General information
Name: nl.nfu.AbilityToUseToilet 
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015
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
Only available in Dutch
Publicatieversie 1.0 (01-07-2015).
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
|
|
|
|
|
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
|
|
|
|
|
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
|
|
|
|
NL-CM:4.22.5
|
|
NursingProcedure
|
0..*
|
The nursing procedures needed to help the patient use the toilet.
|
|
|
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%
|
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 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 24/01/2018 17:37:19
