FreedomRestrictingMeasures-v3.1(2017EN): verschil tussen versies
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
||
(7 tussenliggende versies door dezelfde gebruiker niet weergegeven) | |||
Regel 1: | Regel 1: | ||
==General information== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
Name: '''nl.zorg.FreedomRestrictingMeasures''' [[Bestand:NL.png|link=VrijheidsbeperkendeMaatregelen-v3.1(2017NL)]]<BR> | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.3(EN)|1|FreedomRestrictingMeasures-v3.1(2017EN)}} | ||
Version: '''3.1''' <br> | <!-- Tot hier de transclude page --> | ||
HCIM Status:Final<br> | ==General information<!--hdGeneralInformation-->== | ||
Name<!--hdName-->: '''nl.zorg.FreedomRestrictingMeasures''' [[Bestand:NL.png|link=VrijheidsbeperkendeMaatregelen-v3.1(2017NL)]]<BR> | |||
Release status: | Version<!--hdVersion-->: '''3.1''' <br> | ||
HCIM Status<!--hdStatus-->:Final<br> | |||
Release<!--hdPublication-->: '''2017''' <br> | |||
Release status<!--hdPublicationStatus-->: Published<br> | |||
Release date<!--hdPublicationDate-->: 31-12-2017 | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | ||
==Metadata== | ==Metadata== | ||
Regel 44: | Regel 47: | ||
|style="width:250px; "|DCM::Name||nl.zorg.VrijheidsbeperkendeMaatregelen | |style="width:250px; "|DCM::Name||nl.zorg.VrijheidsbeperkendeMaatregelen | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationDate|| | |style="width:250px; "|DCM::PublicationDate||31-12-2017 | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationStatus|| | |style="width:250px; "|DCM::PublicationStatus||Published | ||
|- | |- | ||
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron | |style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron | ||
|- | |- | ||
|style="width:250px; "|DCM::RevisionDate|| | |style="width:250px; "|DCM::RevisionDate||31-12-2017 | ||
|- | |- | ||
|style="width:250px; "|DCM::Superseeds||nl.zorg.VrijheidsbeperkendeMaatregelen-v3.0 | |style="width:250px; "|DCM::Superseeds||nl.zorg.VrijheidsbeperkendeMaatregelen-v3.0 | ||
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> (01-07-2015) | <u>Publicatieversie 1.0</u> (01-07-2015) | ||
Regel 84: | Regel 87: | ||
Many forms of freedom restricting measures fall under this definition, including but not limited to:<BR> | Many forms of freedom restricting measures fall under this definition, including but not limited to:<BR> | ||
<ul> | <ul> | ||
<li>involuntary treatment ( | <li>involuntary treatment (e.g. forced medication)</li> | ||
<li>physical restraints (side rails fully up | <li>physical restraints (side rails fully up)</li> | ||
<li>physical fixation (arm restraints in order to prevent removal of drip)</li> | <li>physical fixation (arm restraints in order to prevent removal of drip)</li> | ||
<li>electronic surveillance to monitor the whereabouts of the patient.</li> | <li>electronic surveillance to monitor the whereabouts of the patient.</li> | ||
Regel 100: | Regel 103: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:FreedomRestrictingMeasures-v3.1Model(2017EN).png | center | |||
rect 361 441 457 511 [[#9853]] | |||
rect 721 441 883 491 [[#PermissionCodelist]] | |||
rect 663 317 791 387 [[#9856]] | |||
rect 211 317 331 387 [[#9845]] | |||
rect 515 441 611 511 [[#9840]] | |||
rect 441 318 545 388 [[#9855]] | |||
rect 662 67 790 137 [[#9843]] | |||
rect 421 77 576 127 [[#LegalStatusCodelist]] | |||
rect 212 67 332 137 [[#9852]] | |||
rect 662 192 790 262 [[#9837]] | |||
rect 401 186 585 266 [[#9851]] | |||
rect 126 441 277 491 [[#TypeOfInterventionCodelist]] | |||
rect 157 514 311 564 [[#ArgusTypeOfInterventionCodelist]] | |||
rect 662 514 820 564 [[#ArgusPermissionCodelist]] | |||
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" | ||
|-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]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
||NL-CM:14.3.1 | ||NL-CM:14.3.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: VrijheidsbeperkendeMaatregelen">[[Bestand: arrowdown.png | 10px]]FreedomRestrictingMeasures</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=9851 Title="NL: VrijheidsbeperkendeMaatregelen">[[Bestand: arrowdown.png | 10px | link=]]FreedomRestrictingMeasures</span> | ||
| | | | ||
|Root concept of the FreedomRestrictingMeasures information model. This root concept contains all data elements of the FreedomRestrictingMeasures information model. | |Root concept of the FreedomRestrictingMeasures information model. This root concept contains all data elements of the FreedomRestrictingMeasures information model. | ||
Regel 114: | Regel 133: | ||
| | | | ||
|-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:14.3.2 | ||NL-CM:14.3.2 | ||
|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: JuridischeStatus">[[Bestand: arrowright.png | 10px]]LegalStatus</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9852 Title="NL: JuridischeStatus">[[Bestand: arrowright.png | 10px | link=]]LegalStatus</span> | ||
|0..1 | |0..1 | ||
|The legal situation that applies to the patient during the intervention. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status. | |The legal situation that applies to the patient during the intervention. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status. | ||
Regel 123: | Regel 142: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=303186005 303186005] Legal status of patient</span> | ||
|} | |} | ||
| | | | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#LegalStatusCodelist|LegalStatusCodelist]] | |[[Bestand: List2.png | link=#LegalStatusCodelist]]||[[#LegalStatusCodelist|LegalStatusCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: BL.png| 16px]] | |style = "text-align:center" |[[Bestand: BL.png| 16px | link=]] | ||
||NL-CM:14.3.3 | ||NL-CM:14.3.3 | ||
|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: Wilsbekwaam">[[Bestand: arrowright.png | 10px]]LegallyCapable</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9843 Title="NL: Wilsbekwaam">[[Bestand: arrowright.png | 10px | link=]]LegallyCapable</span> | ||
|1 | |1 | ||
|Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | |Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | ||
Regel 140: | Regel 159: | ||
| | | | ||
|-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:14.3.4 | ||NL-CM:14.3.4 | ||
|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: WilsbekwaamToelichting">[[Bestand: arrowright.png | 10px]]LegallyCapableComment</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9837 Title="NL: WilsbekwaamToelichting">[[Bestand: arrowright.png | 10px | link=]]LegallyCapableComment</span> | ||
|0..1 | |0..1 | ||
|Comment on the decisions which the patient is legally capable of making. | |Comment on the decisions which the patient is legally capable of making. | ||
Regel 149: | Regel 168: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span> | ||
|} | |} | ||
| | | | ||
|-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:14.3.5 | ||NL-CM:14.3.5 | ||
|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: Interventie">[[Bestand: arrowdown.png | 10px]]Intervention</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=9855 Title="NL: Interventie">[[Bestand: arrowdown.png | 10px | link=]]Intervention</span> | ||
|0..* | |0..* | ||
|Container of the Restraint concept. This container contains all data elements of the Restraint concept. | |Container of the Restraint concept. This container contains all data elements of the Restraint concept. | ||
Regel 162: | Regel 181: | ||
| | | | ||
|-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:14.3.6 | ||NL-CM:14.3.6 | ||
|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: SoortInterventie">[[Bestand: arrowright.png | 10px]]TypeOfIntervention</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9845 Title="NL: SoortInterventie">[[Bestand: arrowright.png | 10px | link=]]TypeOfIntervention</span> | ||
|1 | |1 | ||
|The type of restraint describes the medical restraints. | |The type of restraint describes the medical restraints. | ||
Regel 172: | Regel 191: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=225317005 225317005] Restriction of movement</span> | ||
|} | |} | ||
| | | | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#ArgusTypeOfInterventionCodelist|ArgusTypeOfInterventionCodelist]] | |[[Bestand: List2.png | link=#ArgusTypeOfInterventionCodelist]]||[[#ArgusTypeOfInterventionCodelist|ArgusTypeOfInterventionCodelist]] | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#TypeOfInterventionCodelist|TypeOfInterventionCodelist]] | |[[Bestand: List2.png | link=#TypeOfInterventionCodelist]]||[[#TypeOfInterventionCodelist|TypeOfInterventionCodelist]] | ||
|} | |} | ||
|-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:14.3.7 | ||NL-CM:14.3.7 | ||
|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: Toestemming">[[Bestand: arrowright.png | 10px]]Permission</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9856 Title="NL: Toestemming">[[Bestand: arrowright.png | 10px | link=]]Permission</span> | ||
|1 | |1 | ||
|The permission given to the health professional(s) by the patient or legal representative to implement the medical restraint. | |The permission given to the health professional(s) by the patient or legal representative to implement the medical restraint. | ||
Regel 192: | Regel 211: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=309370004 309370004] Consent status</span> | ||
|} | |} | ||
| | | | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#ArgusPermissionCodelist|ArgusPermissionCodelist]] | |[[Bestand: List2.png | link=#ArgusPermissionCodelist]]||[[#ArgusPermissionCodelist|ArgusPermissionCodelist]] | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#PermissionCodelist|PermissionCodelist]] | |[[Bestand: List2.png | link=#PermissionCodelist]]||[[#PermissionCodelist|PermissionCodelist]] | ||
|} | |} | ||
|-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:14.3.8 | ||NL-CM:14.3.8 | ||
|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: AanvangEpisode">[[Bestand: arrowright.png | 10px]]StartEpisode</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9853 Title="NL: AanvangEpisode">[[Bestand: arrowright.png | 10px | link=]]StartEpisode</span> | ||
|0..1 | |0..1 | ||
|The date and time at which the restraints started. | |The date and time at which the restraints started. | ||
Regel 212: | Regel 231: | ||
| | | | ||
|-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:14.3.9 | ||NL-CM:14.3.9 | ||
|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: EindeEpisode">[[Bestand: arrowright.png | 10px]]EndOfEpisode</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=9840 Title="NL: EindeEpisode">[[Bestand: arrowright.png | 10px | link=]]EndOfEpisode</span> | ||
|0..1 | |0..1 | ||
|The date and time at which the restraints ended. | |The date and time at which the restraints ended. | ||
Regel 222: | Regel 241: | ||
| | | | ||
|} | |} | ||
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="553px" style= "font-size: 9.5pt;" | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Vrijheidsbeperkende</b></font><font color=#FFFFFF><b>M</b></font><font color=#FFFFFF><b>aatregelen</b></font> | |||
|-style=vertical-align:top; | |||
| style="width: 38%; "|JuridischeStatus | |||
| style="width: 62%; "| | |||
|-style=vertical-align:top; | |||
| style="width: 38%; "|Wilsbekwaam | |||
| style="width: 62%; "|Nee | |||
|-style=vertical-align:top; | |||
| style="width: 38%; "|WilsbekwaamToelichting | |||
| style="width: 62%; "|Wilsonbekwaam t.a.v. geldzaken. | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Interventie</b></font> | |||
|-style=vertical-align:top; | |||
| style="width: 38%; "|SoortInterventie | |||
| style="width: 62%; "|Links armspalk i.v.m. infuus. | |||
|-style=vertical-align:top; | |||
| style="width: 38%; "|Toestemming | |||
| style="width: 62%; "|Instemming wettelijke vertegenwoordiger | |||
|-style=vertical-align:top; | |||
| style="width: 38%; "|AanvangEpisode | |||
| style="width: 62%; "|01-05-2014 | |||
|-style=vertical-align:top; | |||
| style="width: 38%; "|EindeEpisode | |||
| style="width: 62%; "|05-05-2014 | |||
|} | |||
==Instructions== | ==Instructions== | ||
Mental healthcare uses a national registration system (Argus registration) when implementing medical restraints. In this context the codelists ArgusInterventieCodelijst and ArgusInstemmingCodelijs are applicable. In all other cases the codelists SoortInterventieCodelijst en ToestemmingCodelijst shall be used | Mental healthcare uses a national registration system (Argus registration) when implementing medical restraints. In this context the codelists ArgusInterventieCodelijst and ArgusInstemmingCodelijs are applicable. In all other cases the codelists SoortInterventieCodelijst en ToestemmingCodelijst shall be used | ||
Regel 241: | Regel 287: | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5 | ||
|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; " | ||
|Op eigen verzoek | |Op eigen verzoek | ||
Regel 268: | Regel 315: | ||
|Verzet | |Verzet | ||
|} | |} | ||
=== ArgusTypeOfInterventionCodelist=== | === ArgusTypeOfInterventionCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4 | ||
|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; " | ||
|Separatie | |Separatie | ||
Regel 317: | Regel 364: | ||
|Andere interventies | |Andere interventies | ||
|} | |} | ||
=== LegalStatusCodelist=== | === LegalStatusCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2 | ||
|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; " | ||
|Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging | |Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging | ||
Regel 402: | Regel 449: | ||
|Strafrechterlijke justitiële contacten: overig | |Strafrechterlijke justitiële contacten: overig | ||
|} | |} | ||
=== PermissionCodelist=== | === PermissionCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1 | ||
|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; " | ||
|Geen instemming patiënt | |Geen instemming patiënt | ||
Regel 439: | Regel 486: | ||
|Instemming wettelijke vertegenwoordiger | |Instemming wettelijke vertegenwoordiger | ||
|} | |} | ||
=== TypeOfInterventionCodelist=== | === TypeOfInterventionCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3 | ||
|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; " | ||
|Secluding patient | |Secluding patient | ||
|90278001 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=90278001 90278001] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 459: | Regel 506: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Segregating patient | |Segregating patient | ||
|29251000146109 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=29251000146109 29251000146109] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 465: | Regel 512: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Physical restraint | |Physical restraint | ||
|386423001 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=386423001 386423001] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 471: | Regel 518: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Forced medication | |Forced medication | ||
|2921100014610 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=2921100014610 2921100014610] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 477: | Regel 524: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Forced feeding of patient | |Forced feeding of patient | ||
|37041007 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=37041007 37041007] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 489: | Regel 536: | ||
|} | |} | ||
==This information model in other releases<!--ftOtherReleases-->== | |||
== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.3(EN)|2|2017}} | |||
This information model is also available as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.1( | <!-- Tot hier de transclude page --> | ||
==About this information== | ==Information model references<!--ftReferences-->== | ||
The information in this wikipage is based on | ====This information model refers to<!--ftRefersTo-->==== | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | :-- | ||
This page is generated on 21/ | ====This information model is used in<!--ftReferredBy-->==== | ||
:-- | |||
==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> | |||
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | |||
<ul> | |||
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.14.3&effectiveDate=2017-12-31T00:00:00&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|2017}}</li> | |||
</ul> | |||
==Downloads<!--ftDownloadTitle-->== | |||
This information model is also available as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | |||
==About this information<!--ftHeader2-->== | |||
The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR> | |||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | |||
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Huidige versie van 24 dec 2018 om 13:03
General information
Name: nl.zorg.FreedomRestrictingMeasures
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017
Metadata
DCM::CoderList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::ContactInformation.Address | * |
DCM::ContactInformation.Name | * |
DCM::ContactInformation.Telecom | * |
DCM::ContentAuthorList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::CreationDate | 5-5-2014 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | PM |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.14.3 |
DCM::KeywordList | Vrijheidsbeperkendemaatregelen, wilsbekwaamheid, interventies |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::Name | nl.zorg.VrijheidsbeperkendeMaatregelen |
DCM::PublicationDate | 31-12-2017 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 31-12-2017 |
DCM::Superseeds | nl.zorg.VrijheidsbeperkendeMaatregelen-v3.0 |
DCM::Version | 3.1 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-07-2015)
Publicatieversie 3.0 (01-05-2016)
Publicatieversie 3.1 (04-09-2017)
ZIB-530 | Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd |
ZIB-549 | De Engelse naam van de bouwsteen en het rootconcept zijn niet correct |
Concept
Freedom restricting measures are (physical or verbal) measures used to deliberately restrict the freedom of the patient in question.
Many forms of freedom restricting measures fall under this definition, including but not limited to:
- involuntary treatment (e.g. forced medication)
- physical restraints (side rails fully up)
- physical fixation (arm restraints in order to prevent removal of drip)
- electronic surveillance to monitor the whereabouts of the patient.
In hospitals, these often include the use of side rails, a cushion belt (around the waist) or a Posey bed. Often sedatives are administered in combination with the freedom restricting measures. For small children it often involves fixation of e.g. hands to prevent the extraction of a nasogastric tube.
The Vereniging Verpleegkundigen & Verzorgenden Nederland (V&VN) [Dutch Nurses and Carers Association] published a set of guidelines for nurses to implement these restraints in hospitals.
The ‘Wet BOPZ’ [Dutch Psychiatric Hospitals (Compulsory Admissions) Act] protects the rights of clients who are involuntarily admitted into mental healthcare, services for the disabled and in geriatric psychiatry. The act only applies to ‘BOPZ’-marked facilities and also applies to some (closed) wards in nursing homes. Mental healthcare facilities use a national registration system to register the restraints called Argus registration.
Permission of the patient or his/hers legal representative is required before starting freedom restricting measures.
The patient’s high-risk behavior providing cause for the restraints is not described in this concept.
Purpose
Implementing medical restraints is risky and can result in damage to the patient if they are not carefully implemented. Nurses fulfil an important role in identifying risks, observing the effect of the restraints and any changes to the policy in terms of medical restraints. Recording all information on the measures is of major importance for insight into decision-making, implementing, monitoring and evaluating the measures. In the event of a transfer to the next facility, the proper preparations can be taken to safely continue the care and to limit the risks to the patient and their environment.
Information Model
![FreedomRestrictingMeasures-v3.1Model(2017EN).png](/images/1/17/FreedomRestrictingMeasures-v3.1Model%282017EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||||
![]() |
NL-CM:14.3.1 | ![]() |
Root concept of the FreedomRestrictingMeasures information model. This root concept contains all data elements of the FreedomRestrictingMeasures information model. | |||||||||||||
![]() |
NL-CM:14.3.2 | ![]() |
0..1 | The legal situation that applies to the patient during the intervention. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status. |
|
| ||||||||||
![]() |
NL-CM:14.3.3 | ![]() |
1 | Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | ||||||||||||
![]() |
NL-CM:14.3.4 | ![]() |
0..1 | Comment on the decisions which the patient is legally capable of making. |
|
|||||||||||
![]() |
NL-CM:14.3.5 | ![]() |
0..* | Container of the Restraint concept. This container contains all data elements of the Restraint concept. | ||||||||||||
![]() |
NL-CM:14.3.6 | ![]() |
1 | The type of restraint describes the medical restraints. |
|
| ||||||||||
![]() |
NL-CM:14.3.7 | ![]() |
1 | The permission given to the health professional(s) by the patient or legal representative to implement the medical restraint. |
|
| ||||||||||
![]() |
NL-CM:14.3.8 | ![]() |
0..1 | The date and time at which the restraints started. | ||||||||||||
![]() |
NL-CM:14.3.9 | ![]() |
0..1 | The date and time at which the restraints ended. |
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
VrijheidsbeperkendeMaatregelen | |
JuridischeStatus | |
Wilsbekwaam | Nee |
WilsbekwaamToelichting | Wilsonbekwaam t.a.v. geldzaken. |
Interventie | |
SoortInterventie | Links armspalk i.v.m. infuus. |
Toestemming | Instemming wettelijke vertegenwoordiger |
AanvangEpisode | 01-05-2014 |
EindeEpisode | 05-05-2014 |
Instructions
Mental healthcare uses a national registration system (Argus registration) when implementing medical restraints. In this context the codelists ArgusInterventieCodelijst and ArgusInstemmingCodelijs are applicable. In all other cases the codelists SoortInterventieCodelijst en ToestemmingCodelijst shall be used
References
1. Handreiking Argus [Online] Beschikbaar op:http://www.veiligezorgiederszorg.nl/speerpunt-dwang-en-drang/handreiking-argus-def.pdf [Geraadpleegd: 13 februari 2015] 2. Argus [Online] Beschikbaar op:http://www.veiligezorgiederszorg.nl/speerpunten/dwang-en-drang.html [Geraadpleegd: 13 februari 2015] 3. Handreiking "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…" (V&VN, 2013) [Online] Beschikbaar op:http://www.venvn.nl/Portals/1/Nieuws/2014%20Documenten/WEB_VenVN_Handl_VBI.pdf [Geraadpleegd: 13 februari 2015]
Valuesets
ArgusPermissionCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.5 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Op eigen verzoek | E1 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Op eigen verzoek |
Geen verzet | E2 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Geen verzet |
Verzet | E3 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Verzet |
ArgusTypeOfInterventionCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.4 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Separatie | A1 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Separatie |
Afzondering | A2 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Afzondering |
Fixatie | A3 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Fixatie |
Gedwongen medicatie | A4 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Gedwongen medicatie |
Gedwongen voeding en/of vocht | A5 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Gedwongen voeding en/of vocht |
Andere interventies | A6 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Andere interventies |
LegalStatusCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging | 1 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging |
RM op eigen verzoek | 2 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | RM op eigen verzoek |
RM met voorwaardelijk ontslag | 3 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | RM met voorwaardelijk ontslag |
Onder toezichtstelling (ots) | 4 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Onder toezichtstelling (ots) |
In bewaringstelling (ibs) | 5 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | In bewaringstelling (ibs) |
Voogdij | 6 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Voogdij |
Bewindvoering | 7 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Bewindvoering |
Mentorschap | 8 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Mentorschap |
Onder curatele stelling | 9 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Onder curatele stelling |
Zaakwaarneming | 10 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Zaakwaarneming |
Strafrechterlijke justitiële contacten: tbs | 11 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Strafrechterlijke justitiële contacten: tbs |
Strafrechterlijke justitiële contacten: overig | 12 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Strafrechterlijke justitiële contacten: overig |
PermissionCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Geen instemming patiënt | 1 | InstemmingStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 | Geen instemming patiënt |
Instemming patiënt | 2 | InstemmingStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 | Instemming patiënt |
Geen instemming wettelijk vertegenwoordiger | 3 | InstemmingStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 | Geen instemming wettelijk vertegenwoordiger |
Instemming wettelijke vertegenwoordiger | 4 | InstemmingStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 | Instemming wettelijke vertegenwoordiger |
TypeOfInterventionCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.3 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Secluding patient | 90278001 | SNOMED CT | 2.16.840.1.113883.6.96 | Separatie |
Segregating patient | 29251000146109 | SNOMED CT | 2.16.840.1.113883.6.96 | Afzondering |
Physical restraint | 386423001 | SNOMED CT | 2.16.840.1.113883.6.96 | Fixatie |
Forced medication | 2921100014610 | SNOMED CT | 2.16.840.1.113883.6.96 | Gedwongen medicatie |
Forced feeding of patient | 37041007 | SNOMED CT | 2.16.840.1.113883.6.96 | Gedwongen voeding en/of vocht |
Other | OTH | NullFlavor | 2.16.840.1.113883.5.1008 | Anders |
This information model in other releases
- Release 2015, (Version 1.0)
- Release 2016, (Version 3.0)
- Release 2018, (Version 3.2)
- Release 2019, (Version 3.2)
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 Release 2017
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 14:49:38 with ZibExtraction v. 3.0.6929.24609