FunctionalOrMentalStatus-v1.0.1(2015EN): verschil tussen versies

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Geen bewerkingssamenvatting
Regel 3: Regel 3:
Version: '''1.0.1''' <br>
Version: '''1.0.1''' <br>
HCIM Status:Final<br>
HCIM Status:Final<br>
Publication: '''2015''' <br>
Release: '''2015''' <br>
Release status: Published<br>
Release status: Published<br>
Publication date: 1-4-2015
Release date: 1-4-2015
-----
-----
<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 122: Regel 122:
==Information Model==
==Information Model==
<BR>
<BR>
[[Bestand: FunctionalOrMentalStatus-v1.0.1Model(EN).png | center]]
<imagemap> Bestand:FunctionalOrMentalStatus-v1.0.1Model(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-v1.2(2015EN)]]
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>
<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 128: Regel 144:
|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:4.26.1
||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 building block.
|Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus building block.
Regel 136: Regel 152:
|
|
|-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: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 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
|1
|Coded description of the functional or mental status or limitation.  
|Coded description of the functional or mental status or limitation.  
Regel 154: Regel 170:
{|
{|
|-
|-
|[[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="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
||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 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
|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 176: Regel 192:
{|
{|
|-
|-
|[[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="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
||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 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
|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 194: Regel 210:
|
|
|-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: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 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Explanation</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11267 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Explanation</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 207: Regel 223:
|
|
|-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: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 Title="NL: Hulpmiddel::MedischHulpmiddel">[[Bestand: arrowright.png | 10px]]MedicalAid::MedicalAid</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11271 Title="NL: Hulpmiddel::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]MedicalAid::MedicalAid</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 217: Regel 233:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[MedicalDevice-v1.2(2015EN) |MedicalDevice]]
|[[Bestand: block.png | link=MedicalDevice-v1.2(2015EN)]]||[[MedicalDevice-v1.2(2015EN) |MedicalDevice]]
|}
|}
|}
|}
Regel 228: Regel 244:
{|class="wikitable" width="451px" style= "font-size: 9.5pt;"
{|class="wikitable" width="451px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|-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=vertical-align:top;
| style="width: 52%; "|StatusNaam
| style="width: 52%; "|StatusNaam
Regel 368: Regel 384:




==This information model in other releases==
<ul>
<li>[[FunctionalOrMentalStatus-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
<li>[[FunctionalOrMentalStatus-v3.1(2017EN) | Release 2017, (Version 3.1)]]</li>
</ul>
==More on this information model==
==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--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.4.26&effectiveDate=2015-04-01T00:00:00&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.FunctionalOrMentalStatus-v1.0.1(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.FunctionalOrMentalStatus-v1.0.1(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
This information model is also available as [[Media:nl.nfu.FunctionalOrMentalStatus-v1.0.1(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.FunctionalOrMentalStatus-v1.0.1(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 27/09/2017 23:59:08 <BR>
This page is generated on 24/01/2018 17:12:15 <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.FunctionalOrMentalStatus NL.png
Version: 1.0.1
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 1-4-2015

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
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.nfu.FunctioneleOfMentaleStatus
DCM::PublicationDate 1-4-2015
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 22-5-2015
DCM::Superseeds nl.nfu.OverdrachtFunctioneleSatus (2.16.840.1.113883.2.4.3.11.60.40.3.4.1)
DCM::Version 1.0.1
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.

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 ConcernTransfer building block.

Information Model


#StatusNameICFCodelist#StatusNameSnomedCodelist#StatusNameOMAHACodelist#StatusNameNOCCodelist#StatusValueICFCodelist#StatusValuenOCCodelist#StatusValueSnomedCodelist#StatusValueOMAHACodelist#11272MedicalDevice-v1.2(2015EN)#11267#11266#11269#11273FunctionalOrMentalStatus-v1.0.1Model(EN).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 building block.
CD.png NL-CM:4.26.2 Arrowright.pngStatusName 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
List2.png StatusNameICFCodelist
List2.png StatusNameNOCCodelist
List2.png StatusNameOMAHACodelist
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 aid, the evaluation of the extent of the limitation will take place without this aid.

List2.png StatusValueICFCodelist
List2.png StatusValuenOCCodelist
List2.png StatusValueOMAHACodelist
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.pngExplanation 0..1 Explanatory comments as a description of the functional or mental status.
48767-8 Annotation comment
Verwijzing.png NL-CM:4.26.5 Arrowright.pngMedicalAid::MedicalAid 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

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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

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 Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage List2.png
This page is generated on 24/01/2018 17:12:15

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=FunctionalOrMentalStatus-v1.0.1(2015EN)&oldid=9901"