Stoma-v3.2(2018EN): verschil tussen versies

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Versie van 2 nov 2018 om 23:40


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General information

Name: nl.zorg.Stoma NL.png
Version: 3.2
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018

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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 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 01-10-2018
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.Stoma-v3.1
DCM::Version 3.2
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

Publicatieversie 3.2 (31-12-2017)

ZIB-646 Aanpassing SNOMED codes

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-v3.1.1(2018EN)#10780#10772#10778#12325#StomaLateralityCodelistStoma-v3.2Model(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.
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.
245857005 Stoma
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.

407744008 Stoma appliance
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 [Interpretation] Narrative

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 Binding: Extensible
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 Binding: Extensible
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 Binding: Extensible
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

Information model references

This information model refers to

This inforation model is used in

Technical specifications in HL7v3 CDA and HL7 FHIR

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

Downloads

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 2018 #1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
  • LOINC version 2.64

Conditions for use are located on the mainpage List2.png
This page is generated on 01/11/2018 22:23:54 with ZibExtraction v. 2.0.6879.31307

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