FreedomRestrictingMeasures-v1.0(2015EN): verschil tussen versies

Huidige versie van 24 dec 2018 om 12:14

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General information

Name: nl.nfu.FreedomRestrictingMeasures
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015

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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	NFU & V&VN
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.nfu.VrijheidsbeperkendeMaatregelen
DCM::PublicationDate	8-9-2015
DCM::PublicationStatus	Published
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	8-9-2015
DCM::Superseeds
DCM::Version	1.0
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015).

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 building block 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

FreedomRestrictingMeasures-v1.0Model(2015EN).png

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:14.3.1

MedicalRestraints

Root concept of the MedicalRestraints building block. This root concept contains all data elements of the MedicalRestraints building block.

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.

303186005 Legal status of patient

LegalStatusCodelist

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.

48767-8 Annotation comment

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...].

225317005 Restriction of movement

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.

309370004 Consent status

PermissionCodelist

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.

NursingIntervention

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

Information model references

This information model refers to

NursingIntervention-v1.0

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 Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 24/12/2018 12:37:34 with ZibExtraction v. 3.0.6932.1989

Back to HCIM list

@@ Regel 1: / Regel 1: @@
-==General information==
+<!-- Hieronder wordt een transclude page aangeroepen -->
-Name: '''nl.nfu.FreedomRestrictingMeasures''' [[Bestand:NL.png|link=VrijheidsbeperkendeMaatregelen-v1.0(2015NL)]]<BR>
+{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.3(EN)|1|FreedomRestrictingMeasures-v1.0(2015EN)}}
-Version: '''1.0''' <br>
+<!-- Tot hier de transclude page -->
-HCIM Status:Final<br>
+==General information<!--hdGeneralInformation-->==
-Release: '''2015''' <br>
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+Version<!--hdVersion-->: '''1.0''' <br>
-Release date: 8-9-2015
+HCIM Status<!--hdStatus-->:Final<br>
+Release<!--hdPublication-->: '''2015''' <br>
+Release status<!--hdPublicationStatus-->: Published<br>
+Release date<!--hdPublicationDate-->: 8-9-2015
 -----
-<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
+<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
 ==Metadata==
@@ Regel 61: / Regel 64: @@
 ==Revision History==
 <div class="mw-collapsible mw-collapsed">
-''Only available in Dutch''
+''Only available in Dutch<!--noTranslation-->''
 <u>Publicatieversie 1.0</u> (01-07-2015).
@@ Regel 80: / Regel 83: @@
 ==Information Model==
 <BR>
-<imagemap> Bestand:FreedomRestrictingMeasures-v1.0Model(EN).png | center
+<imagemap> Bestand:FreedomRestrictingMeasures-v1.0Model(2015EN).png | center
-rect 351 432 447 502 [[#9853]]
+rect 361 440 457 510 [[#9853]]
-rect 654 442 816 492 [[#PermissionCodelist]]
+rect 664 450 826 500 [[#PermissionCodelist]]
-rect 653 309 781 379 [[#9856]]
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-rect 652 59 780 129 [[#9843]]
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-rect 411 69 555 119 [[#LegalStatusCodelist]]
+rect 421 77 565 127 [[#LegalStatusCodelist]]
-rect 202 59 322 129 [[#9852]]
+rect 212 67 332 137 [[#9852]]
-rect 202 184 322 254 [[NursingIntervention-v1.0(2015EN)]]
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@@ Regel 117: / Regel 120: @@
 {|
 |-
-|<span Title="Codesystem: SNOMED CT"> 303186005 Legal status of patient</span>
+|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=303186005 303186005] Legal status of patient</span>
 |}
 |
@@ Regel 143: / Regel 146: @@
 {|
 |-
-|<span Title="Codesystem: LOINC"> 48767-8 Annotation comment</span>
+|<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span>
 |}
 |
@@ Regel 166: / Regel 169: @@
 {|
 |-
-|<span Title="Codesystem: SNOMED CT"> 225317005 Restriction of movement</span>
+|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=225317005 225317005] Restriction of movement</span>
 |}
 |
@@ Regel 180: / Regel 183: @@
 {|
 |-
-|<span Title="Codesystem: SNOMED CT"> 309370004 Consent status</span>
+|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=309370004 309370004] Consent status</span>
 |}
 |
@@ Regel 221: / Regel 224: @@
 |}
 |}
-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==
-''Only available in Dutch''
+''Only available in Dutch<!--noTranslation-->''
 {|class="wikitable" width="553px" style= "font-size: 9.5pt;"
@@ Regel 267: / Regel 270: @@
 {| class="wikitable" width="60%"
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-|Conceptname
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-|Conceptcode
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-|Codesystem name||Codesystem OID
+|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
-|Description
+|Description<!--vsDescription-->
 |-style="vertical-align:top; "
 |Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
@@ Regel 348: / Regel 352: @@
 |Strafrechterlijke justitiële contacten: overig
 |}
 === PermissionCodelist===
 {| class="wikitable" width="60%"
 |-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-->:
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 {| class="wikitable"  width="60% "
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-|Conceptname
+|Conceptname<!--vsConceptName-->
-|Conceptcode
+|Conceptcode<!--vsConceptCode-->
-|Codesystem name||Codesystem OID
+|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
-|Description
+|Description<!--vsDescription-->
 |-style="vertical-align:top; "
 |Geen instemming patiënt
@@ Regel 386: / Regel 390: @@
 |}
+==This information model in other releases<!--ftOtherReleases-->==
-==This information model in other releases==
+<!-- Hieronder wordt een transclude page aangeroepen -->
-<ul>
+{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.3(EN)|2|2015}}
-<li>[[FreedomRestrictingMeasures-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
+<!-- Tot hier de transclude page -->
-<li>[[FreedomRestrictingMeasures-v3.1(2017EN) | Release 2017, (Version 3.1)]]</li>
+==Information model references<!--ftReferences-->==
-</ul>
+====This information model refers to<!--ftRefersTo-->====
-==More on this information model==
+*[[NursingIntervention-v1.0(2015EN)|NursingIntervention-v1.0]]
+====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:
+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 [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.14.3&effectiveDate=2015-09-08T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
+<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.14.3&effectiveDate=2015-09-08T00:00:00&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 [https://simplifier.net/NictizSTU3/~resources?text=zib&category=Profile [[File:fhir.png|link=]]]</li>
+<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2015}}</li>
 </ul>
-This information model is also available as [[Media:nl.nfu.FreedomRestrictingMeasures-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.FreedomRestrictingMeasures-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
+==Downloads<!--ftDownloadTitle-->==
-==About this information==
+This information model is also available as [[Media:nl.nfu.FreedomRestrictingMeasures-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.FreedomRestrictingMeasures-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
-The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
+==About this information<!--ftHeader2-->==
-Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
+The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
-This page is generated on 24/01/2018 17:37:36 <BR>
+Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
+This page is generated on 24/12/2018 12:37:34 with ZibExtraction v. 3.0.6932.1989<!--ftDate--> <BR>
 -----
-<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
+<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

FreedomRestrictingMeasures-v1.0(2015EN): verschil tussen versies

Huidige versie van 24 dec 2018 om 12:14

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Patient Population

Information Model

Example Instances

References