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General information

Name: nl.zorg.BowelFunction NL.png
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017

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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.zorg.Darmfunctie
DCM::PublicationDate 31-12-2017
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.Darmfunctie-v3.0
DCM::Version 3.1
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-531 Vervangen 5-punts ICF schaal door 3-punts SNOMED CT schaal voor beperkingen en stoornissen
ZIB-544 Toevoegen defecatiekleur


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 information model. This root concept contains all data elements of the BowelFunction information model.
11198001 Defecation
CO.png NL-CM:4.15.2 Arrowright.pngFecalContinence 0..1 Fecal continence is the voluntary control over the excretion of feces.
129008009 Bowel control
List2.png FecalContinenceCodelist
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 comment 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
CD.png NL-CM:4.15.10 Arrowright.pngDefecationColor 0..1 The color of feces is possibly relevant for identifying underlying diseases, such as bleeding or biliary tract disease.
9397-1 Color of stool
List2.png DefecationColorCodelist
Verwijzing.png NL-CM:4.15.6 Arrowright.pngIncontinenceMaterial::MedicalDevice 0..1 A description of the incontinence material used.
337588003 Incontinence appliance
Block.png MedicalDevice
ST.png NL-CM:4.15.7 Arrowright.pngComment 0..1 A comment on 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)
FecesContinentie -
Frequentie 3 maal per dag
Incontinentiemateriaal -
DefecatieConsistentie Als een worst of slang, glad en zacht.
Defecatiekleur Normaal
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)
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.


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
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


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


Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Bowels: incontinent 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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png


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 Release 2017
Conditions for use are located on the mainpage List2.png
This page is generated on 21/12/2018 14:46:58 with ZibExtraction v. 3.0.6929.24609

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