AbilityToUseToilet-v3.0(2016EN)

General information

Name: nl.zorg.AbilityToUseToilet
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016

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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	4-4-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	PM
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.4.22
DCM::KeywordList	Toiletgang, ADL, beperking, mictie, defecatie, menstruatie
DCM::LifecycleStatus	Final
DCM::ModelerList	Werkgroep RadB Verpleegkundige Gegevens
DCM::Name	nl.zorg.VermogenTotToiletgang
DCM::PublicationDate	1-5-2016
DCM::PublicationStatus	Published
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	8-9-2015
DCM::Superseeds	nl.nfu.VermogenTotToiletgang-v1.0
DCM::Version	3.0
HCIM::PublicationLanguage	EN

Revision History

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

Concept

Being able to urinate, defecate and keep up hygiene during a menstrual cycle independently is part of self-care. Limitations in this ability indicate a reduced ability to cope for oneself.
This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.

Purpose

Information on limitations in a patient’s ability to urinate, defecate and keep up their hygiene during their menstrual cycle is important in determining the nature and intensity of the care the patient needs. In a transfer situation, it gives the receiving organization the ability to anticipate the intensity of the care to be given to the patient, enabling continuity in healthcare for the patient.
If policy has been implemented to improve a patient’s ability to do things independently, the entered extent of independence helps to determine the efficiency of the treatment.

Evidence Base

The definitions of the concepts were (partially) taken from the ICF definitions.

In addition to this information model, there are other tools to record independence, such as the KATZ-ADL and the BarthelIndex. The KATZ-ADL is mainly used for vulnerable seniors and the BarthelIndex is mainly used for patients who have had a stroke.

This information model evaluates the ability to use the toilet on a five-point scale. In the KATZ-ADL, this falls under the aspect of Toilet Hygiene and in the BarthelIndex, this falls under the aspect of Toilet Use. In these two tools, the ability is scored on a scale with fewer points.

Information Model

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:4.22.1	ToiletUse							Root concept of the ToiletUse information model. This root concept contains all data elements of the ToiletUse information model.	284899001 Ability to perform toileting activities
	NL-CM:4.22.2		RealizingMicturition					0..1	Coordinating and realizing urination, such as indicating the need, getting into the right position, finding and reaching a suitable spot, manipulating clothing before and after urination, and cleaning up (the body) afterwards.	d5300 Zorgdragen voor urineren	RealizingMicturitionCodelist
	NL-CM:4.22.3		RealizingDefecation					0..1	Coordinating and realizing defecation, such as indicating the need, getting into the right position, finding and reaching a suitable spot, manipulating clothing before and after defecation, and cleaning up (the body) afterwards.	d5301 Zorgdragen voor defecatie	RealizingDefecationCodelist
	NL-CM:4.22.4		MenstrualCare					0..1	Coordinating, planning and hygiene in the event of menstruation, such as anticipating the menstruation and using sanitary napkins and tampons.	d5302 Zorgdragen voor menstruatie	MenstrualCareCodelist
	NL-CM:4.22.5		NursingProcedure					0..*	The nursing procedures needed to help the patient use the toilet.		NursingIntervention

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

VermogenTotToiletgang
ZorgdragenMictie	Lichte beperking (5-24%)
ZorgdragenDefecatie	Lichte beperking (5-24%)
ZorgBijMenstruatie	Lichte beperking (5-24%)
VerpleegkundigeActie
Activiteit	Patiënt helpen met zich schoonmaken na toiletgang.

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]

Valuesets

MenstrualCareCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.22.3

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Geen beperking	d5302.0	ICF	2.16.840.1.113883.6.254	Beperking 0-4%
Lichte beperking	d5302.1	ICF	2.16.840.1.113883.6.254	Beperking 5-24%
Matige beperking	d5302.2	ICF	2.16.840.1.113883.6.254	Beperking 25-49%
Ernstige beperking	d5302.3	ICF	2.16.840.1.113883.6.254	Beperking 50-95%
Volledige beperking	d5302.4	ICF	2.16.840.1.113883.6.254	Beperking 96-100%

RealizingDefecationCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.22.2

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Geen beperking	d5301.0	ICF	2.16.840.1.113883.6.254	Beperking 0-4%
Lichte beperking	d5301.1	ICF	2.16.840.1.113883.6.254	Beperking 5-24%
Matige beperking	d5301.2	ICF	2.16.840.1.113883.6.254	Beperking 25-49%
Ernstige beperking	d5301.3	ICF	2.16.840.1.113883.6.254	Beperking 50-95%
Volledige beperking	d5301.4	ICF	2.16.840.1.113883.6.254	Beperking 96-100%

RealizingMicturitionCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.22.1

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Geen beperking	d5300.0	ICF	2.16.840.1.113883.6.254	Beperking 0-4%
Lichte beperking	d5300.1	ICF	2.16.840.1.113883.6.254	Beperking 5-24%
Matige beperking	d5300.2	ICF	2.16.840.1.113883.6.254	Beperking 25-49%
Ernstige beperking	d5300.3	ICF	2.16.840.1.113883.6.254	Beperking 50-95%
Volledige beperking	d5300.4	ICF	2.16.840.1.113883.6.254	Beperking 96-100%

This information model in other releases

• Release 2015, (Version 1.0)
• 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 Release summer 2016
Conditions for use are located on the mainpage
This page is generated on 24/01/2018 23:44:21

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