NursingIntervention-v3.1(2017EN): verschil tussen versies
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
||
(6 tussenliggende versies door dezelfde gebruiker niet weergegeven) | |||
Regel 1: | Regel 1: | ||
==General information== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
Name: '''nl.zorg.NursingIntervention''' [[Bestand:NL.png|link=VerpleegkundigeInterventie-v3.1(2017NL)]]<BR> | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.2(EN)|1|NursingIntervention-v3.1(2017EN)}} | ||
Version: '''3.1''' <br> | <!-- Tot hier de transclude page --> | ||
HCIM Status:Final<br> | ==General information<!--hdGeneralInformation-->== | ||
Name<!--hdName-->: '''nl.zorg.NursingIntervention''' [[Bestand:NL.png|link=VerpleegkundigeInterventie-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.VerpleegkundigeInterventie | |style="width:250px; "|DCM::Name||nl.zorg.VerpleegkundigeInterventie | ||
|- | |- | ||
|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.VerpleegkundigeInterventie-v3.0 | |style="width:250px; "|DCM::Superseeds||nl.zorg.VerpleegkundigeInterventie-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 86: | Regel 89: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:NursingIntervention-v3.1Model(2017EN).png | center | |||
rect 368 43 532 93 [[#InterventionSnomedCodelist]] | |||
rect 550 724 657 794 [[Patient-v3.1(2017EN)]] | |||
rect 402 724 508 794 [[ContactPerson-v3.1(2017EN)]] | |||
rect 385 594 527 664 [[#12363]] | |||
rect 202 484 344 554 [[#12366]] | |||
rect 202 259 344 329 [[TreatmentObjective-v3.1(2017EN)]] | |||
rect 202 369 344 439 [[MedicalDevice-v3.1(2017EN)]] | |||
rect 483 430 635 500 [[#12358]] | |||
rect 201 595 343 665 [[#12365]] | |||
rect 769 146 911 216 [[#12361]] | |||
rect 573 595 715 665 [[#12354]] | |||
rect 770 595 912 665 [[#12370]] | |||
rect 769 259 911 329 [[HealthProfessional-v3.2(2017EN)]] | |||
rect 202 146 344 216 [[Problem-v4.1(2017EN)]] | |||
rect 770 373 912 443 [[#12357]] | |||
rect 770 476 912 546 [[#12359]] | |||
rect 491 148 625 219 [[#12356]] | |||
rect 252 724 359 794 [[HealthProfessional-v3.2(2017EN)]] | |||
rect 482 255 634 335 [[#12371]] | |||
rect 588 44 730 94 [[#InterventionNICCodelist]] | |||
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:14.2.1 | ||NL-CM:14.2.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: VerpleegkundigeInterventie">[[Bestand: arrowdown.png | 10px]]NursingIntervention</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=12371 Title="NL: VerpleegkundigeInterventie">[[Bestand: arrowdown.png | 10px | link=]]NursingIntervention</span> | ||
| | | | ||
|Root concept of the NursingIntervention information model. This root concept contains all data elements of the NursingIntervention information model. | |Root concept of the NursingIntervention information model. This root concept contains all data elements of the NursingIntervention information model. | ||
Regel 100: | Regel 125: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CD.png| 16px]] | |style = "text-align:center" |[[Bestand: CD.png| 16px | link=]] | ||
||NL-CM:14.2.2 | ||NL-CM:14.2.2 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Interventie">[[Bestand: arrowright.png | 10px]]Intervention</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=12356 Title="NL: Interventie">[[Bestand: arrowright.png | 10px | link=]]Intervention</span> | ||
|1 | |1 | ||
|A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result. | |A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result. | ||
Regel 110: | Regel 135: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#InterventionNICCodelist|InterventionNICCodelist]] | |[[Bestand: List2.png | link=#InterventionNICCodelist]]||[[#InterventionNICCodelist|InterventionNICCodelist]] | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#InterventionSnomedCodelist|InterventionSnomedCodelist]] | |[[Bestand: List2.png | link=#InterventionSnomedCodelist]]||[[#InterventionSnomedCodelist|InterventionSnomedCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:14.2.6 | ||NL-CM:14.2.6 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Indicatie::Probleem">[[Bestand: arrowright.png | 10px]]Indication::Problem</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=12362 Title="NL: Indicatie::Probleem">[[Bestand: arrowright.png | 10px | link=]]Indication::Problem</span> | ||
|0..1 | |0..1 | ||
|The nursing-related problem (indication) providing cause for the intervention. | |The nursing-related problem (indication) providing cause for the intervention. | ||
Regel 125: | Regel 150: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[Problem-v4. | |[[Bestand: block.png | link=Problem-v4.1(2017EN)]]||[[Problem-v4.1(2017EN) |Problem]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:14.2.14 | ||NL-CM:14.2.14 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Behandeldoel">[[Bestand: arrowright.png | 10px]]TreatmentObjective</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=12367 Title="NL: Behandeldoel">[[Bestand: arrowright.png | 10px | link=]]TreatmentObjective</span> | ||
|0..1 | |0..1 | ||
|The description of the treatment goal that the intervention decision is based on. | |The description of the treatment goal that the intervention decision is based on. | ||
Regel 138: | Regel 163: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[TreatmentObjective-v3.1(2017EN) |TreatmentObjective]] | |[[Bestand: block.png | link=TreatmentObjective-v3.1(2017EN)]]||[[TreatmentObjective-v3.1(2017EN) |TreatmentObjective]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: #E8D7BE; " | |-style="vertical-align:top; background-color: #E8D7BE; " | ||
|style = "text-align:center" |[[Bestand: folder.png| 16px]] | |style = "text-align:center" |[[Bestand: folder.png| 16px | link=]] | ||
||NL-CM:14.2.9 | ||NL-CM:14.2.9 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: VerpleegkundigeActie">[[Bestand: arrowdown.png | 10px]]NursingProcedure</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=12358 Title="NL: VerpleegkundigeActie">[[Bestand: arrowdown.png | 10px | link=]]NursingProcedure</span> | ||
|1..* | |1..* | ||
|Container of the NursingProcedure concept. This container contains all data elements of the NursingProcedure concept. | |Container of the NursingProcedure concept. This container contains all data elements of the NursingProcedure concept. | ||
Regel 150: | Regel 175: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=9632001 9632001] Nursing procedure</span> | ||
|} | |} | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: PQ.png| 16px]] | |style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]] | ||
||NL-CM:14.2.3 | ||NL-CM:14.2.3 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: Interval">[[Bestand: arrowright.png | 10px]]Interval</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=12354 Title="NL: Interval">[[Bestand: arrowright.png | 10px | link=]]Interval</span> | ||
|0..1 | |0..1 | ||
|Interval indicates the time between planned procedures. | |Interval indicates the time between planned procedures. | ||
Regel 166: | Regel 191: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: PQ.png| 16px]] | |style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]] | ||
||NL-CM:14.2.4 | ||NL-CM:14.2.4 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: Frequentie">[[Bestand: arrowright.png | 10px]]Frequency</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=12370 Title="NL: Frequentie">[[Bestand: arrowright.png | 10px | link=]]Frequency</span> | ||
|0..1 | |0..1 | ||
|The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day. | |The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day. | ||
Regel 176: | Regel 201: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: ST.png| 16px]] | |style = "text-align:center" |[[Bestand: ST.png| 16px | link=]] | ||
||NL-CM:14.2.10 | ||NL-CM:14.2.10 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: Activiteit">[[Bestand: arrowright.png | 10px]]Activity</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=12365 Title="NL: Activiteit">[[Bestand: arrowright.png | 10px | link=]]Activity</span> | ||
|1 | |1 | ||
|The description of nursing procedures carried out in the care for a patient. A nursing intervention consists of a set of patient-related nursing procedures. | |The description of nursing procedures carried out in the care for a patient. A nursing intervention consists of a set of patient-related nursing procedures. | ||
Regel 186: | Regel 211: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: TS.png| 16px]] | |style = "text-align:center" |[[Bestand: TS.png| 16px | link=]] | ||
||NL-CM:14.2.11 | ||NL-CM:14.2.11 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: ActieStartDatumTijd">[[Bestand: arrowright.png | 10px]]ProcedureStartDateTime</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=12357 Title="NL: ActieStartDatumTijd">[[Bestand: arrowright.png | 10px | link=]]ProcedureStartDateTime</span> | ||
|0..1 | |0..1 | ||
|The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures. | |The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures. | ||
Regel 196: | Regel 221: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: TS.png| 16px]] | |style = "text-align:center" |[[Bestand: TS.png| 16px | link=]] | ||
||NL-CM:14.2.12 | ||NL-CM:14.2.12 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: ActieEindDatumTijd">[[Bestand: arrowright.png | 10px]]ProcedureEndDateTime</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=12359 Title="NL: ActieEindDatumTijd">[[Bestand: arrowright.png | 10px | link=]]ProcedureEndDateTime</span> | ||
|0..1 | |0..1 | ||
|The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures. | |The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures. | ||
Regel 206: | Regel 231: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:14.2.13 | ||NL-CM:14.2.13 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: MedischHulpmiddel">[[Bestand: arrowright.png | 10px]]MedicalDevice</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=12374 Title="NL: MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]MedicalDevice</span> | ||
|0..* | |0..* | ||
|Description of the materials used for the nursing procedure, such as bandages. | |Description of the materials used for the nursing procedure, such as bandages. | ||
Regel 217: | Regel 242: | ||
{| | {| | ||
|- | |- | ||
|[[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: ST.png| 16px]] | |style = "text-align:center" |[[Bestand: ST.png| 16px | link=]] | ||
||NL-CM:14.2.18 | ||NL-CM:14.2.18 | ||
|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: Instructie">[[Bestand: arrowright.png | 10px]]Instruction</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=12366 Title="NL: Instructie">[[Bestand: arrowright.png | 10px | link=]]Instruction</span> | ||
|0..1 | |0..1 | ||
|Instructions for performing the nursing action. This is particularly at issue when the action is performed by the patient himself or by a caregiver. | |Instructions for performing the nursing action. This is particularly at issue when the action is performed by the patient himself or by a caregiver. | ||
Regel 230: | Regel 255: | ||
| | | | ||
|-style="vertical-align:top; background-color: #E8D7BE; " | |-style="vertical-align:top; background-color: #E8D7BE; " | ||
|style = "text-align:center" |[[Bestand: folder.png| 16px]] | |style = "text-align:center" |[[Bestand: folder.png| 16px | link=]] | ||
||NL-CM:14.2.15 | ||NL-CM:14.2.15 | ||
|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: Uitvoerder">[[Bestand: arrowdown.png | 10px]]Performer</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=12363 Title="NL: Uitvoerder">[[Bestand: arrowdown.png | 10px | link=]]Performer</span> | ||
|0..1 | |0..1 | ||
|The person carrying out the nursing procedure. | |The person carrying out the nursing procedure. | ||
Regel 240: | Regel 265: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:14.2.7 | ||NL-CM:14.2.7 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 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 ="3" style ="padding-left: 0px"|<span Title="NL: Zorgverlener">[[Bestand: arrowright.png | 10px]]HealthcareProvider</span> | |colspan ="3" style ="padding-left: 0px"|<span Id=12364 Title="NL: Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]HealthcareProvider</span> | ||
|(0..1) | |(0..1) | ||
|The health professional carrying out the nursing procedure. | |The health professional carrying out the nursing procedure. | ||
Regel 252: | Regel 277: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[HealthProfessional-v3. | |[[Bestand: block.png | link=HealthProfessional-v3.2(2017EN)]]||[[HealthProfessional-v3.2(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:14.2.16 | ||NL-CM:14.2.16 | ||
|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: 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 ="3" style ="padding-left: 0px"|<span Title="NL: Verzorger::ContactPersoon">[[Bestand: arrowright.png | 10px]]Caregiver::ContactPerson</span> | |colspan ="3" style ="padding-left: 0px"|<span Id=12369 Title="NL: Verzorger::ContactPersoon">[[Bestand: arrowright.png | 10px | link=]]Caregiver::ContactPerson</span> | ||
|(0..1) | |(0..1) | ||
|The caregiver carrying out the nursing procedure. | |The caregiver carrying out the nursing procedure. | ||
Regel 267: | Regel 292: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[ContactPerson-v3.1(2017EN) |ContactPerson]] | |[[Bestand: block.png | link=ContactPerson-v3.1(2017EN)]]||[[ContactPerson-v3.1(2017EN) |ContactPerson]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:14.2.17 | ||NL-CM:14.2.17 | ||
|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: 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 ="3" style ="padding-left: 0px"|<span Title="NL: Patient">[[Bestand: arrowright.png | 10px]]Patient</span> | |colspan ="3" style ="padding-left: 0px"|<span Id=12372 Title="NL: Patient">[[Bestand: arrowright.png | 10px | link=]]Patient</span> | ||
|(0..1) | |(0..1) | ||
|The patient carrying out the nursing procedure. | |The patient carrying out the nursing procedure. | ||
Regel 282: | Regel 307: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[Patient-v3.1(2017EN) |Patient]] | |[[Bestand: block.png | link=Patient-v3.1(2017EN)]]||[[Patient-v3.1(2017EN) |Patient]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:14.2.8 | ||NL-CM:14.2.8 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Aanvrager::Zorgverlener">[[Bestand: arrowright.png | 10px]]Requester::HealthProfessional</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=12355 Title="NL: Aanvrager::Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]Requester::HealthProfessional</span> | ||
|0..* | |0..* | ||
|The health professional who requested the nursing intervention. If desired, only the requester’s specialty can be entered. | |The health professional who requested the nursing intervention. If desired, only the requester’s specialty can be entered. | ||
Regel 295: | Regel 320: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[HealthProfessional-v3. | |[[Bestand: block.png | link=HealthProfessional-v3.2(2017EN)]]||[[HealthProfessional-v3.2(2017EN) |HealthProfessional]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: ST.png| 16px]] | |style = "text-align:center" |[[Bestand: ST.png| 16px | link=]] | ||
||NL-CM:14.2.5 | ||NL-CM:14.2.5 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=12361 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span> | ||
|0..1 | |0..1 | ||
|Comment on the nursing intervention. | |Comment on the nursing intervention. | ||
Regel 307: | Regel 332: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span> | ||
|} | |} | ||
| | | | ||
|} | |} | ||
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="666px" style= "font-size: 9.5pt;" | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>VerpleegkundigeInterventie</b></font> | |||
|-style=vertical-align:top; | |||
| style="width: 34%; "|Interventie | |||
| style="width: 66%; "|Pijnmanagement | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Indicatie</b></font> | |||
|-style=vertical-align:top; | |||
| style="width: 34%; "|ProbleemNaam | |||
| style="width: 66%; "|Pijn | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Behandeldoel</b></font> | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #D9D9D9; width: 100%; "|<b>Streefwaarde</b> | |||
|-style=vertical-align:top; | |||
| style="width: 34%; "|MetingNaam | |||
| style="width: 66%; "|Pijnscore | |||
|-style=vertical-align:top; | |||
| style="width: 34%; "|UitslagWaarde | |||
| style="width: 66%; "|<4 | |||
|-style=vertical-align:top; | |||
| style="width: 34%; "|UitslagDatumTijd | |||
| style="width: 66%; "|10-09-2015 | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>VerpleegkundigeActie</b></font> | |||
|-style=vertical-align:top; | |||
| style="width: 34%; "|Activiteit | |||
| style="width: 66%; "|Ondersteuning van de wond bij hoesten. | |||
|-style=vertical-align:top; | |||
| style="width: 34%; "|ActieStartDatumTijd | |||
| style="width: 66%; "|10-08-2015 | |||
|-style=vertical-align:top; | |||
| style="width: 34%; "|ActieEindDatumTijd | |||
| style="width: 66%; "|15-08-2015 | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b> </b></font><font color=#FFFFFF><b>VerpleegkundigeActie</b></font> | |||
|-style=vertical-align:top; | |||
| style="width: 34%; "|Activiteit | |||
| style="width: 66%; "|Toedienen medicatie volgens voorschrift bij pijnscore > 4. | |||
|-style=vertical-align:top; | |||
| style="width: 34%; "|ActieStartDatumTijd | |||
| style="width: 66%; "|10-08-2015 | |||
|-style=vertical-align:top; | |||
|colspan="2" style="background-color: #4F81BD; width: 100%; "| | |||
|-style=vertical-align:top; | |||
| style="width: 34%; "|Toelichting | |||
| style="width: 66%; "|<noWiki>-</noWiki> | |||
|} | |||
==References== | ==References== | ||
1. Richtlijn Verpleegkundige en verzorgende verslaglegging (V&VN, 2011) [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.diliguide.nl/document/4060/file/pdf/</u></font> [Geraadpleegd: 13 februari 2015] | 1. Richtlijn Verpleegkundige en verzorgende verslaglegging (V&VN, 2011) [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.diliguide.nl/document/4060/file/pdf/</u></font> [Geraadpleegd: 13 februari 2015] | ||
Regel 339: | Regel 413: | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2 | ||
|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--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Alle waarden | |Alle waarden | ||
Regel 350: | Regel 425: | ||
|2.16.840.1.113883.6.15 | |2.16.840.1.113883.6.15 | ||
|} | |} | ||
=== InterventionSnomedCodelist=== | === InterventionSnomedCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4 | ||
|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--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|SNOMED CT: <<71388002 <noWiki>|</noWiki> procedure <noWiki>|</noWiki> | |SNOMED CT: <<[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=71388002 71388002]<noWiki>|</noWiki>procedure<noWiki>|</noWiki> | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|} | |} | ||
==This information model in other releases<!--ftOtherReleases-->== | |||
== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.2(EN)|2|2017}} | |||
This information model is also available as [[Media:nl.zorg.NursingIntervention-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> | *[[ContactPerson-v3.1(2017EN)|ContactPerson-v3.1]] | ||
This page is generated on 21/ | *[[HealthProfessional-v3.2(2017EN)|HealthProfessional-v3.2]] | ||
*[[MedicalDevice-v3.1(2017EN)|MedicalDevice-v3.1]] | |||
*[[Patient-v3.1(2017EN)|Patient-v3.1]] | |||
*[[Problem-v4.1(2017EN)|Problem-v4.1]] | |||
*[[TreatmentObjective-v3.1(2017EN)|TreatmentObjective-v3.1]] | |||
====This information model is used in<!--ftReferredBy-->==== | |||
*[[AbilityToManageMedication-v1.0(2017EN)|AbilityToManageMedication-v1.0]] | |||
*[[AbilityToPerformNursingActivities-v1.0(2017EN)|AbilityToPerformNursingActivities-v1.0]] | |||
*[[OutcomeOfCare-v3.1(2017EN)|OutcomeOfCare-v3.1]] | |||
*[[PlannedCareActivityForTransfer-v3.1(2017EN)|PlannedCareActivityForTransfer-v3.1]] | |||
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->== | |||
To exchange information based on health and care information models, additional, more technical specifications are required.<BR> | |||
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=2.16.840.1.113883.2.4.3.11.60.7.4.2.14.2&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.NursingIntervention-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.NursingIntervention-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> | |||
This page is generated on 21/12/2018 14:49:22 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR> | |||
----- | ----- | ||
<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> |
Huidige versie van 24 dec 2018 om 13:04
General information
Name: nl.zorg.NursingIntervention
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 | 7-7-2014 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | PM |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.14.2 |
DCM::KeywordList | Interventie, verpleegkundige actie |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::Name | nl.zorg.VerpleegkundigeInterventie |
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.VerpleegkundigeInterventie-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-542 | Verwijderen verwijzingen naar codesystemen ICF, Omaha System, NANDA,,NIC en NOC |
Concept
A nursing intervention is the care and/or treatment carried out by a nurse based on an expert opinion and clinical knowledge. It is part of the nursing process; interventions are determined as a result of indexed healthcare problems (nursing diagnoses) and based on treatment goals. The interventions are outlined in the nursing procedures.
In a home care situation some actions can also be performed by the patient or a caregiver after a relevant instruction
Purpose
The nursing interventions are an essential part of the nursing process. A nursing intervention is recorded to document the nursing policy and to update other health professionals on the intervention. The documentation of nursing interventions offers the option to determine whether the interventions outlined in the treatment plan have been carried out. This way, we can facilitate optimal nursing and continuity of care.
Information Model
![NursingIntervention-v3.1Model(2017EN).png](/images/8/87/NursingIntervention-v3.1Model%282017EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||||
![]() |
NL-CM:14.2.1 | ![]() |
Root concept of the NursingIntervention information model. This root concept contains all data elements of the NursingIntervention information model. | ||||||||||||
![]() |
NL-CM:14.2.2 | ![]() |
1 | A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result. |
| ||||||||||
![]() |
NL-CM:14.2.6 | ![]() |
0..1 | The nursing-related problem (indication) providing cause for the intervention. |
| ||||||||||
![]() |
NL-CM:14.2.14 | ![]() |
0..1 | The description of the treatment goal that the intervention decision is based on. |
| ||||||||||
![]() |
NL-CM:14.2.9 | ![]() |
1..* | Container of the NursingProcedure concept. This container contains all data elements of the NursingProcedure concept. |
|
||||||||||
![]() |
NL-CM:14.2.3 | ![]() |
0..1 | Interval indicates the time between planned procedures.
When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance. |
|||||||||||
![]() |
NL-CM:14.2.4 | ![]() |
0..1 | The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day. | |||||||||||
![]() |
NL-CM:14.2.10 | ![]() |
1 | The description of nursing procedures carried out in the care for a patient. A nursing intervention consists of a set of patient-related nursing procedures. | |||||||||||
![]() |
NL-CM:14.2.11 | ![]() |
0..1 | The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures. | |||||||||||
![]() |
NL-CM:14.2.12 | ![]() |
0..1 | The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures. | |||||||||||
![]() |
NL-CM:14.2.13 | ![]() |
0..* | Description of the materials used for the nursing procedure, such as bandages. |
| ||||||||||
![]() |
NL-CM:14.2.18 | ![]() |
0..1 | Instructions for performing the nursing action. This is particularly at issue when the action is performed by the patient himself or by a caregiver. | |||||||||||
![]() |
NL-CM:14.2.15 | ![]() |
0..1 | The person carrying out the nursing procedure. | |||||||||||
![]() |
NL-CM:14.2.7 | ![]() |
(0..1) | The health professional carrying out the nursing procedure. |
| ||||||||||
![]() |
NL-CM:14.2.16 | ![]() |
(0..1) | The caregiver carrying out the nursing procedure. |
| ||||||||||
![]() |
NL-CM:14.2.17 | ![]() |
(0..1) | The patient carrying out the nursing procedure. |
| ||||||||||
![]() |
NL-CM:14.2.8 | ![]() |
0..* | The health professional who requested the nursing intervention. If desired, only the requester’s specialty can be entered. |
| ||||||||||
![]() |
NL-CM:14.2.5 | ![]() |
0..1 | Comment on the nursing intervention. |
|
Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page
Example Instances
Only available in Dutch
VerpleegkundigeInterventie | |
Interventie | Pijnmanagement |
Indicatie | |
ProbleemNaam | Pijn |
Behandeldoel | |
Streefwaarde | |
MetingNaam | Pijnscore |
UitslagWaarde | <4 |
UitslagDatumTijd | 10-09-2015 |
VerpleegkundigeActie | |
Activiteit | Ondersteuning van de wond bij hoesten. |
ActieStartDatumTijd | 10-08-2015 |
ActieEindDatumTijd | 15-08-2015 |
VerpleegkundigeActie | |
Activiteit | Toedienen medicatie volgens voorschrift bij pijnscore > 4. |
ActieStartDatumTijd | 10-08-2015 |
Toelichting | - |
References
1. Richtlijn Verpleegkundige en verzorgende verslaglegging (V&VN, 2011) [Online] Beschikbaar op:http://www.diliguide.nl/document/4060/file/pdf/ [Geraadpleegd: 13 februari 2015]
2. Vreeke E, Klein Wolterink G. Classificatie- en terminologiestelsels voor verpleegkundige informatie. Nictiz & NFU (2014). [Geraadpleegd: 13 februari 2015]
3. The Omaha System [Online] Beschikbaar op:http://www.omahasystem.org/ [Geraadpleegd: 13 februari 2015]
4. Nursing Intervention Classification (NIC) [Online] Beschikbaar op:http://www.nursing.uiowa.edu/center-for-nursing-classification-and-clinical-effectiveness [Geraadpleegd: 13 februari 2015]
5. Nursing Outcome Classification (NOC) [Online] Beschikbaar op:http://www.nursing.uiowa.edu/center-for-nursing-classification-and-clinical-effectiveness [Geraadpleegd: 13 februari 2015]
6. North American Nursing Diagnosis Association (NANDA) [Online] Beschikbaar op:http://www.nanda.org/ [Geraadpleegd: 13 februari 2015]
7. International Classification for Nursing Practice (ICNP) [Online] Beschikbaar op:www.icn.ch[Geraadpleegd: 13 februari 2015]
8. International Classification of Functioning, Disability and Health (ICF) [Online] Beschikbaar op:http://www.rivm.nl/who-fic/icf.htm [Geraadpleegd: 13 februari 2015]
Valuesets
InterventionNICCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2 | Binding: |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | NIC | 2.16.840.1.113883.6.15 |
InterventionSnomedCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.4 | Binding: |
Conceptname | Codesystem name | Codesystem OID |
SNOMED CT: <<71388002|procedure| | SNOMED CT | 2.16.840.1.113883.6.96 |
This information model in other releases
- Release 2015, (Version 1.0)
- Release 2016, (Version 3.0)
- Prerelease 2018-2, (Version 3.2)
- Prerelease 2019-2, (Version 3.2)
- Release 2020, (Version 3.2)
- Prerelease 2021-2, (Version 4.0)
- Prerelease 2022-1, (Version 4.0)
- Prerelease 2023-1, (Version 4.0.1)
- Prerelease 2024-1, (Version 4.1)
Information model references
This information model refers to
- ContactPerson-v3.1
- HealthProfessional-v3.2
- MedicalDevice-v3.1
- Patient-v3.1
- Problem-v4.1
- TreatmentObjective-v3.1
This information model is used in
- AbilityToManageMedication-v1.0
- AbilityToPerformNursingActivities-v1.0
- OutcomeOfCare-v3.1
- PlannedCareActivityForTransfer-v3.1
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 14:49:22 with ZibExtraction v. 3.0.6929.24609