Stoma-v3.2(2018EN): verschil tussen versies

Uit Zorginformatiebouwstenen
Naar navigatie springen Naar zoeken springen
(Nieuwe pagina aangemaakt met '<!-- Hieronder wordt een transclude page aangeroepen --> {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.2(EN)|1|Stoma-v3.2(2018EN)}} <!-- Tot hier de transclude...')
 
Geen bewerkingssamenvatting
Regel 101: Regel 101:
==Information Model==
==Information Model==
<BR>
<BR>
<imagemap> Bestand:Stoma-v3.2Model(EN).png | center  
<imagemap> Bestand:Stoma-v3.2Model(2018EN).png | center  
rect 96 416 292 466 [[#StomaAnatomicalLocationCodelist]]
rect 106 424 302 474 [[#StomaAnatomischeLocatieCodelijst]]
rect 536 170 662 240 [[#10782]]
rect 546 178 672 248 [[#10782]]
rect 536 294 662 364 [[#10784]]
rect 546 302 672 372 [[#10784]]
rect 536 414 662 464 [[#StomaTypeCodelist]]
rect 546 422 672 472 [[#StomaTypeCodelijst]]
rect 349 45 475 115 [[MedicalDevice-v3.1.1(2018EN)]]
rect 359 53 485 123 [[MedicalDevice-v3.1.1(2018EN)]]
rect 157 294 283 364 [[#10780]]
rect 167 302 293 372 [[#10780]]
rect 158 170 284 240 [[#10772]]
rect 168 178 294 248 [[#10772]]
rect 360 166 464 246 [[#10778]]
rect 370 174 474 254 [[#10778]]
rect 349 294 475 364 [[#12325]]
rect 359 302 485 372 [[#12325]]
rect 335 416 489 466 [[#StomaLateralityCodelist]]
rect 345 424 499 474 [[#StomaLateraliteitCodelijst]]
desc none
desc none
</imagemap>
</imagemap>
Regel 121: Regel 121:
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:5.2.1
||NL-CM:5.2.1
|colspan ="6" style ="padding-left: 0px"|<span Id=10778 Title="NL: Stoma">[[Bestand: arrowdown.png | 10px | link=]]Stoma</span>
|colspan ="6" style ="padding-left: 0px"|<span Id=10778 Title="EN: Stoma">[[Bestand: arrowdown.png | 10px | link=]]Stoma</span>
|
|
|Root concept of the Stoma information model. This root concept contains all data elements of the Stoma information model.
|Root concept of the Stoma information model. This root concept contains all data elements of the Stoma information model.
Regel 130: Regel 130:
||NL-CM:5.2.2
||NL-CM:5.2.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10784 Title="NL: StomaType">[[Bestand: arrowright.png | 10px | link=]]StomaType</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10784 Title="EN: StomaType">[[Bestand: arrowright.png | 10px | link=]]StomaType</span>
|1
|1
|Stoma type indicates which body cavity the stoma is in and the kind of stoma used.
|Stoma type indicates which body cavity the stoma is in and the kind of stoma used.
Regel 141: Regel 141:
{|
{|
|-
|-
|[[Bestand: List2.png | link=#StomaTypeCodelist]]||[[#StomaTypeCodelist|StomaTypeCodelist]]
|[[Bestand: List2.png | link=#StomaTypeCodelijst]]||[[#StomaTypeCodelijst|StomaTypeCodelijst]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
Regel 147: Regel 147:
||NL-CM:5.2.3
||NL-CM:5.2.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10786 Title="NL: StomaMateriaal::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]StomaMaterial::MedicalDevice</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10786 Title="EN: StomaMaterial::MedicalDevice">[[Bestand: arrowright.png | 10px | link=]]StomaMateriaal::MedischHulpmiddel</span>
|0..*
|0..*
|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.  
|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.  
Regel 166: Regel 166:
||NL-CM:5.2.4
||NL-CM:5.2.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10780 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10780 Title="EN: AnatomicalLocation">[[Bestand: arrowright.png | 10px | link=]]AnatomischeLocatie</span>
|0..1
|0..1
|Anatomical location of the stoma on the patient.
|Anatomical location of the stoma on the patient.
Regel 177: Regel 177:
{|
{|
|-
|-
|[[Bestand: List2.png | link=#StomaAnatomicalLocationCodelist]]||[[#StomaAnatomicalLocationCodelist|StomaAnatomicalLocationCodelist]]
|[[Bestand: List2.png | link=#StomaAnatomischeLocatieCodelijst]]||[[#StomaAnatomischeLocatieCodelijst|StomaAnatomischeLocatieCodelijst]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
Regel 183: Regel 183:
||NL-CM:5.2.8
||NL-CM:5.2.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=12325 Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px | link=]]Laterality</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=12325 Title="EN: Laterality">[[Bestand: arrowright.png | 10px | link=]]Lateraliteit</span>
|0..1
|0..1
|Laterality adds information about body side to the anatomic location, <i>e.g.</i> left
|Laterality adds information about body side to the anatomic location, <i>e.g.</i> left
Regel 194: Regel 194:
{|
{|
|-
|-
|[[Bestand: List2.png | link=#StomaLateralityCodelist]]||[[#StomaLateralityCodelist|StomaLateralityCodelist]]
|[[Bestand: List2.png | link=#StomaLateraliteitCodelijst]]||[[#StomaLateraliteitCodelijst|StomaLateraliteitCodelijst]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
Regel 200: Regel 200:
||NL-CM:5.2.5
||NL-CM:5.2.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10772 Title="NL: AanlegDatum">[[Bestand: arrowright.png | 10px | link=]]CreationDate</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10772 Title="EN: CreationDate">[[Bestand: arrowright.png | 10px | link=]]AanlegDatum</span>
|0..1
|0..1
|The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted.
|The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted.
Regel 209: Regel 209:
||NL-CM:5.2.7
||NL-CM:5.2.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10782 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10782 Title="EN: Comment">[[Bestand: arrowright.png | 10px | link=]]Toelichting</span>
|0..1
|0..1
|A comment on the stoma.
|A comment on the stoma.
Regel 256: Regel 256:


== Valuesets ==
== Valuesets ==
=== StomaAnatomicalLocationCodelist===
=== StomaAnatomischeLocatieCodelijst===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
Regel 267: Regel 267:
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|SNOMED CT: < [https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki><span title = "Anatomische of verworven lichaamsstructuur" >Anatomical or acquired body structure</span><noWiki>|</noWiki>
|SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki><span title = "Anatomische of verworven lichaamsstructuur">Anatomical or acquired body structure</span><noWiki>|</noWiki>
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
|}
|}
=== StomaLateralityCodelist===
=== StomaLateraliteitCodelijst===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
Regel 284: Regel 284:
|Description<!--vsDescription-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Links" >Left</span>
|<span title = "Links">Left</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000]
|SNOMED CT
|SNOMED CT
Regel 290: Regel 290:
|Links
|Links
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Rechts" >Right</span>
|<span title = "Rechts">Right</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007]
|SNOMED CT
|SNOMED CT
Regel 296: Regel 296:
|Rechts
|Rechts
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Bilateraal" >Right and left</span>
|<span title = "Bilateraal">Right and left</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=51440002 51440002]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=51440002 51440002]
|SNOMED CT
|SNOMED CT
Regel 302: Regel 302:
|Rechts en links
|Rechts en links
|}
|}
=== StomaTypeCodelist===
=== StomaTypeCodelijst===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
Regel 315: Regel 315:
|Description<!--vsDescription-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Urostoma" >Urological stoma</span>
|<span title = "Urostoma">Urological stoma</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=281601009 281601009]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=281601009 281601009]
|SNOMED CT
|SNOMED CT
Regel 345: Regel 345:
|eindstandige ileostoma
|eindstandige ileostoma
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Tracheostoma" >Tracheostomy stoma</span>
|<span title = "Tracheostoma">Tracheostomy stoma</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=280361007 280361007]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=280361007 280361007]
|SNOMED CT
|SNOMED CT
Regel 371: Regel 371:
====This information model refers to<!--ftRefersTo-->====
====This information model refers to<!--ftRefersTo-->====
*[[MedicalDevice-v3.1.1(2018EN)|MedicalDevice-v3.1.1]]
*[[MedicalDevice-v3.1.1(2018EN)|MedicalDevice-v3.1.1]]
====This inforation model is used in<!--ftReferredBy-->====
====This information model is used in<!--ftReferredBy-->====
*[[BladderFunction-v3.1(2018EN)|BladderFunction-v3.1]]
*[[BladderFunction-v3.1(2018EN)|BladderFunction-v3.1]]
*[[BowelFunction-v3.1.1(2018EN)|BowelFunction-v3.1.1]]
*[[BowelFunction-v3.1.1(2018EN)|BowelFunction-v3.1.1]]
Regel 391: Regel 391:
</ul>
</ul>
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 01/11/2018 22:23:54 with ZibExtraction v. 2.0.6879.31307<!--ftDate--> <BR>
This page is generated on 23/12/2018 01:08:57 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR>
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Versie van 24 dec 2018 11:58


Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.Stoma NL.png
Version: 3.2
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018

Back 16.png Back to HCIM list

Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 16-10-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.5.2
DCM::KeywordList Stoma, urostoma
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.Stoma
DCM::PublicationDate 01-10-2018
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.Stoma-v3.1
DCM::Version 3.2
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

Publicatieversie 3.1 (04-09-2017)

ZIB-530 Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
ZIB-537 Toevoegen code voor Malon stoma aan de StomaTypeCodelijst
ZIB-585 Toevoegen concept Lateraliteit aan het concept Anatomische Locatie

Publicatieversie 3.2 (31-12-2017)

ZIB-646 Aanpassing SNOMED codes

Concept

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.

Purpose

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.

Information Model


#StomaAnatomischeLocatieCodelijst#10782#10784#StomaTypeCodelijstMedicalDevice-v3.1.1(2018EN)#10780#10772#10778#12325#StomaLateraliteitCodelijstStoma-v3.2Model(2018EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:5.2.1 Arrowdown.pngStoma Root concept of the Stoma information model. This root concept contains all data elements of the Stoma information model.
CD.png NL-CM:5.2.2 Arrowright.pngStomaType 1 Stoma type indicates which body cavity the stoma is in and the kind of stoma used.
245857005 Stoma
List2.png StomaTypeCodelijst
Verwijzing.png NL-CM:5.2.3 Arrowright.pngStomaMateriaal::MedischHulpmiddel 0..* 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.

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.

407744008 Stoma appliance
Block.png MedicalDevice
CD.png NL-CM:5.2.4 Arrowright.pngAnatomischeLocatie 0..1 Anatomical location of the stoma on the patient.
363698007 Finding site
List2.png StomaAnatomischeLocatieCodelijst
CD.png NL-CM:5.2.8 Arrowright.pngLateraliteit 0..1 Laterality adds information about body side to the anatomic location, e.g. left
272741003 Laterality
List2.png StomaLateraliteitCodelijst
TS.png NL-CM:5.2.5 Arrowright.pngAanlegDatum 0..1 The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted.
ST.png NL-CM:5.2.7 Arrowright.pngToelichting 0..1 A comment on the stoma.
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 List2.png

Example Instances

Only available in Dutch

Stoma
StomaType Eindstandige colostoma
AanlegDatum 2014
AnatomischeLocatie Buik, onder
Lateraliteit Rechts
StomaMateriaal
ProductType Stomazakje
Toelichting -

References

1. V&VN afdeling Stomaverpleegkundigen. Evidence-based Richtlijn Stomazorg Nederland. (2012) [Online] Beschikbaar op:http://www.mdl.nl/uploads/240/1143/Evidence-based_Richtlijn_Stomazorg_Nederland.pdf [Geraadpleegd: 13 februari 2015]

Valuesets

StomaAnatomischeLocatieCodelijst

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.2 Binding: Extensible
Conceptname Codesystem name Codesystem OID
SNOMED CT: <442083009|Anatomical or acquired body structure| SNOMED CT 2.16.840.1.113883.6.96

StomaLateraliteitCodelijst

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.3 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Left 7771000 SNOMED CT 2.16.840.1.113883.6.96 Links
Right 24028007 SNOMED CT 2.16.840.1.113883.6.96 Rechts
Right and left 51440002 SNOMED CT 2.16.840.1.113883.6.96 Rechts en links

StomaTypeCodelijst

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.1 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Urological stoma 281601009 SNOMED CT 2.16.840.1.113883.6.96 urostoma
Double-barrelled colostomy 261072008 SNOMED CT 2.16.840.1.113883.6.96 dubbelloops colostoma
End colostomy - stoma 261030007 SNOMED CT 2.16.840.1.113883.6.96 eindstandige colostoma
Loop ileostomy stoma 311413000 SNOMED CT 2.16.840.1.113883.6.96 dubbelloops ileostoma
End ileostomy stoma 311412005 SNOMED CT 2.16.840.1.113883.6.96 eindstandige ileostoma
Tracheostomy stoma 280361007 SNOMED CT 2.16.840.1.113883.6.96 tracheostoma
Malone stoma 29241000146106 SNOMED CT 2.16.840.1.113883.6.96 stoma t.b.v. Malone procedure
other OTH NullFlavor 2.16.840.1.113883.5.1008 anders

This information model in other releases

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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Prerelease 2018 #1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
  • LOINC version 2.64

Conditions for use are located on the mainpage List2.png
This page is generated on 23/12/2018 01:08:57 with ZibExtraction v. 3.0.6929.24609

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=Stoma-v3.2(2018EN)&oldid=15496"