FamilyHistory-v2.0(2015EN): verschil tussen versies
Geen bewerkingssamenvatting |
(Copy of) |
||
| Regel 511: | Regel 511: | ||
<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=2.16.840.1.113883.2.4.3.11.60.5.4.2.6.1&effectiveDate=2015-04-01T00:00:00&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=2.16.840.1.113883.2.4.3.11.60.5.4.2.6.1&effectiveDate=2015-04-01T00:00:00&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= | <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.FamilyHistory-v2.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.FamilyHistory-v2.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | This information model is also available as [[Media:nl.nfu.FamilyHistory-v2.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.FamilyHistory-v2.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ||
Versie van 20 feb 2018 10:04
General information
Name: nl.nfu.FamilyHistory 
Version: 2.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 1-4-2015
Metadata
| DCM::CoderList | Kerngroep Registratie aan de Bron |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::CreationDate | 15-02-2013 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | NFU |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.6.1 |
| DCM::KeywordList | familieanamnese, anamnese |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | Kerngroep Registratie aan de Bron |
| DCM::Name | nl.nfu.Familieanamnese |
| DCM::PublicationDate | 1-4-2015 |
| DCM::PublicationStatus | Published |
| DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 1-4-2015 |
| DCM::Superseeds | |
| DCM::Version | 2.0 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (15-02-2013)
Publicatieversie 1.1 (01-07-2013)
Publicatieversie 2.0 (01-04-2015)
| ZIB-73 | wijzigingsverzoek familieanamnese |
| ZIB-308 | Prefix Overdracht weggehaald bij de generieke bouwstenen |
Incl. algemene wijzigingsverzoeken:
| ZIB-94 | Aanpassen tekst van Disclaimer, Terms of Use & Copyrights |
| ZIB-154 | Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen. |
| ZIB-200 | Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken. |
| ZIB-201 | Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken. |
| ZIB-309 | EOI aangepast |
| ZIB-324 | Codelijsten Name en Description beginnen met een Hoofdletter |
| ZIB-326 | Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015 |
Concept
The family history describes any health problems of biological relatives that may be relevant. The family history contains information on the medical disorders of the family member and the biological relationship between the patient and the described family member.
Purpose
Recording the patient’s family members’ health problems. This component can be relevant in estimating the risk of these health problems occurring in the patient. This component can also partially influence the decision determining which diagnostics are or are not to be run: a high-risk patient might be more likely to receive extensive diagnostics, while a simpler test could suffice for a low-risk patient.
Information Model
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
|
NL-CM:6.1.1 |  FamilyHistory
|
Root concept of the FamilyHistory building block. This root concept contains all data elements of the FamilyHistory building block. | ||||||||||
|
NL-CM:6.1.2 |  Date
|
0..1 | Date on which the family history was entered. A ‘vague’ date is permitted. | |||||||||
|
NL-CM:6.1.3 | FamilyMember
|
1..* | Container of the FamilyMember concept. This container contains all data elements of the FamilyMember concept. | |||||||||
|
NL-CM:6.1.4 | BiologicalRelationship
|
1 | Indicates the biological relationship of the family member to the patient. |
| ||||||||
|
NL-CM:6.1.5 | Explanation
|
0..1 | Explanation with information on the family member which might be relevant to the family history. |
|
||||||||
|
NL-CM:6.1.10 | DeathIndicator
|
0..1 | An indication stating whether the family member has died. | |||||||||
|
|
NL-CM:6.1.11 | DateOfDeath
|
0..1 | The date on which the family member died. A ‘vague’ date, such as only the year, is permitted. | |||||||||
|
|
NL-CM:6.1.6 | Disorder
|
1..* | Container of the Disorder concept. This container contains all data elements of the Disorder concept. | |||||||||
|
NL-CM:6.1.7 | Problem::ProblemName
|
1 | The health problem of the family member in question, which is recorded for the family history. |
| ||||||||
|
|
NL-CM:6.1.9 | IsCauseOfDeath
|
0..1 | Indication stating whether the described health problem was the cause of death of the family member. | |||||||||
Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page 
Example Instances
Only available in Dutch
| Familieanamnese | |||||||||
| Datum | Familielid | Aandoening | |||||||
| BiologischeRelatie | Toelichting | Overlijdens Indicator |
OverlijdensDatum | Probleem | Is Doodsoorzaak | ||||
| ProbleemType | ProbleemNaam | Probleem Status |
Probleem StatusDatum |
||||||
| 1-2-2013 | Tante / moeders- zijde |
Ja | 1997 | Diagnose | mammacarcinoom | Actueel | 1995 | Ja | |
| 1-2-2013 | Biologische moeder | moeder heeft vijf zusters | Diagnose | mammacarcinoom | Actueel | 21-3-1999 | |||
| 1-2-2013 | Biologische vader | Ja | 2005 | Diagnose | myocardinfarct | Niet actueel | 16-6-2001 | ||
Instructions
The age at which a family member developed a disorder or the age at which the family member died can be included in the ‘explanation’ field if desired.
The value list BiologicalRelationshipCodeList contains a number of concepts which can be used for both biological and non-biological relatives: a step-father’s brother can be listed as an uncle for lack of specific codes for step-uncle and real uncles. Therefore, when compiling the family history, make sure that only the biological relatives are considered.
Valuesets
BiologicalRelationshipCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.6.1.1 |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Aunt | AUNT | RoleCode | 2.16.840.1.113883.5.111 | Tante |
| Cousin | COUSN | RoleCode | 2.16.840.1.113883.5.111 | Neef/nicht |
| Family Member | FAMMEMB | RoleCode | 2.16.840.1.113883.5.111 | Familielid |
| Grandchild | GRNDCHILD | RoleCode | 2.16.840.1.113883.5.111 | Kleinkind |
| Grandparent | GRPRN | RoleCode | 2.16.840.1.113883.5.111 | Grootouder |
| Grandparent | GPARNT | RoleCode | 2.16.840.1.113883.5.111 | Overgrootouder |
| Great grandparent | GGRPRN | RoleCode | 2.16.840.1.113883.5.111 | Overgrootouder |
| Half-brother | HBRO | RoleCode | 2.16.840.1.113883.5.111 | Halfbroer |
| Half-sister | HSIS | RoleCode | 2.16.840.1.113883.5.111 | Halfzus |
| MaternalAunt | MAUNT | RoleCode | 2.16.840.1.113883.5.111 | Tante/moederszijde |
| MaternalCousin | MCOUSN | RoleCode | 2.16.840.1.113883.5.111 | Neef/nicht aan moederszijde |
| MaternalGrandparent | MGRPRN | RoleCode | 2.16.840.1.113883.5.111 | Gootouder aan moederszijde |
| MaternalGreatgrandparent | MGGRPRN | RoleCode | 2.16.840.1.113883.5.111 | Overgrootouder aan moederszijde |
| MaternalUncle | MUNCLE | RoleCode | 2.16.840.1.113883.5.111 | Oom/moederszijde |
| Natural child | NCHILD | RoleCode | 2.16.840.1.113883.5.111 | Biologisch kind |
| Natural daugther | DAU | RoleCode | 2.16.840.1.113883.5.111 | Biologische dochter |
| Natural son | SON | RoleCode | 2.16.840.1.113883.5.111 | Biologische zoon |
| Natural father | NFTH | RoleCode | 2.16.840.1.113883.5.111 | Biologische vader |
| Natural mother | NMTH | RoleCode | 2.16.840.1.113883.5.111 | Biologische moeder |
| Natural brother | NBRO | RoleCode | 2.16.840.1.113883.5.111 | Biologische broer |
| Natural sister | NSIS | RoleCode | 2.16.840.1.113883.5.111 | Biologische zus |
| Niece/nephew | NIENEPH | RoleCode | 2.16.840.1.113883.5.111 | Neef/nicht, kind van oom/tante |
| PaternalAunt | PAUNT | RoleCode | 2.16.840.1.113883.5.111 | Tante/vaderszijde |
| PaternalCousin | PCOUSN | RoleCode | 2.16.840.1.113883.5.111 | Neef/nicht aan vaderszijde |
| PaternalGrandparent | PGRPRN | RoleCode | 2.16.840.1.113883.5.111 | Grootouder aan vaderszijde |
| PaternalGreatgrandparent | PGGRPRN | RoleCode | 2.16.840.1.113883.5.111 | Overgrootouder aan vaderszijde |
| PaternalUncle | PUNCLE | RoleCode | 2.16.840.1.113883.5.111 | Oom/vaderszijde |
| Significant other | SIGOTHR | RoleCode | 2.16.840.1.113883.5.111 | Ander familielid van belang |
| Uncle | UNCLE | RoleCode | 2.16.840.1.113883.5.111 | Oom |
This information model in other releases
More on this information model
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:
- HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
This information model is also available as pdf file 
or as spreadsheet 
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
This page is generated on 24/01/2018 17:12:11