FreedomRestrictingMeasures-v1.0(2015EN): verschil tussen versies
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Regel 3: | Regel 3: | ||
Version: '''1.0''' <br> | Version: '''1.0''' <br> | ||
HCIM Status:Final<br> | HCIM Status:Final<br> | ||
Release: '''2015''' <br> | |||
Release status: Published<br> | Release status: Published<br> | ||
Release date: 8-9-2015 | |||
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<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_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div> | ||
Regel 80: | Regel 80: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:FreedomRestrictingMeasures-v1.0Model(EN).png | center | |||
rect 351 432 447 502 [[#9853]] | |||
rect 654 442 816 492 [[#PermissionCodelist]] | |||
rect 653 309 781 379 [[#9856]] | |||
rect 202 309 322 379 [[#9845]] | |||
rect 505 432 601 502 [[#9840]] | |||
rect 431 310 535 380 [[#9855]] | |||
rect 652 59 780 129 [[#9843]] | |||
rect 411 69 555 119 [[#LegalStatusCodelist]] | |||
rect 202 59 322 129 [[#9852]] | |||
rect 202 184 322 254 [[NursingIntervention-v1.0(2015EN)]] | |||
rect 652 184 780 254 [[#9837]] | |||
rect 391 178 575 258 [[#9851]] | |||
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 86: | Regel 100: | ||
|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:14.3.1 | ||NL-CM:14.3.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: VrijheidsbeperkendeMaatregelen">[[Bestand: arrowdown.png | 10px]]MedicalRestraints</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=9851 Title="NL: VrijheidsbeperkendeMaatregelen">[[Bestand: arrowdown.png | 10px | link=]]MedicalRestraints</span> | ||
| | | | ||
|Root concept of the MedicalRestraints building block. This root concept contains all data elements of the MedicalRestraints building block. | |Root concept of the MedicalRestraints building block. This root concept contains all data elements of the MedicalRestraints building block. | ||
Regel 94: | Regel 108: | ||
| | | | ||
|-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:14.3.2 | ||NL-CM:14.3.2 | ||
|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: JuridischeStatus">[[Bestand: arrowright.png | 10px]]LegalStatus</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9852 Title="NL: JuridischeStatus">[[Bestand: arrowright.png | 10px | link=]]LegalStatus</span> | ||
|0..1 | |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. | |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. | ||
Regel 108: | Regel 122: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#LegalStatusCodelist|LegalStatusCodelist]] | |[[Bestand: List2.png | link=#LegalStatusCodelist]]||[[#LegalStatusCodelist|LegalStatusCodelist]] | ||
|} | |} | ||
|-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:14.3.3 | ||NL-CM:14.3.3 | ||
|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: Wilsbekwaam">[[Bestand: arrowright.png | 10px]]LegallyCapable</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9843 Title="NL: Wilsbekwaam">[[Bestand: arrowright.png | 10px | link=]]LegallyCapable</span> | ||
|1 | |1 | ||
|Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | |Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | ||
Regel 120: | Regel 134: | ||
| | | | ||
|-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:14.3.4 | ||NL-CM:14.3.4 | ||
|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 Title="NL: WilsbekwaamToelichting">[[Bestand: arrowright.png | 10px]]LegallyCapableExplanation</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9837 Title="NL: WilsbekwaamToelichting">[[Bestand: arrowright.png | 10px | link=]]LegallyCapableExplanation</span> | ||
|0..1 | |0..1 | ||
|Explanation of the decisions which the patient is legally capable of making. | |Explanation of the decisions which the patient is legally capable of making. | ||
Regel 133: | Regel 147: | ||
| | | | ||
|-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:14.3.5 | ||NL-CM:14.3.5 | ||
|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 Title="NL: Interventie">[[Bestand: arrowdown.png | 10px]]Restraint</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9855 Title="NL: Interventie">[[Bestand: arrowdown.png | 10px | link=]]Restraint</span> | ||
|0..* | |0..* | ||
|Container of the Restraint concept. This container contains all data elements of the Restraint concept. | |Container of the Restraint concept. This container contains all data elements of the Restraint concept. | ||
Regel 142: | Regel 156: | ||
| | | | ||
|-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:14.3.6 | ||NL-CM:14.3.6 | ||
|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: SoortInterventie">[[Bestand: arrowright.png | 10px]]TypeOfRestraint</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9845 Title="NL: SoortInterventie">[[Bestand: arrowright.png | 10px | link=]]TypeOfRestraint</span> | ||
|1 | |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...]. | |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...]. | ||
Regel 156: | Regel 170: | ||
| | | | ||
|-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:14.3.7 | ||NL-CM:14.3.7 | ||
|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: 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: Toestemming">[[Bestand: arrowright.png | 10px]]Permission</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9856 Title="NL: Toestemming">[[Bestand: arrowright.png | 10px | link=]]Permission</span> | ||
|1 | |1 | ||
|The permission given to the healthcare provider(s) by the patient or legal representative to implement the medical restraint. | |The permission given to the healthcare provider(s) by the patient or legal representative to implement the medical restraint. | ||
Regel 171: | Regel 185: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#PermissionCodelist|PermissionCodelist]] | |[[Bestand: List2.png | link=#PermissionCodelist]]||[[#PermissionCodelist|PermissionCodelist]] | ||
|} | |} | ||
|-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:14.3.8 | ||NL-CM:14.3.8 | ||
|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: AanvangEpisode">[[Bestand: arrowright.png | 10px]]StartEpisode</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9853 Title="NL: AanvangEpisode">[[Bestand: arrowright.png | 10px | link=]]StartEpisode</span> | ||
|0..1 | |0..1 | ||
|The date and time at which the restraints started. | |The date and time at which the restraints started. | ||
Regel 184: | Regel 198: | ||
| | | | ||
|-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:14.3.9 | ||NL-CM:14.3.9 | ||
|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: 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: EindeEpisode">[[Bestand: arrowright.png | 10px]]EndOfEpisode</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9840 Title="NL: EindeEpisode">[[Bestand: arrowright.png | 10px | link=]]EndOfEpisode</span> | ||
|0..1 | |0..1 | ||
|The date and time at which the restraints ended. | |The date and time at which the restraints ended. | ||
Regel 194: | Regel 208: | ||
| | | | ||
|-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:14.3.10 | ||NL-CM:14.3.10 | ||
|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: VerpleegkundigeActie">[[Bestand: arrowright.png | 10px]]NursingProcedure</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9844 Title="NL: VerpleegkundigeActie">[[Bestand: arrowright.png | 10px | link=]]NursingProcedure</span> | ||
|0..* | |0..* | ||
|Description of the nursing procedures involved in medical restraints. | |Description of the nursing procedures involved in medical restraints. | ||
Regel 204: | Regel 218: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]] | |[[Bestand: block.png | link=NursingIntervention-v1.0(2015EN)]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]] | ||
|} | |} | ||
|} | |} | ||
Regel 215: | Regel 229: | ||
{|class="wikitable" width="553px" style= "font-size: 9.5pt;" | {|class="wikitable" width="553px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #1F497D; width: 100%; color | |colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Vrijheidsbeperkende</b></font><font color=#FFFFFF><b>M</b></font><font color=#FFFFFF><b>aatregelen</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 38%; "|JuridischeStatus | | style="width: 38%; "|JuridischeStatus | ||
Regel 226: | Regel 240: | ||
| style="width: 62%; "|Wilsonbekwaam t.a.v. geldzaken. | | style="width: 62%; "|Wilsonbekwaam t.a.v. geldzaken. | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #4F81BD; width: 100%; color | |colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Interventie</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 38%; "|SoortInterventie | | style="width: 38%; "|SoortInterventie | ||
Regel 240: | Regel 254: | ||
| style="width: 62%; "|05-05-2014 | | style="width: 62%; "|05-05-2014 | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #4F81BD; width: 100%; color | |colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>VerpleegkundigeActie</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 38%; "|Activiteit | | style="width: 38%; "|Activiteit | ||
Regel 373: | Regel 387: | ||
==This information model in other releases== | |||
<ul> | |||
<li>[[FreedomRestrictingMeasures-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li> | |||
<li>[[FreedomRestrictingMeasures-v3.1(2017EN) | Release 2017, (Version 3.1)]]</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--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=StructureDefinition [[File:fhir.png|link=]]]</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=]] | 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=]] | ||
==About this information== | ==About this information== | ||
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR> | The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <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 24/01/2018 17:37:36 <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_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div> |
Versie van 25 jan 2018 00:20
General information
Name: nl.nfu.FreedomRestrictingMeasures
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015
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
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. |
|
| |||||||||
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. |
|
||||||||||
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...]. |
|
||||||||||
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. |
|
| |||||||||
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. |
|
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 |
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 |
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 |
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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 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 24/01/2018 17:37:36