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

Versie van 24 dec 2018 11:58

General information

Name: nl.zorg.PlannedCareActivityForTransfer
Version: 3.1
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018

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	15-11-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	PM
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.16.1
DCM::KeywordList	Geplande afspraken, orders, clinical reminders
DCM::LifecycleStatus	Final
DCM::ModelerList	Kerngroep Registratie aan de Bron
DCM::Name	nl.zorg.OverdrachtGeplandeZorgActiviteit
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.OverdrachtGeplandeZorgActiviteit-v3.0
DCM::Version	3.1
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-02-2013)

Publicatieversie 1.1 (01-07-2013)

ZIB-46

Commentaar Astrid van Ginneken op PlanofCare

Publicatieversie 1.2 (01-04-2015)

ZIB-115	Uitbreiding GOG bouwsteen PlanOfCare door verwijzing naar OverdrachtVerpleegkundigeInterventie op te nemen.
ZIB-149	Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst PlanOfCareOrderTypeCodelijst n.a.v. review terminologie expert.
ZIB-264	In klinische bouwsteen OverdrachtPlanOfCare kwam de waarde van de tagged value DCM::ValueSet van concept OrderStatus niet overeen met naam van de gekoppelde valueset.
ZIB-265	In klinische bouwsteen OverdrachtPlanOfCare kwam de waarde van de tagged value DCM::ValueSet van concept OrderType niet overeen met naam van de gekoppelde valueset.
ZIB-306	Aanpassen modellering keuzebox, boundary en cardinaliteit
ZIB-328	Bouwsteen OverdrachtPlanOfCare hernoemd naar GeplandeZorgActiviteit

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 1.2.1 (22-05-2015)

ZIB-402

In waardelijst OrderStatusCodelijst staat een verkeerde OID.

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-549	De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
ZIB-564	Aanpassing/harmonisatie Engelse conceptnamen
ZIB-607	Aanpassen verwijzingen naar medicatie zib ivm nieuwe medicatie zib's

Concept

All planned appointments, referrals, treatments and diagnostic procedures, open orders and orders of which the results are not yet known that are relevant to the patient’s care may be included. Clinical reminders can also be included here. These are postponed orders that are not yet active. (For example: please note! patient still needs a booster vaccination in x weeks; or please note! check the oral mucosa next time). The PlannedCareActivity concept is a line from the treatment plan.
This gives every recipient, user or healthcare facility insight into the planned care for this patient.

Purpose

Recording planned appointments, referrals, treatments, diagnostic procedures, open orders and orders of which the results are not yet known gives every recipient, user or healthcare facility insight in the planned healthcare for this patient. This can prevent situations in which diagnostics and treatment can conflict with each other.
This will give the recipient the option to place an order, cancel the order or act in any other way in accordance with their own policy.
For orders that do not yet have results, the recipient is informed of the fact that potentially relevant results will be made available (which have to be requested).

Evidence Base

The scope is limited to planned and desired orders and appointments. The composition of the current information model is not yet suitable for transferring a treatment plan. At this point, it also lacks accepted healthcare standards and transmural care processes.

Information Model

PlannedCareActivityForTransfer-v3.1Model(2018EN).png

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:16.1.1

PlannedCareActivity

Root concept of the PlannedCareActivityTransfer information model. This root concept contains all data elements of the PlannedCareActivityTransfer information model.

NL-CM:16.1.9

OrderStatus

0..1

The status of the order.

OrderStatusCodelist

NL-CM:16.1.10

StartDate

0..1

Planned or requested date. Clinical reminders can be used to indicate from when the procedure can take place. A vague date (such as only the month and year) is permitted.

NL-CM:16.1.11

EndDate

0..1

The planned end date of the procedure can be included as well if needed. Depending on the type of procedure, this can also be used to indicate before which time it has to have been completed.

NL-CM:16.1.8

OrderType

1

Type of order, request or reminder.

OrderTypeCodelist

NL-CM:16.1.2

OrderOther

(0..1)

Orders that do not fit in any of the other concepts can be described in free text.

NL-CM:16.1.3

MedicationAdministration

(0..1)

The medication for which future administration still has to be agreed on. This information is usually included in the Medication section.

MedicationAdministration2

NL-CM:16.1.4

Procedure

(0..1)

A planned procedure including things like the indication and location.

Procedure

NL-CM:16.1.12

NursingProcedure

(0..1)

A planned nursing intervention.

NursingIntervention

NL-CM:16.1.5

Vaccination

(0..1)

A planned vaccination.

Vaccination

NL-CM:16.1.6

Appointment::Contact

(0..1)

An appointment including the location and reason for contact.

Encounter

NL-CM:16.1.7

MedicalDevice

(0..1)

A requested medical device.

MedicalDevice

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

GeplandeZorgActiviteit
Verrichting				OrderStatus
Verrichting Type	Indicatie	Verrichting StartDatum	Locatie
	ProbleemNaam		OrganisatieNaam
Biopt huid	Naevus wang	12-3-2013	Ziekenhuis X plastische chirurgie	Order geplaatst

GeplandeZorgActiviteit
Verrichting				OrderStatus
Verrichting Type	Indicatie	Verrichting StartDatum	Locatie
	ProbleemNaam		OrganisatieNaam
Colonoscopie	Status na colon carcinoom flexura lienalis	Mei 2015	Ziekenhuis Y MDL	In uitvoering

GeplandeZorgActiviteit
Vaccinatie				OrderStatus
ProductCode	Toelichting	Vaccinatie Datum	Locatie
			OrganisatieType
Pneumococcen	Status na accidentele miltextirpatie bij hemicolectomie links	2017	Huisartspraktijk	Aangevraagd

Valuesets

OrderStatusCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2	Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Ordered	new	ActStatus	2.16.840.1.113883.5.14	Order geplaatst
Requested	385644000	SNOMED CT	2.16.840.1.113883.6.96	Aangevraagd
Pending	active	ActStatus	2.16.840.1.113883.5.14	In afwachting van uitvoering
In progress	385651009	SNOMED CT	2.16.840.1.113883.6.96	In uitvoering
On hold	held	ActStatus	2.16.840.1.113883.5.14	Opgeschort
Cancelled	cancelled	ActStatus	2.16.840.1.113883.5.14	Geannuleerd
Noshow	aborted	ActStatus	2.16.840.1.113883.5.14	Niet nagekomen

OrderTypeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.16.1.1	Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Patient encounter procedure	308335008	SNOMED CT	2.16.840.1.113883.6.96	Patientcontact
Procedure	71388002	SNOMED CT	2.16.840.1.113883.6.96	Verrichting
Nursing procedure	9632001	SNOMED CT	2.16.840.1.113883.6.96	Verpleegkundige actie
Biomedical equipment	303607000	SNOMED CT	2.16.840.1.113883.6.96	Medisch hulpmiddel
Active immunization	33879002	SNOMED CT	2.16.840.1.113883.6.96	Vaccinatie
Administration of medication	18629005	SNOMED CT	2.16.840.1.113883.6.96	Medicatietoediening

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
HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

Downloads

This information model is also available as pdf file or as spreadsheet

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
This page is generated on 23/12/2018 01:19:16 with ZibExtraction v. 3.0.6929.24609

Back to HCIM list

@@ Regel 164: / Regel 164: @@
 ==Information Model==
 <BR>
-<imagemap> Bestand:PlannedCareActivityForTransfer-v3.1Model(EN).png | center
+<imagemap> Bestand:PlannedCareActivityForTransfer-v3.1Model(2018EN).png | center
-rect 348 448 492 518 [[NursingIntervention-v3.1(2018EN)]]
+rect 358 456 502 526 [[NursingIntervention-v3.1(2018EN)]]
-rect 361 232 482 302 [[#12966]]
+rect 371 240 492 310 [[#12966]]
-rect 168 228 296 278 [[#OrderStatusCodelist]]
+rect 178 236 306 286 [[#OrderStatusCodelist]]
-rect 546 228 674 278 [[#OrderTypeCodelist]]
+rect 556 236 684 286 [[#OrderTypeCodelist]]
-rect 442 115 532 185 [[#12959]]
+rect 452 123 542 193 [[#12959]]
-rect 95 356 185 426 [[#12964]]
+rect 105 364 195 434 [[#12964]]
-rect 187 115 277 185 [[#12972]]
+rect 197 123 287 193 [[#12972]]
-rect 564 114 654 184 [[#12969]]
+rect 574 122 664 192 [[#12969]]
-rect 316 115 406 185 [[#12971]]
+rect 326 123 416 193 [[#12971]]
-rect 625 343 730 413 [[MedicalDevice-v3.1.1(2018EN)]]
+rect 635 351 740 421 [[MedicalDevice-v3.1.1(2018EN)]]
-rect 96 448 208 518 [[MedicationAdministration2-v1.0.1(2018EN)]]
+rect 106 456 218 526 [[MedicationAdministration2-v1.0.1(2018EN)]]
-rect 610 448 726 518 [[Encounter-v3.1(2018EN)]]
+rect 620 456 736 526 [[Encounter-v3.1(2018EN)]]
-rect 217 448 339 518 [[Procedure-v4.1(2018EN)]]
+rect 227 456 349 526 [[Procedure-v4.1(2018EN)]]
-rect 501 448 601 518 [[Vaccination-v3.2(2018EN)]]
+rect 511 456 611 526 [[Vaccination-v3.2(2018EN)]]
 desc none
 </imagemap>
@@ Regel 435: / Regel 435: @@
 |Order geplaatst
 |-style="vertical-align:top; "
-|<span title = "Aangevraagd" >Requested</span>
+|<span title = "Aangevraagd">Requested</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=385644000 385644000]
 |SNOMED CT
@@ Regel 447: / Regel 447: @@
 |In afwachting van uitvoering
 |-style="vertical-align:top; "
-|<span title = "In uitvoering" >In progress</span>
+|<span title = "In uitvoering">In progress</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=385651009 385651009]
 |SNOMED CT
@@ Regel 484: / Regel 484: @@
 |Description<!--vsDescription-->
 |-style="vertical-align:top; "
-|<span title = "Patiëntcontact" >Patient encounter procedure</span>
+|<span title = "Patiëntcontact">Patient encounter procedure</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=308335008 308335008]
 |SNOMED CT
@@ Regel 490: / Regel 490: @@
 |Patientcontact
 |-style="vertical-align:top; "
-|<span title = "Verrichting" >Procedure</span>
+|<span title = "Verrichting">Procedure</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=71388002 71388002]
 |SNOMED CT
@@ Regel 496: / Regel 496: @@
 |Verrichting
 |-style="vertical-align:top; "
-|<span title = "Verpleegkundige verrichting" >Nursing procedure</span>
+|<span title = "Verpleegkundige verrichting">Nursing procedure</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=9632001 9632001]
 |SNOMED CT
@@ Regel 502: / Regel 502: @@
 |Verpleegkundige actie
 |-style="vertical-align:top; "
-|<span title = "Biomedische apparatuur" >Biomedical equipment</span>
+|<span title = "Biomedische apparatuur">Biomedical equipment</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=303607000 303607000]
 |SNOMED CT
@@ Regel 508: / Regel 508: @@
 |Medisch hulpmiddel
 |-style="vertical-align:top; "
-|<span title = "Vaccinatie" >Active immunization</span>
+|<span title = "Vaccinatie">Active immunization</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=33879002 33879002]
 |SNOMED CT
@@ Regel 514: / Regel 514: @@
 |Vaccinatie
 |-style="vertical-align:top; "
-|<span title = "Medicatietoediening" >Administration of medication</span>
+|<span title = "Medicatietoediening">Administration of medication</span>
 |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=18629005 18629005]
 |SNOMED CT
@@ Regel 533: / Regel 533: @@
 *[[Procedure-v4.1(2018EN)|Procedure-v4.1]]
 *[[Vaccination-v3.2(2018EN)|Vaccination-v3.2]]
-====This inforation model is used in<!--ftReferredBy-->====
+====This information model is used in<!--ftReferredBy-->====
 :--
 ==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
@@ Regel 552: / Regel 552: @@
 </ul>
 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 17:37:08 with ZibExtraction v. 2.0.6879.31307<!--ftDate--> <BR>
+This page is generated on 23/12/2018 01:19:16 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR>
 -----
 <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>

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

Versie van 24 dec 2018 11:58

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Information Model

Example Instances