Stoma-v3.0(2016EN): verschil tussen versies
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Regel 3: | Regel 3: | ||
Version: '''3.0''' <br> | Version: '''3.0''' <br> | ||
HCIM Status:Final<br> | HCIM Status:Final<br> | ||
Release: '''2016''' <br> | |||
Release status: Published<br> | Release status: Published<br> | ||
Release date: 1-5-2016 | |||
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div> | ||
Regel 81: | Regel 81: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:Stoma-v3.0Model(EN).png | center | |||
rect 271 70 397 140 [[NursingIntervention-v3.0(2016EN)]] | |||
rect 25 439 221 489 [[#StomaAnatomicalLocationCodelist]] | |||
rect 465 193 591 263 [[#10782]] | |||
rect 271 317 397 387 [[#10784]] | |||
rect 271 439 397 489 [[#StomaTypeCodelist]] | |||
rect 465 317 591 387 [[MedicalDevice-v3.0(2016EN)]] | |||
rect 86 317 212 387 [[#10780]] | |||
rect 87 193 213 263 [[#10772]] | |||
rect 282 188 386 268 [[#10778]] | |||
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 87: | Regel 98: | ||
|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 99: | Regel 110: | ||
| | | | ||
|-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 109: | Regel 120: | ||
{| | {| | ||
|- | |- | ||
|[[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::MedicalAid</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10786 Title="NL: StomaMateriaal::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]StomaMaterial::MedicalAid</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 124: | Regel 135: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[MedicalDevice-v3.0(2016EN) |MedicalDevice]] | |[[Bestand: block.png | link=MedicalDevice-v3.0(2016EN)]]||[[MedicalDevice-v3.0(2016EN) |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 137: | Regel 148: | ||
{| | {| | ||
|- | |- | ||
|[[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: 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 149: | Regel 160: | ||
| | | | ||
|-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:5.2.6 | ||NL-CM:5.2.6 | ||
|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: VerpleegkundigeActie">[[Bestand: arrowright.png | 10px]]NursingProcedure</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10885 Title="NL: VerpleegkundigeActie">[[Bestand: arrowright.png | 10px | link=]]NursingProcedure</span> | ||
|0..* | |0..* | ||
|The nursing procedure needed to care for the stoma. | |The nursing procedure needed to care for the stoma. | ||
Regel 159: | Regel 170: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[NursingIntervention-v3.0(2016EN) |NursingIntervention]] | |[[Bestand: block.png | link=NursingIntervention-v3.0(2016EN)]]||[[NursingIntervention-v3.0(2016EN) |NursingIntervention]] | ||
|} | |} | ||
|-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]]Explanation</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10782 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Explanation</span> | ||
|0..1 | |0..1 | ||
|An explanation of the stoma. | |An explanation of the stoma. | ||
Regel 183: | Regel 194: | ||
{|class="wikitable" width="610px" style= "font-size: 9.5pt;" | {|class="wikitable" width="610px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #1F497D; width: 100%; color | |colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Stoma</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 35%; "|StomaType | | style="width: 35%; "|StomaType | ||
Regel 194: | Regel 205: | ||
| style="width: 65%; "|Buik, rechtsonder | | style="width: 65%; "|Buik, rechtsonder | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #4F81BD; width: 100%; color | |colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>StomaMateriaal</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 35%; "|ProductType | | style="width: 35%; "|ProductType | ||
Regel 280: | Regel 291: | ||
==This information model in other releases== | |||
<ul> | |||
<li>[[Stoma-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li> | |||
<li>[[Stoma-v3.2(2017EN) | Release 2017, (Version 3.2)]]</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> | |||
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--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.5.2&effectiveDate=2016-05-01T00:00:00&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-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Stoma-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | This information model is also available as [[Media:nl.zorg.Stoma-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Stoma-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ||
==About this information== | ==About this information== | ||
The information in this wikipage is based on Release summer 2016 <BR> | The information in this wikipage is based on Release summer 2016 <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 24/01/2018 23:43:58 <BR> | ||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div> |
Versie van 25 jan 2018 00:13
General information
Name: nl.zorg.Stoma
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016
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 | 1-5-2016 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 8-9-2015 |
DCM::Superseeds | nl.nfu.Stoma-v1.0 |
DCM::Version | 3.0 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-07-2015)
Publicatieversie 3.0 (01-05-2016)
ZIB-453 | Wijziging naamgeving ZIB's en logo's door andere opzet van beheer |
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 healthcare providers. 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::MedicalAid | 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:5.2.5 | 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:5.2.6 | NursingProcedure | 0..* | The nursing procedure needed to care for the stoma. |
| |||||||||
NL-CM:5.2.7 | Explanation | 0..1 | An explanation of 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, rechtsonder |
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: <<91723000 | anatomical structure | | SNOMED CT | 2.16.840.1.113883.6.96 |
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 |
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 Release summer 2016
Conditions for use are located on the mainpage
This page is generated on 24/01/2018 23:43:58