GeneralMeasurement-v3.0(2018EN): verschil tussen versies

Huidige versie van 13 mrt 2019 om 01:52

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

General information

Name: nl.zorg.GeneralMeasurement
Version: 3.0
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 26-02-2019

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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	PM
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.zorg.AlgemeneMeting
DCM::PublicationDate	26-02-2019
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	31-12-2017
DCM::Superseeds	nl.nfu.AlgemeneMeting-v1.0
DCM::Version	3.0
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

ZIB-453

Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Concept

A general measurement determines the result of a measurement or determination made for a patient. The information model is used to record the measurement results for which no specific information models have yet been formulated. The information model 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 information model offers the option to record various relevant measurement values.

Information Model

GeneralMeasurement-v3.0Model(2018EN).png

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:13.3.1

GeneralMeasurement

Root concept of the GeneralMeasurement information model. This root concept contains all data elements of the GeneralMeasurement information model.

NL-CM:13.3.2

Investigation

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

Comment

0..1

Comments such as an interpretation or advice accompanying the result.

48767-8 Annotation comment [Interpretation] Narrative

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	Binding: Extensible

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	Binding: Extensible

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	Binding: Extensible

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	Binding: Extensible

Conceptname	Codesystem name	Codesystem OID
Alle waarden	SNOMED CT	2.16.840.1.113883.6.96

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
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 Prerelease 2018-2
SNOMED CT and LOINC codes are based on:

SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
LOINC version 2.64

Conditions for use are located on the mainpage
This page is generated on 12/03/2019 17:15:35 with ZibExtraction v. 3.0.7010.25883

Back to HCIM list

@@ Regel 8: / Regel 8: @@
 Release<!--hdPublication-->: '''2018''' <br>
 Release status<!--hdPublicationStatus-->: Prepublished<br>
-Release date<!--hdPublicationDate-->: 01-10-2018
+Release date<!--hdPublicationDate-->: 26-02-2019
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
@@ Regel 45: / Regel 45: @@
 |style="width:250px; "|DCM::Name||nl.zorg.AlgemeneMeting
 |-
-|style="width:250px; "|DCM::PublicationDate||01-10-2018
+|style="width:250px; "|DCM::PublicationDate||26-02-2019
 |-
 |style="width:250px; "|DCM::PublicationStatus||Prepublished
@@ Regel 82: / Regel 82: @@
 ==Information Model==
 <BR>
-<imagemap> Bestand:GeneralMeasurement-v3.0Model(EN).png | center
+<imagemap> Bestand:GeneralMeasurement-v3.0Model(2018EN).png | center
-rect 25 471 155 521 [[#MeasurementNameCodelist]]
+rect 178 511 308 561 [[#MeasurementNameCodelist]]
-rect 391 144 509 194 [[#TestCodelist]]
+rect 544 184 662 234 [[#TestCodelist]]
-rect 382 471 514 521 [[#MeasuringMethodCodelist]]
+rect 535 511 667 561 [[#MeasuringMethodCodelist]]
-rect 398 233 502 303 [[#8464]]
+rect 551 273 655 343 [[#8464]]
-rect 396 360 500 430 [[#8462]]
+rect 549 400 653 470 [[#8462]]
-rect 207 360 311 430 [[#8459]]
+rect 360 400 464 470 [[#8459]]
-rect 25 362 115 432 [[#8455]]
+rect 178 402 268 472 [[#8455]]
-rect 206 237 310 301 [[#8456]]
+rect 359 277 463 341 [[#8456]]
-rect 26 35 130 105 [[#8458]]
+rect 179 75 283 145 [[#8458]]
-rect 25 246 170 296 [[#ResultStatusCodelist]]
+rect 178 286 323 336 [[#ResultStatusCodelist]]
-rect 198 35 316 105 [[#8463]]
+rect 351 75 469 145 [[#8463]]
-rect 398 35 502 105 [[#8460]]
+rect 551 75 655 145 [[#8460]]
-rect 26 152 116 222 [[#8457]]
+rect 179 192 269 262 [[#8457]]
 desc none
 </imagemap>
@@ Regel 329: / Regel 329: @@
 ====This information model refers to<!--ftRefersTo-->====
 :--
-====This inforation model is used in<!--ftReferredBy-->====
+====This information model is used in<!--ftReferredBy-->====
 *[[OutcomeOfCare-v3.1(2018EN)|OutcomeOfCare-v3.1]]
 *[[TreatmentObjective-v3.1(2018EN)|TreatmentObjective-v3.1]]
@@ Regel 336: / Regel 336: @@
 Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
 <ul>
-<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.13.3&effectiveDate=2018-10-01T00:00:00&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--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.13.3&effectiveDate=2019-02-26T00:00:00&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<!--ftSimplifierReference--> {{SimplefierLinks|2018}}</li>
 </ul>
@@ Regel 342: / Regel 342: @@
 This information model is also available as [[Media:nl.zorg.GeneralMeasurement-v3.0(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.GeneralMeasurement-v3.0(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
 ==About this information<!--ftHeader2-->==
-The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018 #1 <BR>
+The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2018-2 <BR>
 SNOMED CT and LOINC codes are based on:
 <ul>
@@ Regel 349: / Regel 349: @@
 </ul>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 01/11/2018 22:20:33 with ZibExtraction v. 2.0.6879.31307<!--ftDate--> <BR>
+This page is generated on 12/03/2019 17:15:35 with ZibExtraction v. 3.0.7010.25883<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2018(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2018(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

GeneralMeasurement-v3.0(2018EN): verschil tussen versies

Huidige versie van 13 mrt 2019 om 01:52

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Information Model

Example Instances