Stoma-v3.1(2017EN): verschil tussen versies
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
||
(2 tussenliggende versies door dezelfde gebruiker niet weergegeven) | |||
Regel 3: | Regel 3: | ||
Version: '''3.1''' <br> | Version: '''3.1''' <br> | ||
HCIM Status:Final<br> | HCIM Status:Final<br> | ||
Release: '''2017''' <br> | |||
Release status: Prepublished<br> | Release status: Prepublished<br> | ||
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> | <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 91: | Regel 91: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:Stoma-v3.1Model(EN).png | center | |||
rect 96 416 292 466 [[#StomaAnatomicalLocationCodelist]] | |||
rect 536 170 662 240 [[#10782]] | |||
rect 536 294 662 364 [[#10784]] | |||
rect 536 414 662 464 [[#StomaTypeCodelist]] | |||
rect 342 46 468 116 [[MedicalDevice-v3.1(2017EN)]] | |||
rect 157 294 283 364 [[#10780]] | |||
rect 158 170 284 240 [[#10772]] | |||
rect 353 165 457 245 [[#10778]] | |||
rect 342 294 468 364 [[#12325]] | |||
rect 328 416 482 466 [[#StomaLateralityCodelist]] | |||
desc none | |||
</imagemap> | |||
<BR> | <BR> | ||
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | {| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | ||
Regel 97: | Regel 109: | ||
|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="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="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:5.2.1 | ||NL-CM:5.2.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: Stoma">[[Bestand: arrowdown.png | 10px]]Stoma</span> | |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 109: | Regel 121: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-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: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 Title="NL: StomaType">[[Bestand: arrowright.png | 10px]]StomaType</span> | |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 123: | Regel 135: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#StomaTypeCodelist|StomaTypeCodelist]] | |[[Bestand: List2.png | link=#StomaTypeCodelist]]||[[#StomaTypeCodelist|StomaTypeCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-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: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 Title="NL: StomaMateriaal::MedischHulpmiddel">[[Bestand: arrowright.png | 10px]]StomaMaterial::MedicalDevice</span> | |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 138: | Regel 150: | ||
{| | {| | ||
|- | |- | ||
|[[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="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: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 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px]]AnatomicalLocation</span> | |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 155: | Regel 167: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#StomaAnatomicalLocationCodelist|StomaAnatomicalLocationCodelist]] | |[[Bestand: List2.png | link=#StomaAnatomicalLocationCodelist]]||[[#StomaAnatomicalLocationCodelist|StomaAnatomicalLocationCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-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: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 Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px]]Laterality</span> | |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 172: | Regel 184: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#StomaLateralityCodelist|StomaLateralityCodelist]] | |[[Bestand: List2.png | link=#StomaLateralityCodelist]]||[[#StomaLateralityCodelist|StomaLateralityCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: TS.png| 16px]] | |style = "text-align:center" |[[Bestand: TS.png| 16px | link=]] | ||
||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 Title="NL: AanlegDatum">[[Bestand: arrowright.png | 10px]]CreationDate</span> | |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 184: | Regel 196: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-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: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 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span> | |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 203: | Regel 215: | ||
''Only available in Dutch'' | ''Only available in Dutch'' | ||
{|class="wikitable" width="610px" style= "font-size: 9.5pt;" | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Stoma</b></font> | |||
|-style=vertical-align:top; | |||
| style="width: 35%; "|StomaType | |||
| style="width: 65%; "|Eindstandige colostoma | |||
|-style=vertical-align:top; | |||
| style="width: 35%; "|AanlegDatum | |||
| style="width: 65%; "|2014 | |||
|-style=vertical-align:top; | |||
| style="width: 35%; "|AnatomischeLocatie | |||
| style="width: 65%; "|Buik, onder | |||
|-style=vertical-align:top; | |||
| style="width: 35%; "|Lateraliteit | |||
| style="width: 65%; "|Rechts | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>StomaMateriaal</b></font> | |||
|-style=vertical-align:top; | |||
| style="width: 35%; "|ProductType | |||
| style="width: 65%; "|Stomazakje | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #4F81BD; width: 100%; "| | |||
|-style=vertical-align:top; | |||
| style="width: 35%; "|Toelichting | |||
| style="width: 65%; "|<noWiki>-</noWiki> | |||
|} | |||
==References== | ==References== | ||
1. V&VN afdeling Stomaverpleegkundigen. <i>Evidence-based Richtlijn Stomazorg Nederland.</i> (2012) [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.mdl.nl/uploads/240/1143/Evidence-based_Richtlijn_Stomazorg_Nederland.pdf</u></font> [Geraadpleegd: 13 februari 2015] | 1. V&VN afdeling Stomaverpleegkundigen. <i>Evidence-based Richtlijn Stomazorg Nederland.</i> (2012) [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.mdl.nl/uploads/240/1143/Evidence-based_Richtlijn_Stomazorg_Nederland.pdf</u></font> [Geraadpleegd: 13 februari 2015] | ||
Regel 316: | Regel 354: | ||
==This information model in other releases== | |||
<ul> | |||
<li>[[Stoma-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li> | |||
<li>[[Stoma-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li> | |||
</ul> | |||
==More on this information model== | ==More on this information model== | ||
To exchange information based on health and care information models, additional, more technical specifications are required.<BR> | |||
This information model is also available as [[Media:nl.zorg.Stoma-v3.1( | 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=2.16.840.1.113883.2.4.3.11.60.7.4.2.5.2&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.Stoma-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Stoma-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | |||
==About this information== | ==About this information== | ||
The information in this wikipage is based on Prerelease 2017 #1 <BR> | 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> | Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | ||
This page is generated on | This page is generated on 30/11/2017 13:25:40 <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> | <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> |
Huidige versie van 30 nov 2017 om 14:28
General information
Name: nl.zorg.Stoma
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Prepublished
Release date: 04-09-2017
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 | 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.Stoma-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-537 | Toevoegen code voor Malon stoma aan de StomaTypeCodelijst |
ZIB-585 | Toevoegen concept Lateraliteit aan het concept Anatomische Locatie |
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
![Stoma-v3.1Model(EN).png](/images/c/ce/Stoma-v3.1Model%28EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||
![]() |
NL-CM:5.2.1 | ![]() |
Root concept of the Stoma information model. This root concept contains all data elements of the Stoma information model. |
|
||||||||||
![]() |
NL-CM:5.2.2 | ![]() |
1 | Stoma type indicates which body cavity the stoma is in and the kind of stoma used. |
|
| ||||||||
![]() |
NL-CM:5.2.3 | ![]() |
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 | ![]() |
0..1 | Anatomical location of the stoma on the patient. |
|
| ||||||||
![]() |
NL-CM:5.2.8 | ![]() |
0..1 | Laterality adds information about body side to the anatomic location, e.g. left |
|
| ||||||||
![]() |
NL-CM:5.2.5 | ![]() |
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 | ![]() |
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 |
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 |
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 |
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
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 13:25:40