FreedomRestrictingMeasures-v3.1(2017EN): verschil tussen versies

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==General information==
<!-- Hieronder wordt een transclude page aangeroepen -->
Name: '''nl.zorg.FreedomRestrictingMeasures''' [[Bestand:NL.png|link=VrijheidsbeperkendeMaatregelen-v3.1(2017NL)]]<BR>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.3(EN)|1|FreedomRestrictingMeasures-v3.1(2017EN)}}
Version: '''3.1''' <br>
<!-- Tot hier de transclude page -->
HCIM Status:Final<br>
==General information<!--hdGeneralInformation-->==
Release: '''2017''' <br>
Name<!--hdName-->: '''nl.zorg.FreedomRestrictingMeasures''' [[Bestand:NL.png|link=VrijheidsbeperkendeMaatregelen-v3.1(2017NL)]]<BR>
Release status: Published<br>
Version<!--hdVersion-->: '''3.1''' <br>
Release date: 31-12-2017
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2017''' <br>
Release status<!--hdPublicationStatus-->: Published<br>
Release date<!--hdPublicationDate-->: 31-12-2017
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>


==Metadata==
==Metadata==
Regel 61: Regel 64:
==Revision History==
==Revision History==
<div class="mw-collapsible mw-collapsed">
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''
''Only available in Dutch<!--noTranslation-->''


<u>Publicatieversie 1.0</u> (01-07-2015)
<u>Publicatieversie 1.0</u> (01-07-2015)
Regel 101: Regel 104:
<BR>
<BR>
<imagemap> Bestand:FreedomRestrictingMeasures-v3.1Model(EN).png | center  
<imagemap> Bestand:FreedomRestrictingMeasures-v3.1Model(EN).png | center  
rect 351 433 447 503 [[#9853]]
rect 361 441 457 511 [[#9853]]
rect 711 433 873 483 [[#PermissionCodelist]]
rect 721 441 883 491 [[#PermissionCodelist]]
rect 653 309 781 379 [[#9856]]
rect 663 317 791 387 [[#9856]]
rect 201 309 321 379 [[#9845]]
rect 211 317 331 387 [[#9845]]
rect 505 433 601 503 [[#9840]]
rect 515 441 611 511 [[#9840]]
rect 431 310 535 380 [[#9855]]
rect 441 318 545 388 [[#9855]]
rect 652 59 780 129 [[#9843]]
rect 662 67 790 137 [[#9843]]
rect 411 69 566 119 [[#LegalStatusCodelist]]
rect 421 77 576 127 [[#LegalStatusCodelist]]
rect 202 59 322 129 [[#9852]]
rect 212 67 332 137 [[#9852]]
rect 652 184 780 254 [[#9837]]
rect 662 192 790 262 [[#9837]]
rect 391 178 575 258 [[#9851]]
rect 401 186 585 266 [[#9851]]
rect 116 433 267 483 [[#TypeOfInterventionCodelist]]
rect 126 441 277 491 [[#TypeOfInterventionCodelist]]
rect 147 506 301 556 [[#ArgusTypeOfInterventionCodelist]]
rect 157 514 311 564 [[#ArgusTypeOfInterventionCodelist]]
rect 652 506 810 556 [[#ArgusPermissionCodelist]]
rect 662 514 820 564 [[#ArgusPermissionCodelist]]
desc none
desc none
</imagemap>
</imagemap>
Regel 120: Regel 123:
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
{| 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="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="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference-->
|-style="vertical-align:top; background-color: #E3E3E3; "
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
Regel 139: Regel 142:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 303186005 Legal status of patient</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=303186005 303186005] Legal status of patient</span>
|}
|}
|
|
Regel 165: Regel 168:
{|
{|
|-
|-
|<span Title="Codesystem: LOINC"> 48767-8 Annotation comment</span>
|<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span>
|}
|}
|
|
Regel 188: Regel 191:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 225317005 Restriction of movement</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=225317005 225317005] Restriction of movement</span>
|}
|}
|
|
Regel 208: Regel 211:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 309370004 Consent status</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=309370004 309370004] Consent status</span>
|}
|}
|
|
Regel 238: Regel 241:
|
|
|}
|}
Columns Concept and DefinitionCode: hover over the values for more information<BR>
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR>
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]


==Example Instances==
==Example Instances==
''Only available in Dutch''
''Only available in Dutch<!--noTranslation-->''


{|class="wikitable" width="553px" style= "font-size: 9.5pt;"
{|class="wikitable" width="553px" style= "font-size: 9.5pt;"
Regel 284: Regel 287:
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5
|Binding<!--vsBindingTag-->:
|}
|}
{| class="wikitable"  width="60% "
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptname<!--vsConceptName-->
|Conceptcode
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Op eigen verzoek
|Op eigen verzoek
Regel 311: Regel 315:
|Verzet
|Verzet
|}
|}
=== ArgusTypeOfInterventionCodelist===
=== ArgusTypeOfInterventionCodelist===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4
|Binding<!--vsBindingTag-->:
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{| class="wikitable"  width="60% "
{| class="wikitable"  width="60% "
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|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptname<!--vsConceptName-->
|Conceptcode
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Separatie
|Separatie
Regel 360: Regel 364:
|Andere interventies
|Andere interventies
|}
|}
=== LegalStatusCodelist===
=== LegalStatusCodelist===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2
|Binding<!--vsBindingTag-->:
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{| class="wikitable"  width="60% "
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptname<!--vsConceptName-->
|Conceptcode
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
|Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
Regel 445: Regel 449:
|Strafrechterlijke justitiële contacten: overig
|Strafrechterlijke justitiële contacten: overig
|}
|}
=== PermissionCodelist===
=== PermissionCodelist===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1
|Binding<!--vsBindingTag-->:
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{| class="wikitable"  width="60% "
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|-style="background-color: #1F497D; color: white; font-weight: bold; "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptname<!--vsConceptName-->
|Conceptcode
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Geen instemming patiënt
|Geen instemming patiënt
Regel 482: Regel 486:
|Instemming wettelijke vertegenwoordiger
|Instemming wettelijke vertegenwoordiger
|}
|}
=== TypeOfInterventionCodelist===
=== TypeOfInterventionCodelist===
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3
|Binding<!--vsBindingTag-->:
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{| class="wikitable"  width="60% "
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptname<!--vsConceptName-->
|Conceptcode
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Secluding patient
|Secluding patient
|90278001
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=90278001 90278001]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 502: Regel 506:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Segregating patient
|Segregating patient
|29251000146109
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=29251000146109 29251000146109]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 508: Regel 512:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Physical restraint
|Physical restraint
|386423001
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=386423001 386423001]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 514: Regel 518:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Forced medication
|Forced medication
|2921100014610
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=2921100014610 2921100014610]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 520: Regel 524:
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Forced feeding of patient
|Forced feeding of patient
|37041007
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=37041007 37041007]
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 532: Regel 536:
|}
|}


 
==This information model in other releases<!--ftOtherReleases-->==
==This information model in other releases==
<!-- Hieronder wordt een transclude page aangeroepen -->
<ul>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.3(EN)|2|2017}}
<li>[[FreedomRestrictingMeasures-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li>
<!-- Tot hier de transclude page -->
<li>[[FreedomRestrictingMeasures-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
==Information model references<!--ftReferences-->==
</ul>
====This information model refers to<!--ftRefersTo-->====
==More on this information model==
:--
====This information model is used in<!--ftReferredBy-->====
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.14.3&effectiveDate=2017-12-31T00:00:00&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<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.14.3&effectiveDate=2017-12-31T00:00:00&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=Profile [[File:fhir.png|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2017}}</li>
</ul>
</ul>
This information model is also available as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==Downloads<!--ftDownloadTitle-->==
==About this information==
This information model is also available as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
The information in this wikipage is based on Release 2017 <BR>
==About this information<!--ftHeader2-->==
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR>
This page is generated on 24/01/2018 16:11:35 <BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 19/12/2018 18:45:50 with ZibExtraction v. 3.0.6927.32850<!--ftDate--> <BR>
-----
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Versie van 20 dec 2018 13:30


Attention!! This is not the most recent version of this information model. You can find the most recent version here.

General information

Name: nl.zorg.FreedomRestrictingMeasures NL.png
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017

Back 16.png Back to HCIM list

Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 5-5-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.14.3
DCM::KeywordList Vrijheidsbeperkendemaatregelen, wilsbekwaamheid, interventies
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.VrijheidsbeperkendeMaatregelen
DCM::PublicationDate 31-12-2017
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.VrijheidsbeperkendeMaatregelen-v3.0
DCM::Version 3.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

Publicatieversie 3.1 (04-09-2017)

ZIB-530 Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
ZIB-549 De Engelse naam van de bouwsteen en het rootconcept zijn niet correct

Concept

Freedom restricting measures are (physical or verbal) measures used to deliberately restrict the freedom of the patient in question.
Many forms of freedom restricting measures fall under this definition, including but not limited to:

  • involuntary treatment (e.g. forced medication)
  • physical restraints (side rails fully up)
  • physical fixation (arm restraints in order to prevent removal of drip)
  • electronic surveillance to monitor the whereabouts of the patient.

In hospitals, these often include the use of side rails, a cushion belt (around the waist) or a Posey bed. Often sedatives are administered in combination with the freedom restricting measures. For small children it often involves fixation of e.g. hands to prevent the extraction of a nasogastric tube.
The Vereniging Verpleegkundigen & Verzorgenden Nederland (V&VN) [Dutch Nurses and Carers Association] published a set of guidelines for nurses to implement these restraints in hospitals.
The ‘Wet BOPZ’ [Dutch Psychiatric Hospitals (Compulsory Admissions) Act] protects the rights of clients who are involuntarily admitted into mental healthcare, services for the disabled and in geriatric psychiatry. The act only applies to ‘BOPZ’-marked facilities and also applies to some (closed) wards in nursing homes. Mental healthcare facilities use a national registration system to register the restraints called Argus registration.
Permission of the patient or his/hers legal representative is required before starting freedom restricting measures.
The patient’s high-risk behavior providing cause for the restraints is not described in this concept.

Purpose

Implementing medical restraints is risky and can result in damage to the patient if they are not carefully implemented. Nurses fulfil an important role in identifying risks, observing the effect of the restraints and any changes to the policy in terms of medical restraints. Recording all information on the measures is of major importance for insight into decision-making, implementing, monitoring and evaluating the measures. In the event of a transfer to the next facility, the proper preparations can be taken to safely continue the care and to limit the risks to the patient and their environment.

Information Model


#9853#PermissionCodelist#9856#9845#9840#9855#9843#LegalStatusCodelist#9852#9837#9851#TypeOfInterventionCodelist#ArgusTypeOfInterventionCodelist#ArgusPermissionCodelistFreedomRestrictingMeasures-v3.1Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:14.3.1 Arrowdown.pngFreedomRestrictingMeasures Root concept of the FreedomRestrictingMeasures information model. This root concept contains all data elements of the FreedomRestrictingMeasures information model.
CD.png NL-CM:14.3.2 Arrowright.pngLegalStatus 0..1 The legal situation that applies to the patient during the intervention. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status.
303186005 Legal status of patient
List2.png LegalStatusCodelist
BL.png NL-CM:14.3.3 Arrowright.pngLegallyCapable 1 Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision.
ST.png NL-CM:14.3.4 Arrowright.pngLegallyCapableComment 0..1 Comment on the decisions which the patient is legally capable of making.
48767-8 Annotation comment
Folder.png NL-CM:14.3.5 Arrowdown.pngIntervention 0..* Container of the Restraint concept. This container contains all data elements of the Restraint concept.
CD.png NL-CM:14.3.6 Arrowright.pngTypeOfIntervention 1 The type of restraint describes the medical restraints.
225317005 Restriction of movement
List2.png ArgusTypeOfInterventionCodelist
List2.png TypeOfInterventionCodelist
CD.png NL-CM:14.3.7 Arrowright.pngPermission 1 The permission given to the health professional(s) by the patient or legal representative to implement the medical restraint.
309370004 Consent status
List2.png ArgusPermissionCodelist
List2.png PermissionCodelist
TS.png NL-CM:14.3.8 Arrowright.pngStartEpisode 0..1 The date and time at which the restraints started.
TS.png NL-CM:14.3.9 Arrowright.pngEndOfEpisode 0..1 The date and time at which the restraints ended.

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

VrijheidsbeperkendeMaatregelen
JuridischeStatus
Wilsbekwaam Nee
WilsbekwaamToelichting Wilsonbekwaam t.a.v. geldzaken.
Interventie
SoortInterventie Links armspalk i.v.m. infuus.
Toestemming Instemming wettelijke vertegenwoordiger
AanvangEpisode 01-05-2014
EindeEpisode 05-05-2014

Instructions

Mental healthcare uses a national registration system (Argus registration) when implementing medical restraints. In this context the codelists ArgusInterventieCodelijst and ArgusInstemmingCodelijs are applicable. In all other cases the codelists SoortInterventieCodelijst en ToestemmingCodelijst shall be used

References

1. Handreiking Argus [Online] Beschikbaar op:http://www.veiligezorgiederszorg.nl/speerpunt-dwang-en-drang/handreiking-argus-def.pdf [Geraadpleegd: 13 februari 2015] 2. Argus [Online] Beschikbaar op:http://www.veiligezorgiederszorg.nl/speerpunten/dwang-en-drang.html [Geraadpleegd: 13 februari 2015] 3. Handreiking "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…" (V&VN, 2013) [Online] Beschikbaar op:http://www.venvn.nl/Portals/1/Nieuws/2014%20Documenten/WEB_VenVN_Handl_VBI.pdf [Geraadpleegd: 13 februari 2015]

Valuesets

ArgusPermissionCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Op eigen verzoek E1 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Op eigen verzoek
Geen verzet E2 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Geen verzet
Verzet E3 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Verzet

ArgusTypeOfInterventionCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Separatie A1 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Separatie
Afzondering A2 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Afzondering
Fixatie A3 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Fixatie
Gedwongen medicatie A4 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Gedwongen medicatie
Gedwongen voeding en/of vocht A5 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Gedwongen voeding en/of vocht
Andere interventies A6 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Andere interventies

LegalStatusCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging 1 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
RM op eigen verzoek 2 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 RM op eigen verzoek
RM met voorwaardelijk ontslag 3 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 RM met voorwaardelijk ontslag
Onder toezichtstelling (ots) 4 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Onder toezichtstelling (ots)
In bewaringstelling (ibs) 5 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 In bewaringstelling (ibs)
Voogdij 6 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Voogdij
Bewindvoering 7 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Bewindvoering
Mentorschap 8 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Mentorschap
Onder curatele stelling 9 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Onder curatele stelling
Zaakwaarneming 10 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Zaakwaarneming
Strafrechterlijke justitiële contacten: tbs 11 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Strafrechterlijke justitiële contacten: tbs
Strafrechterlijke justitiële contacten: overig 12 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Strafrechterlijke justitiële contacten: overig

PermissionCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen instemming patiënt 1 InstemmingStatus 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 Geen instemming patiënt
Instemming patiënt 2 InstemmingStatus 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 Instemming patiënt
Geen instemming wettelijk vertegenwoordiger 3 InstemmingStatus 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 Geen instemming wettelijk vertegenwoordiger
Instemming wettelijke vertegenwoordiger 4 InstemmingStatus 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 Instemming wettelijke vertegenwoordiger

TypeOfInterventionCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Secluding patient 90278001 SNOMED CT 2.16.840.1.113883.6.96 Separatie
Segregating patient 29251000146109 SNOMED CT 2.16.840.1.113883.6.96 Afzondering
Physical restraint 386423001 SNOMED CT 2.16.840.1.113883.6.96 Fixatie
Forced medication 2921100014610 SNOMED CT 2.16.840.1.113883.6.96 Gedwongen medicatie
Forced feeding of patient 37041007 SNOMED CT 2.16.840.1.113883.6.96 Gedwongen voeding en/of vocht
Other OTH NullFlavor 2.16.840.1.113883.5.1008 Anders

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