OutcomeOfCare-v1.0(2015EN): verschil tussen versies

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(3 tussenliggende versies door dezelfde gebruiker niet weergegeven)
Regel 1: Regel 1:
==General information==
<!-- Hieronder wordt een transclude page aangeroepen -->
Name: '''nl.nfu.OutcomeOfCare''' [[Bestand:NL.png|link=UitkomstVanZorg-v1.0(2015NL)]]<BR>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.13.4(EN)|1|OutcomeOfCare-v1.0(2015EN)}}
Version: '''1.0''' <br>
<!-- Tot hier de transclude page -->
HCIM Status:Final<br>
==General information<!--hdGeneralInformation-->==
Publication: '''2015''' <br>
Name<!--hdName-->: '''nl.nfu.OutcomeOfCare''' [[Bestand:NL.png|link=UitkomstVanZorg-v1.0(2015NL)]]<BR>
Release status: Published<br>
Version<!--hdVersion-->: '''1.0''' <br>
Publication date: 8-9-2015
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2015''' <br>
Release status<!--hdPublicationStatus-->: Published<br>
Release date<!--hdPublicationDate-->: 8-9-2015
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>


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


<u>Publicatieversie 1.0</u> (01-07-2015).
<u>Publicatieversie 1.0</u> (01-07-2015).
Regel 75: Regel 78:
==Information Model==
==Information Model==
<BR>
<BR>
[[Bestand: OutcomeOfCare-v1.0Model(EN).png | center]]
<imagemap> Bestand:OutcomeOfCare-v1.0Model(2015EN).png | center  
rect 390 94 490 174 [[#10313]]
rect 375 229 499 299 [[GeneralMeasurement-v1.0(2015EN)]]
rect 532 229 678 299 [[FunctionalOrMentalStatus-v1.0.1(2015EN)]]
rect 585 99 729 169 [[NursingIntervention-v1.0(2015EN)]]
rect 215 229 339 299 [[#10318]]
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:13.4.1
||NL-CM:13.4.1
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: UitkomstVanZorg">[[Bestand: arrowdown.png | 10px]]HealthcareResult</span>
|colspan ="6" style ="padding-left: 0px"|<span Id=10313 Title="NL: UitkomstVanZorg">[[Bestand: arrowdown.png | 10px | link=]]HealthcareResult</span>
|
|
|Root concept of the HealthcareResult building block. This root concept contains all data elements of the HealthcareResult building block.
|Root concept of the HealthcareResult building block. This root concept contains all data elements of the HealthcareResult building block.
Regel 89: Regel 99:
|
|
|-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:13.4.5
||NL-CM:13.4.5
|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: Zorgresultaat">[[Bestand: arrowright.png | 10px]]HealthcareResult</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10318 Title="NL: Zorgresultaat">[[Bestand: arrowright.png | 10px | link=]]HealthcareResult</span>
|(0..1)
|(0..1)
|The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result.
|The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result.
Regel 98: Regel 108:
{|
{|
|-
|-
|<span Title="Codesystem: LOINC"> 27574-3 Skilled nursing treatment plan Progress note and attainment of goals (narrative)</span>
|<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=27574-3 27574-3] Skilled nursing treatment plan Progress note and attainment of goals (narrative)</span>
|}
|}
|
|
|-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:13.4.2
||NL-CM:13.4.2
|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: Meetwaarde::AlgemeneMeting">[[Bestand: arrowright.png | 10px]]MeasurementValue::GeneralMeasurement</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10314 Title="NL: Meetwaarde::AlgemeneMeting">[[Bestand: arrowright.png | 10px | link=]]MeasurementValue::GeneralMeasurement</span>
|(0..1)
|(0..1)
|Measurements in which an observation, carried out with a (measuring) tool if possible, is translated to a relevant unit.
|Measurements in which an observation, carried out with a (measuring) tool if possible, is translated to a relevant unit.
Regel 112: Regel 122:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[GeneralMeasurement-v1.0(2015EN) |GeneralMeasurement]]
|[[Bestand: block.png | link=GeneralMeasurement-v1.0(2015EN)]]||[[GeneralMeasurement-v1.0(2015EN) |GeneralMeasurement]]
|}
|}
|-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:13.4.3
||NL-CM:13.4.3
|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: Gezondheidstoestand::FunctioneleOfMentaleStatus">[[Bestand: arrowright.png | 10px]]HealthCondition::FunctionalOrMentalStatus</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10315 Title="NL: Gezondheidstoestand::FunctioneleOfMentaleStatus">[[Bestand: arrowright.png | 10px | link=]]HealthCondition::FunctionalOrMentalStatus</span>
|(0..1)
|(0..1)
|A description of the patient’s health condition in the form of a functional and/or mental status.
|A description of the patient’s health condition in the form of a functional and/or mental status.
Regel 125: Regel 135:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[FunctionalOrMentalStatus-v1.0.1(2015EN) |FunctionalOrMentalStatus]]
|[[Bestand: block.png | link=FunctionalOrMentalStatus-v1.0.1(2015EN)]]||[[FunctionalOrMentalStatus-v1.0.1(2015EN) |FunctionalOrMentalStatus]]
|}
|}
|-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:13.4.4
||NL-CM:13.4.4
|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: Interventie::VerpleegkundigeInterventie">[[Bestand: arrowright.png | 10px]]Intervention::NursingIntervention</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10317 Title="NL: Interventie::VerpleegkundigeInterventie">[[Bestand: arrowright.png | 10px | link=]]Intervention::NursingIntervention</span>
|0..1
|0..1
|A description of the nursing intervention of which the effectivity is evaluated with the healthcare result.
|A description of the nursing intervention of which the effectivity is evaluated with the healthcare result.
Regel 138: Regel 148:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]]
|[[Bestand: block.png | link=NursingIntervention-v1.0(2015EN)]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]]
|}
|}
|}
|}
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="610px" style= "font-size: 9.5pt;"
{|class="wikitable" width="610px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|UitkomstVanZorg
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>UitkomstV</b></font><font color=#FFFFFF><b>an</b></font><font color=#FFFFFF><b>Z</b></font><font color=#FFFFFF><b>org</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Meetwaarde
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Meetwaarde</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="width: 26%; "|ResultaatStatus
| style="width: 26%; "|ResultaatStatus
Regel 159: Regel 169:
| style="width: 74%; "|Waarschijnlijk delier.
| style="width: 74%; "|Waarschijnlijk delier.
|-style=vertical-align:top;
|-style=vertical-align:top;
|colspan="2" style="background-color: #BFBFBF; width: 100%; color: Black; font-weight: bold; "|MeetUitslag
|colspan="2" style="background-color: #BFBFBF; width: 100%; "|<b>MeetUitslag</b>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="width: 26%; "|MetingNaam
| style="width: 26%; "|MetingNaam
Regel 170: Regel 180:
| style="width: 74%; "|10-09-2014
| style="width: 74%; "|10-09-2014
|-style=vertical-align:top;
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Interventie
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Interventie</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="width: 26%; "|Interventie
| style="width: 26%; "|Interventie
Regel 176: Regel 186:
|}
|}


==More on this information model==
==This information model in other releases<!--ftOtherReleases-->==
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=2.16.840.1.113883.2.4.3.11.60.40.3.13.4] <BR>
<!-- Hieronder wordt een transclude page aangeroepen -->
This information model is also available as [[Media:nl.nfu.OutcomeOfCare-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.OutcomeOfCare-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.13.4(EN)|2|2015}}
==About this information==
<!-- Tot hier de transclude page -->
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
==Information model references<!--ftReferences-->==
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
====This information model refers to<!--ftRefersTo-->====
This page is generated on 28/09/2017 00:05:34 <BR>
*[[FunctionalOrMentalStatus-v1.0.1(2015EN)|FunctionalOrMentalStatus-v1.0.1]]
*[[GeneralMeasurement-v1.0(2015EN)|GeneralMeasurement-v1.0]]
*[[NursingIntervention-v1.0(2015EN)|NursingIntervention-v1.0]]
====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--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.13.4&effectiveDate=2015-09-08T00:00:00&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|2015}}</li>
</ul>
==Downloads<!--ftDownloadTitle-->==
This information model is also available as [[Media:nl.nfu.OutcomeOfCare-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.OutcomeOfCare-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
==About this information<!--ftHeader2-->==
The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 24/12/2018 12:36:53 with ZibExtraction v. 3.0.6932.1989<!--ftDate--> <BR>
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Huidige versie van 24 dec 2018 om 12:15


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

General information

Name: nl.nfu.OutcomeOfCare NL.png
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015

Back 16.png Back to HCIM list

Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 8-9-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name NFU & V&VN
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.13.4
DCM::KeywordList Uitkomst van zorg, zorgresultaat
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.nfu.UitkomstVanZorg
DCM::PublicationDate 8-9-2015
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 8-9-2015
DCM::Superseeds
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015).

Concept

The Healthcare Results (healthcare results) concept describes the determined status of the patient in terms of a certain problem. Comparing the healthcare result with the treatment goal provides insight into the effectivity of the nursing interventions/activities carried out for this problem. It is a part of the nursing process, together with nursing diagnoses/problems, the treatment goal and nursing interventions.
There are different classification systems that describe healthcare results with a measurement value, such as the NOC (Nursing Outcome Classification), Omaha System, and ICF (International Classification of Functioning, Disability and Health). One of these classifications is to be used if possible.

Purpose

Healthcare results are important parameters for evaluating the patient’s health and monitoring the effectivity of the medical treatment and nursing interventions.

Information Model


#10313GeneralMeasurement-v1.0(2015EN)FunctionalOrMentalStatus-v1.0.1(2015EN)NursingIntervention-v1.0(2015EN)#10318OutcomeOfCare-v1.0Model(2015EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:13.4.1 Arrowdown.pngHealthcareResult Root concept of the HealthcareResult building block. This root concept contains all data elements of the HealthcareResult building block.
ST.png NL-CM:13.4.5 Arrowright.pngHealthcareResult (0..1) The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result.
27574-3 Skilled nursing treatment plan Progress note and attainment of goals (narrative)
Verwijzing.png NL-CM:13.4.2 Arrowright.pngMeasurementValue::GeneralMeasurement (0..1) Measurements in which an observation, carried out with a (measuring) tool if possible, is translated to a relevant unit.
Block.png GeneralMeasurement
Verwijzing.png NL-CM:13.4.3 Arrowright.pngHealthCondition::FunctionalOrMentalStatus (0..1) A description of the patient’s health condition in the form of a functional and/or mental status.
Block.png FunctionalOrMentalStatus
Verwijzing.png NL-CM:13.4.4 Arrowright.pngIntervention::NursingIntervention 0..1 A description of the nursing intervention of which the effectivity is evaluated with the healthcare result.
Block.png NursingIntervention

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

UitkomstVanZorg
Meetwaarde
ResultaatStatus Definitief
Toelichting Waarschijnlijk delier.
MeetUitslag
MetingNaam Delirium observatie screening (DOS)
UitslagWaarde 7
UitslagDatumTijd 10-09-2014
Interventie
Interventie Waarborgen van veiligheid.

This information model in other releases

Information model references

This information model refers to

This information model is used in

--

Technical specifications in HL7v3 CDA and HL7 FHIR

To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:

  • HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage List2.png
This page is generated on 24/12/2018 12:36:53 with ZibExtraction v. 3.0.6932.1989

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=OutcomeOfCare-v1.0(2015EN)&oldid=16638"