BowelFunction-v1.0(2015EN) - Bewerkingsoverzicht

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==General information==
Name: '''nl.nfu.BowelFunction''' [[Bestand:NL.png|link=Darmfunctie-v1.0(2015NL)]] 
Version: '''1.0''' 
HCIM Status:Final 
Publication: '''2015''' 
Release status: Published 
Publication date: 8-9-2015
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::CreationDate||1-4-2014
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||NFU & V&VN
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.4.15
|-
|style="width:250px; "|DCM::KeywordList||Defecatie, continentie
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::Name||nl.nfu.Darmfunctie
|-
|style="width:250px; "|DCM::PublicationDate||8-9-2015
|-
|style="width:250px; "|DCM::PublicationStatus||Published
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||8-9-2015
|-
|style="width:250px; "|DCM::Superseeds||
|-
|style="width:250px; "|DCM::Version||1.0
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''

Publicatieversie 1.0 (01-07-2015).
</div>

==Concept==
An important function of the rectum in particular is the temporary storage and excretion of feces, at the moment there is cause to do so. Disrupting the bowel functions can lead to fecal incontinence and constipation.

==Purpose==
Information on bowel function disorders is important in drawing up the nursing plan and for patient care. Furthermore, information on feces (shape and color) offers additional information on the patient’s health condition. 
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==
 
[[Bestand: BowelFunction-v1.0Model(EN).png | center]]
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px]]
||NL-CM:4.15.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px]]BowelFunction
|
|Root concept of the BowelFunction building block. This root concept contains all data elements of the BowelFunction building block.
|
{|
|-
| 11198001 Defecation
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px]]
||NL-CM:4.15.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Continence
|0..1
|Continence is the voluntary control over the excretion of feces.
|
{|
|-
| b5253 Fecale continentie
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#ContinenceCodelist|ContinenceCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
||NL-CM:4.15.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Stoma
|0..1
|Stoma describes the presence of an unnatural, surgically created opening. If the patient has a stoma, the type of stoma must be entered along with the date on and location at which the stoma and any stoma pouches were placed. An explanation can also be entered.
|
|
{|
|-
|[[Bestand: block.png]]||[[Stoma-v1.0(2015EN) |Stoma]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px]]
||NL-CM:4.15.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Frequency
|0..1
|The defecation frequency.
|
{|
|-
| 162098000 Frequency of defecation
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
||NL-CM:4.15.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]DefecationConsistency
|0..1
|The consistency of the feces indicates the hardness of the stool. The Bristol Stool scale is used to determine this.
|
{|
|-
| 443172007 Bristol stool form score
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#DefecationConsistencyCodelist|DefecationConsistencyCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:4.15.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]LastDefecationDate
|0..1
|Date of the last defecation.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
||NL-CM:4.15.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]IncontinenceMaterial::MedicalAid
|0..1
|A description of the incontinence material used.
|
{|
|-
| 337588003 Incontinence appliance
|}
|
{|
|-
|[[Bestand: block.png]]||[[MedicalDevice-v1.2(2015EN) |MedicalDevice]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
||NL-CM:4.15.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]NursingProcedure
|0..*
|Description of the help needed to defecate.
|
|
{|
|-
|[[Bestand: block.png]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
||NL-CM:4.15.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Explanation
|0..1
|An explanation of the BowelFunction.
|
{|
|-
| 48767-8 Annotation comment
|}
|
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="508px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="3" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|Darmfunctie (stoma)
|-style=vertical-align:top;
|colspan="3" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Algemeen
|-style=vertical-align:top;
|colspan="2" style="width: 42%; "|Continentie
| style="width: 58%; "|<noWiki>-</noWiki>
|-style=vertical-align:top;
|colspan="2" style="width: 42%; "|Frequentie
| style="width: 58%; "|3 maal per dag
|-style=vertical-align:top;
|colspan="2" style="width: 42%; "|DatumLaatsteDefecatie
| style="width: 58%; "|Vanmorgen
|-style=vertical-align:top;
|colspan="2" style="width: 42%; "|Incontinentiemateriaal
| style="width: 58%; "|<noWiki>-</noWiki>
|-style=vertical-align:top;
|colspan="2" style="width: 42%; "|DefecatieConsistentie
| style="width: 58%; "|Als een worst of slang, glad en zacht.
|-style=vertical-align:top;
|colspan="3" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Stoma
|-style=vertical-align:top;
|colspan="2" style="width: 42%; "|StomaType
| style="width: 58%; "|Dubbelloops colostoma
|-style=vertical-align:top;
|colspan="2" style="width: 42%; "|AanlegDatum
| style="width: 58%; "|31-02-2014
|-style=vertical-align:top;
|colspan="2" style="width: 42%; "|AnatomischeLocatie
| style="width: 58%; "|Bovenbuik links
|-style=vertical-align:top;
|colspan="2" style="width: 42%; "|Toelichting
| style="width: 58%; "|Stoma is definitief. Vandaag stoma verzorgd, samen met patiënt. Peristomale huid is licht geïrriteerd.
|-style=vertical-align:top;
|rowspan="2" style="width: 4%; "|
|colspan="2" style="background-color: #BFBFBF; width: 96%; color: #000000; font-weight: bold; "|VerpleegkundigeActie
|-style=vertical-align:top;
| style="width: 38%; "|Activiteit
| style="width: 58%; "|Ondersteuning bij stomaverzorging door partner.
|}
{|class="wikitable" width="508px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|Darmfunctie (continentie stoornis)
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Algemeen
|-style=vertical-align:top;
| style="width: 42%; "|Continentie
| style="width: 58%; "|Matige stoornis
|-style=vertical-align:top;
| style="width: 42%; "|Frequentie
| style="width: 58%; "|4 maal per dag
|-style=vertical-align:top;
| style="width: 42%; "|DatumLaatsteDefecatie
| style="width: 58%; "|Vanmorgen
|-style=vertical-align:top;
| style="width: 42%; "|Incontinentiemateriaal
| style="width: 58%; "|Elastisch broekje
|-style=vertical-align:top;
| style="width: 42%; "|DefecatieConsistentie
| style="width: 58%; "|Zachte stukjes met gehavende randen.
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|VerpleegkundigeActie
|-style=vertical-align:top;
| style="width: 42%; "|Activiteit
| style="width: 58%; "|Patiënt stimuleren regelmatig naar het toilet te gaan.
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; "|
|-style=vertical-align:top;
| style="width: 42%; "|Toelichting
| style="width: 58%; "|Patiënt was vanmorgen incontinent.
|}

==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]

2. Richtlijn stomazorg V&VN. [Online] Beschikbaar op:http://venvn.xcess-5.xec.nl/Portals/1/Nieuws/2013%20Documenten/20130527%20%20Richtlijn%20Stomazorg.pdf [Geraadpleegd: 13 februari 2015]

3. LEWIS, SJ. HEATON, KW. (1997) Stool form scale as a useful guide to intestinal transit time. Scand. J. Gastroenterol. 32 (9). p.920–924.

== Valuesets ==
=== ContinenceCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.1
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Geen stoornis
|b5253.0
|ICF
|2.16.840.1.113883.6.254
|Stoornis 0-4%
|-style="vertical-align:top; "
|Lichte stoornis
|b5253.1
|ICF
|2.16.840.1.113883.6.254
|Stoornis 5-24%
|-style="vertical-align:top; "
|Matige stoornis
|b5253.2
|ICF
|2.16.840.1.113883.6.254
|Stoornis 25-49%
|-style="vertical-align:top; "
|Ernstige stoornis
|b5253.3
|ICF
|2.16.840.1.113883.6.254
|Stoornis 50-95%
|-style="vertical-align:top; "
|Volledige stoornis
|b5253.4
|ICF
|2.16.840.1.113883.6.254
|Stoornis 96-100%
|}

=== DefecationConsistencyCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.2
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Separate hard lumps, like nuts.
|Type 1
|BristolStoolTypes
|2.16.840.1.113883.2.4.3.11.60.40.4.3.1
|Losse harde keutels, zoals noten
|-style="vertical-align:top; "
|Sausage-shaped but lumpy.
|Type 2
|BristolStoolTypes
|2.16.840.1.113883.2.4.3.11.60.40.4.3.1
|Als een worst, maar klonterig
|-style="vertical-align:top; "
|Like sausage but with cracks on its surface.
|Type 3
|BristolStoolTypes
|2.16.840.1.113883.2.4.3.11.60.40.4.3.1
|Als een worst, maar met barstjes aan de buitenkant
|-style="vertical-align:top; "
|Like sausage or snake, smooth and soft.
|Type 4
|BristolStoolTypes
|2.16.840.1.113883.2.4.3.11.60.40.4.3.1
|Als een worst of slang, glad en zacht
|-style="vertical-align:top; "
|Soft blobs with clear-cut edges
|Type 5
|BristolStoolTypes
|2.16.840.1.113883.2.4.3.11.60.40.4.3.1
|Zachte keutels met duidelijke randen
|-style="vertical-align:top; "
|Fluffy pieces with ragged edges
|Type 6
|BristolStoolTypes
|2.16.840.1.113883.2.4.3.11.60.40.4.3.1
|Zachte stukjes met gehavende randen
|-style="vertical-align:top; "
|Entirely liquid
|Type 7
|BristolStoolTypes
|2.16.840.1.113883.2.4.3.11.60.40.4.3.1
|Helemaal vloeibaar
|}

==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[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.4.15] 
This information model is also available as [[Media:nl.nfu.BowelFunction-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.BowelFunction-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==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 [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 28/09/2017 00:04:25 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>

@@ Regel 81: / Regel 81: @@
 ==Information Model==
 <BR>
-<imagemap> Bestand:BowelFunction-v1.0Model(EN).png | center
+<imagemap> Bestand:BowelFunction-v1.0Model(2015EN).png | center
 rect 618 273 739 343 [[#9543]]
 rect 618 167 739 237 [[#9538]]
@@ Regel 433: / Regel 433: @@
 The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 20/12/2018 16:34:25 with ZibExtraction v. 3.0.6928.28729<!--ftDate--> <BR>
+This page is generated on 24/12/2018 12:35:12 with ZibExtraction v. 3.0.6932.1989<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

@@ Regel 121: / Regel 121: @@
 {|
 |-
-|<span title = "Codesystem: ICF>b5253 Fecale continentie</span>
+|<span title = "Codesystem: ICF>[https://terminologie.nictiz.nl/art-decor/claml?collection=icf-nl-data&conceptId=b5253 b5253] Fecale continentie</span>
 |}
+|
@@ Regel 433: / Regel 433: @@
 The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 20/12/2018 12:41:06 with ZibExtraction v. 3.0.6928.22723<!--ftDate--> <BR>
+This page is generated on 20/12/2018 16:34:25 with ZibExtraction v. 3.0.6928.28729<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

@@ Regel 417: / Regel 417: @@
 <ul>
 <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.4.15&effectiveDate=2015-09-08T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
-<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
+<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=Profile [[File:fhir.png|link=]]]</li>
 </ul>
 This information model is also available as [[Media:nl.nfu.BowelFunction-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.BowelFunction-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]