FunctionalOrMentalStatus-v3.1(2018EN): verschil tussen versies

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Regel 139: Regel 139:
==Information Model==
==Information Model==
<BR>
<BR>
<imagemap> Bestand:FunctionalOrMentalStatus-v3.1Model(EN).png | center  
<imagemap> Bestand:FunctionalOrMentalStatus-v3.1Model(2018EN).png | center  
rect 131 371 274 421 [[#StatusNameICFCodelist]]
rect 141 379 284 429 [[#StatusNameICFCodelist]]
rect 131 501 301 551 [[#StatusNameSnomedCodelist]]
rect 141 509 311 559 [[#StatusNameSnomedCodelist]]
rect 131 566 314 616 [[#StatusNameOMAHACodelist]]
rect 141 574 324 624 [[#StatusNameOMAHACodelist]]
rect 131 436 288 486 [[#StatusNameNOCCodelist]]
rect 141 444 298 494 [[#StatusNameNOCCodelist]]
rect 468 371 618 421 [[#StatusValueICFCodelist]]
rect 478 379 628 429 [[#StatusValueICFCodelist]]
rect 454 437 618 487 [[#StatusValueNOCCodelist]]
rect 464 445 628 495 [[#StatusValueNOCCodelist]]
rect 443 501 617 551 [[#StatusValueSnomedCodelist]]
rect 453 509 627 559 [[#StatusValueSnomedCodelist]]
rect 433 566 618 616 [[#StatusValueOMAHACodelist]]
rect 443 574 628 624 [[#StatusValueOMAHACodelist]]
rect 211 96 339 166 [[#11272]]
rect 221 104 349 174 [[#11272]]
rect 627 97 755 167 [[MedicalDevice-v3.1.1(2018EN)]]
rect 637 105 765 175 [[MedicalDevice-v3.1.1(2018EN)]]
rect 630 258 758 328 [[#11267]]
rect 640 266 768 336 [[#11267]]
rect 420 262 548 332 [[#11266]]
rect 430 270 558 340 [[#11266]]
rect 211 261 339 331 [[#11269]]
rect 221 269 349 339 [[#11269]]
rect 403 91 567 171 [[#11273]]
rect 413 99 577 179 [[#11273]]
desc none
desc none
</imagemap>
</imagemap>
Regel 408: Regel 408:
====This information model refers to<!--ftRefersTo-->====
====This information model refers to<!--ftRefersTo-->====
*[[MedicalDevice-v3.1.1(2018EN)|MedicalDevice-v3.1.1]]
*[[MedicalDevice-v3.1.1(2018EN)|MedicalDevice-v3.1.1]]
====This inforation model is used in<!--ftReferredBy-->====
====This information model is used in<!--ftReferredBy-->====
*[[OutcomeOfCare-v3.1(2018EN)|OutcomeOfCare-v3.1]]
*[[OutcomeOfCare-v3.1(2018EN)|OutcomeOfCare-v3.1]]
*[[TreatmentObjective-v3.1(2018EN)|TreatmentObjective-v3.1]]
*[[TreatmentObjective-v3.1(2018EN)|TreatmentObjective-v3.1]]
Regel 428: Regel 428:
</ul>
</ul>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 01/11/2018 17:35:11 with ZibExtraction v. 2.0.6879.31307<!--ftDate--> <BR>
This page is generated on 23/12/2018 01:17:33 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR>
-----
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Huidige versie van 24 dec 2018 om 11:57


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.FunctionalOrMentalStatus NL.png
Version: 3.1
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018

Back 16.png Back to HCIM list

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 PM
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.zorg.FunctioneleOfMentaleStatus
DCM::PublicationDate 01-10-2018
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.FunctioneleOfMentaleStatus-v3.0
DCM::Version 3.1
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.

Publicatieversie 3.0 (01-05-2016)

ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-564 Aanpassing/harmonisatie Engelse conceptnamen

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 Problem information model.

Information Model


#StatusNameICFCodelist#StatusNameSnomedCodelist#StatusNameOMAHACodelist#StatusNameNOCCodelist#StatusValueICFCodelist#StatusValueNOCCodelist#StatusValueSnomedCodelist#StatusValueOMAHACodelist#11272MedicalDevice-v3.1.1(2018EN)#11267#11266#11269#11273FunctionalOrMentalStatus-v3.1Model(2018EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:4.26.1 Arrowdown.pngFunctionalOrMentalStatus Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus information model.
CD.png NL-CM:4.26.2 Arrowright.pngStatusName 1 Coded description of the functional or mental status or limitation.

Code systems used include:

  • SNOMED CT
  • ICF (International Classification of Functioning, Disability and Health)
  • NOC (Nursing Outcomes Classification)
  • OMAHA
List2.png StatusNameICFCodelist
List2.png StatusNameNOCCodelist
List2.png StatusNameOMAHACodelist
List2.png StatusNameSnomedCodelist
CO.png NL-CM:4.26.3 Arrowright.pngStatusValue 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 device, the evaluation of the extent of the limitation will take place without this aid.

List2.png StatusValueICFCodelist
List2.png StatusValueNOCCodelist
List2.png StatusValueOMAHACodelist
List2.png StatusValueSnomedCodelist
TS.png NL-CM:4.26.6 Arrowright.pngStatusDate 0..1 Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted.
ST.png NL-CM:4.26.4 Arrowright.pngComment 0..1 Explanatory comments as a description of the functional or mental status.
48767-8 Annotation comment [Interpretation] Narrative
Verwijzing.png NL-CM:4.26.5 Arrowright.pngMedicalDevice:MedicalDevice 0..* Medical aid the patient has to reduce the impact of the disability or disorder.
Block.png MedicalDevice

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

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 Binding: Extensible
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 Binding: Extensible
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 Binding: Extensible
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 Binding: Extensible
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 Binding: Extensible
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 Binding: Extensible
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 Binding: Extensible
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 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96

This information model in other releases

Information model references

This information model refers to

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:

  • HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Prerelease 2018 #1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
  • LOINC version 2.64

Conditions for use are located on the mainpage List2.png
This page is generated on 23/12/2018 01:17:33 with ZibExtraction v. 3.0.6929.24609

Back 16.png Back to HCIM list
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