FunctionalOrMentalStatus-v3.1(2017EN): verschil tussen versies
Naar navigatie springen
Naar zoeken springen
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
||
| Regel 4: | Regel 4: | ||
HCIM Status:Final<br> | HCIM Status:Final<br> | ||
Release: '''2017''' <br> | Release: '''2017''' <br> | ||
Release status: | Release status: Published<br> | ||
Release date: | Release date: 31-12-2017 | ||
----- | ----- | ||
<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> | <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 44: | Regel 44: | ||
|style="width:250px; "|DCM::Name||nl.zorg.FunctioneleOfMentaleStatus | |style="width:250px; "|DCM::Name||nl.zorg.FunctioneleOfMentaleStatus | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationDate|| | |style="width:250px; "|DCM::PublicationDate||31-12-2017 | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationStatus|| | |style="width:250px; "|DCM::PublicationStatus||Published | ||
|- | |- | ||
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron | |style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron | ||
|- | |- | ||
|style="width:250px; "|DCM::RevisionDate|| | |style="width:250px; "|DCM::RevisionDate||31-12-2017 | ||
|- | |- | ||
|style="width:250px; "|DCM::Superseeds||nl.zorg.FunctioneleOfMentaleStatus-v3.0 | |style="width:250px; "|DCM::Superseeds||nl.zorg.FunctioneleOfMentaleStatus-v3.0 | ||
| Regel 173: | Regel 173: | ||
|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> | <ul> | ||
<li>SNOMED CT</li> | |||
<li>ICF (International Classification of Functioning, Disability and Health) </li> | |||
<li>NOC (Nursing Outcomes Classification)</li> | |||
<li>OMAHA</li> | |||
</ul> | </ul> | ||
| Regel 407: | Regel 407: | ||
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: | ||
<ul> | <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- | <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=2017-12-31T00:00:00&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> | <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> | </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=]] | 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== | ==About this information== | ||
The information in this wikipage is based on | The information in this wikipage is based on Release 2017 <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 22/01/2018 00:30:18 <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> | <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> | ||
Versie van 23 jan 2018 01:11
General information
Name: nl.zorg.FunctionalOrMentalStatus 
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017
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 | 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 | 31-12-2017 |
| DCM::PublicationStatus | Published |
| DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 31-12-2017 |
| 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
| 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:
|
| ||||||||||||||
|
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. |
| ||||||||||||||
|
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. |
|
||||||||||||||
|
NL-CM:4.26.5 | MedicalDevice:MedicalDevice
|
0..* | Medical aid the patient has to reduce the impact of the disability or disorder. |
| ||||||||||||||
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 Release 2017
Conditions for use are located on the mainpage
This page is generated on 22/01/2018 00:30:18