Procedure-v4.1(2017EN): verschil tussen versies
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| Regel 1: | Regel 1: | ||
==General information== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
Name: '''nl.zorg.Procedure''' [[Bestand:NL.png|link=Verrichting-v4.1(2017NL)]]<BR> | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.1(EN)|1|Procedure-v4.1(2017EN)}} | ||
Version: '''4.1''' <br> | <!-- Tot hier de transclude page --> | ||
HCIM Status:Final<br> | ==General information<!--hdGeneralInformation-->== | ||
Release: '''2017''' <br> | Name<!--hdName-->: '''nl.zorg.Procedure''' [[Bestand:NL.png|link=Verrichting-v4.1(2017NL)]]<BR> | ||
Release status: Published<br> | Version<!--hdVersion-->: '''4.1''' <br> | ||
Release date: 31-12-2017 | 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 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> (15-02-2013) | <u>Publicatieversie 1.0</u> (15-02-2013) | ||
| Regel 218: | Regel 221: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:Procedure-v4.1Model( | <imagemap> Bestand:Procedure-v4.1Model(2017EN).png | center | ||
rect | rect 130 504 298 554 [[#ProcedureMethodCodelist]] | ||
rect | rect 197 408 327 478 [[#13108]] | ||
rect | rect 757 504 935 554 [[#ProcedureLateralityCodelist]] | ||
rect | rect 718 408 851 478 [[#13095]] | ||
rect | rect 509 504 735 554 [[#ProcedureAnatomicalLocationCodelist]] | ||
rect | rect 319 504 487 554 [[#ProcedureTypeCodelist]] | ||
rect | rect 718 311 851 381 [[HealthProfessional-v3.2(2017EN)]] | ||
rect | rect 199 214 329 284 [[Problem-v4.1(2017EN)]] | ||
rect 187 | rect 197 117 327 187 [[#13106]] | ||
rect | rect 460 117 586 187 [[#13097]] | ||
rect | rect 718 214 851 284 [[HealthcareProvider-v3.1.1(2017EN)]] | ||
rect | rect 197 311 327 381 [[MedicalDevice-v3.1(2017EN)]] | ||
rect | rect 349 408 511 480 [[#13094]] | ||
rect | rect 718 116 851 186 [[HealthProfessional-v3.2(2017EN)]] | ||
rect | rect 463 262 583 342 [[#13096]] | ||
rect | rect 533 408 695 480 [[#13100]] | ||
desc none | desc none | ||
</imagemap> | </imagemap> | ||
| Regel 240: | Regel 243: | ||
{| 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 | link=]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
| Regel 250: | Regel 253: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=71388002 71388002] Verrichting</span> | ||
|} | |} | ||
| | | | ||
| Regel 285: | Regel 288: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=405813007 405813007] Procedure site - Direct</span> | ||
|} | |} | ||
| | | | ||
| Regel 302: | Regel 305: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=272741003 272741003] Laterality</span> | ||
|} | |} | ||
| | | | ||
| Regel 319: | Regel 322: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=363702006 363702006] Has focus</span> | ||
|} | |} | ||
| | | | ||
| Regel 352: | Regel 355: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=260686004 260686004] Method</span> | ||
|} | |} | ||
| | | | ||
| Regel 369: | Regel 372: | ||
{| | {| | ||
|- | |- | ||
|<span | |<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=405815000 405815000] Procedure device</span> | ||
|} | |} | ||
| | | | ||
| Regel 416: | Regel 419: | ||
|} | |} | ||
|} | |} | ||
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="1248px" style= "font-size: 9.5pt;" | {|class="wikitable" width="1248px" style= "font-size: 9.5pt;" | ||
| Regel 486: | Regel 489: | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1 | ||
|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--> | ||
|Codesystem name||Codesystem OID | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|SNOMED CT: < 442083009 <noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki> | |SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki> | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|} | |} | ||
=== ProcedureLateralityCodelist=== | === ProcedureLateralityCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3 | ||
|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; " | ||
|Left | |Left | ||
|7771000 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
| Regel 517: | Regel 521: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Right | |Right | ||
|24028007 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
| Regel 523: | Regel 527: | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Right and left | |Right and left | ||
|51440002 | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=51440002 51440002] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|Rechts en links | |Rechts en links | ||
|} | |} | ||
=== ProcedureMethodCodelist=== | === ProcedureMethodCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4 | ||
|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: < 129264002 <noWiki>|</noWiki>Action (qualifier value)<noWiki>|</noWiki> | |SNOMED CT: <[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=129264002 129264002]<noWiki>|</noWiki>Action (qualifier value)<noWiki>|</noWiki> | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|} | |} | ||
=== ProcedureTypeCodelist=== | === ProcedureTypeCodelist=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2 | ||
|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 559: | Regel 563: | ||
|} | |} | ||
==This information model in other releases<!--ftOtherReleases-->== | |||
==This information model in other releases== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
< | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.1(EN)|2|2017}} | ||
< | <!-- Tot hier de transclude page --> | ||
==Information model references<!--ftReferences-->== | |||
< | ====This information model refers to<!--ftRefersTo-->==== | ||
*[[HealthcareProvider-v3.1.1(2017EN)|HealthcareProvider-v3.1.1]] | |||
*[[HealthProfessional-v3.2(2017EN)|HealthProfessional-v3.2]] | |||
*[[MedicalDevice-v3.1(2017EN)|MedicalDevice-v3.1]] | |||
*[[Problem-v4.1(2017EN)|Problem-v4.1]] | |||
====This information model is used in<!--ftReferredBy-->==== | |||
*[[Encounter-v3.1(2017EN)|Encounter-v3.1]] | |||
*[[PlannedCareActivityForTransfer-v3.1(2017EN)|PlannedCareActivityForTransfer-v3.1]] | |||
*[[TextResult-v4.1(2017EN)|TextResult-v4.1]] | |||
==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> | 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: | Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | ||
<ul> | <ul> | ||
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.14.1&effectiveDate=2017-12-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> | <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=2.16.840.1.113883.2.4.3.11.60.7.4.2.14.1&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 | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2017}}</li> | ||
</ul> | </ul> | ||
This information model is also available as [[Media:nl.zorg.Procedure-v4.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Procedure-v4.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ==Downloads<!--ftDownloadTitle-->== | ||
==About this information== | This information model is also available as [[Media:nl.zorg.Procedure-v4.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Procedure-v4.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | ||
The information in this wikipage is based on Release 2017 <BR> | ==About this information<!--ftHeader2-->== | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR> | ||
This page is generated on | 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 14:11:50 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 12:04
Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.
General information
Name: nl.zorg.Procedure 
Version: 4.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017
Metadata
| DCM::CoderList | Kerngroep Registratie aan de Bron |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::CreationDate | 6-6-2012 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | PM |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.14.1 |
| DCM::KeywordList | procedure,verrichting |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | Kerngroep Registratie aan de Bron |
| DCM::Name | nl.zorg.Verrichting |
| DCM::PublicationDate | 31-12-2017 |
| DCM::PublicationStatus | Published |
| DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 31-12-2017 |
| DCM::Superseeds | nl.zorg.Verrichting-v4.0 |
| DCM::Version | 4.1 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (15-02-2013) -
Publicatieversie 1.1 (01-07-2013)
| ZIB-55 | RFC Bouwsteen Procedure |
| ZIB-24 | Diagnostische verrichtingen onderdeel van Results |
Publicatieversie 1.2 (01-04-2015)
| ZIB-84 | Klinische bouwsteen nl.nfu.OverdrachtProcedure uitbreiden met Aanvrager (n.a.v. issue #077) |
| ZIB-93 | Bouwsteennaam Procedure wijzigen in Verrichting |
| ZIB-95 | Elementen in Example of the Instrument OverdrachtProcedure komen niet terug in model |
| ZIB-122 | De definitie van de sectie Concept van de bouwsteen OverdrachtProcedure aanpassen. |
| ZIB-270 | Aanpassen DCM::DefinitionCode van rootconcept Verrichting van NL-CM-14.1.1 naar NL-CM:14.1.1. |
| ZIB-271 | In de klinische bouwsteen OverdrachtProcedure DCM::ValueSet SNOMED CT aangepast van concept AnatomischeLokalisatie naar tagged value DCM::ContentExpression. |
| ZIB-272 | In klinische bouwsteen OverdrachtProcedure DCM::ValueSet CBV verrichtingen van concept VerrichtingType aangepast naar tagged value DCM::CodeSystem. |
| ZIB-273 | Tagged value DCM::ReferencedDefinitionCode is onjuist voor classes UitgevoerdDoor::Zorgverlener en AangevraagdDoor::Zorgverlener, dit zou NL-CM:17.1.1 moeten zijn i.p.v. NL-CM:17.1.2. |
| ZIB-308 | Prefix Overdracht weggehaald bij de generieke bouwstenen |
| ZIB-325 | AnatomischeLokaisatie wijzigen in AnatomischeLocatie |
| ZIB-353 | Tagged values DCM::CodeSystem aanpassen naar DCM::ValueSet incl. gekoppelde codelijst. |
Incl. algemene wijzigingsverzoeken:
| ZIB-94 | Aanpassen tekst van Disclaimer, Terms of Use & Copyrights |
| ZIB-154 | Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen. |
| ZIB-200 | Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken. |
| ZIB-201 | Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken. |
| ZIB-309 | EOI aangepast |
| ZIB-324 | Codelijsten Name en Description beginnen met een Hoofdletter |
| ZIB-326 | Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015 |
Publicatieversie 3.0 (01-05-2016)
| ZIB-401 | CBV Verrichtingen mist geldig OID |
| ZIB-453 | Wijziging naamgeving ZIB's en logo's door andere opzet van beheer |
Publicatieversie 3.1 (04-09-2017)
| ZIB-475 | Terminologiekoppeling Drugsgebruik |
| ZIB-549 | De Engelse naam van de bouwsteen en het rootconcept zijn niet correct |
| ZIB-564 | Aanpassing/harmonisatie Engelse conceptnamen |
| ZIB-576 | Aanpassen bouwstenen die nog de prefix overdracht hebben, zodat de prefix kan vervallen. |
Publicatieversie 4.0 (04-09-2017)
| ZIB-457 | Uitbreiding AnatomischeLocatieCodelijst met Snomed qualifiers |
| ZIB-458 | Uitbreiding met dataelement "werkwijze" |
| ZIB-515 | Geen informatie |
| ZIB-518 | Geen informatie |
| ZIB-549 | De Engelse naam van de bouwsteen en het rootconcept zijn niet correct |
| ZIB-564 | Aanpassing/harmonisatie Engelse conceptnamen |
| ZIB-574 | Alleen verwijzen naar het rootconcept van de ZIB. |
| ZIB-576 | Aanpassen bouwstenen die nog de prefix overdracht hebben, zodat de prefix kan vervallen. |
| ZIB-578 | Aan het concept anatomische locatie moet een concept Laterariteit toegevoegd worden. |
| ZIB-581 | Geen informatie |
| ZIB-585 | Toevoegen concept Lateraliteit aan het concept Anatomische Locatie |
Publicatieversie 4.1 (31-12-2017)
| ZIB-646 | Aanpassing SNOMED codes |
Concept
The concept Procedure indicates a therapeutic or diagnostic procedure undergone by the patient.
A procedure can be a simple blood pressure measurement, but also a complex heart surgery.
Purpose
A procedure is carried out as part of a planned policy or to obtain additional information in the diagnostic process. Procedures are documented to gain insight into the treatment of a patient. In addition, procedures are documented for administrative purposes such as invoicing and workload measurement, scientific research and/or education.
Information Model
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||
|
NL-CM:14.1.1 |  Procedure
|
Root concept of the Procedure information model. This root concept contains all data elements of the Procedure information model. |
|
||||||||||
|
NL-CM:14.1.2 |  ProcedureStartDate
|
0..1 | The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.
The element offers the option to indicate the start of the period of a series of related procedures. |
||||||||||
|
|
NL-CM:14.1.3 | ProcedureEndDate
|
0..1 | The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.
The element offers the option to indicate the end of the period of a series of related procedures. |
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NL-CM:14.1.8 | ProcedureAnatomicalLocation
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0..1 | Anatomical location which is the focus of the procedure. |
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NL-CM:14.1.11 | ProcedureLaterality
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0..1 | Laterality adds information about body side to the anatomic location, e.g. left |
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NL-CM:14.1.9 | Indication::Problem
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0..* | The indication is the reason for the procedure. |
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NL-CM:14.1.4 | ProcedureType
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1 | The name of the procedure.
As of 1 January 2013, all procedures in the primary process have to be documented with CBV codes. To meet this requirement, the DHD procedure thesaurus (CBV procedures set) is used to code procedures. It is possible that in addition to the CBV procedures set, the NIC will be used for nurse procedures and that a “coded value set” will be introduced for paramedic procedures. |
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NL-CM:14.1.12 | ProcedureMethod
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0..* | the method or technique that was used to perform the procedure, e.g. approach, lavage, pressuring, ets |
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NL-CM:14.1.7 | MedicalDevice
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0..* | The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant. |
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NL-CM:14.1.5 | Location::HealthcareProvider
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0..1 | The healthcare center where the procedure was or is carried out. |
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NL-CM:14.1.6 | Performer::HealthProfessional
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0..* | The healthcare provider who carried out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare provider. |
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NL-CM:14.1.10 | Requester::HealthProfessional
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0..* | The healthcare provider who requested the procedure. |
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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
| VerrichtingType | Verrichting Anatomische Locatie |
Verrichting Lateraliteit | Verrichting Start Datum |
Product | Indicatie | Uitgevoerd Door |
Locatie | |||
| ProductType | ProductID | ProbleemNaam | Toelichting | Specialisme | OrganisatieNaam | |||||
| Knie - prothese implantatie gewricht | Knie | Links | 05-06-2012 | Orthopedic surgical implants | (01)05050474530799 (17)160131 (21)1148130801 |
Implantant, Gen 2 Tibia Insert 5/6-9mm | Artrose | Beperking bij het bewegen van het gewricht, drukpijn door slijtage van twee compartimenten van de linker knie. | Orthopedie | UMCG |
Instructions
Only the procedures are described in this information model, not the results of the procedures. The LaboratoryResult and TextResult information models can be used to document the results.
Issues
Voor een succesvolle implementatie is een meer specifieke vulling van de VerrichtingMethodeCodelijst noodzakelijk
References
1. GS1 Global Traceability Standard for Healthcare 1.2.0 (2013) [Online] Beschikbaar op: http://www.gs1.org/traceability/healthcare-traceability/1-2-0 [Geraadpleegd: 19 juni 2014].
2. Vektis Zorgverlenersspecificatie (subberoepsgroep) [Online] Beschikbaar op: http://ei.vektis.nl/WespCodelijstenDetail.aspx?Co_Ge_Code=COD016&Co_Or_Code=VEKT [Geraadpleegd: 19 juni 2014].
3. AZR-AGB-codelijst [Online] Beschikbaar op: http://www.agbcode.nl/MainPage/opzoeken.aspx?soort=IS [Geraadpleegd: 19 juni 2014].
Valuesets
ProcedureAnatomicalLocationCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1 | Binding: |
| Conceptname | Codesystem name | Codesystem OID |
| SNOMED CT: <442083009|Anatomical or acquired body structure| | SNOMED CT | 2.16.840.1.113883.6.96 |
ProcedureLateralityCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3 | Binding: |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Left | 7771000 | SNOMED CT | 2.16.840.1.113883.6.96 | Links |
| Right | 24028007 | SNOMED CT | 2.16.840.1.113883.6.96 | Rechts |
| Right and left | 51440002 | SNOMED CT | 2.16.840.1.113883.6.96 | Rechts en links |
ProcedureMethodCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4 | Binding: |
| Conceptname | Codesystem name | Codesystem OID |
| SNOMED CT: <129264002|Action (qualifier value)| | SNOMED CT | 2.16.840.1.113883.6.96 |
ProcedureTypeCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2 | Binding: |
| Conceptname | Codesystem name | Codesystem OID |
| Alle waarden | Verrichtingenthesaurus DHD | 2.16.840.1.113883.2.4.3.120.5.2 |
This information model in other releases
- Release 2015, (Version 1.2)
- Release 2016, (Version 3.0)
- Prerelease 2018-2, (Version 4.2)
- Prerelease 2019-2, (Version 5.1)
- Release 2020, (Version 5.2)
- Prerelease 2021-2, (Version 5.3)
- Prerelease 2022-1, (Version 5.4)
- Prerelease 2023-1, (Version 5.4.1)
- Prerelease 2024-1, (Version 5.4.1)
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 Release 2017
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 14:11:50 with ZibExtraction v. 3.0.6929.24609