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General information
Name: nl.zorg.Darmfunctie 
Version: 3.1.1
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018
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.zorg.Darmfunctie
|
| 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.Darmfunctie-v3.1
|
| DCM::Version |
3.1.1
|
| 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
|
Publicatieversie 3.1 (04-09-2017)
| ZIB-530
|
Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
|
| ZIB-531
|
Vervangen 5-punts ICF schaal door 3-punts SNOMED CT schaal voor beperkingen en stoornissen
|
| ZIB-544
|
Toevoegen defecatiekleur
|
Publicatieversie 3.1.1 (01-10-2018)
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
|
 Darmfunctie
|
|
Root concept of the BowelFunction information model. This root concept contains all data elements of the BowelFunction information model.
|
|
|
|
NL-CM:4.15.2
|
|
 FecesContinentie
|
0..1
|
Fecal continence is the voluntary control over the excretion of feces.
|
|
|
|
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 comment can also be entered.
|
|
|
|
NL-CM:4.15.4
|
|
Frequentie
|
0..1
|
The defecation frequency.
|
|
|
|
NL-CM:4.15.9
|
|
DefecatieConsistentie
|
0..1
|
The consistency of the feces indicates the hardness of the stool. The Bristol Stool scale is used to determine this.
|
|
|
|
|
NL-CM:4.15.10
|
|
DefecatieKleur
|
0..1
|
The color of feces is possibly relevant for identifying underlying diseases, such as bleeding or biliary tract disease.
|
|
|
|
|
NL-CM:4.15.6
|
|
Incontinentiemateriaal::MedischHulpmiddel
|
0..1
|
A description of the incontinence material used.
|
|
|
|
NL-CM:4.15.7
|
|
Toelichting
|
0..1
|
A comment on the BowelFunction.
|
| 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 
Example Instances
Only available in Dutch
| Darmfunctie (stoma)
|
| Algemeen
|
| FecesContinentie
|
-
|
| Frequentie
|
3 maal per dag
|
| Incontinentiemateriaal
|
-
|
| DefecatieConsistentie
|
Als een worst of slang, glad en zacht.
|
| Defecatiekleur
|
Normaal
|
| 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.
|
| Darmfunctie (continentie stoornis)
|
| Algemeen
|
| FecesContinentie
|
Af en toe een ongelukje
|
| Frequentie
|
4 maal per dag
|
| Incontinentiemateriaal
|
Elastisch broekje
|
| DefecatieConsistentie
|
Zachte stukjes met gehavende randen.
|
| Defecatiekleur
|
Grijswit
|
| 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
DefecatieConsistentieCodelijst
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.2
|
Binding: Required
|
| 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
|
DefecatieKleurCodelijst
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.5
|
Binding: Extensible
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Feces color normal
|
167605001
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Normaal
|
| Feces color: green
|
167609007
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Groen
|
| Feces color: yellow
|
167607009
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Geel
|
| Black feces
|
267055007
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Zwart
|
| Pale feces
|
267056008
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Grijswit
|
| Red stools
|
64412006
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Rood
|
FecesContinentieCodelijst
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.15.1
|
Binding: Required
|
| Conceptname
|
Conceptcode
|
Conceptvalue
|
Codesystem name |
Codesystem OID
|
Description
|
| Incontinence of feces
|
72042002
|
0
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Incontinent
|
| Bowels: occasional accident
|
165230005
|
1
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Af en toe een ongelukje
|
| Bowels: fully continent
|
24029004
|
2
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Continent
|
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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
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file 
or as spreadsheet 
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
This page is generated on 23/12/2018 01:06:58 with ZibExtraction v. 3.0.6929.24609
