Encounter-v3.0(2016EN): verschil tussen versies
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Geen bewerkingssamenvatting |
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Regel 1: | Regel 1: | ||
==General information== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
Name: '''nl.zorg.Encounter''' [[Bestand:NL.png|link=Contact-v3.0(2016NL)]]<BR> | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.15.1(EN)|1|Encounter-v3.0(2016EN)}} | ||
Version: '''3.0''' <br> | <!-- Tot hier de transclude page --> | ||
HCIM Status:Final<br> | ==General information<!--hdGeneralInformation-->== | ||
Release: '''2016''' <br> | Name<!--hdName-->: '''nl.zorg.Encounter''' [[Bestand:NL.png|link=Contact-v3.0(2016NL)]]<BR> | ||
Release status: Published<br> | Version<!--hdVersion-->: '''3.0''' <br> | ||
Release date: 1-5-2016 | HCIM Status<!--hdStatus-->:Final<br> | ||
Release<!--hdPublication-->: '''2016''' <br> | |||
Release status<!--hdPublicationStatus-->: Published<br> | |||
Release date<!--hdPublicationDate-->: 1-5-2016 | |||
----- | ----- | ||
<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-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(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 128: | Regel 131: | ||
<BR> | <BR> | ||
<imagemap> Bestand:Encounter-v3.0Model(EN).png | center | <imagemap> Bestand:Encounter-v3.0Model(EN).png | center | ||
rect | rect 440 195 550 265 [[#11406]] | ||
rect | rect 221 153 351 226 [[HealthcareProvider-v3.0(2016EN)]] | ||
rect | rect 718 343 848 393 [[#ContactTypeCodelist]] | ||
rect | rect 573 338 687 411 [[#11402]] | ||
rect | rect 437 338 551 411 [[ProcedureForTransfer-v3.0(2016EN)]] | ||
rect | rect 718 153 848 226 [[#11409]] | ||
rect | rect 303 338 417 411 [[ConcernForTransfer-v3.0(2016EN)]] | ||
rect | rect 220 65 350 138 [[HealthProfessional-v3.0(2016EN)]] | ||
rect | rect 715 65 845 138 [[#11405]] | ||
rect | rect 440 65 550 138 [[#11411]] | ||
rect | rect 718 248 848 321 [[#11408]] | ||
desc none | desc none | ||
</imagemap> | </imagemap> | ||
Regel 144: | Regel 147: | ||
{| 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 258: | Regel 261: | ||
| | | | ||
|} | |} | ||
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="0px" style= "font-size: 9.5pt;" | {|class="wikitable" width="0px" 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 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1 | |Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1 | ||
|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; " | ||
|Ambulatory | |Ambulatory | ||
Regel 368: | Regel 372: | ||
|} | |} | ||
==This information model in other releases<!--ftOtherReleases-->== | |||
==This information model in other releases== | <!-- Hieronder wordt een transclude page aangeroepen --> | ||
< | {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.15.1(EN)|2|2016}} | ||
< | <!-- Tot hier de transclude page --> | ||
==Information model references<!--ftReferences-->== | |||
====This information model refers to<!--ftRefersTo-->==== | |||
== | *[[ConcernForTransfer-v3.0(2016EN)|ConcernForTransfer-v3.0]] | ||
*[[HealthcareProvider-v3.0(2016EN)|HealthcareProvider-v3.0]] | |||
*[[HealthProfessional-v3.0(2016EN)|HealthProfessional-v3.0]] | |||
*[[ProcedureForTransfer-v3.0(2016EN)|ProcedureForTransfer-v3.0]] | |||
====This information model is used in<!--ftReferredBy-->==== | |||
*[[PlannedCareActivityForTransfer-v3.0(2016EN)|PlannedCareActivityForTransfer-v3.0]] | |||
==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--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.15.1&effectiveDate=2016-05-01T00:00:00&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--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.15.1&effectiveDate=2016-05-01T00:00:00&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 | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2016}}</li> | ||
</ul> | </ul> | ||
This information model is also available as [[Media:nl.zorg.Encounter-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Encounter-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ==Downloads<!--ftDownloadTitle-->== | ||
==About this information== | This information model is also available as [[Media:nl.zorg.Encounter-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Encounter-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads--> | ||
The information in this wikipage is based on Release summer 2016 <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 summer 2016 <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 20/12/2018 10:14:55 with ZibExtraction v. 3.0.6928.1309<!--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-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> |
Versie van 20 dec 2018 13:39
General information
Name: nl.zorg.Encounter
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016
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 | 19-4-2012 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | PM |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.15.1 |
DCM::KeywordList | Contacten, contact, patiëntcontact |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Kerngroep Registratie aan de Bron |
DCM::Name | nl.zorg.Contact |
DCM::PublicationDate | 1-5-2016 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 1-4-2015 |
DCM::Superseeds | nl.nfu.Contact-v1.2 |
DCM::Version | 3.0 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (15-02-2013)
Publicatieversie 1.1 (01-07-2013)
Publicatieversie 1.2 (01-04-2015)
ZIB-163 | Naamgeving concept Probleem::Probleem uit OverdrachtContact aanpassen. |
ZIB-164 | Het concept Locatie::Zorgaanbieder uit bouwsteen OverdrachtContact niet verplicht maken, maar als cardinaliteit 0..1 opgeven. |
ZIB-165 | Het concept Procedure in OverdrachtContact dient referentie naar bouwsteen te zijn. |
ZIB-306 | Aanpassen modellering keuzebox, boundary en cardinaliteit |
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 3.0 (01-05-2016)
.
Concept
A contact is any interaction, regardless of the situation, between a patient and the healthcare provider, in which the healthcare provider has primary responsibility for diagnosing, evaluating and treating the patient’s condition and informing the patient. These can be visits, appointments or non face-to-face interactions.
Contacts can be visits to the general practitioner or other practices, home visits, admissions (in hospitals, nursing homes or care homes, psychiatric institutions or convalescent homes) or other relevant contacts. This only includes past contacts. Future contacts can be documented in the PlannedCareActivity information model.
Purpose
Contacts can be recorded to provide insight on the interactions that have taken place between the patient and healthcare provider and in which context these took place.
Information Model
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
NL-CM:15.1.1 | Contact | Root concept of the Contact information model. This concept contains all data elements of the Contact information model. | |||||||||||
NL-CM:15.1.2 | ContactType | 1 | The type of contact. |
| |||||||||
NL-CM:15.1.7 | ContactWith::HealthcareProvider | 0..* | The healthcare provider with whom the contact took place. The specialty and role of the healthcare provider can be entered in the HealthcareProvider information model as well. |
| |||||||||
NL-CM:15.1.8 | Location::HealthcareProvider | 0..1 | The physical location at which the contact took place. |
| |||||||||
NL-CM:15.1.3 | StartDateTime | 1 | The date and time at which the contact took place. | ||||||||||
NL-CM:15.1.4 | EndDateTime | 0..1 | The date and time at which the contact ended. If the contact takes place over a period of time, this indicates the end of the period, in the case of an admission, for example. | ||||||||||
NL-CM:15.1.13 | ContactReason | 1 | Container of the ContactReason concept. This container contains all data elements of the ContactReason concept. | ||||||||||
NL-CM:15.1.6 | Problem::ProblemName | (0..1) | The problem that led to the contact. |
| |||||||||
NL-CM:15.1.11 | Procedure | (0..1) | The procedure carried out during the contact. |
| |||||||||
NL-CM:15.1.12 | DeviatingResult | (0..1) | A deviating result which serves as the reason for the contact. |
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
Contact Type |
BeginDatum Tijd |
RedenContact | ContactMet | Locatie | |
ProbleemNaam | Zorgverlener Naam |
OrganisatieType | Organisatie Naam | ||
Spoed | 16-08-2012 | Gebroken been | J.H.R. Peters | Ziekenhuis | Universitair Medisch Centrum Groningen |
Contact Type |
Begin Datum Tijd |
Eind Datum Tijd |
RedenContact | ContactMet | Locatie | |
VerrichtingType | Zorgverlener Naam |
OrganisatieType | Organisatie Naam | |||
Opname | 16-08-2012 | 19-08-2012 | Operatie been | G.Z.M. de Wit | Ziekenhuis | St. Lucas Andreas Ziekenhuis |
Valuesets
ContactTypeCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1 | Binding: |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Ambulatory | AMB | ActCode | 2.16.840.1.113883.5.4 | Poliklinisch [Een uitgebreide term voor zorg aangeboden in een zorginstelling. De term “ambulatory” of te wel mobiel geven normaliter aan dat de patiënt zelf naar de locatie is gekomen en niet is opgenomen]. |
Emergency | EMER | ActCode | 2.16.840.1.113883.5.4 | SEH [Een patiënt contact dat plaats heeft op een specialistische locatie waar de patiënt een spoed onderzoek en -behandeling ondergaat, totdat de patiënt ontslagen kan worden of wordt opgenomen in de zorginstelling of naar een andere zorginstelling wordt overgedragen.] |
Field | FLD | ActCode | 2.16.840.1.113883.5.4 | Op lokatie [Een patiënt contact dat heeft plaats gevonden buiten een zorginstelling en ook niet bij de patiënt thuis, bijvoorbeeld op de plaats van een ongeluk of in een supermarkt.] |
Home | HH | ActCode | 2.16.840.1.113883.5.4 | Thuis [Een zorg contact dat plaats heeft gevonden bij de patiënt thuis of in het huis van een ander waar de patiënt zich op dat moment bevindt.] |
Inpatient | IMP | ActCode | 2.16.840.1.113883.5.4 | Klinisch [Een patiënt contact waarbij de patiënt is opgenomen in een zorginstelling en de patiënt ten minste een nacht overblijft en wordt voorzien van een kamer, maaltijden en continue verpleegkundige zorg.] |
Short Stay | SS | ActCode | 2.16.840.1.113883.5.4 | Dagopname [Een contact waarbij de patiënt is opgenomen in een zorginstelling voor een vooraf vastgestelde periode, normaliter minder dan 24 uur.] |
Virtual | VR | ActCode | 2.16.840.1.113883.5.4 | Virtueel [Een patiënt contact waarbij de patiënt en de zorgverlener zich niet op dezelfde fysieke locatie bevinden. Voorbeelden hiervan zijn telefonisch contact, email verkeer, robotchirurgie en televideo conferentie, maar ook een Multi Disciplinair Overleg (MDO) kan hieronder vallen.] |
This information model in other releases
- Release 2015, (Version 1.2)
- Release 2017, (Version 3.1)
- Prerelease 2018-2, (Version 3.1)
- Prerelease 2019-2, (Version 4.0)
- Release 2020, (Version 4.0.1)
- Prerelease 2021-2, (Version 4.0.2)
- Prerelease 2022-1, (Version 5.0)
- Prerelease 2023-1, (Version 6.0)
- Prerelease 2024-1, (Version 6.0)
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.
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 summer 2016
Conditions for use are located on the mainpage
This page is generated on 20/12/2018 10:14:55 with ZibExtraction v. 3.0.6928.1309