TreatmentObjective-v1.0(2015EN): verschil tussen versies
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Regel 1: | Regel 1: | ||
==General information== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
Name: '''nl.nfu.TreatmentObjective''' [[Bestand:NL.png|link=Behandeldoel-v1.0(2015NL)]]<BR> | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.13.5(EN)|1|TreatmentObjective-v1.0(2015EN)}} | ||
Version: '''1.0''' <br> | <!-- Tot hier de transclude page --> | ||
HCIM Status:Final<br> | ==General information<!--hdGeneralInformation-->== | ||
Name<!--hdName-->: '''nl.nfu.TreatmentObjective''' [[Bestand:NL.png|link=Behandeldoel-v1.0(2015NL)]]<BR> | |||
Release status: Published<br> | Version<!--hdVersion-->: '''1.0''' <br> | ||
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= | <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> | ||
<imagemap> Bestand:TreatmentObjective-v1.0Model(2015EN).png | center | |||
rect 239 186 363 256 [[#10447]] | |||
rect 605 56 722 126 [[ConcernForTransfer-v1.2(2015EN)]] | |||
rect 556 183 723 253 [[FunctionalOrMentalStatus-v1.0.1(2015EN)]] | |||
rect 398 185 522 255 [[GeneralMeasurement-v1.0(2015EN)]] | |||
rect 410 51 510 131 [[#10448]] | |||
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--> | ||
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|style = "text-align:center" |[[Bestand: block.png| 20px]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
||NL-CM:13.5.1 | ||NL-CM:13.5.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: Behandeldoel">[[Bestand: arrowdown.png | 10px]]TreatmentGoal</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=10448 Title="NL: Behandeldoel">[[Bestand: arrowdown.png | 10px | link=]]TreatmentGoal</span> | ||
| | | | ||
|Root concept of the TreatmentGoal building block. This root concept contains all data elements of the TreatmentGoal building block<b>.</b> | |Root concept of the TreatmentGoal building block. This root concept contains all data elements of the TreatmentGoal building block<b>.</b> | ||
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:13.5.5 | ||NL-CM:13.5.5 | ||
|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: GewenstZorgresultaat">[[Bestand: arrowright.png | 10px]]DesiredHealthcareResult</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10447 Title="NL: GewenstZorgresultaat">[[Bestand: arrowright.png | 10px | link=]]DesiredHealthcareResult</span> | ||
|(0..1) | |(0..1) | ||
|The textual account of the treatment goal. This concept provides the option to define a treatment goal which cannot be described as a measurement value or functional/mental status. | |The textual account of the treatment goal. This concept provides the option to define a treatment goal which cannot be described as a measurement value or functional/mental status. | ||
Regel 98: | Regel 108: | ||
{| | {| | ||
|- | |- | ||
|<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:13.5.2 | ||NL-CM:13.5.2 | ||
|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: Streefwaarde::AlgemeneMeting">[[Bestand: arrowright.png | 10px]]TargetValue::GeneralMeasurement</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10451 Title="NL: Streefwaarde::AlgemeneMeting">[[Bestand: arrowright.png | 10px | link=]]TargetValue::GeneralMeasurement</span> | ||
|(0..1) | |(0..1) | ||
|The target value is the desired value (e.g. blood pressure, weight, pain score) which can be evaluated by means of a measurement. | |The target value is the desired value (e.g. blood pressure, weight, pain score) which can be evaluated by means of a measurement. | ||
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:13.5.3 | ||NL-CM:13.5.3 | ||
|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: GewensteGezondheidstoestand::FunctioneleOfMentaleStatus">[[Bestand: arrowright.png | 10px]]DesiredHealthCondition::FunctionalOrMentalStatus</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10450 Title="NL: GewensteGezondheidstoestand::FunctioneleOfMentaleStatus">[[Bestand: arrowright.png | 10px | link=]]DesiredHealthCondition::FunctionalOrMentalStatus</span> | ||
|(0..1) | |(0..1) | ||
|The desired health condition is a target value which can be expressed as the patient’s functional or mental status. | |The desired health condition is a target value which can be expressed as the patient’s functional 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:13.5.4 | ||NL-CM:13.5.4 | ||
|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: Probleem">[[Bestand: arrowright.png | 10px]]Problem</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=10452 Title="NL: Probleem">[[Bestand: arrowright.png | 10px | link=]]Problem</span> | ||
|0..1 | |0..1 | ||
|Description of the problem to which the treatment goal applies. | |Description of the problem to which the treatment goal applies. | ||
Regel 138: | Regel 148: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[ConcernForTransfer-v1.2(2015EN) |ConcernForTransfer]] | |[[Bestand: block.png | link=ConcernForTransfer-v1.2(2015EN)]]||[[ConcernForTransfer-v1.2(2015EN) |ConcernForTransfer]] | ||
|} | |} | ||
|} | |} | ||
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="508px" style= "font-size: 9.5pt;" | {|class="wikitable" width="508px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #1F497D; width: 100%; color | |colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Behandeldoel</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #4F81BD; width: 100%; color | |colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Probleem</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 42%; "|ProbleemNaam | | style="width: 42%; "|ProbleemNaam | ||
| style="width: 58%; "|Beperkte mobiliteit | | style="width: 58%; "|Beperkte mobiliteit | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
|colspan="2" style="background-color: #4F81BD; width: 100%; color | |colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>GewensteGezondheidstoestand</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 42%; "|StatusNaam | | style="width: 42%; "|StatusNaam | ||
Regel 171: | Regel 181: | ||
1. International Classification of Functioning Disability and Health (ICF) [Online] Beschikbaar op:<font color="#0000ff"><u>http:/www.rivm.nl/who-fic/icf.htm</u></font> [Geraadpleegd: 13 februari 2015] | 1. International Classification of Functioning Disability and Health (ICF) [Online] Beschikbaar op:<font color="#0000ff"><u>http:/www.rivm.nl/who-fic/icf.htm</u></font> [Geraadpleegd: 13 februari 2015] | ||
== | ==This information model in other releases<!--ftOtherReleases-->== | ||
<!-- Hieronder wordt een transclude page aangeroepen --> | |||
This information model is also available as [[Media:nl.nfu.TreatmentObjective-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.TreatmentObjective-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.13.5(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 | *[[ConcernForTransfer-v1.2(2015EN)|ConcernForTransfer-v1.2]] | ||
*[[FunctionalOrMentalStatus-v1.0.1(2015EN)|FunctionalOrMentalStatus-v1.0.1]] | |||
*[[GeneralMeasurement-v1.0(2015EN)|GeneralMeasurement-v1.0]] | |||
====This information model is used in<!--ftReferredBy-->==== | |||
*[[NursingIntervention-v1.0(2015EN)|NursingIntervention-v1.0]] | |||
==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=2.16.840.1.113883.2.4.3.11.60.5.4.2.13.5&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.TreatmentObjective-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.TreatmentObjective-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 12:34:53 with ZibExtraction v. 3.0.6932.1989<!--ftDate--> <BR> | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= | <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
General information
Name: nl.nfu.TreatmentObjective
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015
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 | 2.16.840.1.113883.2.4.3.11.60.40.3.13.5 |
DCM::KeywordList | Behandeldoel |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::Name | nl.nfu.Behandeldoel |
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 treatment goal describes the desired result of the treatment/interventions in terms of the patient’s diagnosed problem. The goal and target date are entered in addition to the target value. Comparing the healthcare results to the treatment goal provides insight into the effectivity of the treatment/interventions.
In the nursing process, the problem is expressed as a nursing diagnosis. The treatment goal, nursing diagnoses, nursing interventions and healthcare results are part of the nursing process.
Purpose
A treatment goal is recorded to indicate the intention of the treatment/intervention. It provides an indication of the procedures to be carried out as part of the medical or nursing care process. This also enables us to monitor developments in the patient’s health condition for the desired healthcare result.
Information Model
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
NL-CM:13.5.1 | TreatmentGoal | Root concept of the TreatmentGoal building block. This root concept contains all data elements of the TreatmentGoal building block. | |||||||||||
NL-CM:13.5.5 | DesiredHealthcareResult | (0..1) | The textual account of the treatment goal. This concept provides the option to define a treatment goal which cannot be described as a measurement value or functional/mental status. |
|
|||||||||
NL-CM:13.5.2 | TargetValue::GeneralMeasurement | (0..1) | The target value is the desired value (e.g. blood pressure, weight, pain score) which can be evaluated by means of a measurement. |
| |||||||||
NL-CM:13.5.3 | DesiredHealthCondition::FunctionalOrMentalStatus | (0..1) | The desired health condition is a target value which can be expressed as the patient’s functional or mental status. |
| |||||||||
NL-CM:13.5.4 | Problem | 0..1 | Description of the problem to which the treatment goal applies. |
|
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
Behandeldoel | |
Probleem | |
ProbleemNaam | Beperkte mobiliteit |
GewensteGezondheidstoestand | |
StatusNaam | Lopen |
StatusWaarde | Lichte beperking |
StatusDatum | 10-09-2014 |
References
1. International Classification of Functioning Disability and Health (ICF) [Online] Beschikbaar op:http:/www.rivm.nl/who-fic/icf.htm [Geraadpleegd: 13 februari 2015]
This information model in other releases
- Release 2016, (Version 3.0)
- Release 2017, (Version 3.1)
- Prerelease 2018-2, (Version 3.1)
- Prerelease 2019-2, (Version 3.1)
- Release 2020, (Version 3.2)
- Prerelease 2021-2, (Version 3.2)
- Prerelease 2022-1, (Version 3.2.1)
- Prerelease 2023-1, (Version 3.2.1)
- Prerelease 2024-1, (Version 3.2.1)
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 Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 24/12/2018 12:34:53 with ZibExtraction v. 3.0.6932.1989