BowelFunction-v5.0(2024EN): verschil tussen versies

Huidige versie van 13 jul 2025 om 11:43

General information

Name: nl.zorg.BowelFunction
Version: 5.0
HCIM Status:Final
Release: 2024
Release status: Published
Release date: 25-04-2025

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	25-04-2025
DCM::PublicationStatus	Published
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	09-04-2024
DCM::Supersedes	nl.zorg.Darmfunctie-v4.0
DCM::Version	5.0
HCIM::PublicationLanguage	EN
MAX::SchematronFile	C:\Eclipse Workspace\NieuwEPD\9.01 Schematron\901 Validation Rules.sch

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

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

Publicatieversie 3.1.1 (01-10-2018)

ZIB-732

Een aantal Snomed codes blijken bij nadere controle invalide. Een aantal andere codes zijn inmiddels Inactive verklaard in SNOMED

Publicatieversie 3.1.2 (01-12-2021)

ZIB-1582

Tekstuele wijzigingen zib Darmfunctie (2020EN)

Publicatieversie 4.0 (10-06-2022)

ZIB-1581

Definitiecode Darm-/Blaasfunctie

Publicatieversie 5.0 (15-04-2024)

ZIB-2129

2023-1 Terminologieissues gevonden bij import

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.

300373008 Finding of 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. A 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 [Interpretation] Narrative

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	Binding: Extensible	Status: Active

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
Yellow color of feces	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

Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.

DefecationConsistencyCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.2	Binding: Required	Status: Active

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Separate hard lumps, like nuts	Type1	BristolStoolTypes	2.16.840.1.113883.2.4.3.11.60.40.4.3.1	Losse harde keutels, zoals noten
Sausage-shaped but lumpy	Type2	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	Type3	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	Type4	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	Type5	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	Type6	BristolStoolTypes	2.16.840.1.113883.2.4.3.11.60.40.4.3.1	Zachte stukjes met gehavende randen
Entirely liquid	Type7	BristolStoolTypes	2.16.840.1.113883.2.4.3.11.60.40.4.3.1	Helemaal vloeibaar

Other values are not allowed

FecalContinenceCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.1	Binding: Required	Status: Active

Conceptname	Conceptcode	Conceptvalue	Codesystem name	Codesystem OID	Description
Incontinence of feces	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

Other values are not allowed

This information model in other releases

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 Release 2024
SNOMED CT and LOINC codes are based on:

SNOMED Clinical Terms versie: 20250630 [R] (juni 2025-editie)
LOINC version 2.77

Conditions for use are located on the mainpage
This page is generated on 12/07/2025 16:16:48 with ZibExtraction v. 9.5.9242.40707

Back to HCIM list

@@ Regel 5: / Regel 5: @@
 Name<!--hdName-->: '''nl.zorg.BowelFunction''' [[Bestand:NL.png|link=Darmfunctie-v5.0(2024NL)]]<BR>
 Version<!--hdVersion-->: '''5.0''' <br>
-HCIM Status<!--hdStatus-->:Draft<br>
+HCIM Status<!--hdStatus-->:Final<br>
 Release<!--hdPublication-->: '''2024''' <br>
-Release status<!--hdPublicationStatus-->: Unpublished<br>
+Release status<!--hdPublicationStatus-->: Published<br>
-Release date<!--hdPublicationDate-->:
+Release date<!--hdPublicationDate-->: 25-04-2025
 <!-- Aanroep Errata transclude page -->
 {{ErrataEN<!--hdErrata-->|2024|{{PAGENAME}}}}
@@ Regel 36: / Regel 36: @@
 |style="width:250px; "|DCM::EndorsingAuthority.Address||
 |-
-|style="width:250px; "|DCM::EndorsingAuthority.Name||NFU &amp; V&amp;VN
+|style="width:250px; "|DCM::EndorsingAuthority.Name||NFU & V&VN
 |-
 |style="width:250px; "|DCM::EndorsingAuthority.Telecom||
@@ Regel 44: / Regel 44: @@
 |style="width:250px; "|DCM::KeywordList||Defecatie, continentie
 |-
-|style="width:250px; "|DCM::LifecycleStatus||Draft
+|style="width:250px; "|DCM::LifecycleStatus||Final
 |-
 |style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
@@ Regel 50: / Regel 50: @@
 |style="width:250px; "|DCM::Name||nl.zorg.Darmfunctie
 |-
-|style="width:250px; "|DCM::PublicationDate||
+|style="width:250px; "|DCM::PublicationDate||25-04-2025
 |-
-|style="width:250px; "|DCM::PublicationStatus||Unpublished
+|style="width:250px; "|DCM::PublicationStatus||Published
 |-
-|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens &amp; Kerngroep Registratie aan de Bron
+|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
 |-
 |style="width:250px; "|DCM::RevisionDate||09-04-2024
@@ Regel 77: / Regel 77: @@
 |-
 |style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]
-|Wijziging naamgeving ZIB&#39;s en logo&#39;s door andere opzet van beheer
+|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
 |}
@@ Regel 114: / Regel 114: @@
 |}
-Publicatieversie <u>5.0</u> (nn-nn-nnnn)
+Publicatieversie <u>5.0</u> (15-04-2024)
 {|
 |-
@@ Regel 141: / Regel 141: @@
 rect 177 173 298 243 [[#3101]]
 rect 551 177 672 247 [[#3107]]
-rect 177 43 293 110 [[MedicalDevice-v4.0(2024EN)]]
+rect 177 43 293 110 [[MedicalDevice-v5.0(2024EN)]]
 rect 373 43 489 110 [[Stoma-v3.4(2024EN)]]
 rect 161 392 318 442 [[#FecalContinenceCodelist]]
@@ Regel 256: / Regel 256: @@
 {|
 |-
-|[[Bestand: block.png | link=MedicalDevice-v4.0(2024EN)]]||[[MedicalDevice-v4.0(2024EN) |MedicalDevice]]
+|[[Bestand: block.png | link=MedicalDevice-v5.0(2024EN)]]||[[MedicalDevice-v5.0(2024EN) |MedicalDevice]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
@@ Regel 351: / Regel 351: @@
 |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.5
 |Binding<!--vsBindingTag-->: Extensible
+|Status<!--vsStatusTag-->: Active
 |}
 {| class="wikitable"  width="60% "
@@ Regel 394: / Regel 395: @@
 |2.16.840.1.113883.6.96
 |Rood
+|-style="background-color: #1F497D; color: white; font-weight: bold; "
+|colspan="5"|
+|-style="vertical-align:top; background-color: #EBF5FB;"
+|colspan="5"|Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.<!--vsIncludeOTH-->
 |}
 === DefecationConsistencyCodelist===
@@ Regel 400: / Regel 405: @@
 |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.2
 |Binding<!--vsBindingTag-->: Required
+|Status<!--vsStatusTag-->: Active
 |}
 {| class="wikitable"  width="60% "
@@ Regel 408: / Regel 414: @@
 |Description<!--vsDescription-->
 |-style="vertical-align:top; "
-|<span title = "Unknown code" style = "color:red">Separate hard lumps, like nuts.</span>
+|<span title = "Losse harde keutels, zoals noten">Separate hard lumps, like nuts</span>
 |[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Type1]
 |BristolStoolTypes
@@ Regel 414: / Regel 420: @@
 |Losse harde keutels, zoals noten
 |-style="vertical-align:top; "
-|<span title = "Unknown code" style = "color:red">Sausage-shaped but lumpy.</span>
+|<span title = "Als een worst, maar klonterig">Sausage-shaped but lumpy</span>
 |[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Type2]
 |BristolStoolTypes
@@ Regel 420: / Regel 426: @@
 |Als een worst, maar klonterig
 |-style="vertical-align:top; "
-|<span title = "Unknown code" style = "color:red">Like sausage but with cracks on its surface.</span>
+|<span title = "Als een worst, maar met barstjes aan de buitenkant">Like sausage but with cracks on its surface</span>
 |[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Type3]
 |BristolStoolTypes
@@ Regel 426: / Regel 432: @@
 |Als een worst, maar met barstjes aan de buitenkant
 |-style="vertical-align:top; "
-|<span title = "Unknown code" style = "color:red">Like sausage or snake, smooth and soft.</span>
+|<span title = "Als een worst of slang, glad en zacht">Like sausage or snake, smooth and soft</span>
 |[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Type4]
 |BristolStoolTypes
@@ Regel 432: / Regel 438: @@
 |Als een worst of slang, glad en zacht
 |-style="vertical-align:top; "
-|<span title = "Unknown code" style = "color:red">Soft blobs with clear-cut edges</span>
+|<span title = "Zachte keutels met duidelijke randen">Soft blobs with clear-cut edges</span>
 |[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Type5]
 |BristolStoolTypes
@@ Regel 438: / Regel 444: @@
 |Zachte keutels met duidelijke randen
 |-style="vertical-align:top; "
-|<span title = "Unknown code" style = "color:red">Fluffy pieces with ragged edges</span>
+|<span title = "Zachte stukjes met gehavende randen">Fluffy pieces with ragged edges</span>
 |[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Type6]
 |BristolStoolTypes
@@ Regel 444: / Regel 450: @@
 |Zachte stukjes met gehavende randen
 |-style="vertical-align:top; "
-|<span title = "Unknown code" style = "color:red">Entirely liquid</span>
+|<span title = "Helemaal vloeibaar">Entirely liquid</span>
 |[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten Type7]
 |BristolStoolTypes
 |2.16.840.1.113883.2.4.3.11.60.40.4.3.1
 |Helemaal vloeibaar
+|-style="background-color: #1F497D; color: white; font-weight: bold; "
+|colspan="5"|
+|-style="vertical-align:top; background-color: #EBF5FB;"
+|colspan="5"|Other values are not allowed<!--vsExcludeOTH-->
 |}
 === FecalContinenceCodelist===
@@ Regel 455: / Regel 465: @@
 |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.1
 |Binding<!--vsBindingTag-->: Required
+|Status<!--vsStatusTag-->: Active
 |}
 {| class="wikitable"  width="60% "
@@ Regel 484: / Regel 495: @@
 |2.16.840.1.113883.6.96
 |Continent
+|-style="background-color: #1F497D; color: white; font-weight: bold; "
+|colspan="6"|
+|-style="vertical-align:top; background-color: #EBF5FB;"
+|colspan="6"|Other values are not allowed<!--vsExcludeOTH-->
 |}
@@ Regel 492: / Regel 507: @@
 ==Information model references<!--ftReferences-->==
 ====This information model refers to<!--ftRefersTo-->====
-*[[MedicalDevice-v4.0(2024EN)|MedicalDevice-v4.0]]
+*[[MedicalDevice-v5.0(2024EN)|MedicalDevice-v5.0]]
 *[[Stoma-v3.4(2024EN)|Stoma-v3.4]]
 ====This information model is used in<!--ftReferredBy-->====
 :--
 ==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
-To exchange information based on health and care information models, additional, more technical specifications are required.&lt;BR&gt;
+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:<!--ftReferenceIntro-->
 <ul>
-<li>HL7&#174; version 3 CDA compatible specifications, available through the Nictiz ART-DECOR&#174; environment<!--ftArtDecorReference--> {{ArtDecorLinks|2024|4.15}}</li>
+<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2024|4.15}}</li>
-<li>HL7&#174; FHIR&#174; compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2024|Darmfunctie}}</li>
+<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2024|Darmfunctie}}</li>
 </ul>
 ==Downloads<!--ftDownloadTitle-->==
 This information model is also available as [[Media:nl.zorg.BowelFunction-v5.0(2024EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.BowelFunction-v5.0(2024EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
 ==About this information<!--ftHeader2-->==
-The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2024-1 <BR>
+The information in this wikipage is based on<!--ftInfoBase--> Release 2024 <BR>
 SNOMED CT and LOINC codes are based on:
 <ul>
-<li>SNOMED Clinical Terms versie: 20240331 [R] (maart 2024-editie)</li>
+<li>SNOMED Clinical Terms versie: 20250630 [R] (juni 2025-editie)</li>
 <li>LOINC version 2.77</li>
 </ul>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 23/04/2024 18:46:18 with ZibExtraction v. 9.3.8777.28571<!--ftDate--> <BR>
+This page is generated on 12/07/2025 16:16:48 with ZibExtraction v. 9.5.9242.40707<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2024(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2024(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

BowelFunction-v5.0(2024EN): verschil tussen versies

Huidige versie van 13 jul 2025 om 11:43

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Information Model

Example Instances

References