Encounter-v4.0(2019EN): verschil tussen versies
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Regel 8: | Regel 8: | ||
Release<!--hdPublication-->: '''2019''' <br> | Release<!--hdPublication-->: '''2019''' <br> | ||
Release status<!--hdPublicationStatus-->: Prepublished<br> | Release status<!--hdPublicationStatus-->: Prepublished<br> | ||
Release date<!--hdPublicationDate-->: | Release date<!--hdPublicationDate-->: 31-01-2020 | ||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2019(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2019(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2019(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2019(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | ||
Regel 47: | Regel 47: | ||
|style="width:250px; "|DCM::Name||nl.zorg.Contact | |style="width:250px; "|DCM::Name||nl.zorg.Contact | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationDate|| | |style="width:250px; "|DCM::PublicationDate||31-01-2020 | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationStatus||Prepublished | |style="width:250px; "|DCM::PublicationStatus||Prepublished | ||
Regel 55: | Regel 55: | ||
|style="width:250px; "|DCM::RevisionDate||1-7-2019 | |style="width:250px; "|DCM::RevisionDate||1-7-2019 | ||
|- | |- | ||
|style="width:250px; "|DCM:: | |style="width:250px; "|DCM::Supersedes|| nl.zorg.Contact-v3.1 | ||
|- | |- | ||
|style="width:250px; "|DCM::Version||4.0 | |style="width:250px; "|DCM::Version||4.0 | ||
Regel 64: | Regel 64: | ||
==Revision History== | ==Revision History== | ||
<div class="mw-collapsible mw-collapsed"> | <div class="mw-collapsible mw-collapsed"> | ||
''Only available in Dutch<!--noTranslation-->'' | '' Only available in Dutch<!--noTranslation-->'' | ||
<u>Publicatieversie 1.0</u> (15-02-2013) | <u>Publicatieversie 1.0</u> (15-02-2013) | ||
Regel 183: | Regel 183: | ||
rect 552 116 680 186 [[#12817]] | rect 552 116 680 186 [[#12817]] | ||
rect 436 359 546 429 [[#12811]] | rect 436 359 546 429 [[#12811]] | ||
rect 210 289 340 362 [[HealthcareProvider-v3. | rect 210 289 340 362 [[HealthcareProvider-v3.3(2019EN)]] | ||
rect 722 506 845 556 [[#ContactTypeCodelist]] | rect 722 506 845 556 [[#ContactTypeCodelist]] | ||
rect 566 523 680 596 [[#12806]] | rect 566 523 680 596 [[#12806]] | ||
rect 428 523 542 596 [[Procedure-v5. | rect 428 523 542 596 [[Procedure-v5.1(2019EN)]] | ||
rect 717 317 840 390 [[#12815]] | rect 717 317 840 390 [[#12815]] | ||
rect 290 523 404 596 [[Problem-v4. | rect 290 523 404 596 [[Problem-v4.3(2019EN)]] | ||
rect 210 196 340 269 [[HealthProfessional-v3. | rect 210 196 340 269 [[HealthProfessional-v3.4(2019EN)]] | ||
rect 717 229 840 302 [[#12809]] | rect 717 229 840 302 [[#12809]] | ||
rect 436 228 546 301 [[#12818]] | rect 436 228 546 301 [[#12818]] | ||
Regel 232: | Regel 232: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png | link=HealthProfessional-v3. | |[[Bestand: block.png | link=HealthProfessional-v3.4(2019EN)]]||[[HealthProfessional-v3.4(2019EN) |HealthProfessional]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
Regel 245: | Regel 245: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png | link=HealthcareProvider-v3. | |[[Bestand: block.png | link=HealthcareProvider-v3.3(2019EN)]]||[[HealthcareProvider-v3.3(2019EN) |HealthcareProvider]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
Regel 286: | Regel 286: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png | link=Problem-v4. | |[[Bestand: block.png | link=Problem-v4.3(2019EN)]]||[[Problem-v4.3(2019EN) |Problem]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
Regel 300: | Regel 300: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png | link=Procedure-v5. | |[[Bestand: block.png | link=Procedure-v5.1(2019EN)]]||[[Procedure-v5.1(2019EN) |Procedure]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
Regel 611: | Regel 611: | ||
==Information model references<!--ftReferences-->== | ==Information model references<!--ftReferences-->== | ||
====This information model refers to<!--ftRefersTo-->==== | ====This information model refers to<!--ftRefersTo-->==== | ||
*[[HealthcareProvider-v3. | *[[HealthcareProvider-v3.3(2019EN)|HealthcareProvider-v3.3]] | ||
*[[HealthProfessional-v3. | *[[HealthProfessional-v3.4(2019EN)|HealthProfessional-v3.4]] | ||
*[[Problem-v4. | *[[Problem-v4.3(2019EN)|Problem-v4.3]] | ||
*[[Procedure-v5. | *[[Procedure-v5.1(2019EN)|Procedure-v5.1]] | ||
====This information model is used in<!--ftReferredBy-->==== | ====This information model is used in<!--ftReferredBy-->==== | ||
:-- | :-- | ||
Regel 621: | Regel 621: | ||
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | 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<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2019bbr-?id=2.16.840.1.113883.2.4.3.11.60.9.4.2.15.1&effectiveDate= | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2019bbr-?id=2.16.840.1.113883.2.4.3.11.60.9.4.2.15.1&effectiveDate=2020-01-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> | ||
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2019}}</li> | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2019}}</li> | ||
</ul> | </ul> | ||
Regel 627: | Regel 627: | ||
This information model is also available as [[Media:nl.zorg.Encounter-v4.0(2019EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Encounter-v4.0(2019EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | This information model is also available as [[Media:nl.zorg.Encounter-v4.0(2019EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Encounter-v4.0(2019EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | ||
==About this information<!--ftHeader2-->== | ==About this information<!--ftHeader2-->== | ||
The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2019- | The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2019-2 <BR> | ||
SNOMED CT and LOINC codes are based on: | SNOMED CT and LOINC codes are based on: | ||
<ul> | <ul> | ||
<li>SNOMED Clinical Terms version: | <li>SNOMED Clinical Terms version: 20190731 [R] (July 2019 Release)</li> | ||
<li>LOINC version 2.64</li> | <li>LOINC version 2.64</li> | ||
</ul> | </ul> | ||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | ||
This page is generated on | This page is generated on 03/02/2020 01:38:11 with ZibExtraction v. 4.0.7338.2051<!--ftDate--> <BR> | ||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2019(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2019(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2019(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2019(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> |
Huidige versie van 4 feb 2020 om 01:47
General information
Name: nl.zorg.Encounter
Version: 4.0
HCIM Status:Final
Release: 2019
Release status: Prepublished
Release date: 31-01-2020
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 | PM |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.15.1 |
DCM::KeywordList | Contacten, contact, patiëntcontact, afspraak |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Kerngroep Registratie aan de Bron |
DCM::Name | nl.zorg.Contact |
DCM::PublicationDate | 31-01-2020 |
DCM::PublicationStatus | Prepublished |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 1-7-2019 |
DCM::Supersedes | nl.zorg.Contact-v3.1 |
DCM::Version | 4.0 |
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 |
Publicatieversie 3.0 (01-05-2016)
ZIB-453 | Wijziging naamgeving ZIB's en logo's door andere opzet van beheer |
Publicatieversie 3.1 (04-09-2017)
ZIB-463 | Toevoegen IC aan ContactTypeCodelijst |
ZIB-465 | Uitbreiding met datacontainers "Herkomst" en "Ontslagbestemming" |
ZIB-553 | Example Instances Contact Type komt niet overeen met ContactTypeCodelijst |
ZIB-563 | Engelse vertaling van Contact is Encounter |
ZIB-564 | Aanpassing/harmonisatie Engelse conceptnamen |
ZIB-565 | ContactTypeCodelijst niet compleet |
ZIB-574 | Alleen verwijzen naar het rootconcept van de ZIB. |
Publicatieversie 4.0 (06-07-2019)
ZIB-701 | AfwijkendeUitslag algemenere naam geven |
ZIB-819 | aanpassen kardinaliteit RedenContact naar 1..* |
ZIB-821 | OverdrachtGeplandeZorgactiviteit laten vervallen en onderliggende zibs aanpassen |
ZIB-822 | Mapping reden van opname in HCIM Encounter |
.
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 includes past and future contacts.
Purpose
Contacts can be recorded to provide insight on the interactions that have taken place between the patient and healthcare professional and in which context these took place.
Evidence Base
The codelists for Origin and Destination generally correspond to the ‘Landelijke Basisregistratie Ziekenhuiszorg’ (National Basic Registration Hospital Care)
Information Model
![Encounter-v4.0Model(2019EN).png](/images/d/d0/Encounter-v4.0Model%282019EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
![]() |
NL-CM:15.1.1 | ![]() |
Root concept of the Contact information model. This concept contains all data elements of the Contact information model. | ||||||||||
![]() |
NL-CM:15.1.2 | ![]() |
1 | The type of contact. |
| ||||||||
![]() |
NL-CM:15.1.7 | ![]() |
0..* | The health professional with whom the contact took or will take place. The specialty and role of the health professional can be entered in the HealthProfessional information model. |
| ||||||||
![]() |
NL-CM:15.1.8 | ![]() |
0..1 | The physical location at which the contact took or will take place. |
| ||||||||
![]() |
NL-CM:15.1.3 | ![]() |
1 | The date and time at which the contact took or will take place. | |||||||||
![]() |
NL-CM:15.1.4 | ![]() |
0..1 | The date and time at which the contact ended or will end. 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. | |||||||||
![]() |
NL-CM:15.1.13 | ![]() |
1..* | Container of the ContactReason concept. This container contains all data elements of the ContactReason concept. | |||||||||
![]() |
NL-CM:15.1.6 | ![]() |
(0..1) | The problem that is the reason for the contact. |
| ||||||||
![]() |
NL-CM:15.1.11 | ![]() |
(0..1) | The procedure carried out or will be carried out during the contact. |
| ||||||||
![]() |
NL-CM:15.1.12 | ![]() |
(0..1) | A deviating result which serves as the reason for the contact. | |||||||||
![]() |
NL-CM:15.1.17 | ![]() |
0..1 | Explanation of the reason for the contact |
|
||||||||
![]() |
NL-CM:15.1.14 | ![]() |
0..1 | Location from which the patient comes before the encounter. In most cases this will only be used when the patient is admitted. |
| ||||||||
![]() |
NL-CM:15.1.16 | ![]() |
0..1 | Location to which the patient will go after the encounter. In most cases this will only be used when the patient is discharged. |
|
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
Contact Type |
BeginDatum Tijd |
RedenContact | ContactMet | Locatie | |
ProbleemNaam | Zorgverlener Naam |
OrganisatieType | Organisatie Naam | ||
SEH | 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 | |||
Klinisch | 16-08-2012 | 19-08-2012 | Operatie been | G.Z.M. de Wit | Ziekenhuis | St. Lucas Andreas Ziekenhuis |
Instructions
Explanation ‘Eigen woonomgeving’ (Home) from the ‘Landelijke Basisregistratie Ziekenhuiszorg’ (National Basic Registration Hospital Care) (concepts Origin and Destination)
The home environment is the environment where the patient stays regular. This distinguishes between living in a private home and living in an institution for nursing and care. This distinction is the difference between "independent living with any additional care" and "being taken care of including living". Thus, residential homes are counted as the first and stay in a nursing home to the second.
References
1. Landelijke Basisregistratie Ziekenhuiszorg [Online] Beschikbaar op: https://www.dhd.nl/klanten/klantenservice/handleidingen_formulieren/Documents/Handleiding%20LBZ.pdf [Geraadpleegd: 29 juni2017].
Valuesets
ContactTypeCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1 | Binding: Extensible |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Ambulatory | AMB | ActCode | 2.16.840.1.113883.5.4 | Poliklinisch |
Emergency | EMER | ActCode | 2.16.840.1.113883.5.4 | SEH |
Field | FLD | ActCode | 2.16.840.1.113883.5.4 | Op lokatie |
Home | HH | ActCode | 2.16.840.1.113883.5.4 | Thuis |
Inpatient | IMP | ActCode | 2.16.840.1.113883.5.4 | Klinisch |
Short Stay | SS | ActCode | 2.16.840.1.113883.5.4 | Dagopname |
Virtual | VR | ActCode | 2.16.840.1.113883.5.4 | Virtueel |
Other | OTH | NullFlavor | 2.16.840.1.113883.5.1008 | Anders |
DestinationCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3 | Binding: Extensible |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Home | 264362003 | SNOMED CT | 2.16.840.1.113883.6.96 | Eigen woonomgeving |
Left against medical advice | 445060000 | SNOMED CT | 2.16.840.1.113883.6.96 | Tegen advies in vertrokken |
Rehabilitation hospital | 80522000 | SNOMED CT | 2.16.840.1.113883.6.96 | Instelling voor revalidatie |
Long term care facility | 42665001 | SNOMED CT | 2.16.840.1.113883.6.96 | Instelling voor verpleging/verzorging |
Psychiatric hospital | 62480006 | SNOMED CT | 2.16.840.1.113883.6.96 | GGZ instelling |
Hospital | 22232009 | SNOMED CT | 2.16.840.1.113883.6.96 | Ander ziekenhuis |
Died in hospital | 183676005 | SNOMED CT | 2.16.840.1.113883.6.96 | Overleden |
Hospice | 284546000 | SNOMED CT | 2.16.840.1.113883.6.96 | Hospice |
Other | OTH | NullFlavor | 2.16.840.1.113883.5.1008 | Overig |
OriginCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2 | Binding: Extensible |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Home | 264362003 | SNOMED CT | 2.16.840.1.113883.6.96 | Eigen woonomgeving |
Rehabilitation hospital | 80522000 | SNOMED CT | 2.16.840.1.113883.6.96 | Instelling voor revalidatie |
Long term care facility | 42665001 | SNOMED CT | 2.16.840.1.113883.6.96 | Instelling voor verpleging/verzorging |
Psychiatric hospital | 62480006 | SNOMED CT | 2.16.840.1.113883.6.96 | GGZ instelling |
Hospital | 22232009 | SNOMED CT | 2.16.840.1.113883.6.96 | Ander ziekenhuis |
Liveborn born in hospital | 442311008 | SNOMED CT | 2.16.840.1.113883.6.96 | In dit ziekenhuis geboren |
Hospice | 284546000 | SNOMED CT | 2.16.840.1.113883.6.96 | Hospice |
Other | OTH | NullFlavor | 2.16.840.1.113883.5.1008 | Overig |
This information model in other releases
- Release 2015, (Version 1.2)
- Release 2016, (Version 3.0)
- Release 2017, (Version 3.1)
- Prerelease 2018-2, (Version 3.1)
- Release 2020, (Version 4.0.1)
- Prerelease 2021-2, (Version 4.0.2)
- Prerelease 2022-1, (Version 5.0)
- Prerelease 2023-1, (Version 6.0)
- Prerelease 2024-1, (Version 6.0)
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
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Prerelease 2019-2
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms version: 20190731 [R] (July 2019 Release)
- LOINC version 2.64
Conditions for use are located on the mainpage
This page is generated on 03/02/2020 01:38:11 with ZibExtraction v. 4.0.7338.2051