Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.16.5(EN)|1|Signaling-v2.0(2024EN)}} ==General information== Name: '''nl.zorg.Signaling''' link=Signalering-v2.0(2024NL)
Version: '''2.0'''
HCIM Status:Final
Release: '''2024'''
Release sta...'

2024-06-26T15:03:55Z

Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.16.5(EN)|1|Signaling-v2.0(2024EN)}}  ==General information== Name: '''nl.zorg.Signaling''' link=Signalering-v2.0(2024NL) Version: '''2.0''' HCIM Status:Final Release: '''2024''' Release sta...'

Nieuwe pagina

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.16.5(EN)|1|Signaling-v2.0(2024EN)}}

==General information==
Name: '''nl.zorg.Signaling''' [[Bestand:NL.png|link=Signalering-v2.0(2024NL)]] 
Version: '''2.0''' 
HCIM Status:Final 
Release: '''2024''' 
Release status: Prepublished 
Release date: 15-04-2024

{{ErrataEN|2024|{{PAGENAME}}}}

-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2024(EN)]] [[HCIM_Release_2024(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Projectgroep VIPP GGZ
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep VIPP GGZ
|-
|style="width:250px; "|DCM::CreationDate||30-3-2022
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||*
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.16.5
|-
|style="width:250px; "|DCM::KeywordList||
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Projectgroep VIPP GGZ
|-
|style="width:250px; "|DCM::Name||nl.zorg.Signalering
|-
|style="width:250px; "|DCM::PublicationDate||15-04-2024
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||
|-
|style="width:250px; "|DCM::RevisionDate||13-09-2023
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.Signalering-v1.0
|-
|style="width:250px; "|DCM::Version||2.0
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

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

Publicatieversie 1.0 (10-06-2022)
Bevat:

Publicatieversie 2.0 (15-10-2023)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1850 | ZIB-1850 ]]
|Waardenlijst FaseNaamCodelijst bevat foutieve SNOMED CT codes
|}
</div>

==Concept==
A signal is a (group of) observation(s) of symptoms or behavior that can be an aid in signaling a worsening of a certain condition.

==Purpose==
By recognizing and observing certain signals by the patient himself or his environment in time and taking the right actions, worse can be prevented. 
By recording the patient-specific pattern in, for example, an identification plan, the patient himself and his environment also gain insight into the course of aggravation as well as a handle for patient-specific correct approach and interventions.

==Information Model==
 
<imagemap> Bestand:Signaling-v2.0Model(2024EN).png | center
rect 298 770 404 820 [[#PhaseNameCodelist]]
rect 306 656 396 726 [[#2655]]
rect 472 576 562 646 [[#2668]]
rect 472 468 562 538 [[#2657]]
rect 134 576 224 646 [[#2653]]
rect 134 468 224 538 [[#2662]]
rect 306 533 396 603 [[#2669]]
rect 466 368 556 438 [[#2665]]
rect 134 373 224 443 [[#2661]]
rect 134 277 224 347 [[#2667]]
rect 138 185 228 255 [[#2656]]
rect 472 259 562 329 [[Problem-v4.7(2024EN)]]
rect 360 76 450 146 [[HealthProfessional-v4.0(2024EN)]]
rect 254 76 344 146 [[ContactPerson-v4.1(2024EN)]]
rect 306 186 396 256 [[#2664]]
rect 306 333 396 403 [[#2660]]
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:16.5.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]Signaling
|
|Root concept of the Signaling information model.This root concept contains all data elements of the Signaling information model.
|
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:16.5.5
|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 | link=]]InvolvedPersons
|0..*
|Container of the InvolvedPersons concept.This container contains all data elements of the InvolvedPersons concept.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=125676002 125676002] Person
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:16.5.6
|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=]]Contactperson::ContactPerson
|(0..1)
|The patient's contactperson with whom the signals, perception and actions have been discussed and are known.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=70862002 70862002] Contact person
|}
|
{|
|-
|[[Bestand: block.png | link=ContactPerson-v4.1(2024EN)]]||[[ContactPerson-v4.1(2024EN) |ContactPerson]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:16.5.15
|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=]]HealthProfessional
|(0..1)
|The healthcare professional involved with the patient with whom the signals, perception and actions have been discussed and are known.</PRE>
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=223366009 223366009] Healthcare professional
|}
|
{|
|-
|[[Bestand: block.png | link=HealthProfessional-v4.0(2024EN)]]||[[HealthProfessional-v4.0(2024EN) |HealthProfessional]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:16.5.7
|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=]]DateDetermination
|1
|Date on which the Signaling Plan was measured.</PRE>
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:16.5.12
|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=]]Trigger
|0..1
|A specific event or experience that activates the patient's behavior.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160951000146108 160951000146108] Trigger
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:16.5.4
|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=]]Handling
|0..1
|Description of the desired handling of the patient in the event of a crisis.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=180351000146109 180351000146109] Type of behavior and/or way of communication when approaching subject
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:16.5.10
|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 | link=]]Problem
|0..1
|The patient's condition or problem to which the observation relates</PRE>
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=55607006 55607006] Problem
|}
|
{|
|-
|[[Bestand: block.png | link=Problem-v4.7(2024EN)]]||[[Problem-v4.7(2024EN) |Problem]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:16.5.11
|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=]]Comment
|0..1
|A comment on the signaling.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative
|}
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:16.5.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]Fase
|1..*
|Container of the Fase concept.This container contains all data elements of the Fase concept.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:16.5.14
|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=]]PerceptionPatient
|0..1
|Description of behaviour, symptoms and/or thoughts that are characteristic of the particular phase that the patient observes in himself.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=180321000146100 180321000146100] Self reported behavior
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:16.5.13
|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=]]PerceptionOthers
|0..1
|A description of behavior and/or symptoms of the patient observed by others that are characteristic of a particular phase. The signs of aggravation on which certain actions can be taken by the patient and possibly his environment.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=180331000146103 180331000146103] Behavior reported by social environment of subject
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:16.5.3
|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=]]ActionPatient
|0..1
|A description of what the patient can do or perform to prevent aggravation or relapse.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=180341000146106 180341000146106] Intervention by subject
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:16.5.2
|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=]]ActionOthers
|0..1
|A description of actions or interventions in a patient's perception that others can perform to prevent its aggravation.van
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=385990006 385990006] Support system interventions
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:16.5.9
|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 | link=]]PhaseName
|1
|The phase of signaling the condition to which the particular actions and observations relate.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=180361000146107 180361000146107] Phase of mental health relapse prevention plan
|}
|
{|
|-
|[[Bestand: List2.png | link=#PhaseNameCodelist]]||[[#PhaseNameCodelist|PhaseNameCodelist]]
|}
|}
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="623px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; "|Signalering
|-style=vertical-align:top;
| style="width: 33%; "|DatumVaststelling
| style="width: 67%; "|18-05-2021
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; "|BetrokkenPersonen
|-style=vertical-align:top;
|colspan="2" style="background-color: #BFBFBF; width: 100%; "|Contactpersoon
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|Naam
| style="width: 67%; "|G.J. Pieterse
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|Relatie
| style="width: 67%; "|Echtgenoot
|-style=vertical-align:top;
|colspan="2" style="background-color: #BFBFBF; width: 100%; "|Zorgverlener
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|ZorgverlenerRol
| style="width: 67%; "|Hoofdbehandelaar
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|Naam
| style="width: 67%; "|A.S. Janssen
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; "|
|-style=vertical-align:top;
| style="width: 33%; "|Bejegening
| style="width: 67%; "|Niet tegen me schreeuwen - me niet vastpakken
|-style=vertical-align:top;
| style="width: 33%; "|Toelichting
| style="width: 67%; "|Ik heb een klein sociaal netwerk en ik zal niet snel zelf om hulp vragen
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; "|Fase
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|WaarnemingPatient
| style="width: 67%; "|Ik voel me goed - ik ben vrolijk - ik heb muziek in mijn hoofd
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|WaarnemingAnderen
| style="width: 67%; "|Ik fluit of neurie
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|ActiePatient
| style="width: 67%; "|Ik besef me dat het goed met me gaat
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|ActieAnderen
| style="width: 67%; "|Benoem wat je ziet en label dit positief
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|FaseNaam
| style="width: 67%; "|Groen
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; "|Fase
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|WaarnemingPatient
| style="width: 67%; "|Ik ben prikkelbaar en snel op mijn teentjes getrapt
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|WaarnemingAnderen
| style="width: 67%; "|Stemming is neerslachtig - ik wil mijn medicatie niet innemen
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|ActiePatient
| style="width: 67%; "|Situaties vermijden waarin de muziek hard staat
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|ActieAnderen
| style="width: 67%; "|Gesprek aangaan, bezorgdheid benoemen
|-style=vertical-align:top;
| style="background-color: #004080; width: 33%; "|FaseNaam
| style="width: 67%; "|Oranje
|}

== Valuesets ==
=== PhaseNameCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.16.5.1
|Binding: Extensible
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Phase 0 of mental health relapse prevention plan
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=180271000146105 180271000146105]
|SNOMED CT
|2.16.840.1.113883.6.96
|Groen
|-style="vertical-align:top; "
|Phase 2 of mental health relapse prevention plan
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=180291000146109 180291000146109]
|SNOMED CT
|2.16.840.1.113883.6.96
|Oranje
|-style="vertical-align:top; "
|Phase 3 of mental health relapse prevention plan
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=180301000146108 180301000146108]
|SNOMED CT
|2.16.840.1.113883.6.96
|Rood
|}

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.16.5(EN)|2|2024}}

==Information model references==
====This information model refers to====
*[[ContactPerson-v4.1(2024EN)|ContactPerson-v4.1]]
*[[HealthProfessional-v4.0(2024EN)|HealthProfessional-v4.0]]
*[[Problem-v4.7(2024EN)|Problem-v4.7]]
====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|2024|16.5}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2024|Signalering}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.Signaling-v2.0(2024EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Signaling-v2.0(2024EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Prerelease 2024-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20240331 [R] (maart 2024-editie)</li>
<li>LOINC version 2.77</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 25/04/2024 12:42:36 with ZibExtraction v. 9.3.8880.19756 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2024(EN)]] [[HCIM_Release_2024(EN) |Back to HCIM list ]]</div>

Signaling-v2.0(2024EN) - Bewerkingsoverzicht

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.16.5(EN)|1|Signaling-v2.0(2024EN)}} ==General information== Name: '''nl.zorg.Signaling''' link=Signalering-v2.0(2024NL) Version: '''2.0''' HCIM Status:Final Release: '''2024''' Release sta...'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.16.5(EN)|1|Signaling-v2.0(2024EN)}} ==General information== Name: '''nl.zorg.Signaling''' link=Signalering-v2.0(2024NL)
Version: '''2.0'''
HCIM Status:Final
Release: '''2024'''
Release sta...'