Encounter-v1.2(2015EN): verschil tussen versies

Uit Zorginformatiebouwstenen
Naar navigatie springen Naar zoeken springen
(Copy of)
Geen bewerkingssamenvatting
 
(Een tussenliggende versie door dezelfde gebruiker niet weergegeven)
Regel 1: Regel 1:
==General information==
<!-- Hieronder wordt een transclude page aangeroepen -->
Name: '''nl.nfu.Encounter''' [[Bestand:NL.png|link=Contact-v1.2(2015NL)]]<BR>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.15.1(EN)|1|Encounter-v1.2(2015EN)}}
Version: '''1.2''' <br>
<!-- Tot hier de transclude page -->
HCIM Status:Final<br>
==General information<!--hdGeneralInformation-->==
Release: '''2015''' <br>
Name<!--hdName-->: '''nl.nfu.Encounter''' [[Bestand:NL.png|link=Contact-v1.2(2015NL)]]<BR>
Release status: Published<br>
Version<!--hdVersion-->: '''1.2''' <br>
Release date: 1-4-2015
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2015''' <br>
Release status<!--hdPublicationStatus-->: Published<br>
Release date<!--hdPublicationDate-->: 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<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>


==Metadata==
==Metadata==
Regel 61: Regel 64:
==Revision History==
==Revision History==
<div class="mw-collapsible mw-collapsed">
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''
''Only available in Dutch<!--noTranslation-->''


<u>Publicatieversie 1.0</u> (15-02-2013)
<u>Publicatieversie 1.0</u> (15-02-2013)
Regel 122: Regel 125:
==Information Model==
==Information Model==
<BR>
<BR>
<imagemap> Bestand:Encounter-v1.2Model(EN).png | center  
<imagemap> Bestand:Encounter-v1.2Model(2015EN).png | center  
rect 430 187 540 257 [[#11406]]
rect 440 195 550 265 [[#11406]]
rect 211 145 341 218 [[HealthcareProvider-v1.2(2015EN)]]
rect 221 153 351 226 [[HealthcareProvider-v1.2(2015EN)]]
rect 708 335 838 385 [[#ContactTypeCodelist]]
rect 718 343 848 393 [[#ContactTypeCodelist]]
rect 563 330 677 403 [[#11402]]
rect 573 338 687 411 [[#11402]]
rect 427 330 541 403 [[ProcedureForTransfer-v1.2(2015EN)]]
rect 437 338 551 411 [[ProcedureForTransfer-v1.2(2015EN)]]
rect 708 145 838 218 [[#11409]]
rect 718 153 848 226 [[#11409]]
rect 293 330 407 403 [[ConcernForTransfer-v1.2(2015EN)]]
rect 303 338 417 411 [[ConcernForTransfer-v1.2(2015EN)]]
rect 210 57 340 130 [[HealthProfessional-v1.2.1(2015EN)]]
rect 220 65 350 138 [[HealthProfessional-v1.2.1(2015EN)]]
rect 705 57 835 130 [[#11405]]
rect 715 65 845 138 [[#11405]]
rect 430 57 540 130 [[#11411]]
rect 440 65 550 138 [[#11411]]
rect 708 240 838 313 [[#11408]]
rect 718 248 848 321 [[#11408]]
desc none
desc none
</imagemap>
</imagemap>
Regel 139: Regel 142:
{| 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"  
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|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<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference-->
|-style="vertical-align:top; background-color: #E3E3E3; "
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
Regel 253: Regel 256:
|
|
|}
|}
Columns Concept and DefinitionCode: hover over the values for more information<BR>
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR>
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]


==Example Instances==
==Example Instances==
''Only available in Dutch''
''Only available in Dutch<!--noTranslation-->''


{|class="wikitable" width="0px" style= "font-size: 9.5pt;"
{|class="wikitable" width="0px" style= "font-size: 9.5pt;"
Regel 311: Regel 314:
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1
|Binding<!--vsBindingTag-->:
|}
|}
{| class="wikitable"  width="60% "
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptname<!--vsConceptName-->
|Conceptcode
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Ambulatory
|Ambulatory
Regel 363: Regel 367:
|}
|}


 
==This information model in other releases<!--ftOtherReleases-->==
==This information model in other releases==
<!-- Hieronder wordt een transclude page aangeroepen -->
<ul>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.15.1(EN)|2|2015}}
<li>[[Encounter-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
<!-- Tot hier de transclude page -->
<li>[[Encounter-v3.1(2017EN) | Release 2017, (Version 3.1)]]</li>
==Information model references<!--ftReferences-->==
</ul>
====This information model refers to<!--ftRefersTo-->====
==More on this information model==
*[[ConcernForTransfer-v1.2(2015EN)|ConcernForTransfer-v1.2]]
*[[HealthcareProvider-v1.2(2015EN)|HealthcareProvider-v1.2]]
*[[HealthProfessional-v1.2.1(2015EN)|HealthProfessional-v1.2.1]]
*[[ProcedureForTransfer-v1.2(2015EN)|ProcedureForTransfer-v1.2]]
====This information model is used in<!--ftReferredBy-->====
*[[PlannedCareActivityForTransfer-v1.2.1(2015EN)|PlannedCareActivityForTransfer-v1.2.1]]
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
To exchange information based on health and care information models, additional, more technical specifications are required.<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:
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<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=2.16.840.1.113883.2.4.3.11.60.5.4.2.15.1&effectiveDate=2015-04-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.15.1&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=Profile [[File:fhir.png|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2015}}</li>
</ul>
</ul>
This information model is also available as [[Media:nl.nfu.Encounter-v1.2(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.Encounter-v1.2(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==Downloads<!--ftDownloadTitle-->==
==About this information==
This information model is also available as [[Media:nl.nfu.Encounter-v1.2(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.Encounter-v1.2(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
==About this information<!--ftHeader2-->==
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
This page is generated on 24/01/2018 17:12:00 <BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 24/12/2018 12:29:18 with ZibExtraction v. 3.0.6932.1989<!--ftDate--> <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<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Huidige versie van 24 dec 2018 om 12:14


Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.nfu.Encounter NL.png
Version: 1.2
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 19-4-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name NFU
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.15.1
DCM::KeywordList Contacten, contact, patiëntcontact
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.nfu.Contact
DCM::PublicationDate 1-4-2015
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 1-4-2015
DCM::Superseeds
DCM::Version 1.2
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-02-2013)

Publicatieversie 1.1 (01-07-2013)

Publicatieversie 1.2 (01-04-2015)

ZIB-163 Naamgeving concept Probleem::Probleem uit OverdrachtContact aanpassen.
ZIB-164 Het concept Locatie::Zorgaanbieder uit bouwsteen OverdrachtContact niet verplicht maken, maar als cardinaliteit 0..1 opgeven.
ZIB-165 Het concept Procedure in OverdrachtContact dient referentie naar bouwsteen te zijn.
ZIB-306 Aanpassen modellering keuzebox, boundary en cardinaliteit
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

Concept

A contact is any interaction, regardless of the situation, between a patient and the healthcare provider, in which the healthcare provider has primary responsibility for diagnosing, evaluating and treating the patient’s condition and informing the patient. These can be visits, appointments or non face-to-face interactions.

Contacts can be visits to the general practitioner or other practices, home visits, admissions (in hospitals, nursing homes or care homes, psychiatric institutions or convalescent homes) or other relevant contacts. This only includes past contacts. Future contacts can be documented in the PlannedCareActivity building block.

Purpose

Contacts can be recorded to provide insight on the interactions that have taken place between the patient and healthcare provider and in which context these took place.

Information Model


#11406HealthcareProvider-v1.2(2015EN)#ContactTypeCodelist#11402ProcedureForTransfer-v1.2(2015EN)#11409ConcernForTransfer-v1.2(2015EN)HealthProfessional-v1.2.1(2015EN)#11405#11411#11408Encounter-v1.2Model(2015EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:15.1.1 Arrowdown.pngContact Root concept of the Contact building block. This concept contains all data elements of the Contact building block.
CD.png NL-CM:15.1.2 Arrowright.pngContactType 1 The type of contact.
List2.png ContactTypeCodelist
Verwijzing.png NL-CM:15.1.7 Arrowright.pngContactWith::HealthcareProvider 0..* The healthcare provider with whom the contact took place. The specialty and role of the healthcare provider can be entered in the HealthcareProvider building block as well.
Block.png HealthProfessional
Verwijzing.png NL-CM:15.1.8 Arrowright.pngLocation::HealthcareProvider 0..1 The physical location at which the contact took place.
Block.png HealthcareProvider
TS.png NL-CM:15.1.3 Arrowright.pngStartDateTime 1 The date and time at which the contact took place.
TS.png NL-CM:15.1.4 Arrowright.pngEndDateTime 0..1 The date and time at which the contact ended. If the contact takes place over a period of time, this indicates the end of the period, in the case of an admission, for example.
Folder.png NL-CM:15.1.13 Arrowdown.pngContactReason 1 Container of the ContactReason concept. This container contains all data elements of the ContactReason concept.
Verwijzing.png NL-CM:15.1.6 Arrowright.pngProblem::ProblemName (0..1) The problem that led to the contact.
Block.png ConcernForTransfer
Verwijzing.png NL-CM:15.1.11 Arrowright.pngProcedure (0..1) The procedure carried out during the contact.
Block.png ProcedureForTransfer
ST.png NL-CM:15.1.12 Arrowright.pngDeviatingResult (0..1) A deviating result which serves as the reason for the contact.

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

Contact
Type 		BeginDatum
Tijd 		RedenContact ContactMet Locatie
ProbleemNaam Zorgverlener
Naam 		OrganisatieType Organisatie
Naam
Spoed 16-08-2012 Gebroken been J.H.R. Peters Ziekenhuis Universitair Medisch Centrum Groningen
Contact
Type 		Begin
Datum
Tijd 		Eind
Datum
Tijd 		RedenContact ContactMet Locatie
VerrichtingType Zorgverlener
Naam 		OrganisatieType Organisatie
Naam
Opname 16-08-2012 19-08-2012 Operatie been G.Z.M. de Wit Ziekenhuis St. Lucas Andreas Ziekenhuis

Valuesets

ContactTypeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Ambulatory AMB ActCode 2.16.840.1.113883.5.4 Poliklinisch [Een uitgebreide term voor zorg aangeboden in een zorginstelling. De term “ambulatory” of te wel mobiel geven normaliter aan dat de patiënt zelf naar de locatie is gekomen en niet is opgenomen].
Emergency EMER ActCode 2.16.840.1.113883.5.4 SEH [Een patiënt contact dat plaats heeft op een specialistische locatie waar de patiënt een spoed onderzoek en -behandeling ondergaat, totdat de patiënt ontslagen kan worden of wordt opgenomen in de zorginstelling of naar een andere zorginstelling wordt overgedragen.]
Field FLD ActCode 2.16.840.1.113883.5.4 Op lokatie [Een patiënt contact dat heeft plaats gevonden buiten een zorginstelling en ook niet bij de patiënt thuis, bijvoorbeeld op de plaats van een ongeluk of in een supermarkt.]
Home HH ActCode 2.16.840.1.113883.5.4 Thuis [Een zorg contact dat plaats heeft gevonden bij de patiënt thuis of in het huis van een ander waar de patiënt zich op dat moment bevindt.]
Inpatient IMP ActCode 2.16.840.1.113883.5.4 Klinisch [Een patiënt contact waarbij de patiënt is opgenomen in een zorginstelling en de patiënt ten minste een nacht overblijft en wordt voorzien van een kamer, maaltijden en continue verpleegkundige zorg.]
Short Stay SS ActCode 2.16.840.1.113883.5.4 Dagopname [Een contact waarbij de patiënt is opgenomen in een zorginstelling voor een vooraf vastgestelde periode, normaliter minder dan 24 uur.]
Virtual VR ActCode 2.16.840.1.113883.5.4 Virtueel [Een patiënt contact waarbij de patiënt en de zorgverlener zich niet op dezelfde fysieke locatie bevinden. Voorbeelden hiervan zijn telefonisch contact, email verkeer, robotchirurgie en televideo conferentie, maar ook een Multi Disciplinair Overleg (MDO) kan hieronder vallen.]

This information model in other releases

Information model references

This information model refers to

This information model is used in

Technical specifications in HL7v3 CDA and HL7 FHIR

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

Downloads

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 24/12/2018 12:29:18 with ZibExtraction v. 3.0.6932.1989

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=Encounter-v1.2(2015EN)&oldid=16571"