BowelFunction-v3.1(2017EN): verschil tussen versies

Versie van 30 nov 2017 13:28

General information

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

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	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.zorg.Darmfunctie
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.Darmfunctie-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-544	Toevoegen defecatiekleur

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

NL-CM:4.15.1

BowelFunction

Root concept of the BowelFunction information model. This root concept contains all data elements of the BowelFunction information model.

11198001 Defecation

NL-CM:4.15.2

FecalContinence

0..1

Fecal continence is the voluntary control over the excretion of feces.

129008009 Bowel control

FecalContinenceCodelist

NL-CM:4.15.3

Stoma

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 comment can also be entered.

Stoma

NL-CM:4.15.4

Frequency

0..1

The defecation frequency.

162098000 Frequency of defecation

NL-CM:4.15.9

DefecationConsistency

0..1

The consistency of the feces indicates the hardness of the stool. The Bristol Stool scale is used to determine this.

443172007 Bristol stool form score

DefecationConsistencyCodelist

NL-CM:4.15.10

DefecationColor

0..1

The color of feces is possibly relevant for identifying underlying diseases, such as bleeding or biliary tract disease.

9397-1 Color of stool

DefecationColorCodelist

NL-CM:4.15.6

IncontinenceMaterial::MedicalDevice

0..1

A description of the incontinence material used.

337588003 Incontinence appliance

MedicalDevice

NL-CM:4.15.7

Comment

0..1

A comment on the BowelFunction.

48767-8 Annotation comment

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
FecesContinentie	-
Frequentie	3 maal per dag
Incontinentiemateriaal	-
DefecatieConsistentie	Als een worst of slang, glad en zacht.
Defecatiekleur	Normaal
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.

Darmfunctie (continentie stoornis)
Algemeen
FecesContinentie	Af en toe een ongelukje
Frequentie	4 maal per dag
Incontinentiemateriaal	Elastisch broekje
DefecatieConsistentie	Zachte stukjes met gehavende randen.
Defecatiekleur	Grijswit
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

DefecationColorCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.5

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Feces color: normal	167605001	SNOMED CT	2.16.840.1.113883.6.96	Normaal
Feces color: green	167609007	SNOMED CT	2.16.840.1.113883.6.96	Groen
Feces color: yellow	167607009	SNOMED CT	2.16.840.1.113883.6.96	Geel
Black feces	267055007	SNOMED CT	2.16.840.1.113883.6.96	Zwart
Pale feces	267056008	SNOMED CT	2.16.840.1.113883.6.96	Grijswit
Red stools	64412006	SNOMED CT	2.16.840.1.113883.6.96	Rood

DefecationConsistencyCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.2

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

FecalContinenceCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.1

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Bowels: incontinent	72042002	0	SNOMED CT	2.16.840.1.113883.6.96	Incontinent
Bowels: occasional accident	165230005	1	SNOMED CT	2.16.840.1.113883.6.96	Af en toe een ongelukje
Bowels: fully continent	24029004	2	SNOMED CT	2.16.840.1.113883.6.96	Continent

This information model in other releases

More on this information model

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

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 30/11/2017 13:24:28

Back to HCIM list

@@ Regel 3: / Regel 3: @@
 Version: '''3.1''' <br>
 HCIM Status:Final<br>
-Publication: '''2017''' <br>
+Release: '''2017''' <br>
 Release status: Prepublished<br>
-Publication date: 04-09-2017
+Release date: 04-09-2017
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
@@ Regel 95: / Regel 95: @@
 ==Information Model==
 <BR>
-[[Bestand: BowelFunction-v3.1Model(EN).png | center]]
+<imagemap> Bestand:BowelFunction-v3.1Model(EN).png | center
+rect 588 435 732 485 [[#DefecationColorCodelist]]
+rect 612 346 702 416 [[#11925]]
+rect 391 435 570 485 [[#DefecationConsistencyCodelist]]
+rect 419 346 535 416 [[#11922]]
+rect 223 217 344 287 [[#11921]]
+rect 597 221 718 291 [[#11926]]
+rect 223 87 339 154 [[MedicalDevice-v3.1(2017EN)]]
+rect 419 87 535 154 [[Stoma-v3.1(2017EN)]]
+rect 207 436 364 486 [[#FecalContinenceCodelist]]
+rect 224 344 340 414 [[#11927]]
+rect 427 217 527 297 [[#11928]]
+desc none
+</imagemap>
 <BR>
 {| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
@@ Regel 101: / Regel 114: @@
 |style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
 |-style="vertical-align:top; background-color: #E3E3E3; "
-|style = "text-align:center" |[[Bestand: block.png| 20px]]
+|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
 ||NL-CM:4.15.1
-|colspan ="6" style ="padding-left: 0px"|<span Title="NL: Darmfunctie">[[Bestand: arrowdown.png | 10px]]BowelFunction</span>
+|colspan ="6" style ="padding-left: 0px"|<span Id=11928 Title="NL: Darmfunctie">[[Bestand: arrowdown.png | 10px | link=]]BowelFunction</span>
 |
 |Root concept of the BowelFunction information model. This root concept contains all data elements of the BowelFunction information model.
@@ Regel 113: / Regel 126: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CO.png| 16px]]
+|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
 ||NL-CM:4.15.2
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: FecesContinentie">[[Bestand: arrowright.png | 10px]]FecalContinence</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11927 Title="NL: FecesContinentie">[[Bestand: arrowright.png | 10px | link=]]FecalContinence</span>
 |0..1
 |Fecal continence is the voluntary control over the excretion of feces.
@@ Regel 127: / Regel 140: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#FecalContinenceCodelist|FecalContinenceCodelist]]
+|[[Bestand: List2.png | link=#FecalContinenceCodelist]]||[[#FecalContinenceCodelist|FecalContinenceCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
+|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
 ||NL-CM:4.15.3
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Stoma">[[Bestand: arrowright.png | 10px]]Stoma</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11923 Title="NL: Stoma">[[Bestand: arrowright.png | 10px | link=]]Stoma</span>
 |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 comment can also be entered.
@@ Regel 140: / Regel 153: @@
 {|
 |-
-|[[Bestand: block.png]]||[[Stoma-v3.1(2017EN) |Stoma]]
+|[[Bestand: block.png | link=Stoma-v3.1(2017EN)]]||[[Stoma-v3.1(2017EN) |Stoma]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: PQ.png| 16px]]
+|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
 ||NL-CM:4.15.4
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Frequentie">[[Bestand: arrowright.png | 10px]]Frequency</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11921 Title="NL: Frequentie">[[Bestand: arrowright.png | 10px | link=]]Frequency</span>
 |0..1
 |The defecation frequency.
@@ Regel 156: / Regel 169: @@
 |
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CD.png| 16px]]
+|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
 ||NL-CM:4.15.9
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: DefecatieConsistentie">[[Bestand: arrowright.png | 10px]]DefecationConsistency</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11922 Title="NL: DefecatieConsistentie">[[Bestand: arrowright.png | 10px | link=]]DefecationConsistency</span>
 |0..1
 |The consistency of the feces indicates the hardness of the stool. The Bristol Stool scale is used to determine this.
@@ Regel 170: / Regel 183: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#DefecationConsistencyCodelist|DefecationConsistencyCodelist]]
+|[[Bestand: List2.png | link=#DefecationConsistencyCodelist]]||[[#DefecationConsistencyCodelist|DefecationConsistencyCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CD.png| 16px]]
+|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
 ||NL-CM:4.15.10
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: DefecatieKleur">[[Bestand: arrowright.png | 10px]]DefecationColor</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11925 Title="NL: DefecatieKleur">[[Bestand: arrowright.png | 10px | link=]]DefecationColor</span>
 |0..1
 |The color of feces is possibly relevant for identifying underlying diseases, such as bleeding or biliary tract disease.
@@ Regel 187: / Regel 200: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#DefecationColorCodelist|DefecationColorCodelist]]
+|[[Bestand: List2.png | link=#DefecationColorCodelist]]||[[#DefecationColorCodelist|DefecationColorCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
+|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
 ||NL-CM:4.15.6
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Incontinentiemateriaal::MedischHulpmiddel">[[Bestand: arrowright.png | 10px]]IncontinenceMaterial::MedicalDevice</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11919 Title="NL: Incontinentiemateriaal::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]IncontinenceMaterial::MedicalDevice</span>
 |0..1
 |A description of the incontinence material used.
@@ Regel 204: / Regel 217: @@
 {|
 |-
-|[[Bestand: block.png]]||[[MedicalDevice-v3.1(2017EN) |MedicalDevice]]
+|[[Bestand: block.png | link=MedicalDevice-v3.1(2017EN)]]||[[MedicalDevice-v3.1(2017EN) |MedicalDevice]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: ST.png| 16px]]
+|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
 ||NL-CM:4.15.7
 |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
-|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11926 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
 |0..1
 |A comment on the BowelFunction.
@@ Regel 228: / Regel 241: @@
 {|class="wikitable" width="508px" style= "font-size: 9.5pt;"
 |-style=vertical-align:top;
-|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|Darmfunctie (stoma)
+|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>D</b></font><font color=#FFFFFF><b>armfunctie</b></font><font color=#FFFFFF><b> (stoma)</b></font>
 |-style=vertical-align:top;
-|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Algemeen
+|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Algemeen</b></font>
 |-style=vertical-align:top;
 | style="width: 42%; "|FecesContinentie
@@ Regel 247: / Regel 260: @@
 | style="width: 58%; "|Normaal
 |-style=vertical-align:top;
-|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Stoma
+|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Stoma</b></font>
 |-style=vertical-align:top;
 | style="width: 42%; "|StomaType
@@ Regel 263: / Regel 276: @@
 {|class="wikitable" width="508px" style= "font-size: 9.5pt;"
 |-style=vertical-align:top;
-|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|Darmfunctie (continentie stoornis)
+|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>D</b></font><font color=#FFFFFF><b>armfunctie</b></font><font color=#FFFFFF><b> (continentie stoornis)</b></font>
 |-style=vertical-align:top;
-|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Algemeen
+|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Algemeen</b></font>
 |-style=vertical-align:top;
 | style="width: 42%; "|FecesContinentie
@@ Regel 434: / Regel 447: @@
+==This information model in other releases==
+<ul>
+<li>[[BowelFunction-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li>
+<li>[[BowelFunction-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
+</ul>
 ==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[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.4.15] <BR>
+To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
+Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
+<ul>
+<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.4.15&effectiveDate=2017-09-04T00:00:00&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 [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
+</ul>
 This information model is also available as [[Media:nl.zorg.BowelFunction-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.BowelFunction-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
 ==About this information==
 The information in this wikipage is based on Prerelease 2017 #1 <BR>
 Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
-This page is generated on 28/09/2017 11:18:24 <BR>
+This page is generated on 30/11/2017 13:24:28 <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

BowelFunction-v3.1(2017EN): verschil tussen versies

Versie van 30 nov 2017 13:28

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Information Model

Example Instances

References