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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 information model, 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 information model 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 information model. This root concept contains all data elements of the ToiletUse information model.
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.
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.
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]
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
The information in this wikipage is based on Release summer 2016
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 16:29:02 with ZibExtraction v. 3.0.6929.24609
ToiletUse
RealizingMicturition
or as spreadsheet 