Brontekst bekijken van Encounter-v1.2(2015EN)

==General information==
Name: '''nl.nfu.Encounter''' [[Bestand:NL.png|link=Contact-v1.2(2015NL)]]<BR>
Version: '''1.2''' <br>
HCIM Status:Final<br>
Release: '''2015''' <br>
Release status: Published<br>
Release date: 1-4-2015
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|- 
|style="width:250px; "|DCM::CoderList||Kerngroep Registratie aan de Bron
|- 
|style="width:250px; "|DCM::ContactInformation.Address||*
|- 
|style="width:250px; "|DCM::ContactInformation.Name||*
|- 
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|- 
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|- 
|style="width:250px; "|DCM::CreationDate||19-4-2012
|- 
|style="width:250px; "|DCM::DeprecatedDate||
|- 
|style="width:250px; "|DCM::DescriptionLanguage||nl
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Name||NFU
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|- 
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.15.1
|- 
|style="width:250px; "|DCM::KeywordList||Contacten, contact, patiëntcontact
|- 
|style="width:250px; "|DCM::LifecycleStatus||Final
|- 
|style="width:250px; "|DCM::ModelerList||Kerngroep Registratie aan de Bron
|- 
|style="width:250px; "|DCM::Name||nl.nfu.Contact
|- 
|style="width:250px; "|DCM::PublicationDate||1-4-2015
|- 
|style="width:250px; "|DCM::PublicationStatus||Published
|- 
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|- 
|style="width:250px; "|DCM::RevisionDate||1-4-2015
|- 
|style="width:250px; "|DCM::Superseeds||
|- 
|style="width:250px; "|DCM::Version||1.2
|- 
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''

<u>Publicatieversie 1.0</u> (15-02-2013)

<u>Publicatieversie 1.1</u> (01-07-2013)

<u>Publicatieversie 1.2</u> (01-04-2015)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-163 | ZIB-163 ]]
|Naamgeving concept Probleem::Probleem uit OverdrachtContact aanpassen.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-164 | ZIB-164 ]]
|Het concept Locatie::Zorgaanbieder uit bouwsteen OverdrachtContact niet verplicht maken, maar als cardinaliteit 0..1 opgeven.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-165 | ZIB-165 ]]
|Het concept Procedure in OverdrachtContact dient referentie naar bouwsteen te zijn.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-306 | ZIB-306 ]]
|Aanpassen modellering keuzebox, boundary en cardinaliteit
|-
|style="width:75px; "|[[ZIBIssues#ZIB-308 | ZIB-308 ]]
|Prefix Overdracht weggehaald bij de generieke bouwstenen
|}

Incl. algemene wijzigingsverzoeken: 
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-94 | ZIB-94 ]]
|Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
|-
|style="width:75px; "|[[ZIBIssues#ZIB-154 | ZIB-154 ]]
|Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-200 | ZIB-200 ]]
|Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-201 | ZIB-201 ]]
|Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-309 | ZIB-309 ]]
|EOI aangepast 
|-
|style="width:75px; "|[[ZIBIssues#ZIB-324 | ZIB-324 ]]
|Codelijsten Name en Description beginnen met een Hoofdletter
|-
|style="width:75px; "|[[ZIBIssues#ZIB-326 | ZIB-326 ]]
|Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015
|}
</div>

==Concept==
A contact is any interaction, regardless of the situation, between a patient and the healthcare provider, in which the healthcare provider has primary responsibility for diagnosing, evaluating and treating the patient’s condition and informing the patient. These can be visits, appointments or non face-to-face interactions.<BR>
<BR>
Contacts can be visits to the general practitioner or other practices, home visits, admissions (in hospitals, nursing homes or care homes, psychiatric institutions or convalescent homes) or other relevant contacts. This only includes <i>past</i> contacts. Future contacts can be documented in the PlannedCareActivity building block.<BR>

==Purpose==
Contacts can be recorded to provide insight on the interactions that have taken place between the patient and healthcare provider and in which context these took place.

==Information Model==
<BR>
<imagemap> Bestand:Encounter-v1.2Model(EN).png | center 
rect 430 187 540 257 [[#11406]]
rect 211 145 341 218 [[HealthcareProvider-v1.2(2015EN)]]
rect 708 335 838 385 [[#ContactTypeCodelist]]
rect 563 330 677 403 [[#11402]]
rect 427 330 541 403 [[ProcedureForTransfer-v1.2(2015EN)]]
rect 708 145 838 218 [[#11409]]
rect 293 330 407 403 [[ConcernForTransfer-v1.2(2015EN)]]
rect 210 57 340 130 [[HealthProfessional-v1.2.1(2015EN)]]
rect 705 57 835 130 [[#11405]]
rect 430 57 540 130 [[#11411]]
rect 708 240 838 313 [[#11408]]
desc none
</imagemap>
<BR>
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" 
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:15.1.1
|colspan ="6" style ="padding-left: 0px"|<span Id=11411 Title="NL: Contact">[[Bestand: arrowdown.png | 10px | link=]]Contact</span>
|
|Root concept of the Contact building block. This concept contains all data elements of the Contact building block.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:15.1.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11408 Title="NL: ContactType">[[Bestand: arrowright.png | 10px | link=]]ContactType</span>
|1
|The type of contact.
|
|
{|
|-
|[[Bestand: List2.png | link=#ContactTypeCodelist]]||[[#ContactTypeCodelist|ContactTypeCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:15.1.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11404 Title="NL: ContactMet::Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]ContactWith::HealthcareProvider</span>
|0..*
|The healthcare provider with whom the contact took place. The specialty and role of the healthcare provider can be entered in the HealthcareProvider building block as well.
|
|
{|
|-
|[[Bestand: block.png | link=HealthProfessional-v1.2.1(2015EN)]]||[[HealthProfessional-v1.2.1(2015EN) |HealthProfessional]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:15.1.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11407 Title="NL: Locatie::Zorgaanbieder">[[Bestand: arrowright.png | 10px | link=]]Location::HealthcareProvider</span>
|0..1
|The physical location at which the contact took place.
|
|
{|
|-
|[[Bestand: block.png | link=HealthcareProvider-v1.2(2015EN)]]||[[HealthcareProvider-v1.2(2015EN) |HealthcareProvider]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:15.1.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11405 Title="NL: BeginDatumTijd">[[Bestand: arrowright.png | 10px | link=]]StartDateTime</span>
|1
|The date and time at which the contact took place. 
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:15.1.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11409 Title="NL: EindDatumTijd">[[Bestand: arrowright.png | 10px | link=]]EndDateTime</span>
|0..1
|The date and time at which the contact ended. If the contact takes place over a period of time, this indicates the end of the period, in the case of an admission, for example.
|
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:15.1.13
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=11406 Title="NL: RedenContact">[[Bestand: arrowdown.png | 10px | link=]]ContactReason</span>
|1
|Container of the ContactReason concept. This container contains all data elements of the ContactReason concept.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:15.1.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|<span Id=11414 Title="NL: Probleem::ProbleemNaam">[[Bestand: arrowright.png | 10px | link=]]Problem::ProblemName</span>
|(0..1)
|The problem that led to the contact.
|
|
{|
|-
|[[Bestand: block.png | link=ConcernForTransfer-v1.2(2015EN)]]||[[ConcernForTransfer-v1.2(2015EN) |ConcernForTransfer]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:15.1.11
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|<span Id=11412 Title="NL: Verrichting">[[Bestand: arrowright.png | 10px | link=]]Procedure</span>
|(0..1)
|The procedure carried out during the contact.
|
|
{|
|-
|[[Bestand: block.png | link=ProcedureForTransfer-v1.2(2015EN)]]||[[ProcedureForTransfer-v1.2(2015EN) |ProcedureForTransfer]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:15.1.12
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|<span Id=11402 Title="NL: AfwijkendeUitslag">[[Bestand: arrowright.png | 10px | link=]]DeviatingResult</span>
|(0..1)
|A deviating result which serves as the reason for the contact.
|
|
|}
Columns Concept and DefinitionCode: hover over the values for more information<BR>
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="0px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
| style="background-color: #1F497D; width: -2147483648%; "|<font color=#FFFFFF><b>Contact</b><BR></font><font color=#FFFFFF><b>Type</b></font>
| style="background-color: #1F497D; width: -2147483648%; "|<font color=#FFFFFF><b>BeginDatum</b><BR></font><font color=#FFFFFF><b>Tijd</b></font>
| style="background-color: #1F497D; width: -2147483648%; "|<font color=#FFFFFF><b>Reden</b></font><font color=#FFFFFF><b>C</b></font><font color=#FFFFFF><b>ontact</b></font>
| style="background-color: #1F497D; width: -2147483648%; "|<font color=#FFFFFF><b>ContactMet</b></font>
|colspan="2" style="background-color: #1F497D; width: -2147483648%; "|<font color=#FFFFFF><b>Locatie</b></font>
|-style=vertical-align:top;
| style="background-color: #548DD4; width: -2147483648%; "|
| style="background-color: #548DD4; width: -2147483648%; "|
| style="background-color: #548DD4; width: -2147483648%; "|<font color=#FFFFFF><b>Probleem</b></font><font color=#FFFFFF><b>Naam</b></font>
| style="background-color: #548DD4; width: -2147483648%; "|<font color=#FFFFFF><b>Zorgverlener</b><BR></font><font color=#FFFFFF><b>Naam</b></font>
| style="background-color: #548DD4; width: -2147483648%; "|<font color=#FFFFFF><b>OrganisatieType</b></font>
| style="background-color: #548DD4; width: -2147483648%; "|<font color=#FFFFFF><b>Organisatie</b><BR></font><font color=#FFFFFF><b>Naam</b></font>
|-style=vertical-align:top;
| style="width: -2147483648%; "|Spoed
| style="width: -2147483648%; "|16-08-2012
| style="width: -2147483648%; "|Gebroken been
| style="width: -2147483648%; "|J.H.R. Peters
| style="width: -2147483648%; "|Ziekenhuis
| style="width: -2147483648%; "|Universitair Medisch Centrum Groningen
|}
{|class="wikitable" width="0px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
| style="background-color: #1F497D; width: -2147483648%; "|<font color=#FFFFFF><b>Contact</b><BR></font><font color=#FFFFFF><b>Type</b></font>
| style="background-color: #1F497D; width: -2147483648%; "|<font color=#FFFFFF><b>Begin</b><BR></font><font color=#FFFFFF><b>Datum</b><BR></font><font color=#FFFFFF><b>Tijd</b></font>
| style="background-color: #1F497D; width: -2147483648%; "|<font color=#FFFFFF><b>Eind</b><BR></font><font color=#FFFFFF><b>Datum</b><BR></font><font color=#FFFFFF><b>Tijd</b></font>
| style="background-color: #1F497D; width: -2147483648%; "|<font color=#FFFFFF><b>Reden</b></font><font color=#FFFFFF><b>C</b></font><font color=#FFFFFF><b>ontact</b></font>
| style="background-color: #1F497D; width: -2147483648%; "|<font color=#FFFFFF><b>ContactMet</b></font>
|colspan="2" style="background-color: #1F497D; width: -2147483648%; "|<font color=#FFFFFF><b>Locatie</b></font>
|-style=vertical-align:top;
| style="background-color: #548DD4; width: -2147483648%; "|
| style="background-color: #548DD4; width: -2147483648%; "|
| style="background-color: #548DD4; width: -2147483648%; "|
| style="background-color: #548DD4; width: -2147483648%; "|<font color=#FFFFFF><b>VerrichtingType</b></font>
| style="background-color: #548DD4; width: -2147483648%; "|<font color=#FFFFFF><b>Zorgverlener</b><BR></font><font color=#FFFFFF><b>Naam</b></font>
| style="background-color: #548DD4; width: -2147483648%; "|<font color=#FFFFFF><b>OrganisatieType</b></font>
| style="background-color: #548DD4; width: -2147483648%; "|<font color=#FFFFFF><b>Organisatie</b><BR></font><font color=#FFFFFF><b>Naam</b></font>
|-style=vertical-align:top;
| style="width: -2147483648%; "|Opname
| style="width: -2147483648%; "|16-08-2012
| style="width: -2147483648%; "|19-08-2012
| style="width: -2147483648%; "|Operatie been
| style="width: -2147483648%; "|G.Z.M. de Wit
| style="width: -2147483648%; "|Ziekenhuis
| style="width: -2147483648%; "|St. Lucas Andreas Ziekenhuis
|}

== Valuesets ==
=== ContactTypeCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Ambulatory
|AMB
|ActCode
|2.16.840.1.113883.5.4
|Poliklinisch  [Een uitgebreide term voor zorg aangeboden in een zorginstelling. De term “ambulatory” of te wel mobiel geven normaliter aan dat de patiënt zelf naar de locatie is gekomen en niet is opgenomen].
|-style="vertical-align:top; "
|Emergency
|EMER
|ActCode
|2.16.840.1.113883.5.4
|SEH  [Een patiënt contact dat plaats heeft op een specialistische locatie waar de patiënt een spoed onderzoek en -behandeling ondergaat, totdat de patiënt ontslagen kan worden of wordt opgenomen in de zorginstelling of naar een andere zorginstelling wordt overgedragen.]
|-style="vertical-align:top; "
|Field
|FLD
|ActCode
|2.16.840.1.113883.5.4
|Op lokatie  [Een patiënt contact dat heeft plaats gevonden buiten een zorginstelling en ook niet bij de patiënt thuis, bijvoorbeeld op de plaats van een ongeluk of in een supermarkt.]
|-style="vertical-align:top; "
|Home
|HH
|ActCode
|2.16.840.1.113883.5.4
|Thuis  [Een zorg contact dat plaats heeft gevonden bij de patiënt thuis of in het huis van een ander waar de patiënt zich op dat moment bevindt.]
|-style="vertical-align:top; "
|Inpatient
|IMP
|ActCode
|2.16.840.1.113883.5.4
|Klinisch  [Een patiënt contact waarbij de patiënt is opgenomen in een zorginstelling en de patiënt ten minste een nacht overblijft en wordt voorzien van een kamer, maaltijden en continue verpleegkundige zorg.]
|-style="vertical-align:top; "
|Short Stay
|SS
|ActCode
|2.16.840.1.113883.5.4
|Dagopname  [Een contact waarbij de patiënt is opgenomen in een zorginstelling voor een vooraf vastgestelde periode, normaliter minder dan 24 uur.]
|-style="vertical-align:top; "
|Virtual
|VR
|ActCode
|2.16.840.1.113883.5.4
|Virtueel  [Een patiënt contact waarbij de patiënt en de zorgverlener zich niet op dezelfde fysieke locatie bevinden. Voorbeelden hiervan zijn telefonisch contact, email verkeer, robotchirurgie en televideo conferentie, maar ook een Multi Disciplinair Overleg (MDO) kan hieronder vallen.]
|}


==This information model in other releases==
<ul>
<li>[[Encounter-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
<li>[[Encounter-v3.1(2017EN) | Release 2017, (Version 3.1)]]</li>
</ul>
==More on this information model==
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.15.1&effectiveDate=2015-04-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
</ul>
This information model is also available as [[Media:nl.nfu.Encounter-v1.2(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.Encounter-v1.2(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
This page is generated on 24/01/2018 17:12:00 <BR>
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>