BladderFunction-v3.0(2016EN)

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General information

Name: nl.zorg.BladderFunction
Version: 3.0
HCIM Status:Final
Publication: 2016
Release status: Published
Publication date: 1-5-2016

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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 1-4-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.4.14
DCM::KeywordList Mictie, continentie
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.Blaasfunctie
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.Blaasfunctie-v1.0
DCM::Version 3.0
HCIM::PublicationLanguage EN

Revision History

Concept

The primary function of the bladder is temporary storage of urine. A second important function of the bladder is secretion of the stored urine at the moment there is cause to do so. These functions can be disrupted due to various causes.

Purpose

Information on bladder function disorders is important in drawing up the nursing plan and for patient care. 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:4.14.1 BladderFunction Root concept of the BladderFunction information model. This root concept contains all data elements of the BladderFunction information model.
28278009 Micturition
NL-CM:4.14.2 UrineContinence 0..1 Urine continence describes control over urine discharge. This includes disorders such as stress incontinence, urge incontinence, reflex incontinence, constant incontinence and mixed incontinence.
b6202 Urinecontinentie
UrineContinenceCodelist
NL-CM:4.14.8 IncontinenceType::Problem 0..1 A specification of the type of incontinence.
165232002 Urinary incontinence
ConcernForTransfer
NL-CM:4.14.3 UrinaryStoma::Stoma 0..1 UrinaryStoma describes the presence of an unnatural, surgically created opening. If the patient has a urinary stoma, the date of placement, location of the stoma and any stoma pouches and an explanation can be entered. The type of stoma is automatically a urinary stoma in this case.n
281601009 Urological stoma
Stoma
NL-CM:4.14.4 UrineCatheter::MedicalAid 0..1 UrineCatheter describes the presence of a urine catheter. If this is the case, the date of placement, urine catheter location, explanation and catheter identification information can be described in addition to the type of catheter.
20568009 Urinary catheter
MedicalDevice
NL-CM:10.1.3 ProductType A description of the type of catheter.
UrineCatheterTypeCodelist
NL-CM:4.14.5 IncontinenceMaterial::MedicalAid 0..1 A description of the incontinence material used.
337588003 Incontinence appliance
MedicalDevice
NL-CM:4.14.6 Explanation 0..1 Explanation of the urinary (in)continence and treatment.
48767-8 Annotation comment
NL-CM:4.14.7 NursingProcedure 0..* Description of the help needed for micturition and the required facilitation of any urine catheters.
NursingIntervention
NL-CM:4.14.9 PlannedNursingProcedure::PlannedCareActivity 0..* Planned (nursing) procedure or 'clinical reminder' for example in facilitating the catheter, in which information can be included such as the date on which the catheter must be replaced.
PlannedCareActivityForTransfer

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

Blaasfunctie (urostoma)
UrineContinentie -
SoortIncontinentie -
Incontinentiemateriaal -
Urostoma
StomaType Urostoma
AanlegDatum 12-01-2014
Toelichting Extra aandacht voor peristomale huid
UrineKatheter
ProductType -
BeginDatum -
Toelichting -
VerpleegkundigeActie
Activiteit Ondersteunen bij verwisselen plak bij stoma.
Toelichting Kan bij problemen contact opnemen met stomaverpleegkundige
Blaasfunctie (continentie stoornis)
UrineContinentie Matige stoornis
SoortIncontinentie overloopcontinentie
Incontinentiemateriaal -
Urostoma
Sinds -
Opmerking bij urostoma -
UrineKatheter
ProductType Verblijfskatheter
BeginDatum 12-05-2014
Toelichting -
VerpleegkundigeActie
Activiteit Ondersteunen bij het verwisselen van nachtopvangzak.
Toelichting Partner verzorgt insteekopening van katheter

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

UrineCatheterTypeCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.14.2
Conceptname Conceptcode Codesystem name Codesystem OID Description
Indwelling urinary catheter 23973005 SNOMED CT 2.16.840.1.113883.6.96 Verblijfskatheter
Intermittent urethral drainage catheter, sterile 469715007 SNOMED CT 2.16.840.1.113883.6.96 Eenmalige katheter
Incontinence sheath 337636000 SNOMED CT 2.16.840.1.113883.6.96 Condoomkatheter
Suprapubic catheter 286861005 SNOMED CT 2.16.840.1.113883.6.96 Suprapubische katheter
Other OTH NullFlavor 2.16.840.1.113883.5.1008 Anders

UrineContinenceCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.14.1
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen stoornis b6202.0 ICF 2.16.840.1.113883.6.254 Stoornis 0-4%
Lichte stoornis b6202.1 ICF 2.16.840.1.113883.6.254 Stoornis 5-24%
Matige stoornis b6202.2 ICF 2.16.840.1.113883.6.254 Stoornis 25-49%
Ernstige stoornis b6202.3 ICF 2.16.840.1.113883.6.254 Stoornis 50-95%
Volledige stoornis b6202.4 ICF 2.16.840.1.113883.6.254 Stoornis 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 Release summer 2016
Conditions for use are located on the mainpage
This page is generated on 28/09/2017 01:08:37

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