FamilyHistory-v3.1(2017EN): verschil tussen versies
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| Regel 3: | Regel 3: | ||
Version: '''3.1''' <br> | Version: '''3.1''' <br> | ||
HCIM Status:Final<br> | HCIM Status:Final<br> | ||
Release: '''2017''' <br> | |||
Release status: Prepublished<br> | Release status: Prepublished<br> | ||
Release date: 04-09-2017 | |||
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div> | ||
| Regel 134: | Regel 134: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:FamilyHistory-v3.1Model(EN).png | center | |||
rect 696 149 854 199 [[#BiologicalRelationshipCodelist]] | |||
rect 160 225 273 295 [[#11301]] | |||
rect 161 139 271 209 [[#11300]] | |||
rect 508 225 628 295 [[#11299]] | |||
rect 321 429 423 499 [[#11304]] | |||
rect 510 139 630 209 [[#11303]] | |||
rect 321 319 423 389 [[#11308]] | |||
rect 321 173 423 243 [[#11306]] | |||
rect 161 319 271 389 [[Problem-v4.0(2017EN)]] | |||
rect 508 40 628 110 [[#11298]] | |||
rect 321 35 423 115 [[#11307]] | |||
desc none | |||
</imagemap> | |||
<BR> | <BR> | ||
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | {| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | ||
| Regel 140: | Regel 153: | ||
|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||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference | ||
|-style="vertical-align:top; background-color: #E3E3E3; " | |-style="vertical-align:top; background-color: #E3E3E3; " | ||
|style = "text-align:center" |[[Bestand: block.png| 20px]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
||NL-CM:6.1.1 | ||NL-CM:6.1.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: Familieanamnese">[[Bestand: arrowdown.png | 10px]]FamilyHistory</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=11307 Title="NL: Familieanamnese">[[Bestand: arrowdown.png | 10px | link=]]FamilyHistory</span> | ||
| | | | ||
|Root concept of the FamilyHistory information model. This root concept contains all data elements of the FamilyHistory information model. | |Root concept of the FamilyHistory information model. This root concept contains all data elements of the FamilyHistory information model. | ||
| Regel 148: | Regel 161: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: TS.png| 16px]] | |style = "text-align:center" |[[Bestand: TS.png| 16px | link=]] | ||
||NL-CM:6.1.2 | ||NL-CM:6.1.2 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Datum">[[Bestand: arrowright.png | 10px]]Date</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11298 Title="NL: Datum">[[Bestand: arrowright.png | 10px | link=]]Date</span> | ||
|0..1 | |0..1 | ||
|Date on which the family history was entered. A ‘vague’ date is permitted. | |Date on which the family history was entered. A ‘vague’ date is permitted. | ||
| Regel 157: | Regel 170: | ||
| | | | ||
|-style="vertical-align:top; background-color: #E8D7BE; " | |-style="vertical-align:top; background-color: #E8D7BE; " | ||
|style = "text-align:center" |[[Bestand: folder.png| 16px]] | |style = "text-align:center" |[[Bestand: folder.png| 16px | link=]] | ||
||NL-CM:6.1.3 | ||NL-CM:6.1.3 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Familielid">[[Bestand: arrowdown.png | 10px]]FamilyMember</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11306 Title="NL: Familielid">[[Bestand: arrowdown.png | 10px | link=]]FamilyMember</span> | ||
|1..* | |1..* | ||
|Container of the FamilyMember concept. This container contains all data elements of the FamilyMember concept. | |Container of the FamilyMember concept. This container contains all data elements of the FamilyMember concept. | ||
| Regel 166: | Regel 179: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CD.png| 16px]] | |style = "text-align:center" |[[Bestand: CD.png| 16px | link=]] | ||
||NL-CM:6.1.4 | ||NL-CM:6.1.4 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: BiologischeRelatie">[[Bestand: arrowright.png | 10px]]BiologicalRelationship</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11303 Title="NL: BiologischeRelatie">[[Bestand: arrowright.png | 10px | link=]]BiologicalRelationship</span> | ||
|1 | |1 | ||
|Indicates the biological relationship of the family member to the patient. | |Indicates the biological relationship of the family member to the patient. | ||
| Regel 177: | Regel 190: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#BiologicalRelationshipCodelist|BiologicalRelationshipCodelist]] | |[[Bestand: List2.png | link=#BiologicalRelationshipCodelist]]||[[#BiologicalRelationshipCodelist|BiologicalRelationshipCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: ST.png| 16px]] | |style = "text-align:center" |[[Bestand: ST.png| 16px | link=]] | ||
||NL-CM:6.1.5 | ||NL-CM:6.1.5 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11299 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span> | ||
|0..1 | |0..1 | ||
|Comment with information on the family member which might be relevant to the family history. | |Comment with information on the family member which might be relevant to the family history. | ||
| Regel 194: | Regel 207: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: BL.png| 16px]] | |style = "text-align:center" |[[Bestand: BL.png| 16px | link=]] | ||
||NL-CM:6.1.10 | ||NL-CM:6.1.10 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: OverlijdensIndicator">[[Bestand: arrowright.png | 10px]]DeathIndicator</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11300 Title="NL: OverlijdensIndicator">[[Bestand: arrowright.png | 10px | link=]]DeathIndicator</span> | ||
|0..1 | |0..1 | ||
|An indication stating whether the family member has died. | |An indication stating whether the family member has died. | ||
| Regel 204: | Regel 217: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: INT.png| 16px]] | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] | ||
||NL-CM:6.1.12 | ||NL-CM:6.1.12 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: LeeftijdBijOverlijden">[[Bestand: arrowright.png | 10px]]AgeAtDeath</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11301 Title="NL: LeeftijdBijOverlijden">[[Bestand: arrowright.png | 10px | link=]]AgeAtDeath</span> | ||
|0..1 | |0..1 | ||
|The age at which the family member died. | |The age at which the family member died. | ||
| Regel 214: | Regel 227: | ||
| | | | ||
|-style="vertical-align:top; background-color: #E8D7BE; " | |-style="vertical-align:top; background-color: #E8D7BE; " | ||
|style = "text-align:center" |[[Bestand: folder.png| 16px]] | |style = "text-align:center" |[[Bestand: folder.png| 16px | link=]] | ||
||NL-CM:6.1.6 | ||NL-CM:6.1.6 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: Aandoening">[[Bestand: arrowdown.png | 10px]]Disorder</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11308 Title="NL: Aandoening">[[Bestand: arrowdown.png | 10px | link=]]Disorder</span> | ||
|1..* | |1..* | ||
|Container of the Disorder concept. This container contains all data elements of the Disorder concept. | |Container of the Disorder concept. This container contains all data elements of the Disorder concept. | ||
| Regel 224: | Regel 237: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:6.1.7 | ||NL-CM:6.1.7 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="3" style ="padding-left: 0px"|<span Title="NL: Probleem">[[Bestand: arrowright.png | 10px]]Problem</span> | |colspan ="3" style ="padding-left: 0px"|<span Id=11302 Title="NL: Probleem">[[Bestand: arrowright.png | 10px | link=]]Problem</span> | ||
|1 | |1 | ||
|The health problem of the family member in question, which is recorded for the family history. | |The health problem of the family member in question, which is recorded for the family history. | ||
| Regel 236: | Regel 249: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[Problem-v4.0(2017EN) |Problem]] | |[[Bestand: block.png | link=Problem-v4.0(2017EN)]]||[[Problem-v4.0(2017EN) |Problem]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: BL.png| 16px]] | |style = "text-align:center" |[[Bestand: BL.png| 16px | link=]] | ||
||NL-CM:6.1.9 | ||NL-CM:6.1.9 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="3" style ="padding-left: 0px"|<span Title="NL: IsDoodsoorzaak">[[Bestand: arrowright.png | 10px]]IsCauseOfDeath</span> | |colspan ="3" style ="padding-left: 0px"|<span Id=11304 Title="NL: IsDoodsoorzaak">[[Bestand: arrowright.png | 10px | link=]]IsCauseOfDeath</span> | ||
|0..1 | |0..1 | ||
|Indication stating whether the described health problem was the cause of death of the family member. | |Indication stating whether the described health problem was the cause of death of the family member. | ||
| Regel 258: | Regel 271: | ||
{|class="wikitable" width="852px" style= "font-size: 9.5pt;" | {|class="wikitable" width="852px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="10" style="background-color: #1F497D; width: 100%; color | |colspan="10" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Familieanamnese</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #548DD4; width: 8%; color | | style="background-color: #548DD4; width: 8%; "|<font color=#FFFFFF><b>Datum</b></font> | ||
|colspan="4" style="background-color: #548DD4; width: 36%; color | |colspan="4" style="background-color: #548DD4; width: 36%; "|<font color=#FFFFFF><b>Familielid</b></font> | ||
|colspan="5" style="background-color: #548DD4; width: 56%; color | |colspan="5" style="background-color: #548DD4; width: 56%; "|<font color=#FFFFFF><b>Aandoening</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #BFBFBF; width: 8%; "| | | style="background-color: #BFBFBF; width: 8%; "| | ||
| style="background-color: #BFBFBF; width: 9% | | style="background-color: #BFBFBF; width: 9%; "|<b>BiologischeRelatie</b> | ||
| style="background-color: #BFBFBF; width: 9% | | style="background-color: #BFBFBF; width: 9%; "|<b>Toelichting</b> | ||
| style="background-color: #BFBFBF; width: 9% | | style="background-color: #BFBFBF; width: 9%; "|<b>Overlijdens</b><BR><b>Indicator</b> | ||
| style="background-color: #BFBFBF; width: 9% | | style="background-color: #BFBFBF; width: 9%; "|<b>OverlijdensDatum</b> | ||
|colspan="4" style="background-color: #BFBFBF; width: 45% | |colspan="4" style="background-color: #BFBFBF; width: 45%; "|<b>Probleem</b> | ||
| style="background-color: #BFBFBF; width: 11% | | style="background-color: #BFBFBF; width: 11%; "|<b>Is</b><BR><b>Doodsoorzaak</b> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #D9D9D9; width: 8%; "| | | style="background-color: #D9D9D9; width: 8%; "| | ||
| Regel 277: | Regel 290: | ||
| style="background-color: #D9D9D9; width: 9%; "| | | style="background-color: #D9D9D9; width: 9%; "| | ||
| style="background-color: #D9D9D9; width: 9%; "| | | style="background-color: #D9D9D9; width: 9%; "| | ||
| style="background-color: #D9D9D9; width: 12% | | style="background-color: #D9D9D9; width: 12%; "|<b>ProbleemType</b> | ||
| style="background-color: #D9D9D9; width: 13% | | style="background-color: #D9D9D9; width: 13%; "|<b>ProbleemNaam</b> | ||
| style="background-color: #D9D9D9; width: 9% | | style="background-color: #D9D9D9; width: 9%; "|<b>Probleem</b><BR><b>Status</b> | ||
| style="background-color: #D9D9D9; width: 11% | | style="background-color: #D9D9D9; width: 11%; "|<b>Probleem</b><BR><b>StatusDatum</b> | ||
| style="background-color: #D9D9D9; width: 11%; "| | | style="background-color: #D9D9D9; width: 11%; "| | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 8% | | style="width: 8%; "|1-2-2013 | ||
| style="width: 9% | | style="width: 9%; "|Tante / moeders-<BR>zijde | ||
| style="width: 9%; "| | | style="width: 9%; "| | ||
| style="width: 9% | | style="width: 9%; "|Ja | ||
| style="width: 9% | | style="width: 9%; "|1997 | ||
| style="width: 12% | | style="width: 12%; "|Diagnose | ||
| style="width: 13% | | style="width: 13%; "|mammacarcinoom | ||
| style="width: 9% | | style="width: 9%; "|Actueel | ||
| style="width: 11% | | style="width: 11%; "|1995 | ||
| style="width: 11% | | style="width: 11%; "|Ja | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 8% | | style="width: 8%; "|1-2-2013 | ||
| style="width: 9% | | style="width: 9%; "|Biologische moeder | ||
| style="width: 9% | | style="width: 9%; "|moeder heeft vijf zusters | ||
| style="width: 9%; "| | | style="width: 9%; "| | ||
| style="width: | | style="width: 9%; "| | ||
| style="width: 13% | | style="width: 12%; "|Diagnose | ||
| style="width: 9% | | style="width: 13%; "|mammacarcinoom | ||
| style="width: 11% | | style="width: 9%; "|Actueel | ||
| style="width: 11% | | style="width: 11%; "|21-3-1999 | ||
| style="width: 11%; "| | |||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 8% | | style="width: 8%; "|1-2-2013 | ||
| style="width: 9% | | style="width: 9%; "|Biologische vader | ||
| style="width: 9%; "| | | style="width: 9%; "| | ||
| style="width: 9% | | style="width: 9%; "|Ja | ||
| style="width: 9% | | style="width: 9%; "|2005 | ||
| style="width: 12% | | style="width: 12%; "|Diagnose | ||
| style="width: 13% | | style="width: 13%; "|myocardinfarct | ||
| style="width: 9% | | style="width: 9%; "|Niet actueel | ||
| style="width: 11% | | style="width: 11%; "|16-6-2001 | ||
| style="width: 11% | | style="width: 11%; "| | ||
|} | |} | ||
| Regel 499: | Regel 512: | ||
==This information model in other releases== | |||
<ul> | |||
<li>[[FamilyHistory-v2.0(2015EN) | Release 2015, (Version 2.0)]]</li> | |||
<li>[[FamilyHistory-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li> | |||
</ul> | |||
==More on this information model== | ==More on this information model== | ||
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: | |||
<ul> | |||
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.6.1&effectiveDate=2017-09-04T00:00:00&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=StructureDefinition [[File:fhir.png|link=]]]</li> | |||
</ul> | |||
This information model is also available as [[Media:nl.zorg.FamilyHistory-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FamilyHistory-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | This information model is also available as [[Media:nl.zorg.FamilyHistory-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FamilyHistory-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ||
==About this information== | ==About this information== | ||
The information in this wikipage is based on Prerelease 2017 #1 <BR> | The information in this wikipage is based on Prerelease 2017 #1 <BR> | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | ||
This page is generated on | This page is generated on 30/11/2017 13:36:50 <BR> | ||
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Versie van 30 nov 2017 13:42
General information
Name: nl.zorg.FamilyHistory 
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Prepublished
Release date: 04-09-2017
Metadata
| DCM::CoderList | Kerngroep Registratie aan de Bron |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::CreationDate | 15-02-2013 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | PM |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.6.1 |
| DCM::KeywordList | familieanamnese, anamnese |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | Kerngroep Registratie aan de Bron |
| DCM::Name | nl.zorg.Familieanamnese |
| DCM::PublicationDate | 04-09-2017 |
| DCM::PublicationStatus | Prepublished |
| DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 04-09-2017 |
| DCM::Superseeds | nl.zorg.Familieanamnese-v3.0 |
| DCM::Version | 3.1 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (15-02-2013)
Publicatieversie 1.1 (01-07-2013)
Publicatieversie 2.0 (01-04-2015)
| ZIB-73 | wijzigingsverzoek familieanamnese |
| ZIB-308 | Prefix Overdracht weggehaald bij de generieke bouwstenen |
Incl. algemene wijzigingsverzoeken:
| ZIB-94 | Aanpassen tekst van Disclaimer, Terms of Use & Copyrights |
| ZIB-154 | Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen. |
| ZIB-200 | Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken. |
| ZIB-201 | Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken. |
| ZIB-309 | EOI aangepast |
| ZIB-324 | Codelijsten Name en Description beginnen met een Hoofdletter |
| ZIB-326 | Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015 |
Publicatieversie 3.0 (01-05-2016)
| ZIB-444 | Overlijdensdatum in ZIB Familieanamnese vs. leeftijd waarop persoon is overleden |
| ZIB-453 | Wijziging naamgeving ZIB's en logo's door andere opzet van beheer |
Publicatieversie 3.1 (04-09-2017)
| ZIB-443 | Aanpassing in codes in BiologischeRelatieCodelijst |
| ZIB-564 | Aanpassing/harmonisatie Engelse conceptnamen |
| ZIB-574 | Alleen verwijzen naar het rootconcept van de ZIB. |
Concept
The family history describes any health problems of biological relatives that may be relevant. The family history contains information on the medical disorders of the family member and the biological relationship between the patient and the described family member.
Purpose
Recording the patient’s family members’ health problems. This component can be relevant in estimating the risk of these health problems occurring in the patient. This component can also partially influence the decision determining which diagnostics are or are not to be run: a high-risk patient might be more likely to receive extensive diagnostics, while a simpler test could suffice for a low-risk patient.
Information Model
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
|
NL-CM:6.1.1 |  FamilyHistory
|
Root concept of the FamilyHistory information model. This root concept contains all data elements of the FamilyHistory information model. | ||||||||||
|
NL-CM:6.1.2 |  Date
|
0..1 | Date on which the family history was entered. A ‘vague’ date is permitted. | |||||||||
|
NL-CM:6.1.3 | FamilyMember
|
1..* | Container of the FamilyMember concept. This container contains all data elements of the FamilyMember concept. | |||||||||
|
NL-CM:6.1.4 | BiologicalRelationship
|
1 | Indicates the biological relationship of the family member to the patient. |
| ||||||||
|
NL-CM:6.1.5 | Comment
|
0..1 | Comment with information on the family member which might be relevant to the family history. |
|
||||||||
|
NL-CM:6.1.10 | DeathIndicator
|
0..1 | An indication stating whether the family member has died. | |||||||||
|
NL-CM:6.1.12 | AgeAtDeath
|
0..1 | The age at which the family member died. | |||||||||
|
|
NL-CM:6.1.6 | Disorder
|
1..* | Container of the Disorder concept. This container contains all data elements of the Disorder concept. | |||||||||
|
NL-CM:6.1.7 | Problem
|
1 | The health problem of the family member in question, which is recorded for the family history. |
| ||||||||
|
|
NL-CM:6.1.9 | IsCauseOfDeath
|
0..1 | Indication stating whether the described health problem was the cause of death of the family member. | |||||||||
Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page 
Example Instances
Only available in Dutch
| Familieanamnese | |||||||||
| Datum | Familielid | Aandoening | |||||||
| BiologischeRelatie | Toelichting | Overlijdens Indicator |
OverlijdensDatum | Probleem | Is Doodsoorzaak | ||||
| ProbleemType | ProbleemNaam | Probleem Status |
Probleem StatusDatum |
||||||
| 1-2-2013 | Tante / moeders- zijde |
Ja | 1997 | Diagnose | mammacarcinoom | Actueel | 1995 | Ja | |
| 1-2-2013 | Biologische moeder | moeder heeft vijf zusters | Diagnose | mammacarcinoom | Actueel | 21-3-1999 | |||
| 1-2-2013 | Biologische vader | Ja | 2005 | Diagnose | myocardinfarct | Niet actueel | 16-6-2001 | ||
Instructions
The age at which a family member developed a disorder or the age at which the family member died can be included in the ‘explanation’ field if desired.
The value list BiologicalRelationshipCodeList contains a number of concepts which can be used for both biological and non-biological relatives: a step-father’s brother can be listed as an uncle for lack of specific codes for step-uncle and real uncles. Therefore, when compiling the family history, make sure that only the biological relatives are considered.
Valuesets
BiologicalRelationshipCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.6.1.1 |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Aunt | AUNT | RoleCode | 2.16.840.1.113883.5.111 | Tante |
| Cousin | COUSN | RoleCode | 2.16.840.1.113883.5.111 | Neef/nicht, zoon/dochter van oom/tante |
| Grandchild | GRNDCHILD | RoleCode | 2.16.840.1.113883.5.111 | Kleinkind |
| Grandparent | GRPRN | RoleCode | 2.16.840.1.113883.5.111 | Grootouder |
| Great grandparent | GGRPRN | RoleCode | 2.16.840.1.113883.5.111 | Overgrootouder |
| Half-brother | HBRO | RoleCode | 2.16.840.1.113883.5.111 | Halfbroer |
| Half-sister | HSIS | RoleCode | 2.16.840.1.113883.5.111 | Halfzus |
| MaternalAunt | MAUNT | RoleCode | 2.16.840.1.113883.5.111 | Tante/moederszijde |
| MaternalCousin | MCOUSN | RoleCode | 2.16.840.1.113883.5.111 | Neef/nicht aan moederszijde |
| MaternalGrandparent | MGRPRN | RoleCode | 2.16.840.1.113883.5.111 | Gootouder aan moederszijde |
| MaternalGreatgrandparent | MGGRPRN | RoleCode | 2.16.840.1.113883.5.111 | Overgrootouder aan moederszijde |
| MaternalUncle | MUNCLE | RoleCode | 2.16.840.1.113883.5.111 | Oom/moederszijde |
| Natural child | NCHILD | RoleCode | 2.16.840.1.113883.5.111 | Biologisch kind |
| Natural daugther | DAU | RoleCode | 2.16.840.1.113883.5.111 | Biologische dochter |
| Natural son | SON | RoleCode | 2.16.840.1.113883.5.111 | Biologische zoon |
| Natural father | NFTH | RoleCode | 2.16.840.1.113883.5.111 | Biologische vader |
| Natural mother | NMTH | RoleCode | 2.16.840.1.113883.5.111 | Biologische moeder |
| Natural brother | NBRO | RoleCode | 2.16.840.1.113883.5.111 | Biologische broer |
| Natural sister | NSIS | RoleCode | 2.16.840.1.113883.5.111 | Biologische zus |
| Nephew | NEPHEW | RoleCode | 2.16.840.1.113883.5.111 | Neef, zoon van broer/zus |
| Niece | NIECE | RoleCode | 2.16.840.1.113883.5.111 | Nicht, dochter van broer/zus |
| PaternalAunt | PAUNT | RoleCode | 2.16.840.1.113883.5.111 | Tante/vaderszijde |
| PaternalCousin | PCOUSN | RoleCode | 2.16.840.1.113883.5.111 | Neef/nicht aan vaderszijde |
| PaternalGrandparent | PGRPRN | RoleCode | 2.16.840.1.113883.5.111 | Grootouder aan vaderszijde |
| PaternalGreatgrandparent | PGGRPRN | RoleCode | 2.16.840.1.113883.5.111 | Overgrootouder aan vaderszijde |
| PaternalUncle | PUNCLE | RoleCode | 2.16.840.1.113883.5.111 | Oom/vaderszijde |
| Uncle | UNCLE | RoleCode | 2.16.840.1.113883.5.111 | Oom |
This information model in other releases
More on this information model
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
This information model is also available as pdf file 
or as spreadsheet 
About this information
The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage
This page is generated on 30/11/2017 13:36:50