OutcomeOfCare-v3.1(2017EN): verschil tussen versies
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
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(6 tussenliggende versies door dezelfde gebruiker niet weergegeven) | |||
Regel 1: | Regel 1: | ||
==General information== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
Name: '''nl.zorg.OutcomeOfCare''' [[Bestand:NL.png|link=UitkomstVanZorg-v3.1(2017NL)]]<BR> | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.13.4(EN)|1|OutcomeOfCare-v3.1(2017EN)}} | ||
Version: '''3.1''' <br> | <!-- Tot hier de transclude page --> | ||
HCIM Status:Final<br> | ==General information<!--hdGeneralInformation-->== | ||
Name<!--hdName-->: '''nl.zorg.OutcomeOfCare''' [[Bestand:NL.png|link=UitkomstVanZorg-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.UitkomstVanZorg | |style="width:250px; "|DCM::Name||nl.zorg.UitkomstVanZorg | ||
|- | |- | ||
|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 RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron | |style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & 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.UitkomstVanZorg-v3.0 | |style="width:250px; "|DCM::Superseeds||nl.zorg.UitkomstVanZorg-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> (01-07-2015) | <u>Publicatieversie 1.0</u> (01-07-2015) | ||
Regel 88: | Regel 91: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:OutcomeOfCare-v3.1Model(2017EN).png | center | |||
rect 389 94 489 174 [[#10313]] | |||
rect 375 229 499 299 [[GeneralMeasurement-v3.0(2017EN)]] | |||
rect 532 229 678 299 [[FunctionalOrMentalStatus-v3.1(2017EN)]] | |||
rect 585 99 729 169 [[NursingIntervention-v3.1(2017EN)]] | |||
rect 215 229 339 299 [[#10318]] | |||
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:13.4.1 | ||NL-CM:13.4.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: UitkomstVanZorg">[[Bestand: arrowdown.png | 10px]]OutcomeOfCare</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=10313 Title="NL: UitkomstVanZorg">[[Bestand: arrowdown.png | 10px | link=]]OutcomeOfCare</span> | ||
| | | | ||
|Root concept of the OutcomeOfCare information model. This root concept contains all data elements of the OutcomeOfCare information model. | |Root concept of the OutcomeOfCare information model. This root concept contains all data elements of the OutcomeOfCare information model. | ||
Regel 102: | Regel 112: | ||
| | | | ||
|-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:13.4.5 | ||NL-CM:13.4.5 | ||
|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: Zorgresultaat">[[Bestand: arrowright.png | 10px]]HealthcareResult</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10318 Title="NL: Zorgresultaat">[[Bestand: arrowright.png | 10px | link=]]HealthcareResult</span> | ||
|(0..1) | |(0..1) | ||
|The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result. | |The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result. | ||
Regel 111: | Regel 121: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=27574-3 27574-3] Skilled nursing treatment plan Progress note and attainment of goals (narrative)</span> | ||
|} | |} | ||
| | | | ||
|-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:13.4.2 | ||NL-CM:13.4.2 | ||
|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: Meetwaarde::AlgemeneMeting">[[Bestand: arrowright.png | 10px]]MeasurementValue::GeneralMeasurement</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10314 Title="NL: Meetwaarde::AlgemeneMeting">[[Bestand: arrowright.png | 10px | link=]]MeasurementValue::GeneralMeasurement</span> | ||
|(0..1) | |(0..1) | ||
|Measurements in which an observation, carried out with a (measuring) tool if possible, is translated to a relevant unit. | |Measurements in which an observation, carried out with a (measuring) tool if possible, is translated to a relevant unit. | ||
Regel 125: | Regel 135: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[GeneralMeasurement-v3.0(2017EN) |GeneralMeasurement]] | |[[Bestand: block.png | link=GeneralMeasurement-v3.0(2017EN)]]||[[GeneralMeasurement-v3.0(2017EN) |GeneralMeasurement]] | ||
|} | |} | ||
|-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:13.4.3 | ||NL-CM:13.4.3 | ||
|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: Gezondheidstoestand::FunctioneleOfMentaleStatus">[[Bestand: arrowright.png | 10px]]HealthCondition::FunctionalOrMentalStatus</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10315 Title="NL: Gezondheidstoestand::FunctioneleOfMentaleStatus">[[Bestand: arrowright.png | 10px | link=]]HealthCondition::FunctionalOrMentalStatus</span> | ||
|(0..1) | |(0..1) | ||
|A description of the patient’s health condition in the form of a functional and/or mental status. | |A description of the patient’s health condition in the form of a functional and/or mental status. | ||
Regel 138: | Regel 148: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[FunctionalOrMentalStatus-v3.1(2017EN) |FunctionalOrMentalStatus]] | |[[Bestand: block.png | link=FunctionalOrMentalStatus-v3.1(2017EN)]]||[[FunctionalOrMentalStatus-v3.1(2017EN) |FunctionalOrMentalStatus]] | ||
|} | |} | ||
|-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:13.4.4 | ||NL-CM:13.4.4 | ||
|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: Interventie::VerpleegkundigeInterventie">[[Bestand: arrowright.png | 10px]]Intervention::NursingIntervention</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10317 Title="NL: Interventie::VerpleegkundigeInterventie">[[Bestand: arrowright.png | 10px | link=]]Intervention::NursingIntervention</span> | ||
|0..1 | |0..1 | ||
|A description of the nursing intervention of which the effectivity is evaluated with the healthcare result. | |A description of the nursing intervention of which the effectivity is evaluated with the healthcare result. | ||
Regel 151: | Regel 161: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[NursingIntervention-v3.1(2017EN) |NursingIntervention]] | |[[Bestand: block.png | link=NursingIntervention-v3.1(2017EN)]]||[[NursingIntervention-v3.1(2017EN) |NursingIntervention]] | ||
|} | |} | ||
|} | |} | ||
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="610px" style= "font-size: 9.5pt;" | |||
== | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>UitkomstV</b></font><font color=#FFFFFF><b>an</b></font><font color=#FFFFFF><b>Z</b></font><font color=#FFFFFF><b>org</b></font> | |||
This information model is also available as [[Media:nl.zorg.OutcomeOfCare-v3.1( | |-style=vertical-align:top; | ||
==About this information== | |colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Meetwaarde</b></font> | ||
The information in this wikipage is based on | |-style=vertical-align:top; | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | | style="width: 26%; "|ResultaatStatus | ||
This page is generated on 21/ | | style="width: 74%; "|Definitief | ||
|-style=vertical-align:top; | |||
| style="width: 26%; "|Toelichting | |||
| style="width: 74%; "|Waarschijnlijk delier. | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #BFBFBF; width: 100%; "|<b>MeetUitslag</b> | |||
|-style=vertical-align:top; | |||
| style="width: 26%; "|MetingNaam | |||
| style="width: 74%; "|Delirium observatie screening (DOS) | |||
|-style=vertical-align:top; | |||
| style="width: 26%; "|UitslagWaarde | |||
| style="width: 74%; "|7 | |||
|-style=vertical-align:top; | |||
| style="width: 26%; "|UitslagDatumTijd | |||
| style="width: 74%; "|10-09-2014 | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Interventie</b></font> | |||
|-style=vertical-align:top; | |||
| style="width: 26%; "|Interventie | |||
| style="width: 74%; "|Waarborgen van veiligheid. | |||
|} | |||
==This information model in other releases<!--ftOtherReleases-->== | |||
<!-- Hieronder wordt een transclude page aangeroepen --> | |||
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.13.4(EN)|2|2017}} | |||
<!-- Tot hier de transclude page --> | |||
==Information model references<!--ftReferences-->== | |||
====This information model refers to<!--ftRefersTo-->==== | |||
*[[FunctionalOrMentalStatus-v3.1(2017EN)|FunctionalOrMentalStatus-v3.1]] | |||
*[[GeneralMeasurement-v3.0(2017EN)|GeneralMeasurement-v3.0]] | |||
*[[NursingIntervention-v3.1(2017EN)|NursingIntervention-v3.1]] | |||
====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=2.16.840.1.113883.2.4.3.11.60.7.4.2.13.4&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.OutcomeOfCare-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.OutcomeOfCare-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 14:48:52 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR> | |||
----- | ----- | ||
<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> |
Huidige versie van 24 dec 2018 om 12:04
General information
Name: nl.zorg.OutcomeOfCare
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017
Metadata
DCM::CoderList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::ContactInformation.Address | * |
DCM::ContactInformation.Name | * |
DCM::ContactInformation.Telecom | * |
DCM::ContentAuthorList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::CreationDate | 8-9-2014 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | PM |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.13.4 |
DCM::KeywordList | Uitkomst van zorg, zorgresultaat |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::Name | nl.zorg.UitkomstVanZorg |
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.UitkomstVanZorg-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-539 | Verwijderen referentie naar NOC codesysteem uit conceptbeschrijving |
ZIB-549 | De Engelse naam van de bouwsteen en het rootconcept zijn niet correct |
Concept
The OutcomeOfCare concept describes the determined status of the patient in terms of a certain problem. Comparing the healthcare result with the treatment objective provides insight into the effectively of the nursing interventions/activities carried out for this problem. It is a part of the nursing process, together with nursing diagnoses/problems, the treatment objective and nursing interventions.
Purpose
Healthcare results are important parameters for evaluating the patient’s health and monitoring the effectivity of the medical treatment and nursing interventions.
Information Model
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
NL-CM:13.4.1 | OutcomeOfCare | Root concept of the OutcomeOfCare information model. This root concept contains all data elements of the OutcomeOfCare information model. | |||||||||||
NL-CM:13.4.5 | HealthcareResult | (0..1) | The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result. |
|
|||||||||
NL-CM:13.4.2 | MeasurementValue::GeneralMeasurement | (0..1) | Measurements in which an observation, carried out with a (measuring) tool if possible, is translated to a relevant unit. |
| |||||||||
NL-CM:13.4.3 | HealthCondition::FunctionalOrMentalStatus | (0..1) | A description of the patient’s health condition in the form of a functional and/or mental status. |
| |||||||||
NL-CM:13.4.4 | Intervention::NursingIntervention | 0..1 | A description of the nursing intervention of which the effectivity is evaluated with the healthcare result. |
|
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
UitkomstVanZorg | |
Meetwaarde | |
ResultaatStatus | Definitief |
Toelichting | Waarschijnlijk delier. |
MeetUitslag | |
MetingNaam | Delirium observatie screening (DOS) |
UitslagWaarde | 7 |
UitslagDatumTijd | 10-09-2014 |
Interventie | |
Interventie | Waarborgen van veiligheid. |
This information model in other releases
- Release 2015, (Version 1.0)
- Release 2016, (Version 3.0)
- Prerelease 2018-2, (Version 3.1)
- Prerelease 2019-2, (Version 3.1)
- Release 2020, (Version 3.2)
- Prerelease 2021-2, (Version 3.3)
- Prerelease 2022-1, (Version 3.3)
- Prerelease 2023-1, (Version 3.3.1)
- Prerelease 2024-1, (Version 3.3.1)
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 14:48:52 with ZibExtraction v. 3.0.6929.24609