FamilyHistory-v2.0(2015EN): verschil tussen versies

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==General information==
<!-- Hieronder wordt een transclude page aangeroepen -->
Name: '''nl.nfu.FamilyHistory''' [[Bestand:NL.png|link=Familieanamnese-v2.0(2015NL)]]<BR>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.6.1(EN)|1|FamilyHistory-v2.0(2015EN)}}
Version: '''2.0''' <br>
<!-- Tot hier de transclude page -->
HCIM Status:Final<br>
==General information<!--hdGeneralInformation-->==
Release: '''2015''' <br>
Name<!--hdName-->: '''nl.nfu.FamilyHistory''' [[Bestand:NL.png|link=Familieanamnese-v2.0(2015NL)]]<BR>
Release status: Published<br>
Version<!--hdVersion-->: '''2.0''' <br>
Release date: 1-4-2015
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2015''' <br>
Release status<!--hdPublicationStatus-->: Published<br>
Release date<!--hdPublicationDate-->: 1-4-2015
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
<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> (15-02-2013)
<u>Publicatieversie 1.0</u> (15-02-2013)
Regel 112: Regel 115:
<BR>
<BR>
<imagemap> Bestand:FamilyHistory-v2.0Model(EN).png | center  
<imagemap> Bestand:FamilyHistory-v2.0Model(EN).png | center  
rect 696 149 854 199 [[#BiologicalRelationshipCodelist]]
rect 706 157 864 207 [[#BiologicalRelationshipCodelist]]
rect 162 226 272 296 [[#11301]]
rect 172 234 282 304 [[#11301]]
rect 161 139 271 209 [[#11300]]
rect 171 147 281 217 [[#11300]]
rect 508 225 628 295 [[#11299]]
rect 518 233 638 303 [[#11299]]
rect 321 429 423 499 [[#11304]]
rect 331 437 433 507 [[#11304]]
rect 510 139 630 209 [[#11303]]
rect 520 147 640 217 [[#11303]]
rect 321 319 423 389 [[#11308]]
rect 331 327 433 397 [[#11308]]
rect 321 173 423 243 [[#11306]]
rect 331 181 433 251 [[#11306]]
rect 161 319 271 389 [[ConcernForTransfer-v1.2(2015EN)]]
rect 171 327 281 397 [[ConcernForTransfer-v1.2(2015EN)]]
rect 508 40 628 110 [[#11298]]
rect 518 48 638 118 [[#11298]]
rect 321 35 423 115 [[#11307]]
rect 331 43 433 123 [[#11307]]
desc none
desc none
</imagemap>
</imagemap>
Regel 128: Regel 131:
{| 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 180: Regel 183:
{|
{|
|-
|-
|<span Title="Codesystem: LOINC"> 48767-8 Annotation comment</span>
|<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span>
|}
|}
|
|
Regel 240: Regel 243:
|
|
|}
|}
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="852px" style= "font-size: 9.5pt;"
{|class="wikitable" width="852px" style= "font-size: 9.5pt;"
Regel 316: Regel 319:
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.6.1.1
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.6.1.1
|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-->
|Conceptcode
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Aunt
|Aunt
Regel 500: Regel 504:
|}
|}


 
==This information model in other releases<!--ftOtherReleases-->==
==This information model in other releases==
<!-- Hieronder wordt een transclude page aangeroepen -->
<ul>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.6.1(EN)|2|2015}}
<li>[[FamilyHistory-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
<!-- Tot hier de transclude page -->
<li>[[FamilyHistory-v3.1(2017EN) | Release 2017, (Version 3.1)]]</li>
==Information model references<!--ftReferences-->==
</ul>
====This information model refers to<!--ftRefersTo-->====
==More on this information model==
*[[ConcernForTransfer-v1.2(2015EN)|ConcernForTransfer-v1.2]]
====This information model is used in<!--ftReferredBy-->====
:--
==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--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.6.1&effectiveDate=2015-04-01T00:00:00&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--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.6.1&effectiveDate=2015-04-01T00:00:00&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=Profile [[File:fhir.png|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2015}}</li>
</ul>
</ul>
This information model is also available as [[Media:nl.nfu.FamilyHistory-v2.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.FamilyHistory-v2.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==Downloads<!--ftDownloadTitle-->==
==About this information==
This information model is also available as [[Media:nl.nfu.FamilyHistory-v2.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.FamilyHistory-v2.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <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--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
This page is generated on 24/01/2018 17:12:11 <BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 20/12/2018 12:03:34 with ZibExtraction v. 3.0.6928.21213<!--ftDate--> <BR>
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
<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>

Versie van 20 dec 2018 13:13


Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.nfu.FamilyHistory NL.png
Version: 2.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 1-4-2015


Back 16.png Back to HCIM list

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 15-02-2013
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name NFU
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.6.1
DCM::KeywordList familieanamnese, anamnese
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.nfu.Familieanamnese
DCM::PublicationDate 1-4-2015
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 1-4-2015
DCM::Superseeds
DCM::Version 2.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-02-2013)

Publicatieversie 1.1 (01-07-2013)

Publicatieversie 2.0 (01-04-2015)

ZIB-73 wijzigingsverzoek familieanamnese
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

Concept

The family history describes any health problems of biological relatives that may be relevant. The family history contains information on the medical disorders of the family member and the biological relationship between the patient and the described family member.

Purpose

Recording the patient’s family members’ health problems. This component can be relevant in estimating the risk of these health problems occurring in the patient. This component can also partially influence the decision determining which diagnostics are or are not to be run: a high-risk patient might be more likely to receive extensive diagnostics, while a simpler test could suffice for a low-risk patient.

Information Model


#BiologicalRelationshipCodelist#11301#11300#11299#11304#11303#11308#11306ConcernForTransfer-v1.2(2015EN)#11298#11307FamilyHistory-v2.0Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:6.1.1 Arrowdown.pngFamilyHistory Root concept of the FamilyHistory building block. This root concept contains all data elements of the FamilyHistory building block.
TS.png NL-CM:6.1.2 Arrowright.pngDate 0..1 Date on which the family history was entered. A ‘vague’ date is permitted.
Folder.png NL-CM:6.1.3 Arrowdown.pngFamilyMember 1..* Container of the FamilyMember concept. This container contains all data elements of the FamilyMember concept.
CD.png NL-CM:6.1.4 Arrowright.pngBiologicalRelationship 1 Indicates the biological relationship of the family member to the patient.
List2.png BiologicalRelationshipCodelist
ST.png NL-CM:6.1.5 Arrowright.pngExplanation 0..1 Explanation with information on the family member which might be relevant to the family history.
48767-8 Annotation comment
BL.png NL-CM:6.1.10 Arrowright.pngDeathIndicator 0..1 An indication stating whether the family member has died.
TS.png NL-CM:6.1.11 Arrowright.pngDateOfDeath 0..1 The date on which the family member died. A ‘vague’ date, such as only the year, is permitted.
Folder.png NL-CM:6.1.6 Arrowdown.pngDisorder 1..* Container of the Disorder concept. This container contains all data elements of the Disorder concept.
Verwijzing.png NL-CM:6.1.7 Arrowright.pngProblem::ProblemName 1 The health problem of the family member in question, which is recorded for the family history.
Block.png ConcernForTransfer
BL.png NL-CM:6.1.9 Arrowright.pngIsCauseOfDeath 0..1 Indication stating whether the described health problem was the cause of death of the family member.

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

Familieanamnese
Datum Familielid Aandoening
BiologischeRelatie Toelichting Overlijdens
Indicator
OverlijdensDatum Probleem Is
Doodsoorzaak
ProbleemType ProbleemNaam Probleem
Status
Probleem
StatusDatum
1-2-2013 Tante / moeders-
zijde
Ja 1997 Diagnose mammacarcinoom Actueel 1995 Ja
1-2-2013 Biologische moeder moeder heeft vijf zusters Diagnose mammacarcinoom Actueel 21-3-1999
1-2-2013 Biologische vader Ja 2005 Diagnose myocardinfarct Niet actueel 16-6-2001

Instructions

The age at which a family member developed a disorder or the age at which the family member died can be included in the ‘explanation’ field if desired.

The value list BiologicalRelationshipCodeList contains a number of concepts which can be used for both biological and non-biological relatives: a step-father’s brother can be listed as an uncle for lack of specific codes for step-uncle and real uncles. Therefore, when compiling the family history, make sure that only the biological relatives are considered.

Valuesets

BiologicalRelationshipCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.6.1.1 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Aunt AUNT RoleCode 2.16.840.1.113883.5.111 Tante
Cousin COUSN RoleCode 2.16.840.1.113883.5.111 Neef/nicht
Family Member FAMMEMB RoleCode 2.16.840.1.113883.5.111 Familielid
Grandchild GRNDCHILD RoleCode 2.16.840.1.113883.5.111 Kleinkind
Grandparent GRPRN RoleCode 2.16.840.1.113883.5.111 Grootouder
Grandparent GPARNT RoleCode 2.16.840.1.113883.5.111 Overgrootouder
Great grandparent GGRPRN RoleCode 2.16.840.1.113883.5.111 Overgrootouder
Half-brother HBRO RoleCode 2.16.840.1.113883.5.111 Halfbroer
Half-sister HSIS RoleCode 2.16.840.1.113883.5.111 Halfzus
MaternalAunt MAUNT RoleCode 2.16.840.1.113883.5.111 Tante/moederszijde
MaternalCousin MCOUSN RoleCode 2.16.840.1.113883.5.111 Neef/nicht aan moederszijde
MaternalGrandparent MGRPRN RoleCode 2.16.840.1.113883.5.111 Gootouder aan moederszijde
MaternalGreatgrandparent MGGRPRN RoleCode 2.16.840.1.113883.5.111 Overgrootouder aan moederszijde
MaternalUncle MUNCLE RoleCode 2.16.840.1.113883.5.111 Oom/moederszijde
Natural child NCHILD RoleCode 2.16.840.1.113883.5.111 Biologisch kind
Natural daugther DAU RoleCode 2.16.840.1.113883.5.111 Biologische dochter
Natural son SON RoleCode 2.16.840.1.113883.5.111 Biologische zoon
Natural father NFTH RoleCode 2.16.840.1.113883.5.111 Biologische vader
Natural mother NMTH RoleCode 2.16.840.1.113883.5.111 Biologische moeder
Natural brother NBRO RoleCode 2.16.840.1.113883.5.111 Biologische broer
Natural sister NSIS RoleCode 2.16.840.1.113883.5.111 Biologische zus
Niece/nephew NIENEPH RoleCode 2.16.840.1.113883.5.111 Neef/nicht, kind van oom/tante
PaternalAunt PAUNT RoleCode 2.16.840.1.113883.5.111 Tante/vaderszijde
PaternalCousin PCOUSN RoleCode 2.16.840.1.113883.5.111 Neef/nicht aan vaderszijde
PaternalGrandparent PGRPRN RoleCode 2.16.840.1.113883.5.111 Grootouder aan vaderszijde
PaternalGreatgrandparent PGGRPRN RoleCode 2.16.840.1.113883.5.111 Overgrootouder aan vaderszijde
PaternalUncle PUNCLE RoleCode 2.16.840.1.113883.5.111 Oom/vaderszijde
Significant other SIGOTHR RoleCode 2.16.840.1.113883.5.111 Ander familielid van belang
Uncle UNCLE RoleCode 2.16.840.1.113883.5.111 Oom

This information model in other releases

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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

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 List2.png
This page is generated on 20/12/2018 12:03:34 with ZibExtraction v. 3.0.6928.21213


Back 16.png Back to HCIM list