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Version: '''1.0'''
HCIM Status:Final
Release:…'

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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.8(EN)|1|NursingDiagnosis-v1.0(2026-1EN)}}

==General information==
Name: '''nl.zorg.NursingDiagnosis''' [[Bestand:NL.png|link=VerpleegkundigeDiagnose-v1.0(2026-1NL)]] 
Version: '''1.0''' 
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||*
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
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|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
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|style="width:250px; "|DCM::ContentAuthorList||*
|-
|style="width:250px; "|DCM::CreationDate||28-8-2024
|-
|style="width:250px; "|DCM::DeprecatedDate||
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|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
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|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
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|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.5.8
|-
|style="width:250px; "|DCM::KeywordList||
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||*
|-
|style="width:250px; "|DCM::Name||nl.zorg.VerpleegkundigeDiagnose
|-
|style="width:250px; "|DCM::PublicationDate||17-04-2026
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||*
|-
|style="width:250px; "|DCM::RevisionDate||
|-
|style="width:250px; "|DCM::Supersedes||
|-
|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 (24-04-2024)
{|
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2179 | ZIB-2179 ]]
|Geen informatie
|-
|style="width:75px; "|[[ZIBIssues500_5#ZIB-2654 | ZIB-2654 ]]
|Symptoom - Element IsVerpleegkundigeDiagnose verwijderen
|}
</div>

==Concept==
A nursing diagnosis gives a label (a term) to a specific physical, mental, social or functional health condition of a client. A nursing diagnosis gives rise to formulate a care plan or, in other words, nursing action is required. The nursing diagnosis is therefore described from the nursing perspective. This means that nurses and caregivers have an influence on improving or reducing the client problem. Synonyms for nursing diagnosis are client problem and nursing problem.

==Purpose==
The nursing diagnosis forms the basis for nursing actions and interventions and is the reason for formulating a care plan.

==Evidence Base==
Nursing diagnoses identify a broad spectrum of patient problems. Some of these have the character of a diagnosis - interpretation of diagnostic data -, and some describe observations that can be seen as symptoms of a condition. In addition, some nursing diagnoses describe social problem situations that negatively affect the patient's condition. Because nursing diagnoses describe concepts that are partly already modeled in other HCIM's, references to the relevant HCIM's, namely Diagnosis and Symptom, were chosen for the modelling of the nursing diagnosis. In addition, a separate section was created for the social problems. 
The advantage of this modelling is that the health professional who determined a nursing diagnosis that has the character of a diagnosis, gains access to all aspects that are specific to a diagnosis, by referring to the HCIM Diagnosis. For nursing diagnoses that indicate a symptom, the same advantage applies, but then by referring to the HCIM Symptom.

==Information Model==
 
<imagemap> Bestand:NursingDiagnosis-v1.0Model(2026-1EN).png | center
rect 397 108 487 178 [[#6936]]
rect 909 413 1040 463 [[#problemSituationCodelist]]
rect 744 413 875 463 [[#SymptomNameCodelist]]
rect 291 413 415 463 [[#DiagnosisNameCodelist]]
rect 854 108 944 178 [[HealthProfessional-v4.0.1(2026-1EN)]]
rect 930 276 1020 346 [[#6938]]
rect 764 276 854 346 [[#6945]]
rect 308 276 398 346 [[#6940]]
rect 623 276 734 346 [[Symptom-v2.0(2026-1EN)]]
rect 426 276 537 346 [[Diagnosis-v2.0(2026-1EN)]]
rect 620 108 736 178 [[#6934]]
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:5.8.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]NursingDiagnosis
|
|Root concept of the NursingDiagnosis information model.This root concept contains all data elements of the NursingDiagnosis information model.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:5.8.4
|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 | link=]]Diagnosis
|(0..1)
|The diagnosis that is labeled as nursing diagnosis.
|
|
{|
|-
|[[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: CD.png| 16px | link=]]
||NL-CM:5.8.5
|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: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]DiagnosisName
|(0..1)
|Name and associated code of the diagnosis. For the nursing diagnoses, a choice can be made from the list of nursing problems of the diagnosis type.
|
|
{|
|-
|[[Bestand: List2.png | link=#DiagnosisNameCodelist]]||[[#DiagnosisNameCodelist|DiagnosisNameCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:5.8.6
|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=]]Symptom
|(0..1)
|The symptom that is labeled as a nursing diagnosis.
|
|
{|
|-
|[[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: CD.png| 16px | link=]]
||NL-CM:5.8.7
|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: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]SymptomName
|(0..1)
|Name and associated code of the symptom. Nursing diagnoses can be selected from the list of nursing problems of the symptom type.
|
|
{|
|-
|[[Bestand: List2.png | link=#SymptomNameCodelist]]||[[#SymptomNameCodelist|SymptomNameCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:5.8.2
|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=]]ProblemSituation
|(0..1)
|The social problem situation that is labeled as a nursing diagnosis. Chosen from the list of nursing problems of the problem situation type.
|
|
{|
|-
|[[Bestand: List2.png | link=#problemSituationCodelist]]||[[#problemSituationCodelist|problemSituationCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:5.8.3
|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=]]NursingDiagnostician::HealthProfessional
|1
|Nurse who has determined the nursing diagnosis.
|
|
{|
|-
|[[Bestand: block.png | link=HealthProfessional-v4.0.1(2026-1EN)]]||[[HealthProfessional-v4.0.1(2026-1EN) |HealthProfessional]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:5.8.8
|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=]]DateTime
|1
|Date and time, if applicable, at which the health professional has determined the nursing diagnosis.
|
|
|}
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="725px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; "|VerpleegkundigeDiagnose
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 37%; "|DatumTijd
| style="width: 63%; "|15-11-2024
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 37%; "|ProbleemSituatie
| style="width: 63%; "|Ontoereikende sociale ondersteuning
|-style=vertical-align:top;
|colspan="2" style="background-color: #548DD4; width: 100%; "|VpkDiagnoseSteller::Zorgverlener
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 37%; "|Naam
| style="width: 63%; "|G. van Putten
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 37%; "|Specialisme
| style="width: 63%; "|Verpleegkundige
|}
{|class="wikitable" width="725px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; "|VerpleegkundigeDiagnose
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 37%; "|DatumTijd
| style="width: 63%; "|12-01-2024
|-style=vertical-align:top;
|colspan="2" style="background-color: #548DD4; width: 100%; "|Symptoom
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 37%; "|SymptoomNaam
| style="width: 63%; "|Braken
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 37%; "|SymptoomBeloop
| style="width: 63%; "|Fluctuerend
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 37%; "|SymptoomErnst
| style="width: 63%; "|Ernstig
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 37%; "|TijdPatroon
| style="width: 63%; "|Intermitterend
|-style=vertical-align:top;
|colspan="2" style="background-color: #548DD4; width: 100%; "|VpkDiagnoseSteller::Zorgverlener
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 37%; "|Naam
| style="width: 63%; "|G. de Zeeuw
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 37%; "|Specialisme
| style="width: 63%; "|Verpleegkundige
|}

== Valuesets ==
=== DiagnosisNameCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.8.1
|Binding: Extensible
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=404684003 404684003]<noWiki>|</noWiki>Clinical finding<noWiki>|</noWiki>
|SNOMED CT
|2.16.840.1.113883.6.96
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="3"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="3"|Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
|}
Note: In the future, the content of the value list will be narrowed down to a more diagnostic-oriented list.
=== problemSituationCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.8.3
|Binding: Extensible
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=404684003 404684003]<noWiki>|</noWiki>Clinical finding<noWiki>|</noWiki>
|SNOMED CT
|2.16.840.1.113883.6.96
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="3"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="3"|Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
|}
Note: In the future, the content of the value list will be narrowed down to a more probem situation oriented list.
=== SymptomNameCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.5.8.2
|Binding: Extensible
|Status: Active
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=404684003 404684003]<noWiki>|</noWiki>Clinical finding<noWiki>|</noWiki>
|SNOMED CT
|2.16.840.1.113883.6.96
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|colspan="3"|
|-style="vertical-align:top; background-color: #EBF5FB;"
|colspan="3"|Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
|}
Note: In the future, the content of the value list will be narrowed down to a more symptom-oriented list.

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.8(EN)|2|2026-1}}

==Information model references==
====This information model refers to====
:--
====This information model is used in====
*[[CareAgreement-v2.0(2026-1EN)|CareAgreement-v2.0]]
*[[CareTeam-v2.0(2026-1EN)|CareTeam-v2.0]]
*[[Encounter-v7.0(2026-1EN)|Encounter-v7.0]]
*[[MultidisciplinaryTeamMeeting-v3.0(2026-1EN)|MultidisciplinaryTeamMeeting-v3.0]]
*[[Signaling-v3.0(2026-1EN)|Signaling-v3.0]]
==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|5.8}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2026-1|VerpleegkundigeDiagnose}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.NursingDiagnosis-v1.0(2026-1EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.NursingDiagnosis-v1.0(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 18:39:13 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>

NursingDiagnosis-v1.0(2026-1EN) - Bewerkingsoverzicht

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.8(EN)|1|NursingDiagnosis-v1.0(2026-1EN)}} ==General information== Name: '''nl.zorg.NursingDiagnosis''' link=VerpleegkundigeDiagnose-v1.0(2026-1NL) Version: '''1.0''' HCIM Status:Final Release:…'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.5.8(EN)|1|NursingDiagnosis-v1.0(2026-1EN)}} ==General information== Name: '''nl.zorg.NursingDiagnosis''' link=VerpleegkundigeDiagnose-v1.0(2026-1NL)
Version: '''1.0'''
HCIM Status:Final
Release:…'