft. | Type 4 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Als een worst of slang, glad en zacht |
| Soft blobs with clear-cut edges | Type 5 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Zachte keutels met duidelijke randen |
| Fluffy pieces with ragged edges | Type 6 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Zachte stukjes met gehavende randen |
| Entirely liquid | Type 7 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Helemaal vloeibaar |
This information model in other releases
- Release 2016, (Version 3.0)
- Release 2017, (Version 3.1)
- Prerelease 2018-2, (Version 3.1.1)
- Prerelease 2019-2, (Version 3.1.1)
- Release 2020, (Version 3.1.1)
- Prerelease 2021-2, (Version 3.1.2)
- Prerelease 2022-1, (Version 4.0)
- Prerelease 2023-1, (Version 4.0)
- Prerelease 2024-1, (Version 5.0)
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:
- HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file 
or as spreadsheet 
About this information
The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 20/12/2018 16:34:25 with ZibExtraction v. 3.0.6928.28729