Procedure-v4.0(2017EN): verschil tussen versies

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Regel 3: Regel 3:
Version: '''4.0''' <br>
Version: '''4.0''' <br>
HCIM Status:Final<br>
HCIM Status:Final<br>
Publication: '''2017''' <br>
Release: '''2017''' <br>
Release status: Prepublished<br>
Release status: Prepublished<br>
Publication date: 04-09-2017
Release date: 04-09-2017
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
Regel 211: Regel 211:
==Information Model==
==Information Model==
<BR>
<BR>
[[Bestand: Procedure-v4.0Model(EN).png | center]]
<imagemap> Bestand:Procedure-v4.0Model(EN).png | center  
rect 120 496 288 546 [[#ProcedureMethodCodelist]]
rect 187 400 317 470 [[#13108]]
rect 747 496 925 546 [[#ProcedureLateralityCodelist]]
rect 708 400 841 470 [[#13095]]
rect 499 496 725 546 [[#ProcedureAnatomicalLocationCodelist]]
rect 309 496 477 546 [[#ProcedureTypeCodelist]]
rect 708 303 841 373 [[HealthProfessional-v3.1(2017EN)]]
rect 189 206 319 276 [[Problem-v4.0(2017EN)]]
rect 187 109 317 179 [[#13106]]
rect 450 109 576 179 [[#13097]]
rect 708 206 841 276 [[HealthcareProvider-v3.1(2017EN)]]
rect 187 303 317 373 [[MedicalDevice-v3.1(2017EN)]]
rect 339 400 501 472 [[#13094]]
rect 708 108 841 178 [[HealthProfessional-v3.1(2017EN)]]
rect 453 254 573 334 [[#13096]]
rect 523 400 685 472 [[#13100]]
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 217: Regel 235:
|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:14.1.1
||NL-CM:14.1.1
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: Verrichting">[[Bestand: arrowdown.png | 10px]]Procedure</span>
|colspan ="6" style ="padding-left: 0px"|<span Id=13096 Title="NL: Verrichting">[[Bestand: arrowdown.png | 10px | link=]]Procedure</span>
|
|
|Root concept of the Procedure information model. This root concept contains all data elements of the Procedure information model.
|Root concept of the Procedure information model. This root concept contains all data elements of the Procedure information model.
Regel 229: Regel 247:
|
|
|-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:14.1.2
||NL-CM:14.1.2
|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: VerrichtingStartDatum">[[Bestand: arrowright.png | 10px]]ProcedureStartDate</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=13106 Title="NL: VerrichtingStartDatum">[[Bestand: arrowright.png | 10px | link=]]ProcedureStartDate</span>
|0..1
|0..1
|The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.  
|The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.  
Regel 240: Regel 258:
|
|
|-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:14.1.3
||NL-CM:14.1.3
|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: VerrichtingEindDatum">[[Bestand: arrowright.png | 10px]]ProcedureEndDate</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=13097 Title="NL: VerrichtingEindDatum">[[Bestand: arrowright.png | 10px | link=]]ProcedureEndDate</span>
|0..1
|0..1
|The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.  
|The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.  
Regel 251: Regel 269:
|
|
|-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:14.1.8
||NL-CM:14.1.8
|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: VerrichtingAnatomischeLocatie">[[Bestand: arrowright.png | 10px]]ProcedureAnatomicalLocation</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=13100 Title="NL: VerrichtingAnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]ProcedureAnatomicalLocation</span>
|0..1
|0..1
|Anatomical location which is the focus of the procedure.
|Anatomical location which is the focus of the procedure.
Regel 265: Regel 283:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#ProcedureAnatomicalLocationCodelist|ProcedureAnatomicalLocationCodelist]]
|[[Bestand: List2.png | link=#ProcedureAnatomicalLocationCodelist]]||[[#ProcedureAnatomicalLocationCodelist|ProcedureAnatomicalLocationCodelist]]
|}
|}
|-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:14.1.11
||NL-CM:14.1.11
|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: VerrichtingLateraliteit">[[Bestand: arrowright.png | 10px]]ProcedureLaterality</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=13095 Title="NL: VerrichtingLateraliteit">[[Bestand: arrowright.png | 10px | link=]]ProcedureLaterality</span>
|0..1
|0..1
|Laterality adds information about body side to the anatomic location, <i>e.g.</i> left
|Laterality adds information about body side to the anatomic location, <i>e.g.</i> left
Regel 282: Regel 300:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#ProcedureLateralityCodelist|ProcedureLateralityCodelist]]
|[[Bestand: List2.png | link=#ProcedureLateralityCodelist]]||[[#ProcedureLateralityCodelist|ProcedureLateralityCodelist]]
|}
|}
|-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:14.1.9
||NL-CM:14.1.9
|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: Indicatie::Probleem">[[Bestand: arrowright.png | 10px]]Indication::Problem</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=13109 Title="NL: Indicatie::Probleem">[[Bestand: arrowright.png | 10px | link=]]Indication::Problem</span>
|0..*
|0..*
|The indication is the reason for the procedure.
|The indication is the reason for the procedure.
Regel 299: Regel 317:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[Problem-v4.0(2017EN) |Problem]]
|[[Bestand: block.png | link=Problem-v4.0(2017EN)]]||[[Problem-v4.0(2017EN) |Problem]]
|}
|}
|-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:14.1.4
||NL-CM:14.1.4
|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: VerrichtingType">[[Bestand: arrowright.png | 10px]]ProcedureType</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=13094 Title="NL: VerrichtingType">[[Bestand: arrowright.png | 10px | link=]]ProcedureType</span>
|1
|1
|The name of the procedure.   
|The name of the procedure.   
Regel 315: Regel 333:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#ProcedureTypeCodelist|ProcedureTypeCodelist]]
|[[Bestand: List2.png | link=#ProcedureTypeCodelist]]||[[#ProcedureTypeCodelist|ProcedureTypeCodelist]]
|}
|}
|-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:14.1.12
||NL-CM:14.1.12
|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: VerrichtingMethode">[[Bestand: arrowright.png | 10px]]ProcedureMethod</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=13108 Title="NL: VerrichtingMethode">[[Bestand: arrowright.png | 10px | link=]]ProcedureMethod</span>
|0..*
|0..*
|the method or technique that was used to perform the procedure, <i>e.g. </i>approach, lavage, pressuring, ets
|the method or technique that was used to perform the procedure, <i>e.g. </i>approach, lavage, pressuring, ets
Regel 332: Regel 350:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#ProcedureMethodCodelist|ProcedureMethodCodelist]]
|[[Bestand: List2.png | link=#ProcedureMethodCodelist]]||[[#ProcedureMethodCodelist|ProcedureMethodCodelist]]
|}
|}
|-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:14.1.7
||NL-CM:14.1.7
|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: MedischHulpmiddel">[[Bestand: arrowright.png | 10px]]MedicalDevice</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=13098 Title="NL: MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]MedicalDevice</span>
|0..*
|0..*
|The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.
|The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.
Regel 349: Regel 367:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[MedicalDevice-v3.1(2017EN) |MedicalDevice]]
|[[Bestand: block.png | link=MedicalDevice-v3.1(2017EN)]]||[[MedicalDevice-v3.1(2017EN) |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:14.1.5
||NL-CM:14.1.5
|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: Locatie::Zorgaanbieder">[[Bestand: arrowright.png | 10px]]Location::HealthcareProvider</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=13099 Title="NL: Locatie::Zorgaanbieder">[[Bestand: arrowright.png | 10px | link=]]Location::HealthcareProvider</span>
|0..1
|0..1
|The healthcare center where the procedure was or is carried out.
|The healthcare center where the procedure was or is carried out.
Regel 362: Regel 380:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[HealthcareProvider-v3.1(2017EN) |HealthcareProvider]]
|[[Bestand: block.png | link=HealthcareProvider-v3.1(2017EN)]]||[[HealthcareProvider-v3.1(2017EN) |HealthcareProvider]]
|}
|}
|-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:14.1.6
||NL-CM:14.1.6
|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: Uitvoerder::Zorgverlener">[[Bestand: arrowright.png | 10px]]Performer::HealthProfessional</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=13101 Title="NL: Uitvoerder::Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]Performer::HealthProfessional</span>
|0..*
|0..*
|The healthcare provider who carried out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare provider.
|The healthcare provider who carried out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare provider.
Regel 375: Regel 393:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[HealthProfessional-v3.1(2017EN) |HealthProfessional]]
|[[Bestand: block.png | link=HealthProfessional-v3.1(2017EN)]]||[[HealthProfessional-v3.1(2017EN) |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:14.1.10
||NL-CM:14.1.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Aanvrager::Zorgverlener">[[Bestand: arrowright.png | 10px]]Requester::HealthProfessional</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=13104 Title="NL: Aanvrager::Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]Requester::HealthProfessional</span>
|0..*
|0..*
|The healthcare provider who requested the procedure.
|The healthcare provider who requested the procedure.
Regel 388: Regel 406:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[HealthProfessional-v3.1(2017EN) |HealthProfessional]]
|[[Bestand: block.png | link=HealthProfessional-v3.1(2017EN)]]||[[HealthProfessional-v3.1(2017EN) |HealthProfessional]]
|}
|}
|}
|}
Regel 399: Regel 417:
{|class="wikitable" width="1248px" style= "font-size: 9.5pt;"
{|class="wikitable" width="1248px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 8%; color: #FFFFFF; font-weight: bold; "|VerrichtingType
| style="background-color: #1F497D; width: 8%; "|<font color=#FFFFFF><b>VerrichtingType</b></font>
| style="background-color: #1F497D; width: 9%; color: #FFFFFF; font-weight: bold; "|Verrichting<BR>Anatomische<BR>Locatie
| style="background-color: #1F497D; width: 9%; "|<font color=#FFFFFF><b>Verrichting</b><BR></font><font color=#FFFFFF><b>Anatomische</b><BR></font><font color=#FFFFFF><b>Locatie</b></font>
| style="background-color: #1F497D; width: 8%; color: #FFFFFF; font-weight: bold; "|Verrichting Lateraliteit
| style="background-color: #1F497D; width: 8%; "|<font color=#FFFFFF><b>Verrichting Lateraliteit</b></font>
| style="background-color: #1F497D; width: 8%; color: #FFFFFF; font-weight: bold; "|Verrichting<BR>Start<BR>Datum
| style="background-color: #1F497D; width: 8%; "|<font color=#FFFFFF><b>Verrichting</b><BR></font><font color=#FFFFFF><b>Start</b><BR></font><font color=#FFFFFF><b>Datum</b></font>
|colspan="3" style="background-color: #1F497D; width: 25%; color: #FFFFFF; font-weight: bold; "|Product
|colspan="3" style="background-color: #1F497D; width: 25%; "|<font color=#FFFFFF><b>Product</b></font>
|colspan="2" style="background-color: #1F497D; width: 24%; color: #FFFFFF; font-weight: bold; "|Indicatie
|colspan="2" style="background-color: #1F497D; width: 24%; "|<font color=#FFFFFF><b>Indicatie</b></font>
| style="background-color: #1F497D; width: 9%; color: #FFFFFF; font-weight: bold; "|Uitgevoerd<BR>Door
| style="background-color: #1F497D; width: 9%; "|<font color=#FFFFFF><b>Uitgevoerd</b><BR></font><font color=#FFFFFF><b>Door</b></font>
| style="background-color: #1F497D; width: 8%; color: #FFFFFF; font-weight: bold; "|Locatie
| style="background-color: #1F497D; width: 8%; "|<font color=#FFFFFF><b>Locatie</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="background-color: #548DD4; width: 8%; "|
| style="background-color: #548DD4; width: 8%; "|
Regel 412: Regel 430:
| style="background-color: #548DD4; width: 8%; "|
| style="background-color: #548DD4; width: 8%; "|
| style="background-color: #548DD4; width: 8%; "|
| style="background-color: #548DD4; width: 8%; "|
| style="background-color: #548DD4; width: 9%; color: #FFFFFF; font-weight: bold; "|ProductType
| style="background-color: #548DD4; width: 9%; "|<font color=#FFFFFF><b>ProductType</b></font>
|colspan="2" style="background-color: #548DD4; width: 16%; color: #FFFFFF; font-weight: bold; "|ProductID
|colspan="2" style="background-color: #548DD4; width: 16%; "|<font color=#FFFFFF><b>ProductID</b></font>
| style="background-color: #548DD4; width: 7%; color: #FFFFFF; font-weight: bold; "|ProbleemNaam
| style="background-color: #548DD4; width: 7%; "|<font color=#FFFFFF><b>ProbleemNaam</b></font>
| style="background-color: #548DD4; width: 16%; color: #FFFFFF; font-weight: bold; "|Toelichting
| style="background-color: #548DD4; width: 16%; "|<font color=#FFFFFF><b>Toelichting</b></font>
| style="background-color: #548DD4; width: 9%; color: #FFFFFF; font-weight: bold; "|Specialisme
| style="background-color: #548DD4; width: 9%; "|<font color=#FFFFFF><b>Specialisme</b></font>
| style="background-color: #548DD4; width: 8%; color: #FFFFFF; font-weight: bold; "|OrganisatieNaam
| style="background-color: #548DD4; width: 8%; "|<font color=#FFFFFF><b>OrganisatieNaam</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 8%; "|
| style="background-color: #D9D9D9; width: 8%; "|
Regel 535: Regel 553:




==This information model in other releases==
<ul>
<li>[[ProcedureForTransfer-v1.2(2015EN) | Release 2015, (Version 1.2)]]</li>
<li>[[ProcedureForTransfer-v3.0(2016EN) | Release 2016, (Version 3.0)]]</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=2.16.840.1.113883.2.4.3.11.60.40.3.14.1] <BR>
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
This information model is also available as [[Media:nl.zorg.Procedure-v4.0(EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Procedure-v4.0(EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
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--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.14.1&effectiveDate=2017-09-04T00:00:00&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.zorg.Procedure-v4.0(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Procedure-v4.0(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
==About this information==
The information in this wikipage is based on Prerelease 2017 #1 <BR>
The information in this wikipage is based on Prerelease 2017 #1 <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 21/09/2017 17:56:30 <BR>
This page is generated on 30/11/2017 13:38:27 <BR>
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Huidige versie van 30 nov 2017 om 13:42

General information

Name: nl.zorg.Procedure NL.png
Version: 4.0
HCIM Status:Final
Release: 2017
Release status: Prepublished
Release date: 04-09-2017

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 6-6-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.14.1
DCM::KeywordList procedure,verrichting
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.Verrichting
DCM::PublicationDate 04-09-2017
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 04-09-2017
DCM::Superseeds nl.zorg.OverdrachtVerrichting-v3.0
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)

ZIB-55 RFC Bouwsteen Procedure
ZIB-24 Diagnostische verrichtingen onderdeel van Results

Publicatieversie 1.2 (01-04-2015)

ZIB-84 Klinische bouwsteen nl.nfu.OverdrachtProcedure uitbreiden met Aanvrager (n.a.v. issue #077)
ZIB-93 Bouwsteennaam Procedure wijzigen in Verrichting
ZIB-95 Elementen in Example of the Instrument OverdrachtProcedure komen niet terug in model
ZIB-122 De definitie van de sectie Concept van de bouwsteen OverdrachtProcedure aanpassen.
ZIB-270 Aanpassen DCM::DefinitionCode van rootconcept Verrichting van NL-CM-14.1.1 naar NL-CM:14.1.1.
ZIB-271 In de klinische bouwsteen OverdrachtProcedure DCM::ValueSet SNOMED CT aangepast van concept AnatomischeLokalisatie naar tagged value DCM::ContentExpression.
ZIB-272 In klinische bouwsteen OverdrachtProcedure DCM::ValueSet CBV verrichtingen van concept VerrichtingType aangepast naar tagged value DCM::CodeSystem.
ZIB-273 Tagged value DCM::ReferencedDefinitionCode is onjuist voor classes UitgevoerdDoor::Zorgverlener en AangevraagdDoor::Zorgverlener, dit zou NL-CM:17.1.1 moeten zijn i.p.v. NL-CM:17.1.2.
ZIB-308 Prefix Overdracht weggehaald bij de generieke bouwstenen
ZIB-325 AnatomischeLokaisatie wijzigen in AnatomischeLocatie
ZIB-353 Tagged values DCM::CodeSystem aanpassen naar DCM::ValueSet incl. gekoppelde codelijst.

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-401 CBV Verrichtingen mist geldig OID
ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-475 Terminologiekoppeling Drugsgebruik
ZIB-549 De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
ZIB-564 Aanpassing/harmonisatie Engelse conceptnamen
ZIB-576 Aanpassen bouwstenen die nog de prefix overdracht hebben, zodat de prefix kan vervallen.

Publicatieversie 4.0 (04-09-2017)

ZIB-457 Uitbreiding AnatomischeLocatieCodelijst met Snomed qualifiers
ZIB-458 Uitbreiding met dataelement "werkwijze"
ZIB-515 Geen informatie
ZIB-518 Geen informatie
ZIB-549 De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
ZIB-564 Aanpassing/harmonisatie Engelse conceptnamen
ZIB-574 Alleen verwijzen naar het rootconcept van de ZIB.
ZIB-576 Aanpassen bouwstenen die nog de prefix overdracht hebben, zodat de prefix kan vervallen.
ZIB-578 Aan het concept anatomische locatie moet een concept Laterariteit toegevoegd worden.
ZIB-581 Geen informatie
ZIB-585 Toevoegen concept Lateraliteit aan het concept Anatomische Locatie

Concept

The concept Procedure indicates a therapeutic or diagnostic procedure undergone by the patient.
A procedure can be a simple blood pressure measurement, but also a complex heart surgery.

Purpose

A procedure is carried out as part of a planned policy or to obtain additional information in the diagnostic process. Procedures are documented to gain insight into the treatment of a patient. In addition, procedures are documented for administrative purposes such as invoicing and workload measurement, scientific research and/or education.

Information Model


#ProcedureMethodCodelist#13108#ProcedureLateralityCodelist#13095#ProcedureAnatomicalLocationCodelist#ProcedureTypeCodelistHealthProfessional-v3.1(2017EN)Problem-v4.0(2017EN)#13106#13097HealthcareProvider-v3.1(2017EN)MedicalDevice-v3.1(2017EN)#13094HealthProfessional-v3.1(2017EN)#13096#13100Procedure-v4.0Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:14.1.1 Arrowdown.pngProcedure Root concept of the Procedure information model. This root concept contains all data elements of the Procedure information model.
71388002 Verrichting
TS.png NL-CM:14.1.2 Arrowright.pngProcedureStartDate 0..1 The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.

The element offers the option to indicate the start of the period of a series of related procedures.

TS.png NL-CM:14.1.3 Arrowright.pngProcedureEndDate 0..1 The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.

The element offers the option to indicate the end of the period of a series of related procedures.

CD.png NL-CM:14.1.8 Arrowright.pngProcedureAnatomicalLocation 0..1 Anatomical location which is the focus of the procedure.
405813007 Procedure site - Direct
List2.png ProcedureAnatomicalLocationCodelist
CD.png NL-CM:14.1.11 Arrowright.pngProcedureLaterality 0..1 Laterality adds information about body side to the anatomic location, e.g. left
272741003 Laterality
List2.png ProcedureLateralityCodelist
Verwijzing.png NL-CM:14.1.9 Arrowright.pngIndication::Problem 0..* The indication is the reason for the procedure.
363702006 Has focus
Block.png Problem
CD.png NL-CM:14.1.4 Arrowright.pngProcedureType 1 The name of the procedure.

As of 1 January 2013, all procedures in the primary process have to be documented with CBV codes. To meet this requirement, the DHD procedure thesaurus (CBV procedures set) is used to code procedures. It is possible that in addition to the CBV procedures set, the NIC will be used for nurse procedures and that a “coded value set” will be introduced for paramedic procedures.

List2.png ProcedureTypeCodelist
CD.png NL-CM:14.1.12 Arrowright.pngProcedureMethod 0..* the method or technique that was used to perform the procedure, e.g. approach, lavage, pressuring, ets
260686004 Method
List2.png ProcedureMethodCodelist
Verwijzing.png NL-CM:14.1.7 Arrowright.pngMedicalDevice 0..* The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.
405815000 Procedure device
Block.png MedicalDevice
Verwijzing.png NL-CM:14.1.5 Arrowright.pngLocation::HealthcareProvider 0..1 The healthcare center where the procedure was or is carried out.
Block.png HealthcareProvider
Verwijzing.png NL-CM:14.1.6 Arrowright.pngPerformer::HealthProfessional 0..* The healthcare provider who carried out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare provider.
Block.png HealthProfessional
Verwijzing.png NL-CM:14.1.10 Arrowright.pngRequester::HealthProfessional 0..* The healthcare provider who requested the procedure.
Block.png HealthProfessional

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

VerrichtingType Verrichting
Anatomische
Locatie 		Verrichting Lateraliteit Verrichting
Start
Datum 		Product Indicatie Uitgevoerd
Door 		Locatie
ProductType ProductID ProbleemNaam Toelichting Specialisme OrganisatieNaam
Knie - prothese implantatie gewricht Knie Links 05-06-2012 Orthopedic surgical implants (01)05050474530799
(17)160131
(21)1148130801 		Implantant, Gen 2 Tibia Insert 5/6-9mm Artrose Beperking bij het bewegen van het gewricht, drukpijn door slijtage van twee compartimenten van de linker knie. Orthopedie UMCG

Instructions

Only the procedures are described in this information model, not the results of the procedures. The LaboratoryResult and TextResult information models can be used to document the results.

Issues

Voor een succesvolle implementatie is een meer specifieke vulling van de VerrichtingMethodeCodelijst noodzakelijk

References

1. GS1 Global Traceability Standard for Healthcare 1.2.0 (2013) [Online] Beschikbaar op: http://www.gs1.org/traceability/healthcare-traceability/1-2-0 [Geraadpleegd: 19 juni 2014].

2. Vektis Zorgverlenersspecificatie (subberoepsgroep) [Online] Beschikbaar op: http://ei.vektis.nl/WespCodelijstenDetail.aspx?Co_Ge_Code=COD016&Co_Or_Code=VEKT [Geraadpleegd: 19 juni 2014].

3. AZR-AGB-codelijst [Online] Beschikbaar op: http://www.agbcode.nl/MainPage/opzoeken.aspx?soort=IS [Geraadpleegd: 19 juni 2014].

Valuesets

ProcedureAnatomicalLocationCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1
Conceptname Codesystem name Codesystem OID
SNOMED CT: < 442083009 |Anatomical or acquired body structure| SNOMED CT 2.16.840.1.113883.6.96

ProcedureLateralityCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3
Conceptname Conceptcode Codesystem name Codesystem OID Description
Left 7771000 SNOMED CT 2.16.840.1.113883.6.96 Links
Right 24028007 SNOMED CT 2.16.840.1.113883.6.96 Rechts
Right and left 51440002 SNOMED CT 2.16.840.1.113883.6.96 Rechts en links

ProcedureMethodCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4
Conceptname Codesystem name Codesystem OID
SNOMED CT: < 129264002 |Action (qualifier value)| SNOMED CT 2.16.840.1.113883.6.96

ProcedureTypeCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2
Conceptname Codesystem name Codesystem OID
Alle waarden Verrichtingenthesaurus DHD 2.16.840.1.113883.2.4.3.120.5.2


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 Prerelease 2017 #1
Conditions for use are located on the mainpage List2.png
This page is generated on 30/11/2017 13:38:27

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=Procedure-v4.0(2017EN)&oldid=8304"