Stoma-v3.2(2018EN): verschil tussen versies
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
||
Regel 8: | Regel 8: | ||
Release<!--hdPublication-->: '''2018''' <br> | Release<!--hdPublication-->: '''2018''' <br> | ||
Release status<!--hdPublicationStatus-->: Prepublished<br> | Release status<!--hdPublicationStatus-->: Prepublished<br> | ||
Release date<!--hdPublicationDate-->: | Release date<!--hdPublicationDate-->: 26-02-2019 | ||
----- | ----- | ||
<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> | ||
Regel 47: | Regel 47: | ||
|style="width:250px; "|DCM::Name||nl.zorg.Stoma | |style="width:250px; "|DCM::Name||nl.zorg.Stoma | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationDate|| | |style="width:250px; "|DCM::PublicationDate||26-02-2019 | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationStatus||Prepublished | |style="width:250px; "|DCM::PublicationStatus||Prepublished | ||
Regel 102: | Regel 102: | ||
<BR> | <BR> | ||
<imagemap> Bestand:Stoma-v3.2Model(2018EN).png | center | <imagemap> Bestand:Stoma-v3.2Model(2018EN).png | center | ||
rect 106 424 302 474 [[# | rect 106 424 302 474 [[#StomaAnatomicalLocationCodelist]] | ||
rect 546 178 672 248 [[#10782]] | rect 546 178 672 248 [[#10782]] | ||
rect 546 302 672 372 [[#10784]] | rect 546 302 672 372 [[#10784]] | ||
rect 546 422 672 472 [[# | rect 546 422 672 472 [[#StomaTypeCodelist]] | ||
rect 359 53 485 123 [[MedicalDevice-v3. | rect 359 53 485 123 [[MedicalDevice-v3.2(2018EN)]] | ||
rect 167 302 293 372 [[#10780]] | rect 167 302 293 372 [[#10780]] | ||
rect 168 178 294 248 [[#10772]] | rect 168 178 294 248 [[#10772]] | ||
rect 370 174 474 254 [[#10778]] | rect 370 174 474 254 [[#10778]] | ||
rect 359 302 485 372 [[#12325]] | rect 359 302 485 372 [[#12325]] | ||
rect 345 424 499 474 [[# | rect 345 424 499 474 [[#StomaLateralityCodelist]] | ||
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=" | |colspan ="6" style ="padding-left: 0px"|<span Id=10778 Title="NL: 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=" | |colspan ="5" style ="padding-left: 0px"|<span Id=10784 Title="NL: 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=# | |[[Bestand: List2.png | link=#StomaTypeCodelist]]||[[#StomaTypeCodelist|StomaTypeCodelist]] | ||
|} | |} | ||
|-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=" | |colspan ="5" style ="padding-left: 0px"|<span Id=10786 Title="NL: StomaMateriaal::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]StomaMaterial::MedicalDevice</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 160: | Regel 160: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png | link=MedicalDevice-v3. | |[[Bestand: block.png | link=MedicalDevice-v3.2(2018EN)]]||[[MedicalDevice-v3.2(2018EN) |MedicalDevice]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
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=" | |colspan ="5" style ="padding-left: 0px"|<span Id=10780 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</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=# | |[[Bestand: List2.png | link=#StomaAnatomicalLocationCodelist]]||[[#StomaAnatomicalLocationCodelist|StomaAnatomicalLocationCodelist]] | ||
|} | |} | ||
|-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=" | |colspan ="5" style ="padding-left: 0px"|<span Id=12325 Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px | link=]]Laterality</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=# | |[[Bestand: List2.png | link=#StomaLateralityCodelist]]||[[#StomaLateralityCodelist|StomaLateralityCodelist]] | ||
|} | |} | ||
|-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=" | |colspan ="5" style ="padding-left: 0px"|<span Id=10772 Title="NL: AanlegDatum">[[Bestand: arrowright.png | 10px | link=]]CreationDate</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=" | |colspan ="5" style ="padding-left: 0px"|<span Id=10782 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span> | ||
|0..1 | |0..1 | ||
|A comment on the stoma. | |A comment on the stoma. | ||
Regel 256: | Regel 256: | ||
== Valuesets == | == Valuesets == | ||
=== | === StomaAnatomicalLocationCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
Regel 271: | Regel 271: | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|} | |} | ||
=== | === StomaLateralityCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
Regel 302: | Regel 302: | ||
|Rechts en links | |Rechts en links | ||
|} | |} | ||
=== | === StomaTypeCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
Regel 370: | Regel 370: | ||
==Information model references<!--ftReferences-->== | ==Information model references<!--ftReferences-->== | ||
====This information model refers to<!--ftRefersTo-->==== | ====This information model refers to<!--ftRefersTo-->==== | ||
*[[MedicalDevice-v3. | *[[MedicalDevice-v3.2(2018EN)|MedicalDevice-v3.2]] | ||
====This information 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]] | ||
Regel 378: | Regel 378: | ||
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | ||
<ul> | <ul> | ||
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.5.2&effectiveDate= | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.5.2&effectiveDate=2019-02-26T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> | ||
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2018}}</li> | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2018}}</li> | ||
</ul> | </ul> | ||
Regel 384: | Regel 384: | ||
This information model is also available as [[Media:nl.zorg.Stoma-v3.2(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Stoma-v3.2(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | This information model is also available as [[Media:nl.zorg.Stoma-v3.2(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Stoma-v3.2(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | ||
==About this information<!--ftHeader2-->== | ==About this information<!--ftHeader2-->== | ||
The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018 | The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018-2 <BR> | ||
SNOMED CT and LOINC codes are based on: | SNOMED CT and LOINC codes are based on: | ||
<ul> | <ul> | ||
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 | This page is generated on 12/03/2019 17:18:21 with ZibExtraction v. 3.0.7010.25883<!--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> |
Huidige versie van 13 mrt 2019 om 01:52
General information
Name: nl.zorg.Stoma
Version: 3.2
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 26-02-2019
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 | 26-02-2019 |
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
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||
NL-CM:5.2.1 | Stoma | Root concept of the Stoma information model. This root concept contains all data elements of the Stoma information model. | ||||||||||||
NL-CM:5.2.2 | StomaType | 1 | Stoma type indicates which body cavity the stoma is in and the kind of stoma used. |
|
| |||||||||
NL-CM:5.2.3 | StomaMaterial::MedicalDevice | 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. |
|
| |||||||||
NL-CM:5.2.4 | AnatomicalLocation | 0..1 | Anatomical location of the stoma on the patient. |
|
| |||||||||
NL-CM:5.2.8 | Laterality | 0..1 | Laterality adds information about body side to the anatomic location, e.g. left |
|
| |||||||||
NL-CM:5.2.5 | CreationDate | 0..1 | The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted. | |||||||||||
NL-CM:5.2.7 | Comment | 0..1 | A comment on the stoma. |
|
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
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
StomaAnatomicalLocationCodelist
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 |
StomaLateralityCodelist
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 |
StomaTypeCodelist
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
- Release 2015, (Version 1.0)
- Release 2016, (Version 3.0)
- Release 2017, (Version 3.2)
- Prerelease 2019-2, (Version 3.2)
- Release 2020, (Version 3.3)
- Prerelease 2021-2, (Version 3.3)
- Prerelease 2022-1, (Version 3.4)
- Prerelease 2023-1, (Version 3.4)
- Prerelease 2024-1, (Version 3.4)
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 Prerelease 2018-2
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
This page is generated on 12/03/2019 17:18:21 with ZibExtraction v. 3.0.7010.25883