BowelFunction-v1.0(2015EN)

General information

Name: nl.nfu.BowelFunction
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015

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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	1-4-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	NFU & V&VN
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.4.15
DCM::KeywordList	Defecatie, continentie
DCM::LifecycleStatus	Final
DCM::ModelerList	Werkgroep RadB Verpleegkundige Gegevens
DCM::Name	nl.nfu.Darmfunctie
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

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

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:4.15.1	BowelFunction							Root concept of the BowelFunction building block. This root concept contains all data elements of the BowelFunction building block.	11198001 Defecation
	NL-CM:4.15.2		Continence					0..1	Continence is the voluntary control over the excretion of feces.	b5253 Fecale continentie	ContinenceCodelist
	NL-CM:4.15.3		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.		Stoma
	NL-CM:4.15.4		Frequency					0..1	The defecation frequency.	162098000 Frequency of defecation
	NL-CM:4.15.9		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	DefecationConsistencyCodelist
	NL-CM:4.15.5		LastDefecationDate					0..1	Date of the last defecation.
	NL-CM:4.15.6		IncontinenceMaterial::MedicalAid					0..1	A description of the incontinence material used.	337588003 Incontinence appliance	MedicalDevice
	NL-CM:4.15.8		NursingProcedure					0..*	Description of the help needed to defecate.		NursingIntervention
	NL-CM:4.15.7		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

Example Instances

Only available in Dutch

Darmfunctie (stoma)
Algemeen
Continentie		-
Frequentie		3 maal per dag
DatumLaatsteDefecatie		Vanmorgen
Incontinentiemateriaal		-
DefecatieConsistentie		Als een worst of slang, glad en zacht.
Stoma
StomaType		Dubbelloops colostoma
AanlegDatum		31-02-2014
AnatomischeLocatie		Bovenbuik links
Toelichting		Stoma is definitief. Vandaag stoma verzorgd, samen met patiënt. Peristomale huid is licht geïrriteerd.
	VerpleegkundigeActie
	Activiteit	Ondersteuning bij stomaverzorging door partner.

Darmfunctie (continentie stoornis)
Algemeen
Continentie	Matige stoornis
Frequentie	4 maal per dag
DatumLaatsteDefecatie	Vanmorgen
Incontinentiemateriaal	Elastisch broekje
DefecatieConsistentie	Zachte stukjes met gehavende randen.
VerpleegkundigeActie
Activiteit	Patiënt stimuleren regelmatig naar het toilet te gaan.
Toelichting	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

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.1

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Geen stoornis	b5253.0	ICF	2.16.840.1.113883.6.254	Stoornis 0-4%
Lichte stoornis	b5253.1	ICF	2.16.840.1.113883.6.254	Stoornis 5-24%
Matige stoornis	b5253.2	ICF	2.16.840.1.113883.6.254	Stoornis 25-49%
Ernstige stoornis	b5253.3	ICF	2.16.840.1.113883.6.254	Stoornis 50-95%
Volledige stoornis	b5253.4	ICF	2.16.840.1.113883.6.254	Stoornis 96-100%

DefecationConsistencyCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.2

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
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
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
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
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
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
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
Entirely liquid	Type 7	BristolStoolTypes	2.16.840.1.113883.2.4.3.11.60.40.4.3.1	Helemaal vloeibaar

This information model in other releases

• Release 2016, (Version 3.0)
• Release 2017, (Version 3.1)

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 17:35:48

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