FamilyHistory-v3.1(2017EN): verschil tussen versies
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(7 tussenliggende versies door dezelfde gebruiker niet weergegeven) | |||
Regel 1: | Regel 1: | ||
==General information== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
Name: '''nl.zorg.FamilyHistory''' [[Bestand:NL.png|link=Familieanamnese-v3.1(2017NL)]]<BR> | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.6.1(EN)|1|FamilyHistory-v3.1(2017EN)}} | ||
Version: '''3.1''' <br> | <!-- Tot hier de transclude page --> | ||
HCIM Status:Final<br> | ==General information<!--hdGeneralInformation-->== | ||
Name<!--hdName-->: '''nl.zorg.FamilyHistory''' [[Bestand:NL.png|link=Familieanamnese-v3.1(2017NL)]]<BR> | |||
Release status: | Version<!--hdVersion-->: '''3.1''' <br> | ||
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= | <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 44: | Regel 47: | ||
|style="width:250px; "|DCM::Name||nl.zorg.Familieanamnese | |style="width:250px; "|DCM::Name||nl.zorg.Familieanamnese | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationDate|| | |style="width:250px; "|DCM::PublicationDate||31-12-2017 | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationStatus|| | |style="width:250px; "|DCM::PublicationStatus||Published | ||
|- | |- | ||
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron | |style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron | ||
|- | |- | ||
|style="width:250px; "|DCM::RevisionDate|| | |style="width:250px; "|DCM::RevisionDate||31-12-2017 | ||
|- | |- | ||
|style="width:250px; "|DCM::Superseeds||nl.zorg.Familieanamnese-v3.0 | |style="width:250px; "|DCM::Superseeds||nl.zorg.Familieanamnese-v3.0 | ||
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> (15-02-2013) | <u>Publicatieversie 1.0</u> (15-02-2013) | ||
Regel 134: | Regel 137: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:FamilyHistory-v3.1Model(2017EN).png | center | |||
rect 706 157 864 207 [[#BiologicalRelationshipCodelist]] | |||
rect 170 233 283 303 [[#11301]] | |||
rect 171 147 281 217 [[#11300]] | |||
rect 518 233 638 303 [[#11299]] | |||
rect 331 437 433 507 [[#11304]] | |||
rect 520 147 640 217 [[#11303]] | |||
rect 331 327 433 397 [[#11308]] | |||
rect 331 181 433 251 [[#11306]] | |||
rect 171 327 281 397 [[Problem-v4.1(2017EN)]] | |||
rect 518 48 638 118 [[#11298]] | |||
rect 331 43 433 123 [[#11307]] | |||
desc none | |||
</imagemap> | |||
<BR> | <BR> | ||
{| 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]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
||NL-CM:6.1.1 | ||NL-CM:6.1.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: Familieanamnese">[[Bestand: arrowdown.png | 10px]]FamilyHistory</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=11307 Title="NL: Familieanamnese">[[Bestand: arrowdown.png | 10px | link=]]FamilyHistory</span> | ||
| | | | ||
|Root concept of the FamilyHistory information model. This root concept contains all data elements of the FamilyHistory information model. | |Root concept of the FamilyHistory information model. This root concept contains all data elements of the FamilyHistory information model. | ||
Regel 148: | Regel 164: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: TS.png| 16px]] | |style = "text-align:center" |[[Bestand: TS.png| 16px | link=]] | ||
||NL-CM:6.1.2 | ||NL-CM:6.1.2 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Datum">[[Bestand: arrowright.png | 10px]]Date</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11298 Title="NL: Datum">[[Bestand: arrowright.png | 10px | link=]]Date</span> | ||
|0..1 | |0..1 | ||
|Date on which the family history was entered. A ‘vague’ date is permitted. | |Date on which the family history was entered. A ‘vague’ date is permitted. | ||
Regel 157: | Regel 173: | ||
| | | | ||
|-style="vertical-align:top; background-color: #E8D7BE; " | |-style="vertical-align:top; background-color: #E8D7BE; " | ||
|style = "text-align:center" |[[Bestand: folder.png| 16px]] | |style = "text-align:center" |[[Bestand: folder.png| 16px | link=]] | ||
||NL-CM:6.1.3 | ||NL-CM:6.1.3 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Familielid">[[Bestand: arrowdown.png | 10px]]FamilyMember</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11306 Title="NL: Familielid">[[Bestand: arrowdown.png | 10px | link=]]FamilyMember</span> | ||
|1..* | |1..* | ||
|Container of the FamilyMember concept. This container contains all data elements of the FamilyMember concept. | |Container of the FamilyMember concept. This container contains all data elements of the FamilyMember concept. | ||
Regel 166: | Regel 182: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CD.png| 16px]] | |style = "text-align:center" |[[Bestand: CD.png| 16px | link=]] | ||
||NL-CM:6.1.4 | ||NL-CM:6.1.4 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: BiologischeRelatie">[[Bestand: arrowright.png | 10px]]BiologicalRelationship</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11303 Title="NL: BiologischeRelatie">[[Bestand: arrowright.png | 10px | link=]]BiologicalRelationship</span> | ||
|1 | |1 | ||
|Indicates the biological relationship of the family member to the patient. | |Indicates the biological relationship of the family member to the patient. | ||
Regel 177: | Regel 193: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#BiologicalRelationshipCodelist|BiologicalRelationshipCodelist]] | |[[Bestand: List2.png | link=#BiologicalRelationshipCodelist]]||[[#BiologicalRelationshipCodelist|BiologicalRelationshipCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: ST.png| 16px]] | |style = "text-align:center" |[[Bestand: ST.png| 16px | link=]] | ||
||NL-CM:6.1.5 | ||NL-CM:6.1.5 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11299 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span> | ||
|0..1 | |0..1 | ||
|Comment with information on the family member which might be relevant to the family history. | |Comment with information on the family member which might be relevant to the family history. | ||
Regel 190: | Regel 206: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span> | ||
|} | |} | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: BL.png| 16px]] | |style = "text-align:center" |[[Bestand: BL.png| 16px | link=]] | ||
||NL-CM:6.1.10 | ||NL-CM:6.1.10 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: OverlijdensIndicator">[[Bestand: arrowright.png | 10px]]DeathIndicator</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11300 Title="NL: OverlijdensIndicator">[[Bestand: arrowright.png | 10px | link=]]DeathIndicator</span> | ||
|0..1 | |0..1 | ||
|An indication stating whether the family member has died. | |An indication stating whether the family member has died. | ||
Regel 204: | Regel 220: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: INT.png| 16px]] | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] | ||
||NL-CM:6.1.12 | ||NL-CM:6.1.12 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: LeeftijdBijOverlijden">[[Bestand: arrowright.png | 10px]]AgeAtDeath</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11301 Title="NL: LeeftijdBijOverlijden">[[Bestand: arrowright.png | 10px | link=]]AgeAtDeath</span> | ||
|0..1 | |0..1 | ||
|The age at which the family member died. | |The age at which the family member died. | ||
Regel 214: | Regel 230: | ||
| | | | ||
|-style="vertical-align:top; background-color: #E8D7BE; " | |-style="vertical-align:top; background-color: #E8D7BE; " | ||
|style = "text-align:center" |[[Bestand: folder.png| 16px]] | |style = "text-align:center" |[[Bestand: folder.png| 16px | link=]] | ||
||NL-CM:6.1.6 | ||NL-CM:6.1.6 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: Aandoening">[[Bestand: arrowdown.png | 10px]]Disorder</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11308 Title="NL: Aandoening">[[Bestand: arrowdown.png | 10px | link=]]Disorder</span> | ||
|1..* | |1..* | ||
|Container of the Disorder concept. This container contains all data elements of the Disorder concept. | |Container of the Disorder concept. This container contains all data elements of the Disorder concept. | ||
Regel 224: | Regel 240: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:6.1.7 | ||NL-CM:6.1.7 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="3" style ="padding-left: 0px"|<span Title="NL: Probleem">[[Bestand: arrowright.png | 10px]]Problem</span> | |colspan ="3" style ="padding-left: 0px"|<span Id=11302 Title="NL: Probleem">[[Bestand: arrowright.png | 10px | link=]]Problem</span> | ||
|1 | |1 | ||
|The health problem of the family member in question, which is recorded for the family history. | |The health problem of the family member in question, which is recorded for the family history. | ||
Regel 236: | Regel 252: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[Problem-v4. | |[[Bestand: block.png | link=Problem-v4.1(2017EN)]]||[[Problem-v4.1(2017EN) |Problem]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: BL.png| 16px]] | |style = "text-align:center" |[[Bestand: BL.png| 16px | link=]] | ||
||NL-CM:6.1.9 | ||NL-CM:6.1.9 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="3" style ="padding-left: 0px"|<span Title="NL: IsDoodsoorzaak">[[Bestand: arrowright.png | 10px]]IsCauseOfDeath</span> | |colspan ="3" style ="padding-left: 0px"|<span Id=11304 Title="NL: IsDoodsoorzaak">[[Bestand: arrowright.png | 10px | link=]]IsCauseOfDeath</span> | ||
|0..1 | |0..1 | ||
|Indication stating whether the described health problem was the cause of death of the family member. | |Indication stating whether the described health problem was the cause of death of the family member. | ||
Regel 250: | Regel 266: | ||
| | | | ||
|} | |} | ||
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="852px" style= "font-size: 9.5pt;" | {|class="wikitable" width="852px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="10" style="background-color: #1F497D; width: 100%; color | |colspan="10" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Familieanamnese</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #548DD4; width: 8%; color | | style="background-color: #548DD4; width: 8%; "|<font color=#FFFFFF><b>Datum</b></font> | ||
|colspan="4" style="background-color: #548DD4; width: 36%; color | |colspan="4" style="background-color: #548DD4; width: 36%; "|<font color=#FFFFFF><b>Familielid</b></font> | ||
|colspan="5" style="background-color: #548DD4; width: 56%; color | |colspan="5" style="background-color: #548DD4; width: 56%; "|<font color=#FFFFFF><b>Aandoening</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #BFBFBF; width: 8%; "| | | style="background-color: #BFBFBF; width: 8%; "| | ||
| style="background-color: #BFBFBF; width: 9% | | style="background-color: #BFBFBF; width: 9%; "|<b>BiologischeRelatie</b> | ||
| style="background-color: #BFBFBF; width: 9% | | style="background-color: #BFBFBF; width: 9%; "|<b>Toelichting</b> | ||
| style="background-color: #BFBFBF; width: 9% | | style="background-color: #BFBFBF; width: 9%; "|<b>Overlijdens</b><BR><b>Indicator</b> | ||
| style="background-color: #BFBFBF; width: 9% | | style="background-color: #BFBFBF; width: 9%; "|<b>OverlijdensDatum</b> | ||
|colspan="4" style="background-color: #BFBFBF; width: 45% | |colspan="4" style="background-color: #BFBFBF; width: 45%; "|<b>Probleem</b> | ||
| style="background-color: #BFBFBF; width: 11% | | style="background-color: #BFBFBF; width: 11%; "|<b>Is</b><BR><b>Doodsoorzaak</b> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #D9D9D9; width: 8%; "| | | style="background-color: #D9D9D9; width: 8%; "| | ||
Regel 277: | Regel 293: | ||
| style="background-color: #D9D9D9; width: 9%; "| | | style="background-color: #D9D9D9; width: 9%; "| | ||
| style="background-color: #D9D9D9; width: 9%; "| | | style="background-color: #D9D9D9; width: 9%; "| | ||
| style="background-color: #D9D9D9; width: 12% | | style="background-color: #D9D9D9; width: 12%; "|<b>ProbleemType</b> | ||
| style="background-color: #D9D9D9; width: 13% | | style="background-color: #D9D9D9; width: 13%; "|<b>ProbleemNaam</b> | ||
| style="background-color: #D9D9D9; width: 9% | | style="background-color: #D9D9D9; width: 9%; "|<b>Probleem</b><BR><b>Status</b> | ||
| style="background-color: #D9D9D9; width: 11% | | style="background-color: #D9D9D9; width: 11%; "|<b>Probleem</b><BR><b>StatusDatum</b> | ||
| style="background-color: #D9D9D9; width: 11%; "| | | style="background-color: #D9D9D9; width: 11%; "| | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 8% | | style="width: 8%; "|1-2-2013 | ||
| style="width: 9% | | style="width: 9%; "|Tante / moeders-<BR>zijde | ||
| style="width: 9%; "| | | style="width: 9%; "| | ||
| style="width: 9% | | style="width: 9%; "|Ja | ||
| style="width: 9% | | style="width: 9%; "|1997 | ||
| style="width: 12% | | style="width: 12%; "|Diagnose | ||
| style="width: 13% | | style="width: 13%; "|mammacarcinoom | ||
| style="width: 9% | | style="width: 9%; "|Actueel | ||
| style="width: 11% | | style="width: 11%; "|1995 | ||
| style="width: 11% | | style="width: 11%; "|Ja | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 8% | | style="width: 8%; "|1-2-2013 | ||
| style="width: 9% | | style="width: 9%; "|Biologische moeder | ||
| style="width: 9% | | style="width: 9%; "|moeder heeft vijf zusters | ||
| style="width: 9%; "| | | style="width: 9%; "| | ||
| style="width: | | style="width: 9%; "| | ||
| style="width: 13% | | style="width: 12%; "|Diagnose | ||
| style="width: 9% | | style="width: 13%; "|mammacarcinoom | ||
| style="width: 11% | | style="width: 9%; "|Actueel | ||
| style="width: 11% | | style="width: 11%; "|21-3-1999 | ||
| style="width: 11%; "| | |||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 8% | | style="width: 8%; "|1-2-2013 | ||
| style="width: 9% | | style="width: 9%; "|Biologische vader | ||
| style="width: 9%; "| | | style="width: 9%; "| | ||
| style="width: 9% | | style="width: 9%; "|Ja | ||
| style="width: 9% | | style="width: 9%; "|2005 | ||
| style="width: 12% | | style="width: 12%; "|Diagnose | ||
| style="width: 13% | | style="width: 13%; "|myocardinfarct | ||
| style="width: 9% | | style="width: 9%; "|Niet actueel | ||
| style="width: 11% | | style="width: 11%; "|16-6-2001 | ||
| style="width: 11% | | style="width: 11%; "| | ||
|} | |} | ||
Regel 326: | Regel 342: | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.6.1.1 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.6.1.1 | ||
|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; " | ||
|Aunt | |Aunt | ||
Regel 498: | Regel 515: | ||
|} | |} | ||
==This information model in other releases<!--ftOtherReleases-->== | |||
== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.6.1(EN)|2|2017}} | |||
This information model is also available as [[Media:nl.zorg.FamilyHistory-v3.1( | <!-- Tot hier de transclude page --> | ||
==About this information== | ==Information model references<!--ftReferences-->== | ||
The information in this wikipage is based on | ====This information model refers to<!--ftRefersTo-->==== | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | *[[Problem-v4.1(2017EN)|Problem-v4.1]] | ||
This page is generated on 21/ | ====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> | |||
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | |||
<ul> | |||
<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=2.16.840.1.113883.2.4.3.11.60.7.4.2.6.1&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<!--ftSimplifierReference--> {{SimplefierLinks|2017}}</li> | |||
</ul> | |||
==Downloads<!--ftDownloadTitle-->== | |||
This information model is also available as [[Media:nl.zorg.FamilyHistory-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FamilyHistory-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | |||
==About this information<!--ftHeader2-->== | |||
The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR> | |||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | |||
This page is generated on 21/12/2018 14:09:32 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR> | |||
----- | ----- | ||
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Huidige versie van 24 dec 2018 om 12:03
General information
Name: nl.zorg.FamilyHistory
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017
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 | PM |
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.zorg.Familieanamnese |
DCM::PublicationDate | 31-12-2017 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 31-12-2017 |
DCM::Superseeds | nl.zorg.Familieanamnese-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)
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 |
Publicatieversie 3.0 (01-05-2016)
ZIB-444 | Overlijdensdatum in ZIB Familieanamnese vs. leeftijd waarop persoon is overleden |
ZIB-453 | Wijziging naamgeving ZIB's en logo's door andere opzet van beheer |
Publicatieversie 3.1 (04-09-2017)
ZIB-443 | Aanpassing in codes in BiologischeRelatieCodelijst |
ZIB-564 | Aanpassing/harmonisatie Engelse conceptnamen |
ZIB-574 | Alleen verwijzen naar het rootconcept van de ZIB. |
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 information model. This root concept contains all data elements of the FamilyHistory information model. | |||||||||||
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 | Comment | 0..1 | Comment 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:6.1.12 | AgeAtDeath | 0..1 | The age at which the family member died. | ||||||||||
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 | 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 | Binding: |
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, zoon/dochter van oom/tante |
Grandchild | GRNDCHILD | RoleCode | 2.16.840.1.113883.5.111 | Kleinkind |
Grandparent | GRPRN | RoleCode | 2.16.840.1.113883.5.111 | Grootouder |
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 |
Nephew | NEPHEW | RoleCode | 2.16.840.1.113883.5.111 | Neef, zoon van broer/zus |
Niece | NIECE | RoleCode | 2.16.840.1.113883.5.111 | Nicht, dochter van broer/zus |
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 |
Uncle | UNCLE | RoleCode | 2.16.840.1.113883.5.111 | Oom |
This information model in other releases
- Release 2015, (Version 2.0)
- Release 2016, (Version 3.0)
- Prerelease 2018-2, (Version 3.1)
- Prerelease 2019-2, (Version 3.1)
- Release 2020, (Version 3.1)
- Prerelease 2021-2, (Version 3.2)
- Prerelease 2022-1, (Version 3.2.1)
- Prerelease 2023-1, (Version 3.2.2)
- Prerelease 2024-1, (Version 4.0)
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 Release 2017
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 14:09:32 with ZibExtraction v. 3.0.6929.24609