FunctionalOrMentalStatus-v3.1(2017EN): verschil tussen versies

Versie van 30 nov 2017 13:42

General information

Name: nl.zorg.FunctionalOrMentalStatus
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Prepublished
Release date: 04-09-2017

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	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.FunctioneleOfMentaleStatus-v3.0
DCM::Version	3.1
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-04-2015)

ZIB-89	Aanpassing OverdrachtFuntioneleStatus door deze te vervangen door een nieuwe bouwsteen die alleen een generieke functionele beperking bevat.
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 1.0.1 (22-05-2015)

ZIB-384	Inconsistent gebruik van de naam StatusWaardeSnomedCodelijst.
ZIB-383	Inconsistent gebruik van de naam StatusWaardeNOCCodelijst.
ZIB-382	Inconsistent gebruik van de naam StatusWaardeOMAHACodelijst.

Publicatieversie 3.0 (01-05-2016)

ZIB-453

Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-564

Aanpassing/harmonisatie Engelse conceptnamen

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

FunctionalOrMentalStatus-v3.1Model(EN).png

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:4.26.1

FunctionalOrMentalStatus

Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus information model.

NL-CM:4.26.2

StatusName

1

Coded description of the functional or mental status or limitation.

Code systems used include:

SNOMED CT
ICF (International Classification of Functioning, Disability and Health)
NOC (Nursing Outcomes Classification)
OMAHA

	StatusNameICFCodelist
	StatusNameNOCCodelist
	StatusNameOMAHACodelist
	StatusNameSnomedCodelist

NL-CM:4.26.3

StatusValue

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.

	StatusValueICFCodelist
	StatusValueNOCCodelist
	StatusValueOMAHACodelist
	StatusValueSnomedCodelist

NL-CM:4.26.6

StatusDate

0..1

Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted.

NL-CM:4.26.4

Comment

0..1

Explanatory comments as a description of the functional or mental status.

48767-8 Annotation comment

NL-CM:4.26.5

MedicalDevice:MedicalDevice

0..*

Medical aid the patient has to reduce the impact of the disability or disorder.

MedicalDevice

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

FunctioneleOfMentaleStatus
StatusNaam	Zich scheren
StatusWaarde	Moeite met scheren
StatusDatum	23-02-2015
Toelichting	--
MedischHulpmiddel	--

Valuesets

StatusNameICFCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.3

Conceptname	Codesystem name	Codesystem OID
Alle waarden	ICF	2.16.840.1.113883.6.254

StatusNameNOCCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.2

Conceptname	Codesystem name	Codesystem OID
Alle waarden	NOC	2.16.840.1.113883.6.16

StatusNameOMAHACodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.1

Conceptname	Codesystem name	Codesystem OID
Alle waarden	OMAHA	2.16.840.1.113883.6.98

StatusNameSnomedCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.4

Conceptname	Codesystem name	Codesystem OID
Alle waarden	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

Conceptname	Codesystem name	Codesystem OID
Alle waarden	ICF	2.16.840.1.113883.6.254

StatusValueNOCCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.7

Conceptname	Codesystem name	Codesystem OID
Alle waarden	NOC	2.16.840.1.113883.6.16

StatusValueOMAHACodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.5

Conceptname	Codesystem name	Codesystem OID
Alle waarden	OMAHA	2.16.840.1.113883.6.98

StatusValueSnomedCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.8

Conceptname	Codesystem name	Codesystem OID
Alle waarden	SNOMED CT	2.16.840.1.113883.6.96

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 13:36:54

Back to HCIM list

@@ Regel 3: / Regel 3: @@
 Version: '''3.1''' <br>
 HCIM Status:Final<br>
-Publication: '''2017''' <br>
+Release: '''2017''' <br>
 Release status: Prepublished<br>
-Publication date: 04-09-2017
+Release date: 04-09-2017
 -----
 <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 136: / Regel 136: @@
 ==Information Model==
 <BR>
-[[Bestand: FunctionalOrMentalStatus-v3.1Model(EN).png | center]]
+<imagemap> Bestand:FunctionalOrMentalStatus-v3.1Model(EN).png | center
+rect 131 371 274 421 [[#StatusNameICFCodelist]]
+rect 131 501 301 551 [[#StatusNameSnomedCodelist]]
+rect 131 566 314 616 [[#StatusNameOMAHACodelist]]
+rect 131 436 288 486 [[#StatusNameNOCCodelist]]
+rect 468 371 618 421 [[#StatusValueICFCodelist]]
+rect 454 437 618 487 [[#StatusValueNOCCodelist]]
+rect 443 501 617 551 [[#StatusValueSnomedCodelist]]
+rect 433 566 618 616 [[#StatusValueOMAHACodelist]]
+rect 211 96 339 166 [[#11272]]
+rect 627 97 755 167 [[MedicalDevice-v3.1(2017EN)]]
+rect 630 258 758 328 [[#11267]]
+rect 420 262 548 332 [[#11266]]
+rect 211 261 339 331 [[#11269]]
+rect 403 91 567 171 [[#11273]]
+desc none
+</imagemap>
 <BR>
 {| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
@@ Regel 142: / Regel 158: @@
 |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 = "text-align:center" |[[Bestand: block.png| 20px]]
+|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
 ||NL-CM:4.26.1
-|colspan ="6" style ="padding-left: 0px"|<span Title="NL: FunctioneleOfMentaleStatus">[[Bestand: arrowdown.png | 10px]]FunctionalOrMentalStatus</span>
+|colspan ="6" style ="padding-left: 0px"|<span Id=11273 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.
@@ Regel 150: / Regel 166: @@
 |
 |-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:4.26.2
 |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: StatusNaam">[[Bestand: arrowright.png | 10px]]StatusName</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11269 Title="NL: StatusNaam">[[Bestand: arrowright.png | 10px | link=]]StatusName</span>
 |1
 |Coded description of the functional or mental status or limitation.
@@ Regel 168: / Regel 184: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#StatusNameICFCodelist|StatusNameICFCodelist]]
+|[[Bestand: List2.png | link=#StatusNameICFCodelist]]||[[#StatusNameICFCodelist|StatusNameICFCodelist]]
 |-
-|[[Bestand: List2.png]]||[[#StatusNameNOCCodelist|StatusNameNOCCodelist]]
+|[[Bestand: List2.png | link=#StatusNameNOCCodelist]]||[[#StatusNameNOCCodelist|StatusNameNOCCodelist]]
 |-
-|[[Bestand: List2.png]]||[[#StatusNameOMAHACodelist|StatusNameOMAHACodelist]]
+|[[Bestand: List2.png | link=#StatusNameOMAHACodelist]]||[[#StatusNameOMAHACodelist|StatusNameOMAHACodelist]]
 |-
-|[[Bestand: List2.png]]||[[#StatusNameSnomedCodelist|StatusNameSnomedCodelist]]
+|[[Bestand: List2.png | link=#StatusNameSnomedCodelist]]||[[#StatusNameSnomedCodelist|StatusNameSnomedCodelist]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
-|style = "text-align:center" |[[Bestand: CO.png| 16px]]
+|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
 ||NL-CM:4.26.3
 |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: StatusWaarde">[[Bestand: arrowright.png | 10px]]StatusValue</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11266 Title="NL: StatusWaarde">[[Bestand: arrowright.png | 10px | link=]]StatusValue</span>
 |0..1
 |The extent to which the patient is limited by the functional or mental condition.
@@ Regel 190: / Regel 206: @@
 {|
 |-
-|[[Bestand: List2.png]]||[[#StatusValueICFCodelist|StatusValueICFCodelist]]
+|[[Bestand: List2.png | link=#StatusValueICFCodelist]]||[[#StatusValueICFCodelist|StatusValueICFCodelist]]
 |-
-|[[Bestand: List2.png]]||[[#StatusValueNOCCodelist|StatusValueNOCCodelist]]
+|[[Bestand: List2.png | link=#StatusValueNOCCodelist]]||[[#StatusValueNOCCodelist|StatusValueNOCCodelist]]
 |-
-|[[Bestand: List2.png]]||[[#StatusValueOMAHACodelist|StatusValueOMAHACodelist]]
+|[[Bestand: List2.png | link=#StatusValueOMAHACodelist]]||[[#StatusValueOMAHACodelist|StatusValueOMAHACodelist]]
 |-
-|[[Bestand: List2.png]]||[[#StatusValueSnomedCodelist|StatusValueSnomedCodelist]]
+|[[Bestand: List2.png | link=#StatusValueSnomedCodelist]]||[[#StatusValueSnomedCodelist|StatusValueSnomedCodelist]]
 |}
 |-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:4.26.6
 |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: StatusDatum">[[Bestand: arrowright.png | 10px]]StatusDate</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11272 Title="NL: StatusDatum">[[Bestand: arrowright.png | 10px | link=]]StatusDate</span>
 |0..1
 |Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted.
@@ Regel 208: / Regel 224: @@
 |
 |-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:4.26.4
 |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: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11267 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
 |0..1
 |Explanatory comments as a description of the functional or mental status.
@@ Regel 221: / Regel 237: @@
 |
 |-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:4.26.5
 |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: Hulpmiddel::MedischHulpmiddel">[[Bestand: arrowright.png | 10px]]MedicalDevice:MedicalDevice</span>
+|colspan ="5" style ="padding-left: 0px"|<span Id=11271 Title="NL: Hulpmiddel::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]MedicalDevice:MedicalDevice</span>
 |0..*
 |Medical aid the patient has to reduce the impact of the disability or disorder.
@@ Regel 231: / Regel 247: @@
 {|
 |-
-|[[Bestand: block.png]]||[[MedicalDevice-v3.1(2017EN) |MedicalDevice]]
+|[[Bestand: block.png | link=MedicalDevice-v3.1(2017EN)]]||[[MedicalDevice-v3.1(2017EN) |MedicalDevice]]
 |}
 |}
@@ Regel 242: / Regel 258: @@
 {|class="wikitable" width="451px" style= "font-size: 9.5pt;"
 |-style=vertical-align:top;
-|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|FunctioneleOfMentaleStatus
+|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
@@ Regel 382: / Regel 398: @@
+==This information model in other releases==
+<ul>
+<li>[[FunctionalOrMentalStatus-v1.0.1(2015EN) | Release 2015, (Version 1.0.1)]]</li>
+<li>[[FunctionalOrMentalStatus-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
+</ul>
 ==More on this information model==
-More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.4.26] <BR>
+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=2.16.840.1.113883.2.4.3.11.60.7.4.2.4.26&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.FunctionalOrMentalStatus-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FunctionalOrMentalStatus-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
 ==About this information==
 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>
-This page is generated on 28/09/2017 10:57:35 <BR>
+This page is generated on 30/11/2017 13:36:54 <BR>
 -----
 <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>

FunctionalOrMentalStatus-v3.1(2017EN): verschil tussen versies

Versie van 30 nov 2017 13:42

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Information Model

Example Instances