Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.7(EN)|1|Exclusion-v1.1(2026-1EN)}} ==General information== Name: '''nl.zorg.Exclusion''' link=Uitsluiting-v1.1(2026-1NL)
Version: '''1.1'''
HCIM Status:Final
Release: '''2026-1'''
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.7(EN)|1|Exclusion-v1.1(2026-1EN)}}

==General information==
Name: '''nl.zorg.Exclusion''' [[Bestand:NL.png|link=Uitsluiting-v1.1(2026-1NL)]] 
Version: '''1.1''' 
HCIM Status:Final 
Release: '''2026-1''' 
Release status: Prepublished 
Release date: 17-04-2026

{{ErrataEN|2026-1|{{PAGENAME}}}}

-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Zib-centrum
|-
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|style="width:250px; "|DCM::CreationDate||31-01-2024
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
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|style="width:250px; "|DCM::EndorsingAuthority.Name||*
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.5.7
|-
|style="width:250px; "|DCM::KeywordList||
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||*
|-
|style="width:250px; "|DCM::Name||nl.zorg.Uitsluiting
|-
|style="width:250px; "|DCM::PublicationDate||17-04-2026
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Zib-centrum
|-
|style="width:250px; "|DCM::RevisionDate||17-04-2025
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.Uitsluiting-v1.0
|-
|style="width:250px; "|DCM::Version||1.1
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

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

Publicatieversie 1.0 (15-04-2024)
Bevat:

Publicatieversie 1.1 (24-04-2024)
{|
|-
|style="width:75px; "|[[ZIBIssues500_5#ZIB-2747 | ZIB-2747 ]]
|Verwijzing naar DiagnostischInzicht en OvergevoeligheidIntolerantie corrigeren
|}
</div>

==Concept==
An explicit statement about exclusion of a specific condition or state.

==Purpose==
Explicitly assessing the absence of a condition or state.

==Evidence Base==
The absence of a clinical concept is not a property of that concept, but a statement about the concept. That is why HCIM's such as DIagnosticInsight do not contain presence status. To explicitly indicate that a health aspect is not present, the HCIM Exclusion is used, which refers to a HCIM that models the excluded aspect. Of these HCIM's, only those elements that name the aspect are used, such as the name. By referring to the relevant HCIM's, semantic unification is achieved with regard to naming. 
This HCIM shall not be used in the next situations: 
<ul>
<li>In the context of the tract anamneses or a questionnaire, often a large number of health aspects are reviewed, whereby it is determined whether or not the patient is familiar with them, resulting in a 'yes/no' choice. This HCIM is not intended for these situations. This can be supported with a HCIM based on the HCIM template Patient Questionnaire. </li>
<li>Findings such as 'No known allergies' et cetera cannot be captured with the Exclusion HCIM, as this would require that the concept of 'Known allergies' be modeled with (in this case) the Hypersensitivity HCIM. Such a statement, which refers to a list or section, must be implemented in an information standard at the according level. </li>
<li>If a condition or symptom is no longer present (but was present before) this is indicated by the course element.</li>
</ul>

==Information Model==
 
<imagemap> Bestand:Exclusion-v1.1Model(2026-1EN).png | center
rect 465 400 592 470 [[HypersensitivityIntolerance-v2.0(2026-1EN)]]
rect 349 402 439 472 [[Symptom-v2.0(2026-1EN)]]
rect 237 402 327 472 [[Diagnosis-v2.0(2026-1EN)]]
rect 352 274 442 344 [[#5223]]
rect 170 141 274 211 [[#5226]]
rect 527 140 617 210 [[#5228]]
rect 337 140 457 210 [[#5222]]
desc none
</imagemap>
 
{| 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:5.7.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]Exclusion
|
|This is a reference to the rootconcept of information model Exclusion.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=413350009 413350009] Finding with explicit context
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:5.7.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]DateOfStatement
|0..1
|Date on which it was assessed that the concept was not present.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:5.7.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]ExclusionStatement
|0..1
|Statement of exclusion. Default the text is 'No known..' or 'No known history of ..'
|
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:5.7.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]ExcludedAspect
|1
|Container of the ExcludedAspect concept.This container contains all data elements of the ExcludedAspect concept.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:5.7.5
|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"|[[Bestand: arrowright.png | 10px | link=]]Diagnosis
|(0..1)
|Diagnosis that is excluded.
|
|
{|
|-
|[[Bestand: block.png | link=Diagnosis-v2.0(2026-1EN)]]||[[Diagnosis-v2.0(2026-1EN) |Diagnosis]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:5.7.6
|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"|[[Bestand: arrowright.png | 10px | link=]]Symptom
|(0..1)
|Symptom that is excluded.
|
|
{|
|-
|[[Bestand: block.png | link=Symptom-v2.0(2026-1EN)]]||[[Symptom-v2.0(2026-1EN) |Symptom]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:5.7.7
|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"|[[Bestand: arrowright.png | 10px | link=]]HypersensitivityIntolerance
|(0..1)
|Hypersensitivity or intolerance that is excluded.
|
|
{|
|-
|[[Bestand: block.png | link=HypersensitivityIntolerance-v2.0(2026-1EN)]]||[[HypersensitivityIntolerance-v2.0(2026-1EN) |HypersensitivityIntolerance]]
|}
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

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

{|class="wikitable" width="794px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="4" style="background-color: #004080; width: 100%; "|Uitsluiting
|-style=vertical-align:top;
| style="background-color: #548DD4; width: 21%; "|Uitsluitingsverklaring
| style="background-color: #548DD4; width: 19%; "|DatumVaststelling
|colspan="2" style="background-color: #548DD4; width: 60%; "|UitgeslotenAspect::DiagnostischInzicht
|-style=vertical-align:top;
| style="background-color: #DFDFDF; width: 21%; "|
| style="background-color: #DFDFDF; width: 19%; "|
| style="background-color: #DFDFDF; width: 24%; "|DiagnoseNaam
| style="background-color: #DFDFDF; width: 36%; "|NadereSpecificatieDiagnoseNaam
|-style=vertical-align:top;
| style="width: 21%; "|Geen bekendheid met
| style="width: 19%; "|04-12-2019
| style="width: 24%; "|Diabetes mellitus type 2
| style="width: 36%; "|<noWiki>-</noWiki>-
|}

==Instructions==
When referring to the underlying HCIMs, only a limited number of fields of these HCIM's are filled. These are respectively 
 
<ul>
<li>DiagnosticInsight (constraint: not a differential diagnosis): <ul>
<li>DiagnosisName </li>
<li>if relevant, FurtherSpecificationDiagnosisNam</li>
</ul>
</li>
<li>Symptom <ul>
<li>SymptomName </li>
<li>if relevant, FurtherSpecificationSymptomName</li>
</ul>
</li>
<li>HypersensitivityIntolerance <ul>
<li>DiagnosisName </li>
<li>if relevant, FurtherSpecificationDiagnosisName </li>
<li>Substance or Radiation</li>
</ul>
</li>
</ul>
In none of the above three cases is a reference made to the HCIM Condition, as the current HCIM models the absence of the condition.

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.7(EN)|2|2026-1}}

==Information model references==
====This information model refers to====
*[[Diagnosis-v2.0(2026-1EN)|Diagnosis-v2.0]]
*[[HypersensitivityIntolerance-v2.0(2026-1EN)|HypersensitivityIntolerance-v2.0]]
*[[Symptom-v2.0(2026-1EN)|Symptom-v2.0]]
====This information model is used in====
:--
==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:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment {{ArtDecorLinks|2026-1|5.7}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2026-1|Uitsluiting}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.Exclusion-v1.1(2026-1EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Exclusion-v1.1(2026-1EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on prerelease 2026-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20260331 [R] (maart 2026-editie)</li>
<li>LOINC version 2.81</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 18/04/2026 18:15:13 with ZibExtraction v. 10.0.9604.31200 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2026-1(EN)]] [[HCIM_Release_2026-1(EN) |Back to HCIM list ]]</div>

Exclusion-v1.1(2026-1EN) - Bewerkingsoverzicht

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.7(EN)|1|Exclusion-v1.1(2026-1EN)}} ==General information== Name: '''nl.zorg.Exclusion''' link=Uitsluiting-v1.1(2026-1NL) Version: '''1.1''' HCIM Status:Final Release: '''2026-1''' Releas…'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.7(EN)|1|Exclusion-v1.1(2026-1EN)}} ==General information== Name: '''nl.zorg.Exclusion''' link=Uitsluiting-v1.1(2026-1NL)
Version: '''1.1'''
HCIM Status:Final
Release: '''2026-1'''
Releas…'