NursingIntervention-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 78: | Regel 78: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:NursingIntervention-v1.0Model(EN).png | center | |||
rect 180 48 334 98 [[#InterventionINCPCodelist]] | |||
rect 471 48 625 98 [[#InterventionNICCodelist]] | |||
rect 759 48 913 98 [[#InterventionOmahaCodelist]] | |||
rect 759 137 901 207 [[#10022]] | |||
rect 192 605 334 675 [[#10013]] | |||
rect 381 605 523 675 [[#10025]] | |||
rect 759 296 901 366 [[HealthProfessional-v1.2.1(2015EN)]] | |||
rect 192 137 334 207 [[ConcernForTransfer-v1.2(2015EN)]] | |||
rect 759 488 901 558 [[#10018]] | |||
rect 759 605 901 675 [[#10020]] | |||
rect 481 139 615 210 [[#10017]] | |||
rect 759 387 901 457 [[HealthProfessional-v1.2.1(2015EN)]] | |||
rect 472 292 624 372 [[#10026]] | |||
rect 570 605 712 675 [[#10028]] | |||
rect 473 441 625 511 [[#10029]] | |||
rect 192 441 334 511 [[MedicalDevice-v1.2(2015EN)]] | |||
rect 192 296 334 366 [[TreatmentObjective-v1.0(2015EN)]] | |||
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 84: | Regel 103: | ||
|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:14.2.1 | ||NL-CM:14.2.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: VerpleegkundigeInterventie">[[Bestand: arrowdown.png | 10px]]NursingIntervention</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=10026 Title="NL: VerpleegkundigeInterventie">[[Bestand: arrowdown.png | 10px | link=]]NursingIntervention</span> | ||
| | | | ||
|Root concept of the NursingIntervention building block. This root concept contains all data elements of the NursingIntervention building block. | |Root concept of the NursingIntervention building block. This root concept contains all data elements of the NursingIntervention building block. | ||
Regel 92: | Regel 111: | ||
| | | | ||
|-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:14.2.2 | ||NL-CM:14.2.2 | ||
|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: Interventie">[[Bestand: arrowright.png | 10px]]Intervention</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10017 Title="NL: Interventie">[[Bestand: arrowright.png | 10px | link=]]Intervention</span> | ||
|1 | |1 | ||
|A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result. There are different classifications that describe interventions, including the NIC (National Intervention Classification) and the Omaha System. This building block uses coded interventions. | |A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result. There are different classifications that describe interventions, including the NIC (National Intervention Classification) and the Omaha System. This building block uses coded interventions. | ||
Regel 102: | Regel 121: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#InterventionINCPCodelist|InterventionINCPCodelist]] | |[[Bestand: List2.png | link=#InterventionINCPCodelist]]||[[#InterventionINCPCodelist|InterventionINCPCodelist]] | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#InterventionNICCodelist|InterventionNICCodelist]] | |[[Bestand: List2.png | link=#InterventionNICCodelist]]||[[#InterventionNICCodelist|InterventionNICCodelist]] | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#InterventionOmahaCodelist|InterventionOmahaCodelist]] | |[[Bestand: List2.png | link=#InterventionOmahaCodelist]]||[[#InterventionOmahaCodelist|InterventionOmahaCodelist]] | ||
|} | |} | ||
|-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:14.2.6 | ||NL-CM:14.2.6 | ||
|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: Indicatie::Probleem">[[Bestand: arrowright.png | 10px]]Indication::Problem</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10023 Title="NL: Indicatie::Probleem">[[Bestand: arrowright.png | 10px | link=]]Indication::Problem</span> | ||
|0..1 | |0..1 | ||
|The nursing-related problem (indication) providing cause for the intervention. | |The nursing-related problem (indication) providing cause for the intervention. | ||
Regel 119: | Regel 138: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[ConcernForTransfer-v1.2(2015EN) |ConcernForTransfer]] | |[[Bestand: block.png | link=ConcernForTransfer-v1.2(2015EN)]]||[[ConcernForTransfer-v1.2(2015EN) |ConcernForTransfer]] | ||
|} | |} | ||
|-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:14.2.14 | ||NL-CM:14.2.14 | ||
|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: Behandeldoel">[[Bestand: arrowright.png | 10px]]TreatmentGoal</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10455 Title="NL: Behandeldoel">[[Bestand: arrowright.png | 10px | link=]]TreatmentGoal</span> | ||
|0..1 | |0..1 | ||
|The description of the treatment goal that the intervention decision is based on. | |The description of the treatment goal that the intervention decision is based on. | ||
Regel 132: | Regel 151: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[TreatmentObjective-v1.0(2015EN) |TreatmentObjective]] | |[[Bestand: block.png | link=TreatmentObjective-v1.0(2015EN)]]||[[TreatmentObjective-v1.0(2015EN) |TreatmentObjective]] | ||
|} | |} | ||
|-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:14.2.9 | ||NL-CM:14.2.9 | ||
|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: arrowdown.png | 10px]]NursingProcedure</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10029 Title="NL: VerpleegkundigeActie">[[Bestand: arrowdown.png | 10px | link=]]NursingProcedure</span> | ||
|1..* | |1..* | ||
|Container of the NursingProcedure concept. This container contains all data elements of the NursingProcedure concept. | |Container of the NursingProcedure concept. This container contains all data elements of the NursingProcedure concept. | ||
Regel 148: | Regel 167: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: PQ.png| 16px]] | |style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]] | ||
||NL-CM:14.2.3 | ||NL-CM:14.2.3 | ||
|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: Interval">[[Bestand: arrowright.png | 10px]]Interval</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=10013 Title="NL: Interval">[[Bestand: arrowright.png | 10px | link=]]Interval</span> | ||
|0..1 | |0..1 | ||
|Interval indicates the time between planned procedures. | |Interval indicates the time between planned procedures. | ||
Regel 160: | Regel 179: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: PQ.png| 16px]] | |style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]] | ||
||NL-CM:14.2.4 | ||NL-CM:14.2.4 | ||
|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: Frequentie">[[Bestand: arrowright.png | 10px]]Frequency</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=10025 Title="NL: Frequentie">[[Bestand: arrowright.png | 10px | link=]]Frequency</span> | ||
|0..1 | |0..1 | ||
|The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day. | |The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day. | ||
Regel 170: | Regel 189: | ||
| | | | ||
|-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:14.2.10 | ||NL-CM:14.2.10 | ||
|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: Activiteit">[[Bestand: arrowright.png | 10px]]Activity</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=10028 Title="NL: Activiteit">[[Bestand: arrowright.png | 10px | link=]]Activity</span> | ||
|1 | |1 | ||
|The description of nursing procedures carried out in the care for a patient. A nursing intervention consists of a set of patient-related nursing procedures. | |The description of nursing procedures carried out in the care for a patient. A nursing intervention consists of a set of patient-related nursing procedures. | ||
Regel 180: | Regel 199: | ||
| | | | ||
|-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:14.2.11 | ||NL-CM:14.2.11 | ||
|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: ActieStartDatumTijd">[[Bestand: arrowright.png | 10px]]ProcedureStartDateTime</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=10018 Title="NL: ActieStartDatumTijd">[[Bestand: arrowright.png | 10px | link=]]ProcedureStartDateTime</span> | ||
|0..1 | |0..1 | ||
|The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures. | |The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures. | ||
Regel 190: | Regel 209: | ||
| | | | ||
|-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:14.2.12 | ||NL-CM:14.2.12 | ||
|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: ActieEindDatumTijd">[[Bestand: arrowright.png | 10px]]ProcedureEndDateTime</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=10020 Title="NL: ActieEindDatumTijd">[[Bestand: arrowright.png | 10px | link=]]ProcedureEndDateTime</span> | ||
|0..1 | |0..1 | ||
|The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures. | |The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures. | ||
Regel 200: | Regel 219: | ||
| | | | ||
|-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:14.2.13 | ||NL-CM:14.2.13 | ||
|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: Hulpmiddel::MedischHulpmiddel">[[Bestand: arrowright.png | 10px]]MedicalAid::MedicalAid</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=10211 Title="NL: Hulpmiddel::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]MedicalAid::MedicalAid</span> | ||
|0..* | |0..* | ||
|Description of the materials used for the nursing procedure, such as bandages. | |Description of the materials used for the nursing procedure, such as bandages. | ||
Regel 211: | Regel 230: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[MedicalDevice-v1.2(2015EN) |MedicalDevice]] | |[[Bestand: block.png | link=MedicalDevice-v1.2(2015EN)]]||[[MedicalDevice-v1.2(2015EN) |MedicalDevice]] | ||
|} | |} | ||
|-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:14.2.7 | ||NL-CM:14.2.7 | ||
|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: UitgevoerdDoor::Zorgverlener">[[Bestand: arrowright.png | 10px]]CarriedOutBy::HealthcareProvider</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=10024 Title="NL: UitgevoerdDoor::Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]CarriedOutBy::HealthcareProvider</span> | ||
|0..1 | |0..1 | ||
|The healthcare provider carrying out the nursing procedure. | |The healthcare provider carrying out the nursing procedure. | ||
Regel 225: | Regel 244: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[HealthProfessional-v1.2.1(2015EN) |HealthProfessional]] | |[[Bestand: block.png | link=HealthProfessional-v1.2.1(2015EN)]]||[[HealthProfessional-v1.2.1(2015EN) |HealthProfessional]] | ||
|} | |} | ||
|-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:14.2.8 | ||NL-CM:14.2.8 | ||
|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: AangevraagdDoor::Zorgverlener">[[Bestand: arrowright.png | 10px]]RequestedBy::HealthcareProvider</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10014 Title="NL: AangevraagdDoor::Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]RequestedBy::HealthcareProvider</span> | ||
|0..* | |0..* | ||
|The healthcare provider who requested the nursing intervention. If desired, only the requester’s specialty can be entered. | |The healthcare provider who requested the nursing intervention. If desired, only the requester’s specialty can be entered. | ||
Regel 238: | Regel 257: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[HealthProfessional-v1.2.1(2015EN) |HealthProfessional]] | |[[Bestand: block.png | link=HealthProfessional-v1.2.1(2015EN)]]||[[HealthProfessional-v1.2.1(2015EN) |HealthProfessional]] | ||
|} | |} | ||
|-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:14.2.5 | ||NL-CM:14.2.5 | ||
|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: Toelichting">[[Bestand: arrowright.png | 10px]]Explanation</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10022 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Explanation</span> | ||
|0..1 | |0..1 | ||
|Explanation of the nursing intervention. | |Explanation of the nursing intervention. | ||
Regel 262: | Regel 281: | ||
{|class="wikitable" width="666px" style= "font-size: 9.5pt;" | {|class="wikitable" width="666px" 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>VerpleegkundigeInterventie</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 34%; "|Interventie | | style="width: 34%; "|Interventie | ||
| style="width: 66%; "|Pijnmanagement | | style="width: 66%; "|Pijnmanagement | ||
|-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>Indicatie</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 34%; "|ProbleemNaam | | style="width: 34%; "|ProbleemNaam | ||
| style="width: 66%; "|Pijn | | style="width: 66%; "|Pijn | ||
|-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>Behandeldoel</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #D9D9D9; width: 100% | |colspan="2" style="background-color: #D9D9D9; width: 100%; "|<b>Streefwaarde</b> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 34%; "|MetingNaam | | style="width: 34%; "|MetingNaam | ||
Regel 285: | Regel 304: | ||
| style="width: 66%; "|10-09-2015 | | style="width: 66%; "|10-09-2015 | ||
|-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: 34%; "|Activiteit | | style="width: 34%; "|Activiteit | ||
Regel 296: | Regel 315: | ||
| style="width: 66%; "|15-08-2015 | | style="width: 66%; "|15-08-2015 | ||
|-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> </b></font><font color=#FFFFFF><b>VerpleegkundigeActie</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 34%; "|Activiteit | | style="width: 34%; "|Activiteit | ||
Regel 374: | Regel 393: | ||
==This information model in other releases== | |||
<ul> | |||
<li>[[NursingIntervention-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li> | |||
<li>[[NursingIntervention-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=2.16.840.1.113883.2.4.3.11.60.5.4.2.14.2&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.NursingIntervention-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.NursingIntervention-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | This information model is also available as [[Media:nl.nfu.NursingIntervention-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.NursingIntervention-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 17:37:29 <BR> | ||
----- | ----- | ||
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Versie van 25 jan 2018 00:20
General information
Name: nl.nfu.NursingIntervention
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 | 7-7-2014 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | NFU & V&VN |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.14.2 |
DCM::KeywordList | Interventie, verpleegkundige actie |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::Name | nl.nfu.VerpleegkundigeInterventie |
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
A nursing intervention is the care and/or treatment carried out by a nurse based on an expert opinion and clinical knowledge. It is part of the nursing process; interventions are determined as a result of indexed healthcare problems (nursing diagnoses) and based on treatment goals. The interventions are outlined in the nursing procedures.
Purpose
The nursing interventions are an essential part of the nursing process. A nursing intervention is recorded to document the nursing policy and to update other healthcare providers on the intervention. The documentation of nursing interventions offers the option to determine whether the interventions outlined in the treatment plan have been carried out. This way, we can facilitate optimal nursing and continuity of care.
Evidence Base
Various classifications can be used in an organization to support the nursing process (nursing diagnoses/ symptoms, interventions and healthcare results). The chosen classification system usually depends on the context of the care (and the accessibility of the classification). Commonly used systems include Omaha System, NANDA, NIC and NOC (also known as the NNN-classification) and ICF.
For more information, please refer to the ‘References’ section.
Information Model
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||||||
NL-CM:14.2.1 | NursingIntervention | Root concept of the NursingIntervention building block. This root concept contains all data elements of the NursingIntervention building block. | |||||||||||||||
NL-CM:14.2.2 | Intervention | 1 | A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result. There are different classifications that describe interventions, including the NIC (National Intervention Classification) and the Omaha System. This building block uses coded interventions. |
| |||||||||||||
NL-CM:14.2.6 | Indication::Problem | 0..1 | The nursing-related problem (indication) providing cause for the intervention. |
| |||||||||||||
NL-CM:14.2.14 | TreatmentGoal | 0..1 | The description of the treatment goal that the intervention decision is based on. |
| |||||||||||||
NL-CM:14.2.9 | NursingProcedure | 1..* | Container of the NursingProcedure concept. This container contains all data elements of the NursingProcedure concept. |
|
|||||||||||||
NL-CM:14.2.3 | Interval | 0..1 | Interval indicates the time between planned procedures.
When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance. |
||||||||||||||
NL-CM:14.2.4 | Frequency | 0..1 | The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day. | ||||||||||||||
NL-CM:14.2.10 | Activity | 1 | The description of nursing procedures carried out in the care for a patient. A nursing intervention consists of a set of patient-related nursing procedures. | ||||||||||||||
NL-CM:14.2.11 | ProcedureStartDateTime | 0..1 | The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures. | ||||||||||||||
NL-CM:14.2.12 | ProcedureEndDateTime | 0..1 | The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures. | ||||||||||||||
NL-CM:14.2.13 | MedicalAid::MedicalAid | 0..* | Description of the materials used for the nursing procedure, such as bandages. |
| |||||||||||||
NL-CM:14.2.7 | CarriedOutBy::HealthcareProvider | 0..1 | The healthcare provider carrying out the nursing procedure. |
| |||||||||||||
NL-CM:14.2.8 | RequestedBy::HealthcareProvider | 0..* | The healthcare provider who requested the nursing intervention. If desired, only the requester’s specialty can be entered. |
| |||||||||||||
NL-CM:14.2.5 | Explanation | 0..1 | Explanation of the nursing intervention. |
|
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
VerpleegkundigeInterventie | |
Interventie | Pijnmanagement |
Indicatie | |
ProbleemNaam | Pijn |
Behandeldoel | |
Streefwaarde | |
MetingNaam | Pijnscore |
UitslagWaarde | <4 |
UitslagDatumTijd | 10-09-2015 |
VerpleegkundigeActie | |
Activiteit | Ondersteuning van de wond bij hoesten. |
ActieStartDatumTijd | 10-08-2015 |
ActieEindDatumTijd | 15-08-2015 |
VerpleegkundigeActie | |
Activiteit | Toedienen medicatie volgens voorschrift bij pijnscore > 4. |
ActieStartDatumTijd | 10-08-2015 |
Toelichting | - |
References
1. Richtlijn Verpleegkundige en verzorgende verslaglegging (V&VN, 2011) [Online] Beschikbaar op:http://www.diliguide.nl/document/4060/file/pdf/ [Geraadpleegd: 13 februari 2015]
2. Vreeke E, Klein Wolterink G. Classificatie- en terminologiestelsels voor verpleegkundige informatie. Nictiz & NFU (2014). [Geraadpleegd: 13 februari 2015]
3. The Omaha System [Online] Beschikbaar op:http://www.omahasystem.org/ [Geraadpleegd: 13 februari 2015]
4. Nursing Intervention Classification (NIC) [Online] Beschikbaar op:http://www.nursing.uiowa.edu/center-for-nursing-classification-and-clinical-effectiveness [Geraadpleegd: 13 februari 2015]
5. Nursing Outcome Classification (NOC) [Online] Beschikbaar op:http://www.nursing.uiowa.edu/center-for-nursing-classification-and-clinical-effectiveness [Geraadpleegd: 13 februari 2015]
6. North American Nursing Diagnosis Association (NANDA) [Online] Beschikbaar op:http://www.nanda.org/ [Geraadpleegd: 13 februari 2015]
7. International Classification for Nursing Practice (ICNP) [Online] Beschikbaar op:www.icn.ch[Geraadpleegd: 13 februari 2015]
8. International Classification of Functioning, Disability and Health (ICF) [Online] Beschikbaar op:http://www.rivm.nl/who-fic/icf.htm [Geraadpleegd: 13 februari 2015]
Valuesets
InterventionINCPCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.1 |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | ICNP | 2.16.840.1.113883.6.97 |
InterventionNICCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2 |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | NIC | 2.16.840.1.113883.6.15 |
InterventionOmahaCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.3 |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | Omaha | 2.16.840.1.113883.6.98 |
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 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 17:37:29