Update bot op 24 dec 2018 om 11:04

2018-12-24T11:04:30Z

Update bot op 20 dec 2018 om 12:31

2018-12-20T12:31:58Z

Update bot op 24 jan 2018 om 15:16

2018-01-24T15:16:54Z

Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.Stoma''' link=Stoma-v3.2(2017NL)
Version: '''3.2'''
HCIM Status:Final
Release: '''2017'...'

2018-01-23T00:12:04Z

Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.Stoma''' link=Stoma-v3.2(2017NL) Version: '''3.2''' HCIM Status:Final Release: '''2017'...'

Nieuwe pagina

==General information==
Name: '''nl.zorg.Stoma''' [[Bestand:NL.png|link=Stoma-v3.2(2017NL)]] 
Version: '''3.2''' 
HCIM Status:Final 
Release: '''2017''' 
Release status: Published 
Release date: 31-12-2017
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(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||16-10-2014
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.5.2
|-
|style="width:250px; "|DCM::KeywordList||Stoma, urostoma
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::Name||nl.zorg.Stoma
|-
|style="width:250px; "|DCM::PublicationDate||31-12-2017
|-
|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||31-12-2017
|-
|style="width:250px; "|DCM::Superseeds||nl.zorg.Stoma-v3.1
|-
|style="width:250px; "|DCM::Version||3.2
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

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

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)
{|
|}

Publicatieversie 3.1 (04-09-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-530 | ZIB-530 ]]
|Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
|-
|style="width:75px; "|[[ZIBIssues#ZIB-537 | ZIB-537 ]]
|Toevoegen code voor Malon stoma aan de StomaTypeCodelijst
|-
|style="width:75px; "|[[ZIBIssues#ZIB-585 | ZIB-585 ]]
|Toevoegen concept Lateraliteit aan het concept Anatomische Locatie
|}

Publicatieversie 3.2 (31-12-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-646 | ZIB-646 ]]
|Geen informatie
|}
</div>

==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==
 
<imagemap> Bestand:Stoma-v3.2Model(EN).png | center
rect 96 416 292 466 [[#StomaAnatomicalLocationCodelist]]
rect 536 170 662 240 [[#10782]]
rect 536 294 662 364 [[#10784]]
rect 536 414 662 464 [[#StomaTypeCodelist]]
rect 349 45 475 115 [[MedicalDevice-v3.1(2017EN)]]
rect 157 294 283 364 [[#10780]]
rect 158 170 284 240 [[#10772]]
rect 360 166 464 246 [[#10778]]
rect 349 294 475 364 [[#12325]]
rect 335 416 489 466 [[#StomaLateralityCodelist]]
desc none
</imagemap>
 
{| 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 | link=]]
||NL-CM:5.2.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]Stoma
|
|Root concept of the Stoma information model. This root concept contains all data elements of the Stoma information model.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:5.2.2
|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 | link=]]StomaType
|1
|Stoma type indicates which body cavity the stoma is in and the kind of stoma used.
|
{|
|-
| 245857005 Stoma
|}
|
{|
|-
|[[Bestand: List2.png | link=#StomaTypeCodelist]]||[[#StomaTypeCodelist|StomaTypeCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:5.2.3
|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 | link=]]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
|}
|
{|
|-
|[[Bestand: block.png | link=MedicalDevice-v3.1(2017EN)]]||[[MedicalDevice-v3.1(2017EN) |MedicalDevice]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:5.2.4
|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 | link=]]AnatomicalLocation
|0..1
|Anatomical location of the stoma on the patient.
|
{|
|-
| 363698007 Finding site
|}
|
{|
|-
|[[Bestand: List2.png | link=#StomaAnatomicalLocationCodelist]]||[[#StomaAnatomicalLocationCodelist|StomaAnatomicalLocationCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:5.2.8
|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 | link=]]Laterality
|0..1
|Laterality adds information about body side to the anatomic location, e.g. left
|
{|
|-
| 272741003 Laterality
|}
|
{|
|-
|[[Bestand: List2.png | link=#StomaLateralityCodelist]]||[[#StomaLateralityCodelist|StomaLateralityCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:5.2.5
|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 | link=]]CreationDate
|0..1
|The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:5.2.7
|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 | link=]]Comment
|0..1
|A comment on the stoma.
|
{|
|-
| 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="610px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; "|Stoma
|-style=vertical-align:top;
| style="width: 35%; "|StomaType
| style="width: 65%; "|Eindstandige colostoma
|-style=vertical-align:top;
| style="width: 35%; "|AanlegDatum
| style="width: 65%; "|2014
|-style=vertical-align:top;
| style="width: 35%; "|AnatomischeLocatie
| style="width: 65%; "|Buik, onder
|-style=vertical-align:top;
| style="width: 35%; "|Lateraliteit
| style="width: 65%; "|Rechts
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; "|StomaMateriaal
|-style=vertical-align:top;
| style="width: 35%; "|ProductType
| style="width: 65%; "|Stomazakje
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; "|
|-style=vertical-align:top;
| style="width: 35%; "|Toelichting
| style="width: 65%; "|<noWiki>-</noWiki>
|}

==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===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.2
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|SNOMED CT: < 442083009 <noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki>
|SNOMED CT
|2.16.840.1.113883.6.96
|}

=== StomaLateralityCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.3
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Left
|7771000
|SNOMED CT
|2.16.840.1.113883.6.96
|Links
|-style="vertical-align:top; "
|Right
|24028007
|SNOMED CT
|2.16.840.1.113883.6.96
|Rechts
|-style="vertical-align:top; "
|Right and left
|51440002
|SNOMED CT
|2.16.840.1.113883.6.96
|Rechts en links
|}

=== StomaTypeCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.1
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|urological stoma
|281601009
|SNOMED CT
|2.16.840.1.113883.6.96
|urostoma
|-style="vertical-align:top; "
|double-barrelled colostomy
|261072008
|SNOMED CT
|2.16.840.1.113883.6.96
|dubbelloops colostoma
|-style="vertical-align:top; "
|end colostomy stoma
|261030007
|SNOMED CT
|2.16.840.1.113883.6.96
|eindstandige colostoma
|-style="vertical-align:top; "
|loop ileostomy stoma
|311413000
|SNOMED CT
|2.16.840.1.113883.6.96
|dubbelloops ileostoma
|-style="vertical-align:top; "
|end ileostomy stoma
|311412005
|SNOMED CT
|2.16.840.1.113883.6.96
|eindstandige ileostoma
|-style="vertical-align:top; "
|tracheostomy stoma
|280361007
|SNOMED CT
|2.16.840.1.113883.6.96
|tracheostoma
|-style="vertical-align:top; "
|malone stoma
|29241000146106
|SNOMED CT
|2.16.840.1.113883.6.96
|stoma t.b.v. Malone procedure
|-style="vertical-align:top; "
|other
|OTH
|NullFlavor
|2.16.840.1.113883.5.1008
|anders
|}

==This information model in other releases==
<ul>
<li>[[Stoma-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li>
<li>[[Stoma-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
</ul>
==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:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.5.2&effectiveDate=2017-12-31T00:00:00&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>
</ul>
This information model is also available as [[Media:nl.zorg.Stoma-v3.2(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Stoma-v3.2(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Release 2017 
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 22/01/2018 11:05:32 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

@@ Regel 101: / Regel 101: @@
 ==Information Model==
 <BR>
-<imagemap> Bestand:Stoma-v3.2Model(EN).png | center
+<imagemap> Bestand:Stoma-v3.2Model(2017EN).png | center
 rect 106 424 302 474 [[#StomaAnatomicalLocationCodelist]]
 rect 546 178 672 248 [[#10782]]
@@ Regel 267: / Regel 267: @@
 |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 |-style="vertical-align:top; "
-|SNOMED CT: < [https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki>
+|SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki>
 |SNOMED CT
 |2.16.840.1.113883.6.96
@@ Regel 386: / Regel 386: @@
 The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 19/12/2018 18:44:50 with ZibExtraction v. 3.0.6927.32850<!--ftDate--> <BR>
+This page is generated on 21/12/2018 14:48:39 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

@@ Regel 86: / Regel 86: @@
 |-
 |style="width:75px; "|[[ZIBIssues#ZIB-646 | ZIB-646 ]]
-|Geen informatie
+|Aanpassing SNOMED codes
 |}
 </div>
@@ Regel 377: / Regel 377: @@
 The information in this wikipage is based on Release 2017 <BR>
 Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
-This page is generated on 22/01/2018 11:05:32 <BR>
+This page is generated on 24/01/2018 16:10:45 <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

Stoma-v3.2(2017EN) - Bewerkingsoverzicht

Update bot op 24 dec 2018 om 11:04

Update bot op 20 dec 2018 om 12:31

Update bot op 24 jan 2018 om 15:16

Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.Stoma''' link=Stoma-v3.2(2017NL) Version: '''3.2''' HCIM Status:Final Release: '''2017'...'

Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.Stoma''' link=Stoma-v3.2(2017NL)
Version: '''3.2'''
HCIM Status:Final
Release: '''2017'...'