HCIM Release 2016(EN): verschil tussen versies
Naar navigatie springen
Naar zoeken springen
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
||
| Regel 5: | Regel 5: | ||
*[[Media:Configuratiedocument Publicatieversie 2016 - Zorginformatiebouwstenen.pdf | Configuration Summary 2016]] [[File:PDF.png|link=]]. | *[[Media:Configuratiedocument Publicatieversie 2016 - Zorginformatiebouwstenen.pdf | Configuration Summary 2016]] [[File:PDF.png|link=]]. | ||
== Health and care information models release 2016 == | == Health and care information models release<!--rlHeader--> 2016 == | ||
==== group: Administrative, | ==== group<!--rlGroup-->: Administrative, count<!--rlNumber-->: 6 ==== | ||
{| width="1000" style="background-color:#F8F8FF" | {| width="1000" style="background-color:#F8F8FF" | ||
|- | |- | ||
| Regel 19: | Regel 19: | ||
| | | | ||
|} | |} | ||
==== group: Basic elements, | ==== group<!--rlGroup-->: Basic elements, count<!--rlNumber-->: 1 ==== | ||
{| width="1000" style="background-color:#F8F8FF" | {| width="1000" style="background-color:#F8F8FF" | ||
|- | |- | ||
| Regel 27: | Regel 27: | ||
| | | | ||
|} | |} | ||
==== group: | ==== group<!--rlGroup-->: Clinical context, count<!--rlNumber-->: 25 ==== | ||
{| width="1000" style="background-color:#F8F8FF" | {| width="1000" style="background-color:#F8F8FF" | ||
|- | |- | ||
|width="25%" |[[Alert-v3.0(2016EN)|Alert-v3.0]] | |width="25%" |[[Alert-v3.0(2016EN)|Alert-v3.0]] | ||
|width="25%" |[[ | |width="25%" |[[FeedingTubeSystem-v3.0(2016EN)|FeedingTubeSystem-v3.0]] | ||
|width="25%" |[[ | |width="25%" |[[NutritionAdvice-v3.0(2016EN)|NutritionAdvice-v3.0]] | ||
|width="25%" |[[ | |width="25%" |[[Stoma-v3.0(2016EN)|Stoma-v3.0]] | ||
|- | |- | ||
|[[AllergyIntolerance-v3.0(2016EN)|AllergyIntolerance-v3.0]] | |[[AllergyIntolerance-v3.0(2016EN)|AllergyIntolerance-v3.0]] | ||
|[[ | |[[FunctionalOrMentalStatus-v3.0(2016EN)|FunctionalOrMentalStatus-v3.0]] | ||
|[[Pregnancy-v3.0(2016EN)|Pregnancy-v3.0]] | |||
|[[Vaccination-v3.0(2016EN)|Vaccination-v3.0]] | |||
|- | |||
|[[BladderFunction-v3.0(2016EN)|BladderFunction-v3.0]] | |||
|[[GeneralMentalFunctions-v3.0(2016EN)|GeneralMentalFunctions-v3.0]] | |||
|[[PressureUlcer-v3.0(2016EN)|PressureUlcer-v3.0]] | |||
|[[VisualFunction-v3.0(2016EN)|VisualFunction-v3.0]] | |||
|- | |||
|[[BowelFunction-v3.0(2016EN)|BowelFunction-v3.0]] | |||
|[[HearingFunction-v3.0(2016EN)|HearingFunction-v3.0]] | |||
|[[SensoryObsevationFunction-v3.0(2016EN)|SensoryObsevationFunction-v3.0]] | |||
|[[Wound-v3.0(2016EN)|Wound-v3.0]] | |||
|- | |||
|[[Burnwound-v3.0(2016EN)|Burnwound-v3.0]] | |||
|[[Infusion-v3.0(2016EN)|Infusion-v3.0]] | |||
|[[SkinDisorder-v3.0(2016EN)|SkinDisorder-v3.0]] | |||
| | |||
|- | |||
|[[CommunicationSkills-v3.0(2016EN)|CommunicationSkills-v3.0]] | |||
|[[MedicalDevice-v3.0(2016EN)|MedicalDevice-v3.0]] | |[[MedicalDevice-v3.0(2016EN)|MedicalDevice-v3.0]] | ||
|[[ | |[[Sleepfunction-v3.0(2016EN)|Sleepfunction-v3.0]] | ||
| | |||
|- | |- | ||
|[[ | |[[ConcernForTransfer-v3.0(2016EN)|ConcernForTransfer-v3.0]] | ||
|[[ | |[[MenstrualCycle-v3.0(2016EN)|MenstrualCycle-v3.0]] | ||
|[[ | |[[SpecificMentalFunctions-v3.0(2016EN)|SpecificMentalFunctions-v3.0]] | ||
| | | | ||
|} | |||
==== group<!--rlGroup-->: Measurements, count<!--rlNumber-->: 11 ==== | |||
{| width="1000" style="background-color:#F8F8FF" | |||
|- | |- | ||
|[[BloodPressure-v3.0(2016EN)|BloodPressure-v3.0]] | |width="25%" |[[BloodPressure-v3.0(2016EN)|BloodPressure-v3.0]] | ||
|[[ | |width="25%" |[[BodyWeight-v3.0(2016EN)|BodyWeight-v3.0]] | ||
|[[ | |width="25%" |[[LaboratoryTestResultForTransfer-v3.0(2016EN)|LaboratoryTestResultForTransfer-v3.0]] | ||
|[[ | |width="25%" |[[Respiration-v3.0(2016EN)|Respiration-v3.0]] | ||
|- | |- | ||
|[[BodyHeight-v3.0(2016EN)|BodyHeight-v3.0]] | |[[BodyHeight-v3.0(2016EN)|BodyHeight-v3.0]] | ||
|[[ | |[[GeneralMeasurement-v3.0(2016EN)|GeneralMeasurement-v3.0]] | ||
|[[ | |[[O2Saturation-v3.0(2016EN)|O2Saturation-v3.0]] | ||
|[[ | |[[TextResultForTransfer-v3.0(2016EN)|TextResultForTransfer-v3.0]] | ||
|- | |- | ||
|[[BodyTemperature-v3.0(2016EN)|BodyTemperature-v3.0]] | |[[BodyTemperature-v3.0(2016EN)|BodyTemperature-v3.0]] | ||
|[[HeartRate-v3.0(2016EN)|HeartRate-v3.0]] | |[[HeartRate-v3.0(2016EN)|HeartRate-v3.0]] | ||
|[[ | |[[PulseRate-v3.0(2016EN)|PulseRate-v3.0]] | ||
| | | | ||
|} | |} | ||
==== group: Medication, | ==== group<!--rlGroup-->: Medication, count<!--rlNumber-->: 4 ==== | ||
{| width="1000" style="background-color:#F8F8FF" | {| width="1000" style="background-color:#F8F8FF" | ||
|- | |- | ||
| Regel 68: | Regel 91: | ||
|width="25%" |[[MedicationUse-v3.0(2016EN)|MedicationUse-v3.0]] | |width="25%" |[[MedicationUse-v3.0(2016EN)|MedicationUse-v3.0]] | ||
|} | |} | ||
==== group: | ==== group<!--rlGroup-->: Patient context, count<!--rlNumber-->: 15 ==== | ||
{| width="1000" style="background-color:#F8F8FF" | {| width="1000" style="background-color:#F8F8FF" | ||
|- | |- | ||
|width="25%" |[[ | |width="25%" |[[AdvanceDirective-v3.0(2016EN)|AdvanceDirective-v3.0]] | ||
|width="25%" |[[ | |width="25%" |[[FamilyHistory-v3.0(2016EN)|FamilyHistory-v3.0]] | ||
|width="25%" |[[LanguageProficiency-v3.0(2016EN)|LanguageProficiency-v3.0]] | |width="25%" |[[LanguageProficiency-v3.0(2016EN)|LanguageProficiency-v3.0]] | ||
|width="25%" |[[ | |width="25%" |[[Nationality-v3.0(2016EN)|Nationality-v3.0]] | ||
|- | |- | ||
|[[ | |[[AlcoholUse-v3.0(2016EN)|AlcoholUse-v3.0]] | ||
|[[FamilySituation-v3.0(2016EN)|FamilySituation-v3.0]] | |[[FamilySituation-v3.0(2016EN)|FamilySituation-v3.0]] | ||
|[[ | |[[LifeStance-v3.0(2016EN)|LifeStance-v3.0]] | ||
|[[ | |[[ParticipationInSociety-v3.0(2016EN)|ParticipationInSociety-v3.0]] | ||
|- | |||
|[[DrugUse-v3.0(2016EN)|DrugUse-v3.0]] | |||
|[[HelpFromOthers-v3.0(2016EN)|HelpFromOthers-v3.0]] | |||
|[[LivingSituation-v3.0(2016EN)|LivingSituation-v3.0]] | |||
|[[TobaccoUse-v3.0(2016EN)|TobaccoUse-v3.0]] | |||
|- | |- | ||
|[[ | |[[Education-v3.0(2016EN)|Education-v3.0]] | ||
|[[ | |[[IllnessPerception-v3.0(2016EN)|IllnessPerception-v3.0]] | ||
|[[ | |[[MaritalStatus-v3.0(2016EN)|MaritalStatus-v3.0]] | ||
| | | | ||
|} | |||
==== group<!--rlGroup-->: Scales en screening tools, count<!--rlNumber-->: 8 ==== | |||
{| width="1000" style="background-color:#F8F8FF" | |||
|- | |- | ||
|[[ | |width="25%" |[[BarthelADLIndex-v3.0(2016EN)|BarthelADLIndex-v3.0]] | ||
|[[ | |width="25%" |[[GlasgowComaScale-v3.0(2016EN)|GlasgowComaScale-v3.0]] | ||
|[[ | |width="25%" |[[MUSTScore-v3.0(2016EN)|MUSTScore-v3.0]] | ||
|[[ | |width="25%" |[[PainScore-v3.0(2016EN)|PainScore-v3.0]] | ||
|- | |- | ||
|[[ | |[[FallRiskForTransfer-v3.0(2016EN)|FallRiskForTransfer-v3.0]] | ||
|[[ | |[[Malnutrition-v3.0(2016EN)|Malnutrition-v3.0]] | ||
|[[ | |[[PainPerception-v3.0(2016EN)|PainPerception-v3.0]] | ||
|[[SNAQScore-v3.0(2016EN)|SNAQScore-v3.0]] | |[[SNAQScore-v3.0(2016EN)|SNAQScore-v3.0]] | ||
|} | |||
==== group<!--rlGroup-->: Selfcare, count<!--rlNumber-->: 9 ==== | |||
{| width="1000" style="background-color:#F8F8FF" | |||
|- | |- | ||
|[[ | |width="25%" |[[AbilityToDressOneself-v3.0(2016EN)|AbilityToDressOneself-v3.0]] | ||
|[[ | |width="25%" |[[AbilityToPerformHaircareActivities-v3.0(2016EN)|AbilityToPerformHaircareActivities-v3.0]] | ||
|[[ | |width="25%" |[[AbilityToWashOneself-v3.0(2016EN)|AbilityToWashOneself-v3.0]] | ||
| | | | ||
|- | |- | ||
|[[ | |[[AbilityToDrink-v3.0(2016EN)|AbilityToDrink-v3.0]] | ||
|[[ | |[[AbilityToPerformMouthcareActivities-v3.0(2016EN)|AbilityToPerformMouthcareActivities-v3.0]] | ||
|[[HelpWithMedication-v3.0(2016EN)|HelpWithMedication-v3.0]] | |[[HelpWithMedication-v3.0(2016EN)|HelpWithMedication-v3.0]] | ||
| | | | ||
|- | |- | ||
|[[ | |[[AbilityToEat-v3.0(2016EN)|AbilityToEat-v3.0]] | ||
|[[ | |[[AbilityToUseToilet-v3.0(2016EN)|AbilityToUseToilet-v3.0]] | ||
|[[ | |[[Mobility-v3.0(2016EN)|Mobility-v3.0]] | ||
| | | | ||
|} | |} | ||
==== group: | ==== group<!--rlGroup-->: Treatment, count<!--rlNumber-->: 8 ==== | ||
{| width="1000" style="background-color:#F8F8FF" | {| width="1000" style="background-color:#F8F8FF" | ||
|- | |- | ||
|width="25%" |[[ | |width="25%" |[[FreedomRestrictingMeasures-v3.0(2016EN)|FreedomRestrictingMeasures-v3.0]] | ||
|width="25%" |[[ | |width="25%" |[[NursingIntervention-v3.0(2016EN)|NursingIntervention-v3.0]] | ||
|width="25%" |[[ | |width="25%" |[[PlannedCareActivityForTransfer-v3.0(2016EN)|PlannedCareActivityForTransfer-v3.0]] | ||
|width="25%" |[[ | |width="25%" |[[TreatmentDirective-v3.0(2016EN)|TreatmentDirective-v3.0]] | ||
|- | |- | ||
|[[ | |[[FreedomRestrictingMeasuresMentalHealthcare-v3.0(2016EN)|FreedomRestrictingMeasuresMentalHealthcare-v3.0]] | ||
|[[ | |[[OutcomeOfCare-v3.0(2016EN)|OutcomeOfCare-v3.0]] | ||
|[[ | |[[ProcedureForTransfer-v3.0(2016EN)|ProcedureForTransfer-v3.0]] | ||
|[[TreatmentObjective-v3.0(2016EN)|TreatmentObjective-v3.0]] | |||
|[[ | |||
|} | |} | ||
Versie van 20 dec 2018 13:39
Release 2016
The following summary shows which HCIM's are part of this publication, including the version numbers.
More information on Release 2016 is available in Dutch:
Health and care information models release 2016
group: Administrative, count: 6
| ContactPerson-v3.0 | HealthcareProvider-v3.0 | Patient-v3.0 | |
| Encounter-v3.0 | HealthProfessional-v3.0 | Payer-v3.0 |
group: Basic elements, count: 1
| BasicElements-v1.0 |
group: Clinical context, count: 25
group: Measurements, count: 11
group: Medication, count: 4
| MedicationAdministration-v3.0 | MedicationDispense-v3.0 | MedicationPrescription-v3.0 | MedicationUse-v3.0 |
group: Patient context, count: 15
group: Scales en screening tools, count: 8
| BarthelADLIndex-v3.0 | GlasgowComaScale-v3.0 | MUSTScore-v3.0 | PainScore-v3.0 |
| FallRiskForTransfer-v3.0 | Malnutrition-v3.0 | PainPerception-v3.0 | SNAQScore-v3.0 |
group: Selfcare, count: 9
group: Treatment, count: 8
Special information models
Basic elements
A number of data elements are implicitly present in each information model and are therefore not explicitly specified in the HCIM. These are concepts that are of a more technical nature, often have little or no clinical relevance, but for the sake of clarity and readability of the data are necessary. The basic elements at each HCIM are:
- Subject: The person to whom the information relates. Often this will be the patient, but for example, in small children it may be information about the parent or caregiver.
- Source of information: The person who provided the information and ensures the correctness of it. This is not always a healthcare professional who enters the data in the information system, but it may also be the patient or another person, such as a parent, caretaker or guardian.
- Author: The person who has recorded the information. Depending on the information system in which the data is recorded, this may be the patient, a contact person or the healthcare professional.
- Identification number: The number that identifies the instantiation of the HCIM (worldwide) uniquely. The number is composed of an identification of the issuer organization and a unique number assigned by this organization
- DateTime : The date and possibly the time at which the event relates to the information. This is the medically relevant date and time.
A more detailed explanation of the basic elements can be found in Architecture Document Volume 1, paragraph 3.8 
.