FunctionalOrMentalStatus-v3.1(2017EN): verschil tussen versies
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
||
Regel 3: | Regel 3: | ||
Version: '''3.1''' <br> | Version: '''3.1''' <br> | ||
HCIM Status:Final<br> | HCIM Status:Final<br> | ||
Release: '''2017''' <br> | |||
Release status: Prepublished<br> | Release status: Prepublished<br> | ||
Release date: 04-09-2017 | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div> | ||
Regel 136: | Regel 136: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:FunctionalOrMentalStatus-v3.1Model(EN).png | center | |||
rect 131 371 274 421 [[#StatusNameICFCodelist]] | |||
rect 131 501 301 551 [[#StatusNameSnomedCodelist]] | |||
rect 131 566 314 616 [[#StatusNameOMAHACodelist]] | |||
rect 131 436 288 486 [[#StatusNameNOCCodelist]] | |||
rect 468 371 618 421 [[#StatusValueICFCodelist]] | |||
rect 454 437 618 487 [[#StatusValueNOCCodelist]] | |||
rect 443 501 617 551 [[#StatusValueSnomedCodelist]] | |||
rect 433 566 618 616 [[#StatusValueOMAHACodelist]] | |||
rect 211 96 339 166 [[#11272]] | |||
rect 627 97 755 167 [[MedicalDevice-v3.1(2017EN)]] | |||
rect 630 258 758 328 [[#11267]] | |||
rect 420 262 548 332 [[#11266]] | |||
rect 211 261 339 331 [[#11269]] | |||
rect 403 91 567 171 [[#11273]] | |||
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" | ||
Regel 142: | Regel 158: | ||
|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||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference | ||
|-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:4.26.1 | ||NL-CM:4.26.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: FunctioneleOfMentaleStatus">[[Bestand: arrowdown.png | 10px]]FunctionalOrMentalStatus</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=11273 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 150: | Regel 166: | ||
| | | | ||
|-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: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 Title="NL: StatusNaam">[[Bestand: arrowright.png | 10px]]StatusName</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11269 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. | ||
Regel 168: | Regel 184: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#StatusNameICFCodelist|StatusNameICFCodelist]] | |[[Bestand: List2.png | link=#StatusNameICFCodelist]]||[[#StatusNameICFCodelist|StatusNameICFCodelist]] | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#StatusNameNOCCodelist|StatusNameNOCCodelist]] | |[[Bestand: List2.png | link=#StatusNameNOCCodelist]]||[[#StatusNameNOCCodelist|StatusNameNOCCodelist]] | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#StatusNameOMAHACodelist|StatusNameOMAHACodelist]] | |[[Bestand: List2.png | link=#StatusNameOMAHACodelist]]||[[#StatusNameOMAHACodelist|StatusNameOMAHACodelist]] | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#StatusNameSnomedCodelist|StatusNameSnomedCodelist]] | |[[Bestand: List2.png | link=#StatusNameSnomedCodelist]]||[[#StatusNameSnomedCodelist|StatusNameSnomedCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CO.png| 16px]] | |style = "text-align:center" |[[Bestand: CO.png| 16px | link=]] | ||
||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 Title="NL: StatusWaarde">[[Bestand: arrowright.png | 10px]]StatusValue</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11266 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 190: | Regel 206: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#StatusValueICFCodelist|StatusValueICFCodelist]] | |[[Bestand: List2.png | link=#StatusValueICFCodelist]]||[[#StatusValueICFCodelist|StatusValueICFCodelist]] | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#StatusValueNOCCodelist|StatusValueNOCCodelist]] | |[[Bestand: List2.png | link=#StatusValueNOCCodelist]]||[[#StatusValueNOCCodelist|StatusValueNOCCodelist]] | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#StatusValueOMAHACodelist|StatusValueOMAHACodelist]] | |[[Bestand: List2.png | link=#StatusValueOMAHACodelist]]||[[#StatusValueOMAHACodelist|StatusValueOMAHACodelist]] | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#StatusValueSnomedCodelist|StatusValueSnomedCodelist]] | |[[Bestand: List2.png | link=#StatusValueSnomedCodelist]]||[[#StatusValueSnomedCodelist|StatusValueSnomedCodelist]] | ||
|} | |} | ||
|-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: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 Title="NL: StatusDatum">[[Bestand: arrowright.png | 10px]]StatusDate</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11272 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 208: | Regel 224: | ||
| | | | ||
|-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: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 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11267 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 221: | Regel 237: | ||
| | | | ||
|-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: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 Title="NL: Hulpmiddel::MedischHulpmiddel">[[Bestand: arrowright.png | 10px]]MedicalDevice:MedicalDevice</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11271 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 231: | Regel 247: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[MedicalDevice-v3.1(2017EN) |MedicalDevice]] | |[[Bestand: block.png | link=MedicalDevice-v3.1(2017EN)]]||[[MedicalDevice-v3.1(2017EN) |MedicalDevice]] | ||
|} | |} | ||
|} | |} | ||
Regel 242: | Regel 258: | ||
{|class="wikitable" width="451px" style= "font-size: 9.5pt;" | {|class="wikitable" width="451px" 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>Functionele</b></font><font color=#FFFFFF><b>OfMentaleStatus</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 52%; "|StatusNaam | | style="width: 52%; "|StatusNaam | ||
Regel 382: | Regel 398: | ||
==This information model in other releases== | |||
<ul> | |||
<li>[[FunctionalOrMentalStatus-v1.0.1(2015EN) | Release 2015, (Version 1.0.1)]]</li> | |||
<li>[[FunctionalOrMentalStatus-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li> | |||
</ul> | |||
==More on this information model== | ==More on this information model== | ||
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: | |||
<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=2.16.840.1.113883.2.4.3.11.60.7.4.2.4.26&effectiveDate=2017-09-04T00:00:00&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 [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li> | |||
</ul> | |||
This information model is also available as [[Media:nl.zorg.FunctionalOrMentalStatus-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FunctionalOrMentalStatus-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | This information model is also available as [[Media:nl.zorg.FunctionalOrMentalStatus-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FunctionalOrMentalStatus-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ||
==About this information== | ==About this information== | ||
The information in this wikipage is based on Prerelease 2017 #1 <BR> | The information in this wikipage is based on Prerelease 2017 #1 <BR> | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | ||
This page is generated on | This page is generated on 30/11/2017 13:36:54 <BR> | ||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div> |
Versie van 30 nov 2017 14:42
General information
Name: nl.zorg.FunctionalOrMentalStatus
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Prepublished
Release date: 04-09-2017
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 | 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 | 04-09-2017 |
DCM::PublicationStatus | Prepublished |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 04-09-2017 |
DCM::Superseeds | nl.zorg.FunctioneleOfMentaleStatus-v3.0 |
DCM::Version | 3.1 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-04-2015)
ZIB-89 | Aanpassing OverdrachtFuntioneleStatus door deze te vervangen door een nieuwe bouwsteen die alleen een generieke functionele beperking bevat. |
ZIB-308 | Prefix Overdracht weggehaald bij de generieke bouwstenen |
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 1.0.1 (22-05-2015)
ZIB-384 | Inconsistent gebruik van de naam StatusWaardeSnomedCodelijst. |
ZIB-383 | Inconsistent gebruik van de naam StatusWaardeNOCCodelijst. |
ZIB-382 | Inconsistent gebruik van de naam StatusWaardeOMAHACodelijst. |
Publicatieversie 3.0 (01-05-2016)
ZIB-453 | Wijziging naamgeving ZIB's en logo's door andere opzet van beheer |
Publicatieversie 3.1 (04-09-2017)
ZIB-564 | Aanpassing/harmonisatie Engelse conceptnamen |
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-v3.1Model(EN).png](/images/8/88/FunctionalOrMentalStatus-v3.1Model%28EN%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:
|
| ||||||||||||||
![]() |
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. |
| ||||||||||||||
![]() |
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
FunctioneleOfMentaleStatus | |
StatusNaam | Zich scheren |
StatusWaarde | Moeite met scheren |
StatusDatum | 23-02-2015 |
Toelichting | -- |
MedischHulpmiddel | -- |
Valuesets
StatusNameICFCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.3 |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | ICF | 2.16.840.1.113883.6.254 |
StatusNameNOCCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.2 |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | NOC | 2.16.840.1.113883.6.16 |
StatusNameOMAHACodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.1 |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | OMAHA | 2.16.840.1.113883.6.98 |
StatusNameSnomedCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.4 |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | 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 |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | ICF | 2.16.840.1.113883.6.254 |
StatusValueNOCCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.7 |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | NOC | 2.16.840.1.113883.6.16 |
StatusValueOMAHACodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.5 |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | OMAHA | 2.16.840.1.113883.6.98 |
StatusValueSnomedCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.8 |
Conceptname | Codesystem name | Codesystem OID |
Alle waarden | SNOMED CT | 2.16.840.1.113883.6.96 |
This information model in other releases
More on this information model
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
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage
This page is generated on 30/11/2017 13:36:54