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HCIM Status:Final
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.1(EN)|1|Procedure-v5.4.1(2022EN)}}

==General information==
Name: '''nl.zorg.Procedure''' [[Bestand:NL.png|link=Zib of versie niet gevonden-v5.4.1(2022NL)]] 
Version: '''5.4.1''' 
HCIM Status:Final 
Release: '''2022''' 
Release status: Prepublished 
Release date: 15-10-2023

{{ErrataEN|2022|{{PAGENAME}}}}

-----
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==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||6-6-2012
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.14.1
|-
|style="width:250px; "|DCM::KeywordList||procedure,verrichting
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::Name||nl.zorg.Verrichting
|-
|style="width:250px; "|DCM::PublicationDate||15-10-2023
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||01-09-2023
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.Verrichting-v5.4
|-
|style="width:250px; "|DCM::Version||5.4.1
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

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

Publicatieversie 1.0 (15-02-2013)

Publicatieversie 1.1 (01-07-2013)
{|
Issue summaries niet beschikbaar 
Bevat: ZIB-55, ZIB-24.
|}

Publicatieversie 1.2 (01-04-2015)
Bevat: ZIB-84, ZIB-93, ZIB-95, ZIB-122, ZIB-270, ZIB-271, ZIB-272, ZIB-273, ZIB-308, ZIB-325, ZIB-353.

Incl. algemene wijzigingsverzoeken:
ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326.

Publicatieversie 3.0 (01-05-2016)
Bevat: ZIB-401, ZIB-453.

Publicatieversie 3.1 (04-09-2017)
Bevat: ZIB-475, ZIB-549, ZIB-564, ZIB-576, ZIB-578.

Publicatieversie 4.0 (04-09-2017)
Bevat: ZIB-457, ZIB-458, ZIB-515, ZIB-518, ZIB-549, ZIB-564, ZIB-574, ZIB-576, ZIB-578, ZIB-581, ZIB-585.

Publicatieversie 4.1 (31-12-2017)
Bevat: ZIB-646.

Publicatieversie 4.2 (26-02-2019)
Bevat: ZIB-624, ZIB-633, ZIB-625, ZIB-675.

Publicatieversie 5.0 (06-07-2019)
Bevat: ZIB-821.

Publicatieversie 5.1 (31-01-2020)
Bevat: ZIB-954, ZIB-908.

Publicatieversie 5.2 (01-09-2020)
Bevat: ZIB-666, ZIB-993, ZIB-1087, ZIB-1088, ZIB-1095, ZIB-1116.

Publicatieversie 5.3 (01-12-2021)
Bevat: ZIB-977, ZIB-1444.

Publicatieversie 5.4 (10-06-2022)
Bevat: ZIB-1488, ZIB-1602.

Publicatieversie 5.4.1 (15-10-2023)
Bevat: ZIB-1785, ZIB-1974.
</div>

==Concept==
The concept Procedure describes therapeutic or diagnostic procedure undergone by the patient or which the patient will undergo. The concept can describe in the right context historical, future as well as advised procedures. 
A procedure can be a simple blood pressure measurement, but also a complex heart surgery. 
In some care settings, the term treatment is used instead of the term procedure.

==Purpose==
A procedure is carried out or planned as part of a planned policy or to obtain additional information in the diagnostic process. Procedures are documented to gain insight into the treatment of a patient. In addition, procedures are documented for administrative purposes such as invoicing and workload measurement, scientific research and/or education.

==Information Model==
 
<imagemap> Bestand:Procedure-v5.4.1Model(2022EN).png | center
rect 480 507 648 557 [[#ProcedureMethodCodelist]]
rect 499 409 629 479 [[#1292]]
rect 260 507 404 557 [[#ProcedureTypeDHDCodelist]]
rect 270 214 400 284 [[Problem-v4.6(2022EN)]]
rect 270 117 400 187 [[#1290]]
rect 501 117 627 187 [[#1285]]
rect 738 262 871 332 [[HealthcareProvider-v3.5(2022EN)]]
rect 270 311 400 381 [[MedicalDevice-v3.5(2022EN)]]
rect 270 409 400 481 [[#1283]]
rect 738 116 871 186 [[HealthProfessional-v3.5.2(2022EN)]]
rect 504 262 624 342 [[#1284]]
rect 36 437 219 487 [[#ProcedureTypeNZaCodelist]]
rect 36 506 219 556 [[#ProcedureTypeCBVCodelist]]
rect 35 370 218 420 [[#ProcedureTypeGGZCodelist]]
rect 36 299 219 349 [[#ProcedureTypeCodelist]]
rect 738 415 874 485 [[AnatomicalLocation-v1.0.2(2022EN)]]
rect 35 230 218 280 [[#ProcedureTypeMaternityCareCodelist]]
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:14.1.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]Procedure
|
|Root concept of the Procedure information model. This root concept contains all data elements of the Procedure information model.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=71388002 71388002] Procedure
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:14.1.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]ProcedureStartDate
|0..1
|The (desired) start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.
The element offers the option to indicate the start of the period of a series of related procedures. 
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:14.1.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]ProcedureEndDate
|0..1
|The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.
The element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedures that takes some time and is then always applied. If the procedure still continues, the value is left empty. For instantaneous or very short lasting procedures the element is omitted.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:14.1.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]ProcedureType
|1
|The name of the procedure. Choices are the DHD procedure thesaurus,  the procedures file (CBV), the Care activities file (NZa), the Dutch Mental Health and Addiction Care procedures list (GGZ) and the procedures list of the Dutch College of General Practitioners (NHG).
|
|
{|
|-
|[[Bestand: List2.png | link=#ProcedureTypeCBVCodelist]]||[[#ProcedureTypeCBVCodelist|ProcedureTypeCBVCodelist]]
|-
|[[Bestand: List2.png | link=#ProcedureTypeCodelist]]||[[#ProcedureTypeCodelist|ProcedureTypeCodelist]]
|-
|[[Bestand: List2.png | link=#ProcedureTypeDHDCodelist]]||[[#ProcedureTypeDHDCodelist|ProcedureTypeDHDCodelist]]
|-
|[[Bestand: List2.png | link=#ProcedureTypeGGZCodelist]]||[[#ProcedureTypeGGZCodelist|ProcedureTypeGGZCodelist]]
|-
|[[Bestand: List2.png | link=#ProcedureTypeMaternityCareCodelist]]||[[#ProcedureTypeMaternityCareCodelist|ProcedureTypeMaternityCareCodelist]]
|-
|[[Bestand: List2.png | link=#ProcedureTypeNZaCodelist]]||[[#ProcedureTypeNZaCodelist|ProcedureTypeNZaCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:14.1.12
|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=]]ProcedureMethod
|0..*
|The method or technique that is going to be or was used to perform the procedure, e.g. approach, lavage, pressuring, etc.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=260686004 260686004] Method
|}
|
{|
|-
|[[Bestand: List2.png | link=#ProcedureMethodCodelist]]||[[#ProcedureMethodCodelist|ProcedureMethodCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:14.1.13
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]ProcedureAnatomicalLocation::AnatomicalLocation
|0..1
|Anatomical location that is the focus of the procedure.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=405813007 405813007] Procedure site - Direct
|}
|
{|
|-
|[[Bestand: block.png | link=AnatomicalLocation-v1.0.2(2022EN)]]||[[AnatomicalLocation-v1.0.2(2022EN) |AnatomicalLocation]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:14.1.9
|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=]]Indication::Problem
|0..*
|The indication is the reason for the procedure.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=363702006 363702006] Has focus
|}
|
{|
|-
|[[Bestand: block.png | link=Problem-v4.6(2022EN)]]||[[Problem-v4.6(2022EN) |Problem]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:14.1.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]MedicalDevice
|0..*
|The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=405815000 405815000] Procedure device
|}
|
{|
|-
|[[Bestand: block.png | link=MedicalDevice-v3.5(2022EN)]]||[[MedicalDevice-v3.5(2022EN) |MedicalDevice]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:14.1.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Location::HealthcareProvider
|0..1
|The healthcare provider where the procedure was, is or will be carried out.
|
|
{|
|-
|[[Bestand: block.png | link=HealthcareProvider-v3.5(2022EN)]]||[[HealthcareProvider-v3.5(2022EN) |HealthcareProvider]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:14.1.6
|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=]]Performer::HealthProfessional
|0..*
|The healthcare professional who carried out or will carry out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare professional.
|
|
{|
|-
|[[Bestand: block.png | link=HealthProfessional-v3.5.2(2022EN)]]||[[HealthProfessional-v3.5.2(2022EN) |HealthProfessional]]
|}
|}
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''

Voorbeeld file fout: Unable to find the specified file. : nl.zorg.Zib of versie niet gevonden-v5.4.1(NL)_Voorbeeld.docx
==References==
1. Waardelijst GGZ-Verrichtingen [Online] Beschikbaar op: http://https://www.vippggz.nl/waardelijst-ggz-verrichtingen.html [Geraadpleegd: 03-08-2020].

== Valuesets ==
=== ProcedureMethodCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4
|Binding: Required
|}
{| 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=129264002 129264002]<noWiki>|</noWiki>Action<noWiki>|</noWiki>
|SNOMED CT
|2.16.840.1.113883.6.96
|}
=== ProcedureTypeCBVCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.6
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|All values
|CBV codes
|2.16.840.1.113883.2.4.3.120.5.3
|}
=== ProcedureTypeCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.8
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|All values
|NHG tabel 49 Ingrepen en behandelingen
|2.16.840.1.113883.2.4.4.30.49
|}
=== ProcedureTypeDHDCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|All values
|DHD Verrichtingenthesaurus
|2.16.840.1.113883.2.4.3.120.5.2
|}
=== ProcedureTypeGGZCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.7
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|All values
|GGZ Verrichtingenijst
|2.16.840.1.113883.3.3210.14.2.2.15
|}
=== ProcedureTypeMaternityCareCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.9
|Binding: Required
|}
{| 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/terminology/snomed/viewRefset?id=146481000146103 146481000146103]<noWiki>|</noWiki>Dutch obstetric procedures simple reference set<noWiki>|</noWiki>
|SNOMED CT
|2.16.840.1.113883.6.96
|}
=== ProcedureTypeNZaCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.5
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|All values
|NZa codes
|2.16.840.1.113883.2.4.3.27.15.5
|}

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.1(EN)|2|2022}}

==Information model references==
====This information model refers to====
*[[AnatomicalLocation-v1.0.2(2022EN)|AnatomicalLocation-v1.0.2]]
*[[HealthcareProvider-v3.5(2022EN)|HealthcareProvider-v3.5]]
*[[HealthProfessional-v3.5.2(2022EN)|HealthProfessional-v3.5.2]]
*[[MedicalDevice-v3.5(2022EN)|MedicalDevice-v3.5]]
*[[Problem-v4.6(2022EN)|Problem-v4.6]]
====This information model is used in====
*[[MultidisciplinaryTeamMeeting-v1.1.1(2022EN)|MultidisciplinaryTeamMeeting-v1.1.1]]
*[[TextResult-v4.4(2022EN)|TextResult-v4.4]]
==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|2022|14.1}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2022|Verrichting}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.Procedure-v5.4.1(2022EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Procedure-v5.4.1(2022EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Pre-release 2022-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)</li>
<li>LOINC version 2.76</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 26/03/2024 11:43:53 with ZibExtraction v. 9.3.8851.20230 
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Procedure-v5.4.1(2022EN) - Bewerkingsoverzicht

Update bot op 27 mrt 2024 om 10:25

Update bot op 27 mrt 2024 om 08:44

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.1(EN)|1|Procedure-v5.4.1(2022EN)}} ==General information== Name: '''nl.zorg.Procedure''' link=Zib of versie niet gevonden-v5.4.1(2022NL) Version: '''5.4.1''' HCIM Status:Final Release: '''202...'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.1(EN)|1|Procedure-v5.4.1(2022EN)}} ==General information== Name: '''nl.zorg.Procedure''' link=Zib of versie niet gevonden-v5.4.1(2022NL)
Version: '''5.4.1'''
HCIM Status:Final
Release: '''202...'