Stoma-v3.2(2019EN)

Attention!! This is not the most recent version of this information model. You can find the most recent version here.

General information

Name: nl.zorg.Stoma
Version: 3.2
HCIM Status:Final
Release: 2019
Release status: Prepublished
Release date: 29-01-2020

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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	16-10-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	PM
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.5.2
DCM::KeywordList	Stoma, urostoma
DCM::LifecycleStatus	Final
DCM::ModelerList	Werkgroep RadB Verpleegkundige Gegevens
DCM::Name	nl.zorg.Stoma
DCM::PublicationDate	29-01-2020
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	31-12-2017
DCM::Supersedes	nl.zorg.Stoma-v3.1
DCM::Version	3.2
HCIM::PublicationLanguage	EN

Revision History

Uitvouwen

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

Publicatieversie 3.1 (04-09-2017)

ZIB-530	Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
ZIB-537	Toevoegen code voor Malon stoma aan de StomaTypeCodelijst
ZIB-585	Toevoegen concept Lateraliteit aan het concept Anatomische Locatie

Publicatieversie 3.2 (31-12-2017)

ZIB-646

Aanpassing SNOMED codes

Concept

A stoma is an unnatural, surgically created opening connecting a body cavity with the outside world. A stoma is created e.g. as an exit opening for feces or urine in the event that they cannot leave the body naturally. In the case of a tracheostomy, the stoma is intended to facilitate breathing if that is no longer possible via the oral, nasal and throat cavity.

Purpose

Information on present stomas is recorded to inform other health professionals. This information is of importance in determining the care required for the patient. In a transfer situation, the information offers the option to realize continuity of care by organizing specific expertise and materials in advance, for example.

Information Model

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:5.2.1	Stoma							Root concept of the Stoma information model. This root concept contains all data elements of the Stoma information model.
	NL-CM:5.2.2		StomaType					1	Stoma type indicates which body cavity the stoma is in and the kind of stoma used.	245857005 Stoma	StomaTypeCodelist
	NL-CM:5.2.3		StomaMaterial::MedicalDevice					0..*	Stoma material describes the medical aids used, such as a skin plate (the adhesive part around the stoma), the stoma pouch (to catch the stoma output) and other stoma aids for caring for the stoma. For tracheostomies, it also describes aids such as voice prostheses and stoma filters. Catheters inserted through the stoma such as tracheal cannulas are not described in this concept. These aids must be modeled in a higher information model describing the catheter and referring to the stoma.	407744008 Stoma appliance	MedicalDevice
	NL-CM:5.2.4		AnatomicalLocation					0..1	Anatomical location of the stoma on the patient.	363698007 Finding site	StomaAnatomicalLocationCodelist
	NL-CM:5.2.8		Laterality					0..1	Laterality adds information about body side to the anatomic location, e.g. left	272741003 Laterality	StomaLateralityCodelist
	NL-CM:5.2.5		CreationDate					0..1	The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted.
	NL-CM:5.2.7		Comment					0..1	A comment on the stoma.	48767-8 Annotation comment [Interpretation] Narrative

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

Stoma
StomaType	Eindstandige colostoma
AanlegDatum	2014
AnatomischeLocatie	Buik, onder
Lateraliteit	Rechts
StomaMateriaal
ProductType	Stomazakje
Toelichting	-

References

1. V&VN afdeling Stomaverpleegkundigen. Evidence-based Richtlijn Stomazorg Nederland. (2012) [Online] Beschikbaar op:http://www.mdl.nl/uploads/240/1143/Evidence-based_Richtlijn_Stomazorg_Nederland.pdf [Geraadpleegd: 13 februari 2015]

Valuesets

StomaAnatomicalLocationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.2

Binding: Extensible

Conceptname	Codesystem name	Codesystem OID
SNOMED CT: <442083009|Anatomical or acquired body structure|	SNOMED CT	2.16.840.1.113883.6.96

StomaLateralityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.3

Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Left	7771000	SNOMED CT	2.16.840.1.113883.6.96	Links
Right	24028007	SNOMED CT	2.16.840.1.113883.6.96	Rechts
Right and left	51440002	SNOMED CT	2.16.840.1.113883.6.96	Rechts en links

StomaTypeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.1

Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Urological stoma	281601009	SNOMED CT	2.16.840.1.113883.6.96	urostoma
Double-barrelled colostomy	261072008	SNOMED CT	2.16.840.1.113883.6.96	dubbelloops colostoma
End colostomy - stoma	261030007	SNOMED CT	2.16.840.1.113883.6.96	eindstandige colostoma
Loop ileostomy stoma	311413000	SNOMED CT	2.16.840.1.113883.6.96	dubbelloops ileostoma
End ileostomy stoma	311412005	SNOMED CT	2.16.840.1.113883.6.96	eindstandige ileostoma
Tracheostomy stoma	280361007	SNOMED CT	2.16.840.1.113883.6.96	tracheostoma
Malone stoma	29241000146106	SNOMED CT	2.16.840.1.113883.6.96	stoma t.b.v. Malone procedure
other	OTH	NullFlavor	2.16.840.1.113883.5.1008	anders

This information model in other releases

• Release 2015, (Version 1.0)
• Release 2016, (Version 3.0)
• Release 2017, (Version 3.2)
• Prerelease 2018-2, (Version 3.2)
• Release 2020, (Version 3.3)
• Prerelease 2021-2, (Version 3.3)
• Prerelease 2022-1, (Version 3.4)
• Prerelease 2023-1, (Version 3.4)
• Release 2024, (Version 3.4)

Information model references

This information model refers to

• MedicalDevice-v3.3

This information model is used in

• BladderFunction-v3.2
• BowelFunction-v3.1.1

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

Downloads

This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Prerelease 2019-2
SNOMED CT and LOINC codes are based on:

• SNOMED Clinical Terms version: 20190731 [R] (July 2019 Release)
• LOINC version 2.64

Conditions for use are located on the mainpage
This page is generated on 03/02/2020 01:28:40 with ZibExtraction v. 4.0.7338.2051

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