BowelFunction-v3.1(2017EN): verschil tussen versies
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
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(7 tussenliggende versies door dezelfde gebruiker niet weergegeven) | |||
Regel 1: | Regel 1: | ||
==General information== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
Name: '''nl.zorg.BowelFunction''' [[Bestand:NL.png|link=Darmfunctie-v3.1(2017NL)]]<BR> | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.15(EN)|1|BowelFunction-v3.1(2017EN)}} | ||
Version: '''3.1''' <br> | <!-- Tot hier de transclude page --> | ||
HCIM Status:Final<br> | ==General information<!--hdGeneralInformation-->== | ||
Name<!--hdName-->: '''nl.zorg.BowelFunction''' [[Bestand:NL.png|link=Darmfunctie-v3.1(2017NL)]]<BR> | |||
Release status: | Version<!--hdVersion-->: '''3.1''' <br> | ||
HCIM Status<!--hdStatus-->:Final<br> | |||
Release<!--hdPublication-->: '''2017''' <br> | |||
Release status<!--hdPublicationStatus-->: Published<br> | |||
Release date<!--hdPublicationDate-->: 31-12-2017 | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | ||
==Metadata== | ==Metadata== | ||
Regel 44: | Regel 47: | ||
|style="width:250px; "|DCM::Name||nl.zorg.Darmfunctie | |style="width:250px; "|DCM::Name||nl.zorg.Darmfunctie | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationDate|| | |style="width:250px; "|DCM::PublicationDate||31-12-2017 | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationStatus|| | |style="width:250px; "|DCM::PublicationStatus||Published | ||
|- | |- | ||
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron | |style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron | ||
|- | |- | ||
|style="width:250px; "|DCM::RevisionDate|| | |style="width:250px; "|DCM::RevisionDate||31-12-2017 | ||
|- | |- | ||
|style="width:250px; "|DCM::Superseeds||nl.zorg.Darmfunctie-v3.0 | |style="width:250px; "|DCM::Superseeds||nl.zorg.Darmfunctie-v3.0 | ||
Regel 61: | Regel 64: | ||
==Revision History== | ==Revision History== | ||
<div class="mw-collapsible mw-collapsed"> | <div class="mw-collapsible mw-collapsed"> | ||
''Only available in Dutch'' | ''Only available in Dutch<!--noTranslation-->'' | ||
<u>Publicatieversie 1.0</u> (01-07-2015) | <u>Publicatieversie 1.0</u> (01-07-2015) | ||
Regel 95: | Regel 98: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:BowelFunction-v3.1Model(2017EN).png | center | |||
rect 598 443 742 493 [[#DefecationColorCodelist]] | |||
rect 622 354 712 424 [[#11925]] | |||
rect 401 443 580 493 [[#DefecationConsistencyCodelist]] | |||
rect 429 354 545 424 [[#11922]] | |||
rect 233 225 354 295 [[#11921]] | |||
rect 607 229 728 299 [[#11926]] | |||
rect 233 95 349 162 [[MedicalDevice-v3.1(2017EN)]] | |||
rect 429 95 545 162 [[Stoma-v3.2(2017EN)]] | |||
rect 217 444 374 494 [[#FecalContinenceCodelist]] | |||
rect 234 352 350 422 [[#11927]] | |||
rect 437 225 537 305 [[#11928]] | |||
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" | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; " | |-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; " | ||
|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<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference--> | ||
|-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:4.15.1 | ||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. | |Root concept of the BowelFunction information model. This root concept contains all data elements of the BowelFunction information model. | ||
Regel 109: | Regel 125: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=11198001 11198001] Defecation</span> | ||
|} | |} | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-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 | ||NL-CM:4.15.2 | ||
|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: 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 | |0..1 | ||
|Fecal continence is the voluntary control over the excretion of feces. | |Fecal continence is the voluntary control over the excretion of feces. | ||
Regel 122: | Regel 138: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=129008009 129008009] Bowel control</span> | ||
|} | |} | ||
| | | | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#FecalContinenceCodelist|FecalContinenceCodelist]] | |[[Bestand: List2.png | link=#FecalContinenceCodelist]]||[[#FecalContinenceCodelist|FecalContinenceCodelist]] | ||
|} | |} | ||
|-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:4.15.3 | ||NL-CM:4.15.3 | ||
|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: 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 | |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 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 156: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[Stoma-v3. | |[[Bestand: block.png | link=Stoma-v3.2(2017EN)]]||[[Stoma-v3.2(2017EN) |Stoma]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-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 | ||NL-CM:4.15.4 | ||
|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: 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 | |0..1 | ||
|The defecation frequency. | |The defecation frequency. | ||
Regel 152: | Regel 168: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=162098000 162098000] Frequency of defecation</span> | ||
|} | |} | ||
| | | | ||
|-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:4.15.9 | ||NL-CM:4.15.9 | ||
|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: 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 | |0..1 | ||
|The consistency of the feces indicates the hardness of the stool. The Bristol Stool scale is used to determine this. | |The consistency of the feces indicates the hardness of the stool. The Bristol Stool scale is used to determine this. | ||
Regel 165: | Regel 181: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=443172007 443172007] Bristol stool form score</span> | ||
|} | |} | ||
| | | | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#DefecationConsistencyCodelist|DefecationConsistencyCodelist]] | |[[Bestand: List2.png | link=#DefecationConsistencyCodelist]]||[[#DefecationConsistencyCodelist|DefecationConsistencyCodelist]] | ||
|} | |} | ||
|-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:4.15.10 | ||NL-CM:4.15.10 | ||
|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: 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 | |0..1 | ||
|The color of feces is possibly relevant for identifying underlying diseases, such as bleeding or biliary tract disease. | |The color of feces is possibly relevant for identifying underlying diseases, such as bleeding or biliary tract disease. | ||
Regel 182: | Regel 198: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=9397-1 9397-1] Color of stool</span> | ||
|} | |} | ||
| | | | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#DefecationColorCodelist|DefecationColorCodelist]] | |[[Bestand: List2.png | link=#DefecationColorCodelist]]||[[#DefecationColorCodelist|DefecationColorCodelist]] | ||
|} | |} | ||
|-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:4.15.6 | ||NL-CM:4.15.6 | ||
|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: 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 | |0..1 | ||
|A description of the incontinence material used. | |A description of the incontinence material used. | ||
Regel 199: | Regel 215: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=337588003 337588003] Incontinence appliance</span> | ||
|} | |} | ||
| | | | ||
{| | {| | ||
|- | |- | ||
|[[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: ST.png| 16px]] | |style = "text-align:center" |[[Bestand: ST.png| 16px | link=]] | ||
||NL-CM:4.15.7 | ||NL-CM:4.15.7 | ||
|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=11926 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span> | ||
|0..1 | |0..1 | ||
|A comment on the BowelFunction. | |A comment on the BowelFunction. | ||
Regel 216: | Regel 232: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span> | ||
|} | |} | ||
| | | | ||
|} | |} | ||
Columns Concept and DefinitionCode: hover over the values for more information<BR> | Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR> | ||
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]] | For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]] | ||
==Example Instances== | ==Example Instances== | ||
''Only available in Dutch'' | ''Only available in Dutch<!--noTranslation-->'' | ||
{|class="wikitable" width="508px" style= "font-size: 9.5pt;" | {|class="wikitable" width="508px" 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>D</b></font><font color=#FFFFFF><b>armfunctie</b></font><font color=#FFFFFF><b> (stoma)</b></font> | ||
|-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>Algemeen</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 42%; "|FecesContinentie | | style="width: 42%; "|FecesContinentie | ||
Regel 247: | Regel 263: | ||
| style="width: 58%; "|Normaal | | style="width: 58%; "|Normaal | ||
|-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>Stoma</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 42%; "|StomaType | | style="width: 42%; "|StomaType | ||
Regel 263: | Regel 279: | ||
{|class="wikitable" width="508px" style= "font-size: 9.5pt;" | {|class="wikitable" width="508px" 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>D</b></font><font color=#FFFFFF><b>armfunctie</b></font><font color=#FFFFFF><b> (continentie stoornis)</b></font> | ||
|-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>Algemeen</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 42%; "|FecesContinentie | | style="width: 42%; "|FecesContinentie | ||
Regel 297: | Regel 313: | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.5 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.5 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Feces color: normal | |Feces color: normal | ||
|167605001 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=167605001 167605001] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 313: | Regel 330: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Feces color: green | |Feces color: green | ||
|167609007 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=167609007 167609007] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 319: | Regel 336: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Feces color: yellow | |Feces color: yellow | ||
|167607009 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=167607009 167607009] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 325: | Regel 342: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Black feces | |Black feces | ||
|267055007 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=267055007 267055007] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 331: | Regel 348: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Pale feces | |Pale feces | ||
|267056008 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=267056008 267056008] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 337: | Regel 354: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Red stools | |Red stools | ||
|64412006 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=64412006 64412006] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|Rood | |Rood | ||
|} | |} | ||
=== DefecationConsistencyCodelist=== | === DefecationConsistencyCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.2 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.2 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Separate hard lumps, like nuts. | |Separate hard lumps, like nuts. | ||
Regel 397: | Regel 414: | ||
|Helemaal vloeibaar | |Helemaal vloeibaar | ||
|} | |} | ||
=== FecalContinenceCodelist=== | === FecalContinenceCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.1 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.1 | ||
|Binding<!--vsBindingTag-->: | |||
|} | |} | ||
{| class="wikitable" width="60% " | {| class="wikitable" width="60% " | ||
|-style="background-color: #1F497D; color: white; font-weight: bold; " | |-style="background-color: #1F497D; color: white; font-weight: bold; " | ||
|Conceptname | |Conceptname<!--vsConceptName--> | ||
|Conceptcode | |Conceptcode<!--vsConceptCode--> | ||
|Conceptvalue | |Conceptvalue<!--vsConceptValue--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|Description | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Bowels: incontinent | |Bowels: incontinent | ||
|72042002 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=72042002 72042002] | ||
|0 | |0 | ||
|SNOMED CT | |SNOMED CT | ||
Regel 419: | Regel 436: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Bowels: occasional accident | |Bowels: occasional accident | ||
|165230005 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=165230005 165230005] | ||
|1 | |1 | ||
|SNOMED CT | |SNOMED CT | ||
Regel 426: | Regel 443: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Bowels: fully continent | |Bowels: fully continent | ||
|24029004 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24029004 24029004] | ||
|2 | |2 | ||
|SNOMED CT | |SNOMED CT | ||
Regel 433: | Regel 450: | ||
|} | |} | ||
==This information model in other releases<!--ftOtherReleases-->== | |||
== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.4.15(EN)|2|2017}} | |||
This information model is also available as [[Media:nl.zorg.BowelFunction-v3.1( | <!-- Tot hier de transclude page --> | ||
==About this information== | ==Information model references<!--ftReferences-->== | ||
The information in this wikipage is based on | ====This information model refers to<!--ftRefersTo-->==== | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | *[[MedicalDevice-v3.1(2017EN)|MedicalDevice-v3.1]] | ||
This page is generated on 21/ | *[[Stoma-v3.2(2017EN)|Stoma-v3.2]] | ||
====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.<BR> | |||
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | |||
<ul> | |||
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [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=2017-12-31T00:00:00&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<!--ftSimplifierReference--> {{SimplefierLinks|2017}}</li> | |||
</ul> | |||
==Downloads<!--ftDownloadTitle-->== | |||
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=]]<!--ftDownloads--> | |||
==About this information<!--ftHeader2-->== | |||
The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR> | |||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | |||
This page is generated on 21/12/2018 14:46:58 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR> | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> |
Huidige versie van 24 dec 2018 om 12:03
General information
Name: nl.zorg.BowelFunction
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017
Metadata
DCM::CoderList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::ContactInformation.Address | * |
DCM::ContactInformation.Name | * |
DCM::ContactInformation.Telecom | * |
DCM::ContentAuthorList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::CreationDate | 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 | 31-12-2017 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 31-12-2017 |
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. |
|
|||||||||||
NL-CM:4.15.2 | FecalContinence | 0..1 | Fecal continence is the voluntary control over the excretion of feces. |
|
| |||||||||
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. |
| ||||||||||
NL-CM:4.15.4 | Frequency | 0..1 | The defecation frequency. |
|
||||||||||
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. |
|
| |||||||||
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. |
|
| |||||||||
NL-CM:4.15.6 | IncontinenceMaterial::MedicalDevice | 0..1 | A description of the incontinence material used. |
|
| |||||||||
NL-CM:4.15.7 | Comment | 0..1 | A comment on the BowelFunction. |
|
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: |
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 | Binding: |
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 | Binding: |
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
- Release 2015, (Version 1.0)
- Release 2016, (Version 3.0)
- Prerelease 2018-2, (Version 3.1.1)
- Prerelease 2019-2, (Version 3.1.1)
- Release 2020, (Version 3.1.1)
- Prerelease 2021-2, (Version 3.1.2)
- Prerelease 2022-1, (Version 4.0)
- Prerelease 2023-1, (Version 4.0)
- Prerelease 2024-1, (Version 5.0)
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 2017
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 14:46:58 with ZibExtraction v. 3.0.6929.24609