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General information

Name: nl.nfu.BowelFunction NL.png
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015

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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::DescriptionLanguage nl
DCM::EndorsingAuthority.Name NFU & V&VN
DCM::Id 2.16.840.1.113883.
DCM::KeywordList Defecatie, continentie
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.nfu.Darmfunctie
DCM::PublicationDate 8-9-2015
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 8-9-2015
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015).


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.


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
Block.png NL-CM:4.15.1 Arrowdown.pngBowelFunction Root concept of the BowelFunction building block. This root concept contains all data elements of the BowelFunction building block.
11198001 Defecation
CO.png NL-CM:4.15.2 Arrowright.pngContinence 0..1 Continence is the voluntary control over the excretion of feces.
b5253 Fecale continentie
List2.png ContinenceCodelist
Verwijzing.png NL-CM:4.15.3 Arrowright.pngStoma 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 explanation can also be entered.
Block.png Stoma
PQ.png NL-CM:4.15.4 Arrowright.pngFrequency 0..1 The defecation frequency.
162098000 Frequency of defecation
CD.png NL-CM:4.15.9 Arrowright.pngDefecationConsistency 0..1 The consistency of the feces indicates the hardness of the stool. The Bristol Stool scale is used to determine this.
443172007 Bristol stool form score
List2.png DefecationConsistencyCodelist
TS.png NL-CM:4.15.5 Arrowright.pngLastDefecationDate 0..1 Date of the last defecation.
Verwijzing.png NL-CM:4.15.6 Arrowright.pngIncontinenceMaterial::MedicalAid 0..1 A description of the incontinence material used.
337588003 Incontinence appliance
Block.png MedicalDevice
Verwijzing.png NL-CM:4.15.8 Arrowright.pngNursingProcedure 0..* Description of the help needed to defecate.
Block.png NursingIntervention
ST.png NL-CM:4.15.7 Arrowright.pngExplanation 0..1 An explanation of the BowelFunction.
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

Darmfunctie (stoma)
Continentie -
Frequentie 3 maal per dag
DatumLaatsteDefecatie Vanmorgen
Incontinentiemateriaal -
DefecatieConsistentie Als een worst of slang, glad en zacht.
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.
Activiteit Ondersteuning bij stomaverzorging door partner.
Darmfunctie (continentie stoornis)
Continentie Matige stoornis
Frequentie 4 maal per dag
DatumLaatsteDefecatie Vanmorgen
Incontinentiemateriaal Elastisch broekje
DefecatieConsistentie Zachte stukjes met gehavende randen.
Activiteit Patiënt stimuleren regelmatig naar het toilet te gaan.
Toelichting Patiënt was vanmorgen incontinent.


1. International Classification of Functioning Disability and Health (ICF) [Online] Beschikbaar op:http:/ [Geraadpleegd: 13 februari 2015]

2. Richtlijn stomazorg V&VN. [Online] Beschikbaar op: [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.



Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen stoornis b5253.0 ICF 2.16.840.1.113883.6.254 Stoornis 0-4%
Lichte stoornis b5253.1 ICF 2.16.840.1.113883.6.254 Stoornis 5-24%
Matige stoornis b5253.2 ICF 2.16.840.1.113883.6.254 Stoornis 25-49%
Ernstige stoornis b5253.3 ICF 2.16.840.1.113883.6.254 Stoornis 50-95%
Volledige stoornis b5253.4 ICF 2.16.840.1.113883.6.254 Stoornis 96-100%


Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Separate hard lumps, like nuts. Type 1 BristolStoolTypes 2.16.840.1.113883. Losse harde keutels, zoals noten
Sausage-shaped but lumpy. Type 2 BristolStoolTypes 2.16.840.1.113883. Als een worst, maar klonterig
Like sausage but with cracks on its surface. Type 3 BristolStoolTypes 2.16.840.1.113883. Als een worst, maar met barstjes aan de buitenkant
Like sausage or snake, smooth and soft. Type 4 BristolStoolTypes 2.16.840.1.113883. Als een worst of slang, glad en zacht
Soft blobs with clear-cut edges Type 5 BristolStoolTypes 2.16.840.1.113883. Zachte keutels met duidelijke randen
Fluffy pieces with ragged edges Type 6 BristolStoolTypes 2.16.840.1.113883. Zachte stukjes met gehavende randen
Entirely liquid Type 7 BristolStoolTypes 2.16.840.1.113883. Helemaal vloeibaar

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About this information

The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage List2.png
This page is generated on 24/12/2018 12:35:12 with ZibExtraction v. 3.0.6932.1989

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