FunctionalOrMentalStatus-v3.2.1(2022EN): verschil tussen versies
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
||
Regel 8: | Regel 8: | ||
Release<!--hdPublication-->: '''2022''' <br> | Release<!--hdPublication-->: '''2022''' <br> | ||
Release status<!--hdPublicationStatus-->: Prepublished<br> | Release status<!--hdPublicationStatus-->: Prepublished<br> | ||
Release date<!--hdPublicationDate-->: 10- | Release date<!--hdPublicationDate-->: 15-10-2023 | ||
<!-- Aanroep Errata transclude page --> | <!-- Aanroep Errata transclude page --> | ||
{{ErrataEN<!--hdErrata-->|2022|{{PAGENAME}}}} | {{ErrataEN<!--hdErrata-->|2022|{{PAGENAME}}}} | ||
Regel 26: | Regel 26: | ||
|style="width:250px; "|DCM::ContactInformation.Telecom||* | |style="width:250px; "|DCM::ContactInformation.Telecom||* | ||
|- | |- | ||
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron | |style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron | ||
|- | |- | ||
|style="width:250px; "|DCM::CreationDate||12-9-2014 | |style="width:250px; "|DCM::CreationDate||12-9-2014 | ||
Regel 50: | Regel 50: | ||
|style="width:250px; "|DCM::Name||nl.zorg.FunctioneleOfMentaleStatus | |style="width:250px; "|DCM::Name||nl.zorg.FunctioneleOfMentaleStatus | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationDate||10- | |style="width:250px; "|DCM::PublicationDate||15-10-2023 | ||
|- | |- | ||
|style="width:250px; "|DCM::PublicationStatus||Prepublished | |style="width:250px; "|DCM::PublicationStatus||Prepublished | ||
|- | |- | ||
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron | |style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron | ||
|- | |- | ||
|style="width:250px; "|DCM::RevisionDate||17-11-2021 | |style="width:250px; "|DCM::RevisionDate||17-11-2021 | ||
Regel 71: | Regel 71: | ||
<u>Publicatieversie 1.0</u> (01-04-2015) | <u>Publicatieversie 1.0</u> (01-04-2015) | ||
{| | {| | ||
Issue summaries niet beschikbaar<BR> | |||
Bevat: ZIB-89, ZIB-308. | |||
|} | |} | ||
Incl. algemene wijzigingsverzoeken: | Incl. algemene wijzigingsverzoeken: | ||
ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326. | |||
<u>Publicatieversie 1.0.1</u> (22-05-2015) | <u>Publicatieversie 1.0.1</u> (22-05-2015) | ||
Bevat: ZIB-384, ZIB-383, ZIB-382. | |||
<u>Publicatieversie 3.0</u> (01-05-2016) | <u>Publicatieversie 3.0</u> (01-05-2016) | ||
Bevat: ZIB-453. | |||
<u>Publicatieversie 3.1</u> (04-09-2017) | <u>Publicatieversie 3.1</u> (04-09-2017) | ||
Bevat: ZIB-564. | |||
<u>Publicatieversie 3.1</u> (26-02-2019) | <u>Publicatieversie 3.1</u> (26-02-2019) | ||
Bevat: ZIB-681. | |||
Publicatieversie <u>3.2</u> (01-09-2020) | Publicatieversie <u>3.2</u> (01-09-2020) | ||
Bevat: ZIB-1110, ZIB-1142. | |||
Publicatieversie <u>3.2.1</u> (01-12-2021) | Publicatieversie <u>3.2.1</u> (01-12-2021) | ||
Bevat: ZIB-1575. | |||
</div> | </div> | ||
Regel 167: | Regel 108: | ||
<BR> | <BR> | ||
<imagemap> Bestand:FunctionalOrMentalStatus-v3.2.1Model(2022EN).png | center | <imagemap> Bestand:FunctionalOrMentalStatus-v3.2.1Model(2022EN).png | center | ||
rect 165 81 293 151 [[# | rect 165 81 293 151 [[#597]] | ||
rect 631 82 759 152 [[MedicalDevice-v3.5(2022EN)]] | rect 631 82 759 152 [[MedicalDevice-v3.5(2022EN)]] | ||
rect 632 247 760 317 [[# | rect 632 247 760 317 [[#594]] | ||
rect 374 247 502 317 [[# | rect 374 247 502 317 [[#593]] | ||
rect 165 246 293 316 [[# | rect 165 246 293 316 [[#595]] | ||
rect 357 76 521 156 [[# | rect 357 76 521 156 [[#598]] | ||
rect 70 356 213 406 [[#StatusNameICFCodelist]] | rect 70 356 213 406 [[#StatusNameICFCodelist]] | ||
rect 70 417 240 467 [[#StatusNameSnomedCodelist]] | rect 70 417 240 467 [[#StatusNameSnomedCodelist]] | ||
Regel 186: | Regel 127: | ||
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
||NL-CM:4.26.1 | ||NL-CM:4.26.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Id= | |colspan ="6" style ="padding-left: 0px"|<span Id=598 Title="NL: FunctioneleOfMentaleStatus">[[Bestand: arrowdown.png | 10px | link=]]FunctionalOrMentalStatus</span> | ||
| | | | ||
|Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus information model. | |Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus information model. | ||
Regel 195: | Regel 136: | ||
||NL-CM:4.26.2 | ||NL-CM:4.26.2 | ||
|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 Id= | |colspan ="5" style ="padding-left: 0px"|<span Id=595 Title="NL: StatusNaam">[[Bestand: arrowright.png | 10px | link=]]StatusName</span> | ||
|1 | |1 | ||
|Coded description of the functional or mental status or limitation. | |Coded description of the functional or mental status or limitation. | ||
Code systems used include: | Code systems used include: | ||
<ul> | |||
<li>SNOMED CT</li> | |||
<li>ICF (International Classification of Functioning, Disability and Health) </li> | |||
</ul> | |||
| | | | ||
Regel 216: | Regel 157: | ||
||NL-CM:4.26.3 | ||NL-CM:4.26.3 | ||
|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 Id= | |colspan ="5" style ="padding-left: 0px"|<span Id=593 Title="NL: StatusWaarde">[[Bestand: arrowright.png | 10px | link=]]StatusValue</span> | ||
|0..1 | |0..1 | ||
|The extent to which the patient is limited by the functional or mental condition. | |The extent to which the patient is limited by the functional or mental condition. | ||
Regel 234: | Regel 175: | ||
||NL-CM:4.26.6 | ||NL-CM:4.26.6 | ||
|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 Id= | |colspan ="5" style ="padding-left: 0px"|<span Id=597 Title="NL: StatusDatum">[[Bestand: arrowright.png | 10px | link=]]StatusDate</span> | ||
|0..1 | |0..1 | ||
|Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted. | |Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted. | ||
Regel 243: | Regel 184: | ||
||NL-CM:4.26.4 | ||NL-CM:4.26.4 | ||
|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 Id= | |colspan ="5" style ="padding-left: 0px"|<span Id=594 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span> | ||
|0..1 | |0..1 | ||
|Explanatory comments as a description of the functional or mental status. | |Explanatory comments as a description of the functional or mental status. | ||
Regel 249: | Regel 190: | ||
{| | {| | ||
|- | |- | ||
|<span title = "Codesystem: LOINC (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span> | |<span title = "Codesystem: LOINC; Verklarend commentaar [interpretatie] in {systeem} (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span> | ||
|} | |} | ||
| | | | ||
Regel 256: | Regel 197: | ||
||NL-CM:4.26.5 | ||NL-CM:4.26.5 | ||
|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 Id= | |colspan ="5" style ="padding-left: 0px"|<span Id=596 Title="NL: Hulpmiddel::MedischHulpmiddel">[[Bestand: arrowright.png | 10px | link=]]MedicalDevice:MedicalDevice</span> | ||
|0..* | |0..* | ||
|Medical aid the patient has to reduce the impact of the disability or disorder. | |Medical aid the patient has to reduce the impact of the disability or disorder. | ||
Regel 272: | Regel 213: | ||
''Only available in Dutch<!--noTranslation-->'' | ''Only available in Dutch<!--noTranslation-->'' | ||
Voorbeeld file fout: Unable to find the specified file. : nl.zorg.FunctioneleOfMentaleStatus-v3.2.1(NL)_Voorbeeld.docx | |||
== Valuesets == | == Valuesets == | ||
=== StatusNameICFCodelist=== | === StatusNameICFCodelist=== | ||
Regel 304: | Regel 226: | ||
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
| | |All values | ||
|ICF | |ICF | ||
|2.16.840.1.113883.6.254 | |2.16.840.1.113883.6.254 | ||
Regel 319: | Regel 241: | ||
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Unknown code" > | |<span title = "Unknown code" >All values</span> | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 334: | Regel 256: | ||
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
| | |All values | ||
|ICF | |ICF | ||
|2.16.840.1.113883.6.254 | |2.16.840.1.113883.6.254 | ||
Regel 349: | Regel 271: | ||
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | |Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Unknown code" > | |<span title = "Unknown code" >All values</span> | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
Regel 365: | Regel 287: | ||
*[[TreatmentObjective-v3.2.1(2022EN)|TreatmentObjective-v3.2.1]] | *[[TreatmentObjective-v3.2.1(2022EN)|TreatmentObjective-v3.2.1]] | ||
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->== | ==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. | 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--> | Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | ||
<ul> | <ul> | ||
<li> | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2022|4.26}}</li> | ||
<li> | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2022|FunctioneleOfMentaleStatus}}</li> | ||
</ul> | </ul> | ||
==Downloads<!--ftDownloadTitle-->== | ==Downloads<!--ftDownloadTitle-->== | ||
Regel 377: | Regel 299: | ||
SNOMED CT and LOINC codes are based on: | SNOMED CT and LOINC codes are based on: | ||
<ul> | <ul> | ||
<li>SNOMED Clinical Terms | <li>SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)</li> | ||
<li>LOINC version 2. | <li>LOINC version 2.76</li> | ||
</ul> | </ul> | ||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | ||
This page is generated on | This page is generated on 26/03/2024 11:41:27 with ZibExtraction v. 9.3.8851.20230<!--ftDate--> <BR> | ||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2022(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2022(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2022(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2022(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> |
Versie van 26 mrt 2024 12:47
General information
Name: nl.zorg.FunctionalOrMentalStatus
Version: 3.2.1
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 15-10-2023
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 | 12-9-2014 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | PM |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.4.26 |
DCM::KeywordList | mentale status, functionele status, functionele beperking, mentale stoornis, ADL |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Kerngroep Registratie aan de Bron |
DCM::Name | nl.zorg.FunctioneleOfMentaleStatus |
DCM::PublicationDate | 15-10-2023 |
DCM::PublicationStatus | Prepublished |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 17-11-2021 |
DCM::Supersedes | nl.zorg.FunctioneleOfMentaleStatus-v3.2 |
DCM::Version | 3.2.1 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-04-2015)
Issue summaries niet beschikbaarBevat: ZIB-89, ZIB-308.
Incl. algemene wijzigingsverzoeken: ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326.
Publicatieversie 1.0.1 (22-05-2015) Bevat: ZIB-384, ZIB-383, ZIB-382.
Publicatieversie 3.0 (01-05-2016) Bevat: ZIB-453.
Publicatieversie 3.1 (04-09-2017) Bevat: ZIB-564.
Publicatieversie 3.1 (26-02-2019) Bevat: ZIB-681.
Publicatieversie 3.2 (01-09-2020) Bevat: ZIB-1110, ZIB-1142.
Publicatieversie 3.2.1 (01-12-2021) Bevat: ZIB-1575.
Concept
The functional or mental status provides insight into the patient’s functional and mental limitations.
Purpose
The patient’s functional and mental status can be recorded to provide insight into the patient’s limitations which need to be taken into account for further treatment and care and in order to evaluate the effects of a treatment.
Diagnoses with (the potential for) functional limitations are not to be recorded here. To record these, please use the Problem information model.
Information Model
![FunctionalOrMentalStatus-v3.2.1Model(2022EN).png](/images/6/69/FunctionalOrMentalStatus-v3.2.1Model%282022EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||||
![]() |
NL-CM:4.26.1 | ![]() |
Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus information model. | ||||||||||||
![]() |
NL-CM:4.26.2 | ![]() |
1 | Coded description of the functional or mental status or limitation.
Code systems used include: <ul> <li>SNOMED CT</li> <li>ICF (International Classification of Functioning, Disability and Health) </li> </ul> |
| ||||||||||
![]() |
NL-CM:4.26.3 | ![]() |
0..1 | The extent to which the patient is limited by the functional or mental condition.
If both the status name and the status value are recorded in code, then both values must come from the same code system. If the patient uses a medical device, the evaluation of the extent of the limitation will take place without this aid. The answer codes must be selected from the subselection of the code system corresponding with the request in accordance with the rules applicable to that system. |
| ||||||||||
![]() |
NL-CM:4.26.6 | ![]() |
0..1 | Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted. | |||||||||||
![]() |
NL-CM:4.26.4 | ![]() |
0..1 | Explanatory comments as a description of the functional or mental status. |
|
||||||||||
![]() |
NL-CM:4.26.5 | ![]() |
0..* | Medical aid the patient has to reduce the impact of the disability or disorder. |
|
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
Voorbeeld file fout: Unable to find the specified file. : nl.zorg.FunctioneleOfMentaleStatus-v3.2.1(NL)_Voorbeeld.docx
Valuesets
StatusNameICFCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.3 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
All values | ICF | 2.16.840.1.113883.6.254 |
StatusNameSnomedCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.4 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
All values | SNOMED CT | 2.16.840.1.113883.6.96 |
StatusValueICFCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.6 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
All values | ICF | 2.16.840.1.113883.6.254 |
StatusValueSnomedCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.8 | Binding: Required |
Conceptname | Codesystem name | Codesystem OID |
All values | SNOMED CT | 2.16.840.1.113883.6.96 |
This information model in other releases
- Release 2015, (Version 1.0.1)
- Release 2016, (Version 3.0)
- Release 2017, (Version 3.1)
- Prerelease 2018-2, (Version 3.1.1)
- Prerelease 2019-2, (Version 3.1.1)
- Release 2020, (Version 3.2)
- Prerelease 2021-2, (Version 3.2.1)
- Prerelease 2023-1, (Version 3.2.1)
- Prerelease 2024-1, (Version 4.0)
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.<BR> 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 Pre-release 2022-1
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
- LOINC version 2.76
Conditions for use are located on the mainpage
This page is generated on 26/03/2024 11:41:27 with ZibExtraction v. 9.3.8851.20230