FreedomRestrictingMeasures-v3.0(2016EN): verschil tussen versies
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(3 tussenliggende versies door dezelfde gebruiker niet weergegeven) | |||
Regel 1: | Regel 1: | ||
==General information== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
Name: '''nl.zorg.FreedomRestrictingMeasures''' [[Bestand:NL.png|link=VrijheidsbeperkendeMaatregelen-v3.0(2016NL)]]<BR> | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.3(EN)|1|FreedomRestrictingMeasures-v3.0(2016EN)}} | ||
Version: '''3.0''' <br> | <!-- Tot hier de transclude page --> | ||
HCIM Status:Final<br> | ==General information<!--hdGeneralInformation-->== | ||
Name<!--hdName-->: '''nl.zorg.FreedomRestrictingMeasures''' [[Bestand:NL.png|link=VrijheidsbeperkendeMaatregelen-v3.0(2016NL)]]<BR> | |||
Release status: Published<br> | Version<!--hdVersion-->: '''3.0''' <br> | ||
HCIM Status<!--hdStatus-->:Final<br> | |||
Release<!--hdPublication-->: '''2016''' <br> | |||
Release status<!--hdPublicationStatus-->: Published<br> | |||
Release date<!--hdPublicationDate-->: 1-5-2016 | |||
----- | ----- | ||
<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-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(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 87: | Regel 90: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:FreedomRestrictingMeasures-v3.0Model(2016EN).png | center | |||
rect 361 440 457 510 [[#9853]] | |||
rect 664 450 826 500 [[#PermissionCodelist]] | |||
rect 663 317 791 387 [[#9856]] | |||
rect 212 317 332 387 [[#9845]] | |||
rect 515 440 611 510 [[#9840]] | |||
rect 441 318 545 388 [[#9855]] | |||
rect 662 67 790 137 [[#9843]] | |||
rect 421 77 565 127 [[#LegalStatusCodelist]] | |||
rect 212 67 332 137 [[#9852]] | |||
rect 212 192 332 262 [[NursingIntervention-v3.0(2016EN)]] | |||
rect 662 192 790 262 [[#9837]] | |||
rect 401 186 585 266 [[#9851]] | |||
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:14.3.1 | ||NL-CM:14.3.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: VrijheidsbeperkendeMaatregelen">[[Bestand: arrowdown.png | 10px]]MedicalRestraints</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=9851 Title="NL: VrijheidsbeperkendeMaatregelen">[[Bestand: arrowdown.png | 10px | link=]]MedicalRestraints</span> | ||
| | | | ||
|Root concept of the MedicalRestraints information model. This root concept contains all data elements of the MedicalRestraints information model. | |Root concept of the MedicalRestraints information model. This root concept contains all data elements of the MedicalRestraints information model. | ||
Regel 101: | Regel 118: | ||
| | | | ||
|-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:14.3.2 | ||NL-CM:14.3.2 | ||
|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: JuridischeStatus">[[Bestand: arrowright.png | 10px]]LegalStatus</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9852 Title="NL: JuridischeStatus">[[Bestand: arrowright.png | 10px | link=]]LegalStatus</span> | ||
|0..1 | |0..1 | ||
|The legal situation that applies to the patient. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status. | |The legal situation that applies to the patient. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status. | ||
Regel 110: | Regel 127: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=303186005 303186005] Legal status of patient</span> | ||
|} | |} | ||
| | | | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#LegalStatusCodelist|LegalStatusCodelist]] | |[[Bestand: List2.png | link=#LegalStatusCodelist]]||[[#LegalStatusCodelist|LegalStatusCodelist]] | ||
|} | |} | ||
|-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:14.3.3 | ||NL-CM:14.3.3 | ||
|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: Wilsbekwaam">[[Bestand: arrowright.png | 10px]]LegallyCapable</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9843 Title="NL: Wilsbekwaam">[[Bestand: arrowright.png | 10px | link=]]LegallyCapable</span> | ||
|1 | |1 | ||
|Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | |Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | ||
Regel 127: | Regel 144: | ||
| | | | ||
|-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:14.3.4 | ||NL-CM:14.3.4 | ||
|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: WilsbekwaamToelichting">[[Bestand: arrowright.png | 10px]]LegallyCapableExplanation</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9837 Title="NL: WilsbekwaamToelichting">[[Bestand: arrowright.png | 10px | link=]]LegallyCapableExplanation</span> | ||
|0..1 | |0..1 | ||
|Explanation of the decisions which the patient is legally capable of making. | |Explanation of the decisions which the patient is legally capable of making. | ||
Regel 136: | Regel 153: | ||
{| | {| | ||
|- | |- | ||
|<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: #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:14.3.5 | ||NL-CM:14.3.5 | ||
|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: Interventie">[[Bestand: arrowdown.png | 10px]]Restraint</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9855 Title="NL: Interventie">[[Bestand: arrowdown.png | 10px | link=]]Restraint</span> | ||
|0..* | |0..* | ||
|Container of the Restraint concept. This container contains all data elements of the Restraint concept. | |Container of the Restraint concept. This container contains all data elements of the Restraint concept. | ||
Regel 149: | Regel 166: | ||
| | | | ||
|-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:14.3.6 | ||NL-CM:14.3.6 | ||
|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: SoortInterventie">[[Bestand: arrowright.png | 10px]]TypeOfRestraint</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9845 Title="NL: SoortInterventie">[[Bestand: arrowright.png | 10px | link=]]TypeOfRestraint</span> | ||
|1 | |1 | ||
|The type of restraint describes the medical restraints. In a hospital setting, these restraints are mainly based on the Dutch Nurses and Carers Association’s Handbook "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…” [Medical Restraints in the Hospital? Not unless...]. | |The type of restraint describes the medical restraints. In a hospital setting, these restraints are mainly based on the Dutch Nurses and Carers Association’s Handbook "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…” [Medical Restraints in the Hospital? Not unless...]. | ||
Regel 159: | Regel 176: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=225317005 225317005] Restriction of movement</span> | ||
|} | |} | ||
| | | | ||
|-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:14.3.7 | ||NL-CM:14.3.7 | ||
|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: 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: Toestemming">[[Bestand: arrowright.png | 10px]]Permission</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9856 Title="NL: Toestemming">[[Bestand: arrowright.png | 10px | link=]]Permission</span> | ||
|1 | |1 | ||
|The permission given to the healthcare provider(s) by the patient or legal representative to implement the medical restraint. | |The permission given to the healthcare provider(s) by the patient or legal representative to implement the medical restraint. | ||
Regel 173: | Regel 190: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=309370004 309370004] Consent status</span> | ||
|} | |} | ||
| | | | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#PermissionCodelist|PermissionCodelist]] | |[[Bestand: List2.png | link=#PermissionCodelist]]||[[#PermissionCodelist|PermissionCodelist]] | ||
|} | |} | ||
|-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:14.3.8 | ||NL-CM:14.3.8 | ||
|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: AanvangEpisode">[[Bestand: arrowright.png | 10px]]StartEpisode</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9853 Title="NL: AanvangEpisode">[[Bestand: arrowright.png | 10px | link=]]StartEpisode</span> | ||
|0..1 | |0..1 | ||
|The date and time at which the restraints started. | |The date and time at which the restraints started. | ||
Regel 191: | Regel 208: | ||
| | | | ||
|-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:14.3.9 | ||NL-CM:14.3.9 | ||
|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: 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: EindeEpisode">[[Bestand: arrowright.png | 10px]]EndOfEpisode</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9840 Title="NL: EindeEpisode">[[Bestand: arrowright.png | 10px | link=]]EndOfEpisode</span> | ||
|0..1 | |0..1 | ||
|The date and time at which the restraints ended. | |The date and time at which the restraints ended. | ||
Regel 201: | Regel 218: | ||
| | | | ||
|-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:14.3.10 | ||NL-CM:14.3.10 | ||
|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: VerpleegkundigeActie">[[Bestand: arrowright.png | 10px]]NursingProcedure</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9844 Title="NL: VerpleegkundigeActie">[[Bestand: arrowright.png | 10px | link=]]NursingProcedure</span> | ||
|0..* | |0..* | ||
|Description of the nursing procedures involved in medical restraints. | |Description of the nursing procedures involved in medical restraints. | ||
Regel 211: | Regel 228: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[NursingIntervention-v3.0(2016EN) |NursingIntervention]] | |[[Bestand: block.png | link=NursingIntervention-v3.0(2016EN)]]||[[NursingIntervention-v3.0(2016EN) |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="553px" style= "font-size: 9.5pt;" | {|class="wikitable" width="553px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #1F497D; width: 100%; color | |colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Vrijheidsbeperkende</b></font><font color=#FFFFFF><b>M</b></font><font color=#FFFFFF><b>aatregelen</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 38%; "|JuridischeStatus | | style="width: 38%; "|JuridischeStatus | ||
Regel 233: | Regel 250: | ||
| style="width: 62%; "|Wilsonbekwaam t.a.v. geldzaken. | | style="width: 62%; "|Wilsonbekwaam t.a.v. geldzaken. | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #4F81BD; width: 100%; color | |colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Interventie</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 38%; "|SoortInterventie | | style="width: 38%; "|SoortInterventie | ||
Regel 247: | Regel 264: | ||
| style="width: 62%; "|05-05-2014 | | style="width: 62%; "|05-05-2014 | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #4F81BD; width: 100%; color | |colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>VerpleegkundigeActie</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 38%; "|Activiteit | | style="width: 38%; "|Activiteit | ||
Regel 260: | Regel 277: | ||
{| 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-->: | |||
|} | |} | ||
{| 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 341: | Regel 359: | ||
|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-->: | |||
|} | |} | ||
{| 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; " | ||
|Geen instemming patiënt | |Geen instemming patiënt | ||
Regel 379: | Regel 397: | ||
|} | |} | ||
==This information model in other releases<!--ftOtherReleases-->== | |||
== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.3(EN)|2|2016}} | |||
This information model is also available as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | <!-- Tot hier de transclude page --> | ||
==About this information== | ==Information model references<!--ftReferences-->== | ||
The information in this wikipage is based on Release summer 2016 <BR> | ====This information model refers to<!--ftRefersTo-->==== | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | *[[NursingIntervention-v3.0(2016EN)|NursingIntervention-v3.0]] | ||
This page is generated on | ====This information model is used in<!--ftReferredBy-->==== | ||
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==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--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.14.3&effectiveDate=2016-05-01T00:00:00&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|2016}}</li> | |||
</ul> | |||
==Downloads<!--ftDownloadTitle-->== | |||
This information model is also available as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | |||
==About this information<!--ftHeader2-->== | |||
The information in this wikipage is based on<!--ftInfoBase--> Release summer 2016 <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 16:29:28 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR> | |||
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Huidige versie van 24 dec 2018 om 12:08
General information
Name: nl.zorg.FreedomRestrictingMeasures
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016
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 | 1-5-2016 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 8-9-2015 |
DCM::Superseeds | nl.nfu.VrijheidsbeperkendeMaatregelen-v1.0 |
DCM::Version | 3.0 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-07-2015)
Publicatieversie 3.0 (01-05-2016)
ZIB-453 | Wijziging naamgeving ZIB's en logo's door andere opzet van beheer |
Concept
Medical restraints are (physical or verbal) measures used to restrict the freedom of the patient in question.
In hospitals, these often include the use of side rails, a cushion belt (around the waist), limb restraints or a Posey bed. Medical restraints are often used in combination with sedatives.
Medical restraints may only be implemented under strict conditions. 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 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.
Patient Population
This information model does not focus on patients that reside in mental healthcare facilities, as mental healthcare uses a national registration system (Argus registration) when implementing medical restraints.
Information Model
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||
NL-CM:14.3.1 | MedicalRestraints | Root concept of the MedicalRestraints information model. This root concept contains all data elements of the MedicalRestraints information model. | ||||||||||||
NL-CM:14.3.2 | LegalStatus | 0..1 | The legal situation that applies to the patient. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status. |
|
| |||||||||
NL-CM:14.3.3 | LegallyCapable | 1 | Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | |||||||||||
NL-CM:14.3.4 | LegallyCapableExplanation | 0..1 | Explanation of the decisions which the patient is legally capable of making. |
|
||||||||||
NL-CM:14.3.5 | Restraint | 0..* | Container of the Restraint concept. This container contains all data elements of the Restraint concept. | |||||||||||
NL-CM:14.3.6 | TypeOfRestraint | 1 | The type of restraint describes the medical restraints. In a hospital setting, these restraints are mainly based on the Dutch Nurses and Carers Association’s Handbook "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…” [Medical Restraints in the Hospital? Not unless...]. |
|
||||||||||
NL-CM:14.3.7 | Permission | 1 | The permission given to the healthcare provider(s) by the patient or legal representative to implement the medical restraint. |
|
| |||||||||
NL-CM:14.3.8 | StartEpisode | 0..1 | The date and time at which the restraints started. | |||||||||||
NL-CM:14.3.9 | EndOfEpisode | 0..1 | The date and time at which the restraints ended. | |||||||||||
NL-CM:14.3.10 | NursingProcedure | 0..* | Description of the nursing procedures involved in medical restraints. |
|
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
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 |
VerpleegkundigeActie | |
Activiteit | Zorgen voor rustige omgeving zonder veel prikkels, vaste aanspreekpersoon per dienst. |
References
1. 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
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 |
This information model in other releases
- Release 2015, (Version 1.0)
- Release 2017, (Version 3.1)
- Release 2018, (Version 3.2)
- Release 2019, (Version 3.2)
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 summer 2016
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 16:29:28 with ZibExtraction v. 3.0.6929.24609