FunctionalOrMentalStatus-v3.2.1(2022EN): verschil tussen versies

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Regel 8: Regel 8:
Release<!--hdPublication-->: '''2022''' <br>
Release<!--hdPublication-->: '''2022''' <br>
Release status<!--hdPublicationStatus-->: Prepublished<br>
Release status<!--hdPublicationStatus-->: Prepublished<br>
Release date<!--hdPublicationDate-->: 10-06-2022
Release date<!--hdPublicationDate-->: 15-10-2023
<!-- Aanroep Errata transclude page -->
<!-- Aanroep Errata transclude page -->
{{ErrataEN<!--hdErrata-->|2022|{{PAGENAME}}}}
{{ErrataEN<!--hdErrata-->|2022|{{PAGENAME}}}}
Regel 26: Regel 26:
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-  
|-  
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens &amp; Kerngroep Registratie aan de Bron
|-  
|-  
|style="width:250px; "|DCM::CreationDate||12-9-2014
|style="width:250px; "|DCM::CreationDate||12-9-2014
Regel 50: Regel 50:
|style="width:250px; "|DCM::Name||nl.zorg.FunctioneleOfMentaleStatus
|style="width:250px; "|DCM::Name||nl.zorg.FunctioneleOfMentaleStatus
|-  
|-  
|style="width:250px; "|DCM::PublicationDate||10-06-2022
|style="width:250px; "|DCM::PublicationDate||15-10-2023
|-  
|-  
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-  
|-  
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens &amp; Kerngroep Registratie aan de Bron
|-  
|-  
|style="width:250px; "|DCM::RevisionDate||17-11-2021
|style="width:250px; "|DCM::RevisionDate||17-11-2021
Regel 71: Regel 71:
<u>Publicatieversie 1.0</u> (01-04-2015)
<u>Publicatieversie 1.0</u> (01-04-2015)
{|
{|
|-
Issue summaries niet beschikbaar<BR>
|style="width:75px; "|[[ZIBIssues500_0#ZIB-89 | ZIB-89 ]]
Bevat: ZIB-89, ZIB-308.
|Aanpassing OverdrachtFuntioneleStatus door deze te vervangen door een nieuwe bouwsteen die alleen een generieke functionele beperking bevat.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-308 | ZIB-308 ]]
|Prefix Overdracht weggehaald bij de generieke bouwstenen
|}
|}


Incl. algemene wijzigingsverzoeken:  
Incl. algemene wijzigingsverzoeken:  
{|
ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-94 | ZIB-94 ]]
|Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-154 | ZIB-154 ]]
|Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-200 | ZIB-200 ]]
|Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-201 | ZIB-201 ]]
|Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-309 | ZIB-309 ]]
|EOI aangepast
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-324 | ZIB-324 ]]
|Codelijsten Name en Description beginnen met een Hoofdletter
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-326 | ZIB-326 ]]
|Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015
|}


<u>Publicatieversie 1.0.1</u> (22-05-2015)
<u>Publicatieversie 1.0.1</u> (22-05-2015)
{|
Bevat: ZIB-384, ZIB-383, ZIB-382.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-384 | ZIB-384 ]]
|Inconsistent gebruik van de naam StatusWaardeSnomedCodelijst.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-383 | ZIB-383 ]]
|Inconsistent gebruik van de naam StatusWaardeNOCCodelijst.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-382 | ZIB-382 ]]
|Inconsistent gebruik van de naam StatusWaardeOMAHACodelijst.
|}


<u>Publicatieversie 3.0</u> (01-05-2016)
<u>Publicatieversie 3.0</u> (01-05-2016)
{|
Bevat: ZIB-453.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
|}


<u>Publicatieversie 3.1</u> (04-09-2017)
<u>Publicatieversie 3.1</u> (04-09-2017)
{|
Bevat: ZIB-564.
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-564 | ZIB-564 ]]
|Aanpassing/harmonisatie Engelse conceptnamen
|}


<u>Publicatieversie 3.1</u> (26-02-2019)
<u>Publicatieversie 3.1</u> (26-02-2019)
{|
Bevat: ZIB-681.
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-681 | ZIB-681 ]]
|ICF 'alle waarden' n.v.t. op FunctioneleOfMentaleStatus antwoord
|}


Publicatieversie <u>3.2</u> (01-09-2020)
Publicatieversie <u>3.2</u> (01-09-2020)
{|
Bevat: ZIB-1110, ZIB-1142.
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1110 | ZIB-1110 ]]
|Laten vervallen Omaha en NOC
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1142 | ZIB-1142 ]]
|Toevoegen element Geslacht aan ZIB zorgverlener
|}


Publicatieversie <u>3.2.1</u> (01-12-2021)
Publicatieversie <u>3.2.1</u> (01-12-2021)
{|
Bevat: ZIB-1575.
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1575 | ZIB-1575 ]]
|Deprecated termen en waardelijsten uit de prepublicatie halen
|}
</div>
</div>


Regel 167: Regel 108:
<BR>
<BR>
<imagemap> Bestand:FunctionalOrMentalStatus-v3.2.1Model(2022EN).png | center  
<imagemap> Bestand:FunctionalOrMentalStatus-v3.2.1Model(2022EN).png | center  
rect 165 81 293 151 [[#11272]]
rect 165 81 293 151 [[#597]]
rect 631 82 759 152 [[MedicalDevice-v3.5(2022EN)]]
rect 631 82 759 152 [[MedicalDevice-v3.5(2022EN)]]
rect 632 247 760 317 [[#11267]]
rect 632 247 760 317 [[#594]]
rect 374 247 502 317 [[#11266]]
rect 374 247 502 317 [[#593]]
rect 165 246 293 316 [[#11269]]
rect 165 246 293 316 [[#595]]
rect 357 76 521 156 [[#11273]]
rect 357 76 521 156 [[#598]]
rect 70 356 213 406 [[#StatusNameICFCodelist]]
rect 70 356 213 406 [[#StatusNameICFCodelist]]
rect 70 417 240 467 [[#StatusNameSnomedCodelist]]
rect 70 417 240 467 [[#StatusNameSnomedCodelist]]
Regel 186: Regel 127:
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:4.26.1
||NL-CM:4.26.1
|colspan ="6" style ="padding-left: 0px"|<span Id=11273 Title="NL: FunctioneleOfMentaleStatus">[[Bestand: arrowdown.png | 10px | link=]]FunctionalOrMentalStatus</span>
|colspan ="6" style ="padding-left: 0px"|<span Id=598 Title="NL: FunctioneleOfMentaleStatus">[[Bestand: arrowdown.png | 10px | link=]]FunctionalOrMentalStatus</span>
|
|
|Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus information model.
|Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus information model.
Regel 195: Regel 136:
||NL-CM:4.26.2
||NL-CM:4.26.2
|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 Id=11269 Title="NL: StatusNaam">[[Bestand: arrowright.png | 10px | link=]]StatusName</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=595 Title="NL: StatusNaam">[[Bestand: arrowright.png | 10px | link=]]StatusName</span>
|1
|1
|Coded description of the functional or mental status or limitation.  
|Coded description of the functional or mental status or limitation.  
Code systems used include:  
Code systems used include:  
<ul>
&lt;ul&gt;
<li>SNOMED CT</li>
&lt;li&gt;SNOMED CT&lt;/li&gt;
<li>ICF (International Classification of Functioning, Disability and Health) </li>
&lt;li&gt;ICF (International Classification of Functioning, Disability and Health) &lt;/li&gt;
</ul>
&lt;/ul&gt;


|
|
Regel 216: Regel 157:
||NL-CM:4.26.3
||NL-CM:4.26.3
|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 Id=11266 Title="NL: StatusWaarde">[[Bestand: arrowright.png | 10px | link=]]StatusValue</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=593 Title="NL: StatusWaarde">[[Bestand: arrowright.png | 10px | link=]]StatusValue</span>
|0..1
|0..1
|The extent to which the patient is limited by the functional or mental condition.  
|The extent to which the patient is limited by the functional or mental condition.  
Regel 234: Regel 175:
||NL-CM:4.26.6
||NL-CM:4.26.6
|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 Id=11272 Title="NL: StatusDatum">[[Bestand: arrowright.png | 10px | link=]]StatusDate</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=597 Title="NL: StatusDatum">[[Bestand: arrowright.png | 10px | link=]]StatusDate</span>
|0..1
|0..1
|Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted.
|Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted.
Regel 243: Regel 184:
||NL-CM:4.26.4
||NL-CM:4.26.4
|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 Id=11267 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=594 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|0..1
|0..1
|Explanatory comments as a description of the functional or mental status.
|Explanatory comments as a description of the functional or mental status.
Regel 249: Regel 190:
{|
{|
|-
|-
|<span title = "Codesystem: LOINC (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span>
|<span title = "Codesystem: LOINC; Verklarend commentaar [interpretatie] in {systeem} (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span>
|}
|}
|
|
Regel 256: Regel 197:
||NL-CM:4.26.5
||NL-CM:4.26.5
|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 Id=11271 Title="NL: Hulpmiddel::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]MedicalDevice:MedicalDevice</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=596 Title="NL: Hulpmiddel::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]MedicalDevice:MedicalDevice</span>
|0..*
|0..*
|Medical aid the patient has to reduce the impact of the disability or disorder.
|Medical aid the patient has to reduce the impact of the disability or disorder.
Regel 272: Regel 213:
''Only available in Dutch<!--noTranslation-->''
''Only available in Dutch<!--noTranslation-->''


{|class="wikitable" width="451px" style= "font-size: 9.5pt;"
Voorbeeld file fout: Unable to find the specified file. : nl.zorg.FunctioneleOfMentaleStatus-v3.2.1(NL)_Voorbeeld.docx
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Functionele</b></font><font color=#FFFFFF><b>OfMentaleStatus</b></font>
|-style=vertical-align:top;
| style="width: 52%; "|StatusNaam
| style="width: 48%; "|Zich scheren
|-style=vertical-align:top;
| style="width: 52%; "|StatusWaarde
| style="width: 48%; "|Moeite met scheren
|-style=vertical-align:top;
| style="width: 52%; "|StatusDatum
| style="width: 48%; "|23-02-2015
|-style=vertical-align:top;
| style="width: 52%; "|Toelichting
| style="width: 48%; "|<noWiki>-</noWiki>-
|-style=vertical-align:top;
| style="width: 52%; "|MedischHulpmiddel
| style="width: 48%; "|<noWiki>-</noWiki>-
|}
 
== Valuesets ==
== Valuesets ==
=== StatusNameICFCodelist===
=== StatusNameICFCodelist===
Regel 304: Regel 226:
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Alle waarden
|All values
|ICF
|ICF
|2.16.840.1.113883.6.254
|2.16.840.1.113883.6.254
Regel 319: Regel 241:
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Alle waarden</span>
|<span title = "Unknown code" >All values</span>
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 334: Regel 256:
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Alle waarden
|All values
|ICF
|ICF
|2.16.840.1.113883.6.254
|2.16.840.1.113883.6.254
Regel 349: Regel 271:
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Unknown code" >Alle waarden</span>
|<span title = "Unknown code" >All values</span>
|SNOMED CT
|SNOMED CT
|2.16.840.1.113883.6.96
|2.16.840.1.113883.6.96
Regel 365: Regel 287:
*[[TreatmentObjective-v3.2.1(2022EN)|TreatmentObjective-v3.2.1]]
*[[TreatmentObjective-v3.2.1(2022EN)|TreatmentObjective-v3.2.1]]
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
==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>
To exchange information based on health and care information models, additional, more technical specifications are required.&lt;BR&gt;
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2022|4.26}}</li>
<li>HL7&#174; version 3 CDA compatible specifications, available through the Nictiz ART-DECOR&#174; environment<!--ftArtDecorReference--> {{ArtDecorLinks|2022|4.26}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2022}}</li>
<li>HL7&#174; FHIR&#174; compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2022|FunctioneleOfMentaleStatus}}</li>
</ul>
</ul>
==Downloads<!--ftDownloadTitle-->==
==Downloads<!--ftDownloadTitle-->==
Regel 377: Regel 299:
SNOMED CT and LOINC codes are based on:
SNOMED CT and LOINC codes are based on:
<ul>
<ul>
<li>SNOMED Clinical Terms version: 20220131 [R] (January 2022 Release)</li>
<li>SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)</li>
<li>LOINC version 2.67</li>
<li>LOINC version 2.76</li>
</ul>
</ul>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 30/06/2022 01:14:11 with ZibExtraction v. 8.0.8216.1684<!--ftDate--> <BR>
This page is generated on 26/03/2024 11:41:27 with ZibExtraction v. 9.3.8851.20230<!--ftDate--> <BR>
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2022(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2022(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2022(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2022(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Versie van 26 mrt 2024 11:47


Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.FunctionalOrMentalStatus NL.png
Version: 3.2.1
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 15-10-2023

Back 16.png Back to HCIM list

Metadata

DCM::CoderList Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate 12-9-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.4.26
DCM::KeywordList mentale status, functionele status, functionele beperking, mentale stoornis, ADL
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.FunctioneleOfMentaleStatus
DCM::PublicationDate 15-10-2023
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 17-11-2021
DCM::Supersedes nl.zorg.FunctioneleOfMentaleStatus-v3.2
DCM::Version 3.2.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-04-2015)

Issue summaries niet beschikbaar
Bevat: ZIB-89, ZIB-308.

Incl. algemene wijzigingsverzoeken: ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326.

Publicatieversie 1.0.1 (22-05-2015) Bevat: ZIB-384, ZIB-383, ZIB-382.

Publicatieversie 3.0 (01-05-2016) Bevat: ZIB-453.

Publicatieversie 3.1 (04-09-2017) Bevat: ZIB-564.

Publicatieversie 3.1 (26-02-2019) Bevat: ZIB-681.

Publicatieversie 3.2 (01-09-2020) Bevat: ZIB-1110, ZIB-1142.

Publicatieversie 3.2.1 (01-12-2021) Bevat: ZIB-1575.

Concept

The functional or mental status provides insight into the patient’s functional and mental limitations.

Purpose

The patient’s functional and mental status can be recorded to provide insight into the patient’s limitations which need to be taken into account for further treatment and care and in order to evaluate the effects of a treatment.

Diagnoses with (the potential for) functional limitations are not to be recorded here. To record these, please use the Problem information model.

Information Model


#597MedicalDevice-v3.5(2022EN)#594#593#595#598#StatusNameICFCodelist#StatusNameSnomedCodelist#StatusValueICFCodelist#StatusValueSnomedCodelistFunctionalOrMentalStatus-v3.2.1Model(2022EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:4.26.1 Arrowdown.pngFunctionalOrMentalStatus Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus information model.
CD.png NL-CM:4.26.2 Arrowright.pngStatusName 1 Coded description of the functional or mental status or limitation.

Code systems used include: <ul> <li>SNOMED CT</li> <li>ICF (International Classification of Functioning, Disability and Health) </li> </ul>

List2.png StatusNameICFCodelist
List2.png StatusNameSnomedCodelist
CO.png NL-CM:4.26.3 Arrowright.pngStatusValue 0..1 The extent to which the patient is limited by the functional or mental condition.

If both the status name and the status value are recorded in code, then both values must come from the same code system. If the patient uses a medical device, the evaluation of the extent of the limitation will take place without this aid. The answer codes must be selected from the subselection of the code system corresponding with the request in accordance with the rules applicable to that system.

List2.png StatusValueICFCodelist
List2.png StatusValueSnomedCodelist
TS.png NL-CM:4.26.6 Arrowright.pngStatusDate 0..1 Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted.
ST.png NL-CM:4.26.4 Arrowright.pngComment 0..1 Explanatory comments as a description of the functional or mental status.
48767-8 Annotation comment [Interpretation] Narrative
Verwijzing.png NL-CM:4.26.5 Arrowright.pngMedicalDevice:MedicalDevice 0..* Medical aid the patient has to reduce the impact of the disability or disorder.
Block.png MedicalDevice

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

Voorbeeld file fout: Unable to find the specified file. : nl.zorg.FunctioneleOfMentaleStatus-v3.2.1(NL)_Voorbeeld.docx

Valuesets

StatusNameICFCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.3 Binding: Required
Conceptname Codesystem name Codesystem OID
All values ICF 2.16.840.1.113883.6.254

StatusNameSnomedCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.4 Binding: Required
Conceptname Codesystem name Codesystem OID
All values SNOMED CT 2.16.840.1.113883.6.96

StatusValueICFCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.6 Binding: Required
Conceptname Codesystem name Codesystem OID
All values ICF 2.16.840.1.113883.6.254

StatusValueSnomedCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.8 Binding: Required
Conceptname Codesystem name Codesystem OID
All values SNOMED CT 2.16.840.1.113883.6.96

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Technical specifications in HL7v3 CDA and HL7 FHIR

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:

  • HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

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This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Pre-release 2022-1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
  • LOINC version 2.76

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