FunctionalOrMentalStatus-v1.0.1(2015EN): verschil tussen versies
Geen bewerkingssamenvatting |
(Copy of) |
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| Regel 394: | Regel 394: | ||
<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=2.16.840.1.113883.2.4.3.11.60.5.4.2.4.26&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=2.16.840.1.113883.2.4.3.11.60.5.4.2.4.26&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.FunctionalOrMentalStatus-v1.0.1(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.FunctionalOrMentalStatus-v1.0.1(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | This information model is also available as [[Media:nl.nfu.FunctionalOrMentalStatus-v1.0.1(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.FunctionalOrMentalStatus-v1.0.1(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ||
Versie van 20 feb 2018 10:05
General information
Name: nl.nfu.FunctionalOrMentalStatus 
Version: 1.0.1
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 | 12-9-2014 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.4.26 |
| DCM::KeywordList | mentale status, functionele status, functionele beperking, mentale stoornis, ADL |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | Kerngroep Registratie aan de Bron |
| DCM::Name | nl.nfu.FunctioneleOfMentaleStatus |
| DCM::PublicationDate | 1-4-2015 |
| DCM::PublicationStatus | Published |
| DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 22-5-2015 |
| DCM::Superseeds | nl.nfu.OverdrachtFunctioneleSatus (2.16.840.1.113883.2.4.3.11.60.40.3.4.1) |
| DCM::Version | 1.0.1 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-04-2015)
| ZIB-89 | Aanpassing OverdrachtFuntioneleStatus door deze te vervangen door een nieuwe bouwsteen die alleen een generieke functionele beperking bevat. |
| 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 |
Publicatieversie 1.0.1 (22-05-2015)
| ZIB-384 | Inconsistent gebruik van de naam StatusWaardeSnomedCodelijst. |
| ZIB-383 | Inconsistent gebruik van de naam StatusWaardeNOCCodelijst. |
| ZIB-382 | Inconsistent gebruik van de naam StatusWaardeOMAHACodelijst. |
Concept
The functional or mental status provides insight into the patient’s functional and mental limitations.
Purpose
The patient’s functional and mental status can be recorded to provide insight into the patient’s limitations which need to be taken into account for further treatment and care and in order to evaluate the effects of a treatment.
Diagnoses with (the potential for) functional limitations are not to be recorded here. To record these, please use the ConcernTransfer building block.
Information Model
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||||||||
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NL-CM:4.26.1 |  FunctionalOrMentalStatus
|
Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus building block. | ||||||||||||||||
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NL-CM:4.26.2 |  StatusName
|
1 | Coded description of the functional or mental status or limitation.
Code systems used include:
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NL-CM:4.26.3 | StatusValue
|
0..1 | The extent to which the patient is limited by the functional or mental condition.
If both the status name and the status value are recorded in code, then both values must come from the same code system. If the patient uses a medical aid, the evaluation of the extent of the limitation will take place without this aid. |
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NL-CM:4.26.6 | StatusDate
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0..1 | Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted. | |||||||||||||||
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NL-CM:4.26.4 | Explanation
|
0..1 | Explanatory comments as a description of the functional or mental status. |
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NL-CM:4.26.5 | MedicalAid::MedicalAid
|
0..* | Medical aid the patient has to reduce the impact of the disability or disorder. |
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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
| FunctioneleOfMentaleStatus | |
| StatusNaam | Zich scheren |
| StatusWaarde | Moeite met scheren |
| StatusDatum | 23-02-2015 |
| Toelichting | -- |
| MedischHulpmiddel | -- |
Valuesets
StatusNameICFCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.3 |
| Conceptname | Codesystem name | Codesystem OID |
| Alle waarden | ICF | 2.16.840.1.113883.6.254 |
StatusNameNOCCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.2 |
| Conceptname | Codesystem name | Codesystem OID |
| Alle waarden | NOC | 2.16.840.1.113883.6.16 |
StatusNameOMAHACodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.1 |
| Conceptname | Codesystem name | Codesystem OID |
| Alle waarden | OMAHA | 2.16.840.1.113883.6.98 |
StatusNameSnomedCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.4 |
| Conceptname | Codesystem name | Codesystem OID |
| Alle waarden | SNOMED CT | 2.16.840.1.113883.6.96 |
StatusValueICFCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.6 |
| Conceptname | Codesystem name | Codesystem OID |
| Alle waarden | ICF | 2.16.840.1.113883.6.254 |
StatusValuenOCCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.7 |
| Conceptname | Codesystem name | Codesystem OID |
| Alle waarden | NOC | 2.16.840.1.113883.6.16 |
StatusValueOMAHACodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.5 |
| Conceptname | Codesystem name | Codesystem OID |
| Alle waarden | OMAHA | 2.16.840.1.113883.6.98 |
StatusValueSnomedCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.8 |
| Conceptname | Codesystem name | Codesystem OID |
| Alle waarden | SNOMED CT | 2.16.840.1.113883.6.96 |
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 17:12:15