AbilityToUseToilet-v3.1(2017EN)

General information

Name: nl.zorg.AbilityToUseToilet
Version: 3.1
HCIM Status:Final
Publication: 2017
Release status: Prepublished
Publication date: 04-09-2017

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Metadata

DCM::CoderList	Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate	4-4-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	PM
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.4.22
DCM::KeywordList	Toiletgang, ADL, beperking, mictie, defecatie, menstruatie
DCM::LifecycleStatus	Final
DCM::ModelerList	Werkgroep RadB Verpleegkundige Gegevens
DCM::Name	nl.zorg.VermogenTotToiletgang
DCM::PublicationDate	04-09-2017
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	04-09-2017
DCM::Superseeds	nl.zorg.VermogenTotToiletgang-v3.0
DCM::Version	3.1
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-531	Vervangen 5-punts ICF schaal door 3-punts SNOMED CT schaal voor beperkingen en stoornissen
ZIB-540	Samenvoegen van de concepten Mictie en Defecatie
ZIB-549	De Engelse naam van de bouwsteen en het rootconcept zijn niet correct

Concept

Being able to urinate, defecate and keep up hygiene during a menstrual cycle independently is part of self-care. Limitations in this ability indicate a reduced ability to cope for oneself.
This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.

Purpose

Information on limitations in a patient’s ability to urinate, defecate and keep up their hygiene during their menstrual cycle is important in determining the nature and intensity of the care the patient needs. In a transfer situation, it gives the receiving organization the ability to anticipate the intensity of the care to be given to the patient, enabling continuity in healthcare for the patient.
If policy has been implemented to improve a patient’s ability to do things independently, the entered extent of independence helps to determine the efficiency of the treatment.

Evidence Base

The definitions of the concepts were (partially) taken from the BarthelIndex definitions.

In addition to this information model, there are other tools to record independence, such as the KATZ-ADL and the BarthelIndex. The KATZ-ADL is mainly used for vulnerable seniors and the BarthelIndex is mainly used for patients who have had a stroke.

This information model evaluates the ability to use the toilet on a three-point scale that is in accordance with this aspect in the BarthelIndex. In the KATZ-ADL, this falls under the aspect of Toilet Hygiene.

Information Model

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:4.22.1	ToiletUseAbility							Root concept of the ToiletUse information model. This root concept contains all data elements of the ToiletUse information model.	284779002 Ability to perform personal hygiene activity
	NL-CM:4.22.6		ToiletUse					0..1	Coordinating and realizing urination or defecation, such as indicating the need, getting into the right position, finding and reaching a suitable spot, manipulating clothing before and after urination, and cleaning up (the body) afterwards.	284899001 Ability to perform toileting activities	ToiletUseCodelist
	NL-CM:4.22.4		MenstrualCare					0..1	Coordinating, planning and hygiene in the event of menstruation, such as anticipating the menstruation and using sanitary napkins and tampons.	284955009 Ability to manage menstrual hygiene	MenstrualCareCodelist

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

VermogenTotToiletgang
Toiletgebruik	Onafhankelijk
ZorgBijMenstruatie	Hulp nodig

Valuesets

MenstrualCareCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.22.3

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Independent in managing menstrual hygiene	19851000146101	SNOMED CT	2.16.840.1.113883.6.96	Onafhankelijk
Needs help with managing menstrual hygiene	16661000146105	SNOMED CT	2.16.840.1.113883.6.96	Hulp nodig
Unable to manage menstrual hygiene	284957001	SNOMED CT	2.16.840.1.113883.6.96	Volledig afhankelijk

ToiletUseCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.22.4

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Independent in toilet	129062008	SNOMED CT	2.16.840.1.113883.6.96	Onafhankelijk
Needs help with toilet	129045003	SNOMED CT	2.16.840.1.113883.6.96	Hulp nodig
Unable to perform toileting activities	284901005	SNOMED CT	2.16.840.1.113883.6.96	Volledig afhankelijk

More on this information model

More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[1]
This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage
This page is generated on 21/09/2017 18:26:00

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