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<!-- Tot hier de transclude page --><br />
==General information<!--hdGeneralInformation-->==<br />
Name<!--hdName-->: '''nl.zorg.Stoma''' [[Bestand:NL.png|link=Stoma-v3.2(2018NL)]]<BR><br />
Version<!--hdVersion-->: '''3.2''' <br><br />
HCIM Status<!--hdStatus-->:Final<br><br />
Release<!--hdPublication-->: '''2018''' <br><br />
Release status<!--hdPublicationStatus-->: Prepublished<br><br />
Release date<!--hdPublicationDate-->: 01-10-2018<br />
-----<br />
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div><br />
<br />
==Metadata==<br />
{| class="wikitable" style="font-size:90%; width: 750px"<br />
|- <br />
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Address||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Name||*<br />
|- <br />
|style="width:250px; "|DCM::ContactInformation.Telecom||*<br />
|- <br />
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::CreationDate||16-10-2014<br />
|- <br />
|style="width:250px; "|DCM::DeprecatedDate||<br />
|- <br />
|style="width:250px; "|DCM::DescriptionLanguage||nl<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Address||<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM<br />
|- <br />
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||<br />
|- <br />
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.5.2<br />
|- <br />
|style="width:250px; "|DCM::KeywordList||Stoma, urostoma<br />
|- <br />
|style="width:250px; "|DCM::LifecycleStatus||Final<br />
|- <br />
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens<br />
|- <br />
|style="width:250px; "|DCM::Name||nl.zorg.Stoma<br />
|- <br />
|style="width:250px; "|DCM::PublicationDate||01-10-2018<br />
|- <br />
|style="width:250px; "|DCM::PublicationStatus||Prepublished<br />
|- <br />
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron<br />
|- <br />
|style="width:250px; "|DCM::RevisionDate||31-12-2017<br />
|- <br />
|style="width:250px; "|DCM::Superseeds||nl.zorg.Stoma-v3.1<br />
|- <br />
|style="width:250px; "|DCM::Version||3.2<br />
|- <br />
|style="width:250px; "|HCIM::PublicationLanguage||EN<br />
|}<br />
<br />
==Revision History==<br />
<div class="mw-collapsible mw-collapsed"><br />
''Only available in Dutch<!--noTranslation-->''<br />
<br />
<u>Publicatieversie 1.0</u> (01-07-2015)<br />
<br />
<u>Publicatieversie 3.0</u> (01-05-2016)<br />
{|<br />
|}<br />
<br />
<u>Publicatieversie 3.1</u> (04-09-2017)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-530 | ZIB-530 ]]<br />
|Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-537 | ZIB-537 ]]<br />
|Toevoegen code voor Malon stoma aan de StomaTypeCodelijst<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-585 | ZIB-585 ]]<br />
|Toevoegen concept Lateraliteit aan het concept Anatomische Locatie<br />
|}<br />
<br />
<u>Publicatieversie 3.2</u> (31-12-2017)<br />
{|<br />
|-<br />
|style="width:75px; "|[[ZIBIssues#ZIB-646 | ZIB-646 ]]<br />
|Aanpassing SNOMED codes<br />
|}<br />
</div><br />
<br />
==Concept==<br />
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.<br />
<br />
==Purpose==<br />
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.<br />
<br />
==Information Model==<br />
<BR><br />
<imagemap> Bestand:Stoma-v3.2Model(EN).png | center <br />
rect 96 416 292 466 [[#StomaAnatomicalLocationCodelist]]<br />
rect 536 170 662 240 [[#10782]]<br />
rect 536 294 662 364 [[#10784]]<br />
rect 536 414 662 464 [[#StomaTypeCodelist]]<br />
rect 349 45 475 115 [[MedicalDevice-v3.1.1(2018EN)]]<br />
rect 157 294 283 364 [[#10780]]<br />
rect 158 170 284 240 [[#10772]]<br />
rect 360 166 464 246 [[#10778]]<br />
rect 349 294 475 364 [[#12325]]<br />
rect 335 416 489 466 [[#StomaLateralityCodelist]]<br />
desc none<br />
</imagemap><br />
<BR><br />
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" <br />
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "<br />
|style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference--><br />
|-style="vertical-align:top; background-color: #E3E3E3; "<br />
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]<br />
||NL-CM:5.2.1<br />
|colspan ="6" style ="padding-left: 0px"|<span Id=10778 Title="NL: Stoma">[[Bestand: arrowdown.png | 10px | link=]]Stoma</span><br />
|<br />
|Root concept of the Stoma information model. This root concept contains all data elements of the Stoma information model.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:5.2.2<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10784 Title="NL: StomaType">[[Bestand: arrowright.png | 10px | link=]]StomaType</span><br />
|1<br />
|Stoma type indicates which body cavity the stoma is in and the kind of stoma used.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Stoma" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=245857005 245857005] Stoma</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#StomaTypeCodelist]]||[[#StomaTypeCodelist|StomaTypeCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]<br />
||NL-CM:5.2.3<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10786 Title="NL: StomaMateriaal::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]StomaMaterial::MedicalDevice</span><br />
|0..*<br />
|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. <br />
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.<br />
<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Stomahulpmiddel" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=407744008 407744008] Stoma appliance</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: block.png | link=MedicalDevice-v3.1.1(2018EN)]]||[[MedicalDevice-v3.1.1(2018EN) |MedicalDevice]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:5.2.4<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10780 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span><br />
|0..1<br />
|Anatomical location of the stoma on the patient.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=363698007 363698007] Finding site</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#StomaAnatomicalLocationCodelist]]||[[#StomaAnatomicalLocationCodelist|StomaAnatomicalLocationCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br />
||NL-CM:5.2.8<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=12325 Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px | link=]]Laterality</span><br />
|0..1<br />
|Laterality adds information about body side to the anatomic location, <i>e.g.</i> left<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: SNOMED CT; Lateraliteit" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=272741003 272741003] Laterality</span><br />
|}<br />
|<br />
{|<br />
|-<br />
|[[Bestand: List2.png | link=#StomaLateralityCodelist]]||[[#StomaLateralityCodelist|StomaLateralityCodelist]]<br />
|}<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]<br />
||NL-CM:5.2.5<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10772 Title="NL: AanlegDatum">[[Bestand: arrowright.png | 10px | link=]]CreationDate</span><br />
|0..1<br />
|The date on which the stoma was created in the patient. A vague date, such as only the year, is permitted.<br />
|<br />
|<br />
|-style="vertical-align:top; background-color: transparent; "<br />
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]<br />
||NL-CM:5.2.7<br />
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br />
|colspan ="5" style ="padding-left: 0px"|<span Id=10782 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span><br />
|0..1<br />
|A comment on the stoma.<br />
|<br />
{|<br />
|-<br />
|<span title = "Codesystem: LOINC" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span><br />
|}<br />
|<br />
|}<br />
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR><br />
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]<br />
<br />
==Example Instances==<br />
''Only available in Dutch<!--noTranslation-->''<br />
<br />
{|class="wikitable" width="610px" style= "font-size: 9.5pt;"<br />
|-style=vertical-align:top;<br />
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Stoma</b></font><br />
|-style=vertical-align:top;<br />
| style="width: 35%; "|StomaType<br />
| style="width: 65%; "|Eindstandige colostoma<br />
|-style=vertical-align:top;<br />
| style="width: 35%; "|AanlegDatum<br />
| style="width: 65%; "|2014<br />
|-style=vertical-align:top;<br />
| style="width: 35%; "|AnatomischeLocatie<br />
| style="width: 65%; "|Buik, onder<br />
|-style=vertical-align:top;<br />
| style="width: 35%; "|Lateraliteit<br />
| style="width: 65%; "|Rechts<br />
|-style=vertical-align:top;<br />
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>StomaMateriaal</b></font><br />
|-style=vertical-align:top;<br />
| style="width: 35%; "|ProductType<br />
| style="width: 65%; "|Stomazakje<br />
|-style=vertical-align:top;<br />
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<br />
|-style=vertical-align:top;<br />
| style="width: 35%; "|Toelichting<br />
| style="width: 65%; "|<noWiki>-</noWiki><br />
|}<br />
<br />
==References==<br />
1. V&amp;VN afdeling Stomaverpleegkundigen. <i>Evidence-based Richtlijn Stomazorg Nederland.</i> (2012) [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.mdl.nl/uploads/240/1143/Evidence-based_Richtlijn_Stomazorg_Nederland.pdf</u></font> [Geraadpleegd: 13 februari 2015]<br />
<br />
== Valuesets ==<br />
=== StomaAnatomicalLocationCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.2<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|-style="vertical-align:top; "<br />
|SNOMED CT: < [https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki><span title = "Anatomische of verworven lichaamsstructuur" >Anatomical or acquired body structure</span><noWiki>|</noWiki><br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|}<br />
=== StomaLateralityCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.3<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|<span title = "Links" >Left</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Links<br />
|-style="vertical-align:top; "<br />
|<span title = "Rechts" >Right</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Rechts<br />
|-style="vertical-align:top; "<br />
|<span title = "Bilateraal" >Right and left</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=51440002 51440002]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|Rechts en links<br />
|}<br />
=== StomaTypeCodelist===<br />
{| class="wikitable" width="60%" <br />
|-style='vertical-align:top; background-color: #E8D7BE;'<br />
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.5.2.1<br />
|Binding<!--vsBindingTag-->: Extensible<br />
|}<br />
{| class="wikitable" width="60% "<br />
|-style="background-color: #1F497D; color: white; font-weight: bold; "<br />
|Conceptname<!--vsConceptName--><br />
|Conceptcode<!--vsConceptCode--><br />
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--><br />
|Description<!--vsDescription--><br />
|-style="vertical-align:top; "<br />
|<span title = "Urostoma" >Urological stoma</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=281601009 281601009]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|urostoma<br />
|-style="vertical-align:top; "<br />
|Double-barrelled colostomy<br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=261072008 261072008]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|dubbelloops colostoma<br />
|-style="vertical-align:top; "<br />
|End colostomy - stoma<br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=261030007 261030007]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|eindstandige colostoma<br />
|-style="vertical-align:top; "<br />
|Loop ileostomy stoma<br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=311413000 311413000]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|dubbelloops ileostoma<br />
|-style="vertical-align:top; "<br />
|End ileostomy stoma<br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=311412005 311412005]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|eindstandige ileostoma<br />
|-style="vertical-align:top; "<br />
|<span title = "Tracheostoma" >Tracheostomy stoma</span><br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=280361007 280361007]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|tracheostoma<br />
|-style="vertical-align:top; "<br />
|Malone stoma<br />
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=29241000146106 29241000146106]<br />
|SNOMED CT<br />
|2.16.840.1.113883.6.96<br />
|stoma t.b.v. Malone procedure<br />
|-style="vertical-align:top; "<br />
|other<br />
|OTH<br />
|NullFlavor<br />
|2.16.840.1.113883.5.1008<br />
|anders<br />
|}<br />
<br />
==This information model in other releases<!--ftOtherReleases-->==<br />
<!-- Hieronder wordt een transclude page aangeroepen --><br />
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.2(EN)|2|2018}}<br />
<!-- Tot hier de transclude page --><br />
==Information model references<!--ftReferences-->==<br />
====This information model refers to<!--ftRefersTo-->====<br />
*[[MedicalDevice-v3.1.1(2018EN)|MedicalDevice-v3.1.1]]<br />
====This inforation model is used in<!--ftReferredBy-->====<br />
*[[BladderFunction-v3.1(2018EN)|BladderFunction-v3.1]]<br />
*[[BowelFunction-v3.1.1(2018EN)|BowelFunction-v3.1.1]]<br />
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==<br />
To exchange information based on health and care information models, additional, more technical specifications are required.<BR><br />
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--><br />
<ul><br />
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.5.2&effectiveDate=2018-10-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li><br />
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2018}}</li><br />
</ul><br />
==Downloads<!--ftDownloadTitle-->==<br />
This information model is also available as [[Media:nl.zorg.Stoma-v3.2(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Stoma-v3.2(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--><br />
==About this information<!--ftHeader2-->==<br />
The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018 #1 <BR><br />
SNOMED CT and LOINC codes are based on:<br />
<ul><br />
<li>SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)</li><br />
<li>LOINC version 2.64</li><br />
</ul><br />
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR><br />
This page is generated on 01/11/2018 22:23:54 with ZibExtraction v. 2.0.6879.31307<!--ftDate--> <BR><br />
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