Encounter-v4.0(2019EN): verschil tussen versies

Huidige versie van 4 feb 2020 om 00:47

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.Encounter
Version: 4.0
HCIM Status:Final
Release: 2019
Release status: Prepublished
Release date: 31-01-2020

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	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, afspraak
DCM::LifecycleStatus	Final
DCM::ModelerList	Kerngroep Registratie aan de Bron
DCM::Name	nl.zorg.Contact
DCM::PublicationDate	31-01-2020
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	1-7-2019
DCM::Supersedes	nl.zorg.Contact-v3.1
DCM::Version	4.0
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)

ZIB-453

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

Publicatieversie 3.1 (04-09-2017)

ZIB-463	Toevoegen IC aan ContactTypeCodelijst
ZIB-465	Uitbreiding met datacontainers "Herkomst" en "Ontslagbestemming"
ZIB-553	Example Instances Contact Type komt niet overeen met ContactTypeCodelijst
ZIB-563	Engelse vertaling van Contact is Encounter
ZIB-564	Aanpassing/harmonisatie Engelse conceptnamen
ZIB-565	ContactTypeCodelijst niet compleet
ZIB-574	Alleen verwijzen naar het rootconcept van de ZIB.

Publicatieversie 4.0 (06-07-2019)

ZIB-701	AfwijkendeUitslag algemenere naam geven
ZIB-819	aanpassen kardinaliteit RedenContact naar 1..*
ZIB-821	OverdrachtGeplandeZorgactiviteit laten vervallen en onderliggende zibs aanpassen
ZIB-822	Mapping reden van opname in HCIM Encounter

.

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 includes past and future contacts.

Purpose

Contacts can be recorded to provide insight on the interactions that have taken place between the patient and healthcare professional and in which context these took place.

Evidence Base

The codelists for Origin and Destination generally correspond to the ‘Landelijke Basisregistratie Ziekenhuiszorg’ (National Basic Registration Hospital Care)

Information Model

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:15.1.1

Encounter

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.

ContactTypeCodelist

NL-CM:15.1.7

ContactWith::HealthProfessional

0..*

The health professional with whom the contact took or will take place. The specialty and role of the health professional can be entered in the HealthProfessional information model.

HealthProfessional

NL-CM:15.1.8

Location::HealthcareProvider

0..1

The physical location at which the contact took or will take place.

HealthcareProvider

NL-CM:15.1.3

StartDateTime

1

The date and time at which the contact took or will take place.

NL-CM:15.1.4

EndDateTime

0..1

The date and time at which the contact ended or will end. 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

(0..1)

The problem that is the reason for the contact.

Problem

NL-CM:15.1.11

Procedure

(0..1)

The procedure carried out or will be carried out during the contact.

Procedure

NL-CM:15.1.12

DeviatingResult

(0..1)

A deviating result which serves as the reason for the contact.

NL-CM:15.1.17

CommentContactReason

0..1

Explanation of the reason for the contact

48767-8 Annotation comment [Interpretation] Narrative

NL-CM:15.1.14

Origin

0..1

Location from which the patient comes before the encounter. In most cases this will only be used when the patient is admitted.

OriginCodelist

NL-CM:15.1.16

Destination

0..1

Location to which the patient will go after the encounter. In most cases this will only be used when the patient is discharged.

DestinationCodelist

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
SEH	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
Klinisch	16-08-2012	19-08-2012	Operatie been	G.Z.M. de Wit	Ziekenhuis	St. Lucas Andreas Ziekenhuis

Instructions

Explanation ‘Eigen woonomgeving’ (Home) from the ‘Landelijke Basisregistratie Ziekenhuiszorg’ (National Basic Registration Hospital Care) (concepts Origin and Destination)
The home environment is the environment where the patient stays regular. This distinguishes between living in a private home and living in an institution for nursing and care. This distinction is the difference between "independent living with any additional care" and "being taken care of including living". Thus, residential homes are counted as the first and stay in a nursing home to the second.

References

1. Landelijke Basisregistratie Ziekenhuiszorg [Online] Beschikbaar op: https://www.dhd.nl/klanten/klantenservice/handleidingen_formulieren/Documents/Handleiding%20LBZ.pdf [Geraadpleegd: 29 juni2017].

Valuesets

ContactTypeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.1	Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Ambulatory	AMB	ActCode	2.16.840.1.113883.5.4	Poliklinisch
Emergency	EMER	ActCode	2.16.840.1.113883.5.4	SEH
Field	FLD	ActCode	2.16.840.1.113883.5.4	Op lokatie
Home	HH	ActCode	2.16.840.1.113883.5.4	Thuis
Inpatient	IMP	ActCode	2.16.840.1.113883.5.4	Klinisch
Short Stay	SS	ActCode	2.16.840.1.113883.5.4	Dagopname
Virtual	VR	ActCode	2.16.840.1.113883.5.4	Virtueel
Other	OTH	NullFlavor	2.16.840.1.113883.5.1008	Anders

DestinationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.3	Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Home	264362003	SNOMED CT	2.16.840.1.113883.6.96	Eigen woonomgeving
Left against medical advice	445060000	SNOMED CT	2.16.840.1.113883.6.96	Tegen advies in vertrokken
Rehabilitation hospital	80522000	SNOMED CT	2.16.840.1.113883.6.96	Instelling voor revalidatie
Long term care facility	42665001	SNOMED CT	2.16.840.1.113883.6.96	Instelling voor verpleging/verzorging
Psychiatric hospital	62480006	SNOMED CT	2.16.840.1.113883.6.96	GGZ instelling
Hospital	22232009	SNOMED CT	2.16.840.1.113883.6.96	Ander ziekenhuis
Died in hospital	183676005	SNOMED CT	2.16.840.1.113883.6.96	Overleden
Hospice	284546000	SNOMED CT	2.16.840.1.113883.6.96	Hospice
Other	OTH	NullFlavor	2.16.840.1.113883.5.1008	Overig

OriginCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.1.2	Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Home	264362003	SNOMED CT	2.16.840.1.113883.6.96	Eigen woonomgeving
Rehabilitation hospital	80522000	SNOMED CT	2.16.840.1.113883.6.96	Instelling voor revalidatie
Long term care facility	42665001	SNOMED CT	2.16.840.1.113883.6.96	Instelling voor verpleging/verzorging
Psychiatric hospital	62480006	SNOMED CT	2.16.840.1.113883.6.96	GGZ instelling
Hospital	22232009	SNOMED CT	2.16.840.1.113883.6.96	Ander ziekenhuis
Liveborn born in hospital	442311008	SNOMED CT	2.16.840.1.113883.6.96	In dit ziekenhuis geboren
Hospice	284546000	SNOMED CT	2.16.840.1.113883.6.96	Hospice
Other	OTH	NullFlavor	2.16.840.1.113883.5.1008	Overig

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 2019-2
SNOMED CT and LOINC codes are based on:

SNOMED Clinical Terms version: 20190731 [R] (July 2019 Release)
LOINC version 2.64

Conditions for use are located on the mainpage
This page is generated on 03/02/2020 01:38:11 with ZibExtraction v. 4.0.7338.2051

Back to HCIM list

@@ Regel 8: / Regel 8: @@
 Release<!--hdPublication-->: '''2019''' <br>
 Release status<!--hdPublicationStatus-->: Prepublished<br>
-Release date<!--hdPublicationDate-->: 06-07-2019
+Release date<!--hdPublicationDate-->: 31-01-2020
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2019(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2019(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
@@ Regel 47: / Regel 47: @@
 |style="width:250px; "|DCM::Name||nl.zorg.Contact
 |-
-|style="width:250px; "|DCM::PublicationDate||06-07-2019
+|style="width:250px; "|DCM::PublicationDate||31-01-2020
 |-
 |style="width:250px; "|DCM::PublicationStatus||Prepublished
@@ Regel 55: / Regel 55: @@
 |style="width:250px; "|DCM::RevisionDate||1-7-2019
 |-
-|style="width:250px; "|DCM::Superseeds|| nl.zorg.Contact-v3.1
+|style="width:250px; "|DCM::Supersedes|| nl.zorg.Contact-v3.1
 |-
 |style="width:250px; "|DCM::Version||4.0
@@ Regel 64: / Regel 64: @@
 ==Revision History==
 <div class="mw-collapsible mw-collapsed">
-''Only available in Dutch<!--noTranslation-->''
+'' Only available in Dutch<!--noTranslation-->''
 <u>Publicatieversie 1.0</u> (15-02-2013)
@@ Regel 183: / Regel 183: @@
 rect 552 116 680 186 [[#12817]]
 rect 436 359 546 429 [[#12811]]
-rect 210 289 340 362 [[HealthcareProvider-v3.2(2019EN)]]
+rect 210 289 340 362 [[HealthcareProvider-v3.3(2019EN)]]
 rect 722 506 845 556 [[#ContactTypeCodelist]]
 rect 566 523 680 596 [[#12806]]
-rect 428 523 542 596 [[Procedure-v5.0(2019EN)]]
+rect 428 523 542 596 [[Procedure-v5.1(2019EN)]]
 rect 717 317 840 390 [[#12815]]
-rect 290 523 404 596 [[Problem-v4.2.1(2019EN)]]
+rect 290 523 404 596 [[Problem-v4.3(2019EN)]]
-rect 210 196 340 269 [[HealthProfessional-v3.3(2019EN)]]
+rect 210 196 340 269 [[HealthProfessional-v3.4(2019EN)]]
 rect 717 229 840 302 [[#12809]]
 rect 436 228 546 301 [[#12818]]
@@ Regel 232: / Regel 232: @@
 {|
 |-
-|[[Bestand: block.png | link=HealthProfessional-v3.3(2019EN)]]||[[HealthProfessional-v3.3(2019EN) |HealthProfessional]]
+|[[Bestand: block.png | link=HealthProfessional-v3.4(2019EN)]]||[[HealthProfessional-v3.4(2019EN) |HealthProfessional]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
@@ Regel 245: / Regel 245: @@
 {|
 |-
-|[[Bestand: block.png | link=HealthcareProvider-v3.2(2019EN)]]||[[HealthcareProvider-v3.2(2019EN) |HealthcareProvider]]
+|[[Bestand: block.png | link=HealthcareProvider-v3.3(2019EN)]]||[[HealthcareProvider-v3.3(2019EN) |HealthcareProvider]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
@@ Regel 286: / Regel 286: @@
 {|
 |-
-|[[Bestand: block.png | link=Problem-v4.2.1(2019EN)]]||[[Problem-v4.2.1(2019EN) |Problem]]
+|[[Bestand: block.png | link=Problem-v4.3(2019EN)]]||[[Problem-v4.3(2019EN) |Problem]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
@@ Regel 300: / Regel 300: @@
 {|
 |-
-|[[Bestand: block.png | link=Procedure-v5.0(2019EN)]]||[[Procedure-v5.0(2019EN) |Procedure]]
+|[[Bestand: block.png | link=Procedure-v5.1(2019EN)]]||[[Procedure-v5.1(2019EN) |Procedure]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
@@ Regel 611: / Regel 611: @@
 ==Information model references<!--ftReferences-->==
 ====This information model refers to<!--ftRefersTo-->====
-*[[HealthcareProvider-v3.2(2019EN)|HealthcareProvider-v3.2]]
+*[[HealthcareProvider-v3.3(2019EN)|HealthcareProvider-v3.3]]
-*[[HealthProfessional-v3.3(2019EN)|HealthProfessional-v3.3]]
+*[[HealthProfessional-v3.4(2019EN)|HealthProfessional-v3.4]]
-*[[Problem-v4.2.1(2019EN)|Problem-v4.2.1]]
+*[[Problem-v4.3(2019EN)|Problem-v4.3]]
-*[[Procedure-v5.0(2019EN)|Procedure-v5.0]]
+*[[Procedure-v5.1(2019EN)|Procedure-v5.1]]
 ====This information model is used in<!--ftReferredBy-->====
 :--
@@ Regel 621: / Regel 621: @@
 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--zib2019bbr-?id=2.16.840.1.113883.2.4.3.11.60.9.4.2.15.1&effectiveDate=2019-07-06T00:00:00&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--zib2019bbr-?id=2.16.840.1.113883.2.4.3.11.60.9.4.2.15.1&effectiveDate=2020-01-31T00:00:00&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|2019}}</li>
 </ul>
@@ Regel 627: / Regel 627: @@
 This information model is also available as [[Media:nl.zorg.Encounter-v4.0(2019EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Encounter-v4.0(2019EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
 ==About this information<!--ftHeader2-->==
-The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2019-1 <BR>
+The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2019-2 <BR>
 SNOMED CT and LOINC codes are based on:
 <ul>
-<li>SNOMED Clinical Terms version: 20190131 [R] (January 2019 Release)</li>
+<li>SNOMED Clinical Terms version: 20190731 [R] (July 2019 Release)</li>
 <li>LOINC version 2.64</li>
 </ul>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 07/07/2019 10:28:28 with ZibExtraction v. 3.0.7127.3724<!--ftDate--> <BR>
+This page is generated on 03/02/2020 01:38:11 with ZibExtraction v. 4.0.7338.2051<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2019(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2019(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Encounter-v4.0(2019EN): verschil tussen versies

Huidige versie van 4 feb 2020 om 00:47

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Information Model

Example Instances

Instructions

References