GeneralMeasurement-v1.0(2015EN)

General information

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

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Metadata

DCM::CoderList	Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate	14-3-2014
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	NFU & V&VN
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.13.3
DCM::KeywordList	Algemene meting
DCM::LifecycleStatus	Final
DCM::ModelerList	Werkgroep RadB Verpleegkundige Gegevens
DCM::Name	nl.nfu.AlgemeneMeting
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

A general measurement determines the result of a measurement or determination made for a patient. The building block is used to record the measurement results for which no specific building blocks have yet been formulated. The building block is not intended for laboratory determinations to be carried out on the material taken from the patient.

Purpose

The measurement and documentation of physiological observations are an important tool for evaluating a patient’s condition. This building block offers the option to record various relevant measurement values.

Information Model

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:13.3.1	GeneralMeasurement							Root concept of the GeneralMeasurement building block. This root concept contains all data elements of the GeneralMeasurement building block.
	NL-CM:13.3.2		Test					0..1	A general measurement can contain multiple components. This concept contains the name and code of the entire measurement. The components are represented in one or more MeasurementResult concepts.		TestCodelist
	NL-CM:13.3.3		ResultStatus					0..1	The status of the total measurement.		ResultStatusCodelist
	NL-CM:13.3.4		Explanation					0..1	Comments such as an interpretation or advice accompanying the result.	48767-8 Annotation comment
	NL-CM:13.3.5		MeasurementResult					0..*	Container of the MeasurementResult concept. This container contains all data elements of the MeasurementResult concept.
	NL-CM:13.3.6			MeasurementName				1	Description (name and code) of the measurement.		MeasurementNameCodelist
	NL-CM:13.3.7			ResultValue				0..1	The result of the measurement. Depending on the type of measurement, the result will consist of a value with a unit or a coded value (ordinal or nominal) or of a textual result.
	NL-CM:13.3.8			MeasuringMethod				0..1	The test method used to obtain the result.		MeasuringMethodCodelist
	NL-CM:13.3.9			ResultDateTime				0..1	Date and if possible the time at which the measurement was carried out.

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

MeetUitslag			Toelichting	ResultaatStatus
MetingNaam	UitslagWaarde	UitslagDatumTijd
Delirium observatie screening (DOS)	7	12-03-2014	Waarschijnlijk delier	Definitief

Valuesets

MeasurementNameCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2

Conceptname	Codesystem name	Codesystem OID
Alle waarden	SNOMED CT	2.16.840.1.113883.6.96

MeasuringMethodCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.3.4

Conceptname	Codesystem name	Codesystem OID
Alle waarden	SNOMED CT	2.16.840.1.113883.6.96

ResultStatusCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Pending	pending	ResultaatStatus	2.16.840.1.113883.2.4.3.11.60.40.4.15.1	Uitslag volgt
Preliminary	preliminary	ResultaatStatus	2.16.840.1.113883.2.4.3.11.60.40.4.15.1	Voorlopig
Final	final	ResultaatStatus	2.16.840.1.113883.2.4.3.11.60.40.4.15.1	Definitief
Appended	appended	ResultaatStatus	2.16.840.1.113883.2.4.3.11.60.40.4.15.1	Aanvullend
Corrected	corrected	ResultaatStatus	2.16.840.1.113883.2.4.3.11.60.40.4.15.1	Gecorrigeerd

TestCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.3.3

Conceptname	Codesystem name	Codesystem OID
Alle waarden	SNOMED CT	2.16.840.1.113883.6.96

This information model in other releases

• Release 2016, (Version 3.0)
• Release 2017, (Version 3.0)

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 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 24/01/2018 17:35:29

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