BowelFunction-v3.0(2016EN): verschil tussen versies
Geen bewerkingssamenvatting |
(Copy of) |
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| Regel 424: | Regel 424: | ||
<ul> | <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=2.16.840.1.113883.2.4.3.11.60.6.4.2.4.15&effectiveDate=2016-05-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.4.15&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= | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=Profile [[File:fhir.png|link=]]]</li> | ||
</ul> | </ul> | ||
This information model is also available as [[Media:nl.zorg.BowelFunction-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.BowelFunction-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | This information model is also available as [[Media:nl.zorg.BowelFunction-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.BowelFunction-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ||
Versie van 20 feb 2018 10:04
General information
Name: nl.zorg.BowelFunction 
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 | 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 | 1-5-2016 |
| DCM::PublicationStatus | Published |
| DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 8-9-2015 |
| DCM::Superseeds | |
| 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
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 | ||||||||
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NL-CM:4.15.1 |  BowelFunction
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Root concept of the BowelFunction information model. This root concept contains all data elements of the BowelFunction information model. |
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NL-CM:4.15.2 |  Continence
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0..1 | Continence is the voluntary control over the excretion of feces. |
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NL-CM:4.15.3 | Stoma
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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 explanation can also be entered. |
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NL-CM:4.15.4 | Frequency
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0..1 | The defecation frequency. |
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NL-CM:4.15.9 | DefecationConsistency
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0..1 | The consistency of the feces indicates the hardness of the stool. The Bristol Stool scale is used to determine this. |
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NL-CM:4.15.5 | LastDefecationDate
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0..1 | Date of the last defecation. | ||||||||||
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NL-CM:4.15.6 | IncontinenceMaterial::MedicalAid
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0..1 | A description of the incontinence material used. |
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NL-CM:4.15.8 | NursingProcedure
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0..* | Description of the help needed to defecate. |
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NL-CM:4.15.7 | Explanation
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0..1 | An explanation of the BowelFunction. |
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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 | ||
| Continentie | - | |
| Frequentie | 3 maal per dag | |
| DatumLaatsteDefecatie | Vanmorgen | |
| Incontinentiemateriaal | - | |
| DefecatieConsistentie | Als een worst of slang, glad en zacht. | |
| 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. | |
| VerpleegkundigeActie | ||
| Activiteit | Ondersteuning bij stomaverzorging door partner. | |
| Darmfunctie (continentie stoornis) | |
| Algemeen | |
| Continentie | Matige stoornis |
| Frequentie | 4 maal per dag |
| DatumLaatsteDefecatie | Vanmorgen |
| Incontinentiemateriaal | Elastisch broekje |
| DefecatieConsistentie | Zachte stukjes met gehavende randen. |
| VerpleegkundigeActie | |
| Activiteit | Patiënt stimuleren regelmatig naar het toilet te gaan. |
| 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
ContinenceCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.1 |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Geen stoornis | b5253.0 | ICF | 2.16.840.1.113883.6.254 | Stoornis 0-4% |
| Lichte stoornis | b5253.1 | ICF | 2.16.840.1.113883.6.254 | Stoornis 5-24% |
| Matige stoornis | b5253.2 | ICF | 2.16.840.1.113883.6.254 | Stoornis 25-49% |
| Ernstige stoornis | b5253.3 | ICF | 2.16.840.1.113883.6.254 | Stoornis 50-95% |
| Volledige stoornis | b5253.4 | ICF | 2.16.840.1.113883.6.254 | Stoornis 96-100% |
DefecationConsistencyCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.2 |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Separate hard lumps, like nuts. | Type 1 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Losse harde keutels, zoals noten |
| Sausage-shaped but lumpy. | Type 2 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Als een worst, maar klonterig |
| Like sausage but with cracks on its surface. | Type 3 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Als een worst, maar met barstjes aan de buitenkant |
| Like sausage or snake, smooth and soft. | Type 4 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Als een worst of slang, glad en zacht |
| Soft blobs with clear-cut edges | Type 5 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Zachte keutels met duidelijke randen |
| Fluffy pieces with ragged edges | Type 6 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Zachte stukjes met gehavende randen |
| Entirely liquid | Type 7 | BristolStoolTypes | 2.16.840.1.113883.2.4.3.11.60.40.4.3.1 | Helemaal vloeibaar |
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 23:42:26