AbilityToUseToilet-v1.0(2015EN)

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General information

Name: nl.nfu.AbilityToUseToilet
Version: 1.0
HCIM Status:Final
Publication: 2015
Release status: Published
Publication date: 8-9-2015

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Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 4-4-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name NFU & V&VN
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.4.22
DCM::KeywordList Toiletgang, ADL, beperking, mictie, defecatie, menstruatie
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.nfu.VermogenTotToiletgang
DCM::PublicationDate 8-9-2015
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 8-9-2015
DCM::Superseeds
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Concept

Being able to urinate, defecate and keep up hygiene during a menstrual cycle independently is part of self-care. Limitations in this ability indicate a reduced ability to cope for oneself.
This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.

Purpose

Information on limitations in a patient’s ability to urinate, defecate and keep up their hygiene during their menstrual cycle is important in determining the nature and intensity of the care the patient needs. In a transfer situation, it gives the receiving organization the ability to anticipate the intensity of the care to be given to the patient, enabling continuity in healthcare for the patient.
If policy has been implemented to improve a patient’s ability to do things independently, the entered extent of independence helps to determine the efficiency of the treatment.

Evidence Base

The definitions of the concepts were (partially) taken from the ICF definitions.

In addition to this building block, there are other tools to record independence, such as the KATZ-ADL and the BarthelIndex. The KATZ-ADL is mainly used for vulnerable seniors and the BarthelIndex is mainly used for patients who have had a stroke.

This building block evaluates the ability to use the toilet on a five-point scale. In the KATZ-ADL, this falls under the aspect of Toilet Hygiene and in the BarthelIndex, this falls under the aspect of Toilet Use. In these two tools, the ability is scored on a scale with fewer points.

Information Model



Type Id Concept Card. Definition DefinitionCode Reference
NL-CM:4.22.1 ToiletUse Root concept of the ToiletUse building block. This root concept contains all data elements of the ToiletUse building block.
284899001 Ability to perform toileting activities
NL-CM:4.22.2 RealizingMicturition 0..1 Coordinating and realizing urination, such as indicating the need, getting into the right position, finding and reaching a suitable spot, manipulating clothing before and after urination, and cleaning up (the body) afterwards.
d5300 Zorgdragen voor urineren
RealizingMicturitionCodelist
NL-CM:4.22.3 RealizingDefecation 0..1 Coordinating and realizing defecation, such as indicating the need, getting into the right position, finding and reaching a suitable spot, manipulating clothing before and after defecation, and cleaning up (the body) afterwards.
d5301 Zorgdragen voor defecatie
RealizingDefecationCodelist
NL-CM:4.22.4 MenstrualCare 0..1 Coordinating, planning and hygiene in the event of menstruation, such as anticipating the menstruation and using sanitary napkins and tampons.
d5302 Zorgdragen voor menstruatie
MenstrualCareCodelist
NL-CM:4.22.5 NursingProcedure 0..* The nursing procedures needed to help the patient use the toilet.
NursingIntervention

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

VermogenTotToiletgang
ZorgdragenMictie Lichte beperking (5-24%)
ZorgdragenDefecatie Lichte beperking (5-24%)
ZorgBijMenstruatie Lichte beperking (5-24%)
VerpleegkundigeActie
Activiteit Patiënt helpen met zich schoonmaken na toiletgang.

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]

Valuesets

MenstrualCareCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.22.3
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen beperking d5302.0 ICF 2.16.840.1.113883.6.254 Beperking 0-4%
Lichte beperking d5302.1 ICF 2.16.840.1.113883.6.254 Beperking 5-24%
Matige beperking d5302.2 ICF 2.16.840.1.113883.6.254 Beperking 25-49%
Ernstige beperking d5302.3 ICF 2.16.840.1.113883.6.254 Beperking 50-95%
Volledige beperking d5302.4 ICF 2.16.840.1.113883.6.254 Beperking 96-100%

RealizingDefecationCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.22.2
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen beperking d5301.0 ICF 2.16.840.1.113883.6.254 Beperking 0-4%
Lichte beperking d5301.1 ICF 2.16.840.1.113883.6.254 Beperking 5-24%
Matige beperking d5301.2 ICF 2.16.840.1.113883.6.254 Beperking 25-49%
Ernstige beperking d5301.3 ICF 2.16.840.1.113883.6.254 Beperking 50-95%
Volledige beperking d5301.4 ICF 2.16.840.1.113883.6.254 Beperking 96-100%

RealizingMicturitionCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.22.1
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen beperking d5300.0 ICF 2.16.840.1.113883.6.254 Beperking 0-4%
Lichte beperking d5300.1 ICF 2.16.840.1.113883.6.254 Beperking 5-24%
Matige beperking d5300.2 ICF 2.16.840.1.113883.6.254 Beperking 25-49%
Ernstige beperking d5300.3 ICF 2.16.840.1.113883.6.254 Beperking 50-95%
Volledige beperking d5300.4 ICF 2.16.840.1.113883.6.254 Beperking 96-100%


More on this information model

More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[1]
This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 28/09/2017 00:04:17

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