Stoma-v3.1(2017EN): verschil tussen versies

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(3 tussenliggende versies door dezelfde gebruiker niet weergegeven)
Regel 3: Regel 3:
 
Version: '''3.1''' <br>
 
Version: '''3.1''' <br>
 
HCIM Status:Final<br>
 
HCIM Status:Final<br>
Publication: '''2017''' <br>
+
Release: '''2017''' <br>
 
Release status: Prepublished<br>
 
Release status: Prepublished<br>
Publication date: 04-09-2017
+
Release date: 04-09-2017
 
-----
 
-----
 
<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>
 
<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 91: Regel 91:
 
==Information Model==
 
==Information Model==
 
<BR>
 
<BR>
[[Bestand: Stoma-v3.1Model(EN).png | center]]
+
<imagemap> Bestand:Stoma-v3.1Model(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 342 46 468 116 [[MedicalDevice-v3.1(2017EN)]]
 +
rect 157 294 283 364 [[#10780]]
 +
rect 158 170 284 240 [[#10772]]
 +
rect 353 165 457 245 [[#10778]]
 +
rect 342 294 468 364 [[#12325]]
 +
rect 328 416 482 466 [[#StomaLateralityCodelist]]
 +
desc none
 +
</imagemap>
 
<BR>
 
<BR>
 
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
 
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
Regel 97: Regel 109:
 
|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="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="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px]]
+
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
 
||NL-CM:5.2.1
 
||NL-CM:5.2.1
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: Stoma">[[Bestand: arrowdown.png | 10px]]Stoma</span>
+
|colspan ="6" style ="padding-left: 0px"|<span Id=10778 Title="NL: Stoma">[[Bestand: arrowdown.png | 10px | link=]]Stoma</span>
 
|
 
|
 
|Root concept of the Stoma information model. This root concept contains all data elements of the Stoma information model.
 
|Root concept of the Stoma information model. This root concept contains all data elements of the Stoma information model.
Regel 109: Regel 121:
 
|
 
|
 
|-style="vertical-align:top; background-color: transparent; "
 
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
+
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
 
||NL-CM:5.2.2
 
||NL-CM:5.2.2
 
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
 
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: StomaType">[[Bestand: arrowright.png | 10px]]StomaType</span>
+
|colspan ="5" style ="padding-left: 0px"|<span Id=10784 Title="NL: StomaType">[[Bestand: arrowright.png | 10px | link=]]StomaType</span>
 
|1
 
|1
 
|Stoma type indicates which body cavity the stoma is in and the kind of stoma used.
 
|Stoma type indicates which body cavity the stoma is in and the kind of stoma used.
Regel 123: Regel 135:
 
{|
 
{|
 
|-
 
|-
|[[Bestand: List2.png]]||[[#StomaTypeCodelist|StomaTypeCodelist]]
+
|[[Bestand: List2.png | link=#StomaTypeCodelist]]||[[#StomaTypeCodelist|StomaTypeCodelist]]
 
|}
 
|}
 
|-style="vertical-align:top; background-color: transparent; "
 
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
+
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
 
||NL-CM:5.2.3
 
||NL-CM:5.2.3
 
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
 
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: StomaMateriaal::MedischHulpmiddel">[[Bestand: arrowright.png | 10px]]StomaMaterial::MedicalDevice</span>
+
|colspan ="5" style ="padding-left: 0px"|<span Id=10786 Title="NL: StomaMateriaal::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]StomaMaterial::MedicalDevice</span>
 
|0..*
 
|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.  
 
|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.  
Regel 138: Regel 150:
 
{|
 
{|
 
|-
 
|-
|[[Bestand: block.png]]||[[MedicalDevice-v3.1(2017EN) |MedicalDevice]]
+
|[[Bestand: block.png | link=MedicalDevice-v3.1(2017EN)]]||[[MedicalDevice-v3.1(2017EN) |MedicalDevice]]
 
|}
 
|}
 
|-style="vertical-align:top; background-color: transparent; "
 
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
+
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
 
||NL-CM:5.2.4
 
||NL-CM:5.2.4
 
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
 
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px]]AnatomicalLocation</span>
+
|colspan ="5" style ="padding-left: 0px"|<span Id=10780 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span>
 
|0..1
 
|0..1
 
|Anatomical location of the stoma on the patient.
 
|Anatomical location of the stoma on the patient.
Regel 155: Regel 167:
 
{|
 
{|
 
|-
 
|-
|[[Bestand: List2.png]]||[[#StomaAnatomicalLocationCodelist|StomaAnatomicalLocationCodelist]]
+
|[[Bestand: List2.png | link=#StomaAnatomicalLocationCodelist]]||[[#StomaAnatomicalLocationCodelist|StomaAnatomicalLocationCodelist]]
 
|}
 
|}
 
|-style="vertical-align:top; background-color: transparent; "
 
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
+
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
 
||NL-CM:5.2.8
 
||NL-CM:5.2.8
 
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
 
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px]]Laterality</span>
+
|colspan ="5" style ="padding-left: 0px"|<span Id=12325 Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px | link=]]Laterality</span>
 
|0..1
 
|0..1
 
|Laterality adds information about body side to the anatomic location, <i>e.g.</i> left
 
|Laterality adds information about body side to the anatomic location, <i>e.g.</i> left
Regel 172: Regel 184:
 
{|
 
{|
 
|-
 
|-
|[[Bestand: List2.png]]||[[#StomaLateralityCodelist|StomaLateralityCodelist]]
+
|[[Bestand: List2.png | link=#StomaLateralityCodelist]]||[[#StomaLateralityCodelist|StomaLateralityCodelist]]
 
|}
 
|}
 
|-style="vertical-align:top; background-color: transparent; "
 
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
+
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
 
||NL-CM:5.2.5
 
||NL-CM:5.2.5
 
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
 
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: AanlegDatum">[[Bestand: arrowright.png | 10px]]CreationDate</span>
+
|colspan ="5" style ="padding-left: 0px"|<span Id=10772 Title="NL: AanlegDatum">[[Bestand: arrowright.png | 10px | link=]]CreationDate</span>
 
|0..1
 
|0..1
 
|The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted.
 
|The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted.
Regel 184: Regel 196:
 
|
 
|
 
|-style="vertical-align:top; background-color: transparent; "
 
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
+
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
 
||NL-CM:5.2.7
 
||NL-CM:5.2.7
 
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
 
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span>
+
|colspan ="5" style ="padding-left: 0px"|<span Id=10782 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
 
|0..1
 
|0..1
 
|A comment on the stoma.
 
|A comment on the stoma.
Regel 205: Regel 217:
 
{|class="wikitable" width="610px" style= "font-size: 9.5pt;"
 
{|class="wikitable" width="610px" style= "font-size: 9.5pt;"
 
|-style=vertical-align:top;
 
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|Stoma
+
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Stoma</b></font>
 
|-style=vertical-align:top;
 
|-style=vertical-align:top;
 
| style="width: 35%; "|StomaType
 
| style="width: 35%; "|StomaType
Regel 219: Regel 231:
 
| style="width: 65%; "|Rechts
 
| style="width: 65%; "|Rechts
 
|-style=vertical-align:top;
 
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|StomaMateriaal
+
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>StomaMateriaal</b></font>
 
|-style=vertical-align:top;
 
|-style=vertical-align:top;
 
| style="width: 35%; "|ProductType
 
| style="width: 35%; "|ProductType
Regel 342: Regel 354:
  
  
 +
==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==
 
==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=2.16.840.1.113883.2.4.3.11.60.40.3.5.2] <BR>
+
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
This information model is also available as [[Media:nl.zorg.Stoma-v3.1(EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Stoma-v3.1(EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
+
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=2017-09-04T00:00:00&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-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Stoma-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
 
==About this information==
 
==About this information==
 
The information in this wikipage is based on Prerelease 2017 #1 <BR>
 
The information in this wikipage is based on Prerelease 2017 #1 <BR>
 
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
 
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
This page is generated on 21/09/2017 15:48:01 <BR>
+
This page is generated on 30/11/2017 13:25:40 <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>
 
<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>

Huidige versie van 30 nov 2017 om 13:28

General information

Name: nl.zorg.Stoma NL.png
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Prepublished
Release date: 04-09-2017


Back 16.png Back to HCIM list

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 04-09-2017
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 04-09-2017
DCM::Superseeds nl.zorg.Stoma-v3.0
DCM::Version 3.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

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

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


#StomaAnatomicalLocationCodelist#10782#10784#StomaTypeCodelistMedicalDevice-v3.1(2017EN)#10780#10772#10778#12325#StomaLateralityCodelistStoma-v3.1Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:5.2.1 Arrowdown.pngStoma Root concept of the Stoma information model. This root concept contains all data elements of the Stoma information model.
416789009 Stoma
CD.png NL-CM:5.2.2 Arrowright.pngStomaType 1 Stoma type indicates which body cavity the stoma is in and the kind of stoma used.
116676008 Associated morphology
List2.png StomaTypeCodelist
Verwijzing.png NL-CM:5.2.3 Arrowright.pngStomaMaterial::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.

Block.png MedicalDevice
CD.png NL-CM:5.2.4 Arrowright.pngAnatomicalLocation 0..1 Anatomical location of the stoma on the patient.
363698007 Finding site
List2.png StomaAnatomicalLocationCodelist
CD.png NL-CM:5.2.8 Arrowright.pngLaterality 0..1 Laterality adds information about body side to the anatomic location, e.g. left
272741003 Laterality
List2.png StomaLateralityCodelist
TS.png NL-CM:5.2.5 Arrowright.pngCreationDate 0..1 The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted.
ST.png NL-CM:5.2.7 Arrowright.pngComment 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 List2.png

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
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
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
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

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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage List2.png
This page is generated on 30/11/2017 13:25:40


Back 16.png Back to HCIM list