FreedomRestrictingMeasures-v1.0(2015EN) - Bewerkingsoverzicht

Update bot op 24 dec 2018 om 11:14

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	==Information Model==		==Information Model==
	<BR>		<BR>
	<imagemap> Bestand:FreedomRestrictingMeasures-v1.0Model(EN).png \| center		<imagemap> Bestand:FreedomRestrictingMeasures-v1.0Model(2015EN).png \| center
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	The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>		The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
	Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>		Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
	This page is generated on 20/12/2018 16:36:57 with ZibExtraction v. 3.0.~~6928~~.~~28729~~<!--ftDate--> <BR>		This page is generated on 24/12/2018 12:37:34 with ZibExtraction v. 3.0.6932.1989<!--ftDate--> <BR>
	-----		-----
	<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>		<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Update bot op 20 dec 2018 om 15:22

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	The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>		The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
	Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>		Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
	This page is generated on 20/12/2018 12:43:43 with ZibExtraction v. 3.0.6928.~~22723~~<!--ftDate--> <BR>		This page is generated on 20/12/2018 16:36:57 with ZibExtraction v. 3.0.6928.28729<!--ftDate--> <BR>
	-----		-----
	<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>		<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) \|Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Update bot op 20 dec 2018 om 12:13

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2018-02-20T09:05:04Z

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	<ul>		<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=2.16.840.1.113883.2.4.3.11.60.5.4.2.14.3&effectiveDate=2015-09-08T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg\|16px\|link=]]]</li>		<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.14.3&effectiveDate=2015-09-08T00:00:00&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>		<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=Profile [[File:fhir.png\|link=]]]</li>
	</ul>		</ul>
	This information model is also available as [[Media:nl.nfu.FreedomRestrictingMeasures-v1.0(2015EN).pdf\|pdf file]] [[File:PDF.png\|link=]] or as [[Media:nl.nfu.FreedomRestrictingMeasures-v1.0(2015EN).xlsx\|spreadsheet]] [[File:xlsx.png\|link=]]		This information model is also available as [[Media:nl.nfu.FreedomRestrictingMeasures-v1.0(2015EN).pdf\|pdf file]] [[File:PDF.png\|link=]] or as [[Media:nl.nfu.FreedomRestrictingMeasures-v1.0(2015EN).xlsx\|spreadsheet]] [[File:xlsx.png\|link=]]

Update bot op 24 jan 2018 om 23:20

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==General information==
Name: '''nl.nfu.FreedomRestrictingMeasures''' [[Bestand:NL.png|link=VrijheidsbeperkendeMaatregelen-v1.0(2015NL)]] 
Version: '''1.0''' 
HCIM Status:Final 
Publication: '''2015''' 
Release status: Published 
Publication date: 8-9-2015
-----
<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||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::CreationDate||5-5-2014
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||NFU & V&VN
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.14.3
|-
|style="width:250px; "|DCM::KeywordList||Vrijheidsbeperkendemaatregelen, wilsbekwaamheid, interventies
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|-
|style="width:250px; "|DCM::Name||nl.nfu.VrijheidsbeperkendeMaatregelen
|-
|style="width:250px; "|DCM::PublicationDate||8-9-2015
|-
|style="width:250px; "|DCM::PublicationStatus||Published
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||8-9-2015
|-
|style="width:250px; "|DCM::Superseeds||
|-
|style="width:250px; "|DCM::Version||1.0
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

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

Publicatieversie 1.0 (01-07-2015).
</div>

==Concept==
Medical restraints are (physical or verbal) measures used to restrict the freedom of the patient in question. 
In hospitals, these often include the use of side rails, a cushion belt (around the waist), limb restraints or a Posey bed. Medical restraints are often used in combination with sedatives. 
Medical restraints may only be implemented under strict conditions. The Vereniging Verpleegkundigen & Verzorgenden Nederland (V&VN) [Dutch Nurses and Carers Association] published a set of guidelines for nurses to implement these restraints in hospitals. 
The patient’s high-risk behavior providing cause for the restraints is not described in this concept. 

==Purpose==
Implementing medical restraints is risky and can result in damage to the patient if they are not carefully implemented. Nurses fulfil an important role in identifying risks, observing the effect of the restraints and any changes to the policy in terms of medical restraints. Recording all information on the measures is of major importance for insight into decision-making, implementing, monitoring and evaluating the measures. In the event of a transfer to the next facility, the proper preparations can be taken to safely continue the care and to limit the risks to the patient and their environment.

==Patient Population==
This building block does not focus on patients that reside in mental healthcare facilities, as mental healthcare uses a national registration system (Argus registration) when implementing medical restraints.

==Information Model==
 
[[Bestand: FreedomRestrictingMeasures-v1.0Model(EN).png | center]]
 
{| 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]]
||NL-CM:14.3.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px]]MedicalRestraints
|
|Root concept of the MedicalRestraints building block. This root concept contains all data elements of the MedicalRestraints building block.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
||NL-CM:14.3.2
|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]]LegalStatus
|0..1
|The legal situation that applies to the patient. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status.
|
{|
|-
| 303186005 Legal status of patient
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#LegalStatusCodelist|LegalStatusCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: BL.png| 16px]]
||NL-CM:14.3.3
|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]]LegallyCapable
|1
|Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
||NL-CM:14.3.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]LegallyCapableExplanation
|0..1
|Explanation of the decisions which the patient is legally capable of making.
|
{|
|-
| 48767-8 Annotation comment
|}
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px]]
||NL-CM:14.3.5
|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]]Restraint
|0..*
|Container of the Restraint concept. This container contains all data elements of the Restraint concept.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
||NL-CM:14.3.6
|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]]TypeOfRestraint
|1
|The type of restraint describes the medical restraints. In a hospital setting, these restraints are mainly based on the Dutch Nurses and Carers Association’s Handbook "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…” [Medical Restraints in the Hospital? Not unless...].
|
{|
|-
| 225317005 Restriction of movement
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
||NL-CM:14.3.7
|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]]Permission
|1
|The permission given to the healthcare provider(s) by the patient or legal representative to implement the medical restraint.
|
{|
|-
| 309370004 Consent status
|}
|
{|
|-
|[[Bestand: List2.png]]||[[#PermissionCodelist|PermissionCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:14.3.8
|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]]StartEpisode
|0..1
|The date and time at which the restraints started.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:14.3.9
|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]]EndOfEpisode
|0..1
|The date and time at which the restraints ended.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
||NL-CM:14.3.10
|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]]NursingProcedure
|0..*
|Description of the nursing procedures involved in medical restraints.
|
|
{|
|-
|[[Bestand: block.png]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]]
|}
|}
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="553px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|VrijheidsbeperkendeMaatregelen
|-style=vertical-align:top;
| style="width: 38%; "|JuridischeStatus
| style="width: 62%; "|
|-style=vertical-align:top;
| style="width: 38%; "|Wilsbekwaam
| style="width: 62%; "|Nee
|-style=vertical-align:top;
| style="width: 38%; "|WilsbekwaamToelichting
| style="width: 62%; "|Wilsonbekwaam t.a.v. geldzaken.
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Interventie
|-style=vertical-align:top;
| style="width: 38%; "|SoortInterventie
| style="width: 62%; "|Links armspalk i.v.m. infuus.
|-style=vertical-align:top;
| style="width: 38%; "|Toestemming
| style="width: 62%; "|Instemming wettelijke vertegenwoordiger
|-style=vertical-align:top;
| style="width: 38%; "|AanvangEpisode
| style="width: 62%; "|01-05-2014
|-style=vertical-align:top;
| style="width: 38%; "|EindeEpisode
| style="width: 62%; "|05-05-2014
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|VerpleegkundigeActie
|-style=vertical-align:top;
| style="width: 38%; "|Activiteit
| style="width: 62%; "|Zorgen voor rustige omgeving zonder veel prikkels, vaste aanspreekpersoon per dienst.
|}

==References==
1. Handreiking "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…" (V&VN, 2013) [Online] Beschikbaar op:http://www.venvn.nl/Portals/1/Nieuws/2014%20Documenten/WEB_VenVN_Handl_VBI.pdf [Geraadpleegd: 13 februari 2015]

== Valuesets ==
=== LegalStatusCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
|1
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
|-style="vertical-align:top; "
|RM op eigen verzoek
|2
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|RM op eigen verzoek
|-style="vertical-align:top; "
|RM met voorwaardelijk ontslag
|3
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|RM met voorwaardelijk ontslag
|-style="vertical-align:top; "
|Onder toezichtstelling (ots)
|4
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Onder toezichtstelling (ots)
|-style="vertical-align:top; "
|In bewaringstelling (ibs)
|5
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|In bewaringstelling (ibs)
|-style="vertical-align:top; "
|Voogdij
|6
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Voogdij
|-style="vertical-align:top; "
|Bewindvoering
|7
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Bewindvoering
|-style="vertical-align:top; "
|Mentorschap
|8
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Mentorschap
|-style="vertical-align:top; "
|Onder curatele stelling
|9
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Onder curatele stelling
|-style="vertical-align:top; "
|Zaakwaarneming
|10
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Zaakwaarneming
|-style="vertical-align:top; "
|Strafrechterlijke justitiële contacten: tbs
|11
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Strafrechterlijke justitiële contacten: tbs
|-style="vertical-align:top; "
|Strafrechterlijke justitiële contacten: overig
|12
|Juridische Status
|2.16.840.1.113883.2.4.3.11.22.232
|Strafrechterlijke justitiële contacten: overig
|}

=== PermissionCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Geen instemming patiënt
|1
|InstemmingStatus
|2.16.840.1.113883.2.4.3.11.60.40.4.6.1
|Geen instemming patiënt
|-style="vertical-align:top; "
|Instemming patiënt
|2
|InstemmingStatus
|2.16.840.1.113883.2.4.3.11.60.40.4.6.1
|Instemming patiënt
|-style="vertical-align:top; "
|Geen instemming wettelijk vertegenwoordiger
|3
|InstemmingStatus
|2.16.840.1.113883.2.4.3.11.60.40.4.6.1
|Geen instemming wettelijk vertegenwoordiger
|-style="vertical-align:top; "
|Instemming wettelijke vertegenwoordiger
|4
|InstemmingStatus
|2.16.840.1.113883.2.4.3.11.60.40.4.6.1
|Instemming wettelijke vertegenwoordiger
|}

==More on this information model==
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.14.3] 
This information model is also available as [[Media:nl.nfu.FreedomRestrictingMeasures-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.FreedomRestrictingMeasures-v1.0(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 
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 28/09/2017 00:04:43 
-----
<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>