FreedomRestrictingIntervention-v1.3(2023EN): verschil tussen versies
Geen bewerkingssamenvatting |
Geen bewerkingssamenvatting |
||
Regel 18: | Regel 18: | ||
{| class="wikitable" style="font-size:90%; width: 750px" | {| class="wikitable" style="font-size:90%; width: 750px" | ||
|- | |- | ||
|style="width:250px; "|DCM::CoderList||Werkgroep V& | |style="width:250px; "|DCM::CoderList||Werkgroep V&VN en GGZ Verpleegkundige Gegevens | ||
|- | |- | ||
|style="width:250px; "|DCM::ContactInformation.Address||* | |style="width:250px; "|DCM::ContactInformation.Address||* | ||
Regel 46: | Regel 46: | ||
|style="width:250px; "|DCM::LifecycleStatus||Final | |style="width:250px; "|DCM::LifecycleStatus||Final | ||
|- | |- | ||
|style="width:250px; "|DCM::ModelerList||Werkgroep V& | |style="width:250px; "|DCM::ModelerList||Werkgroep V&VN en GGZ Verpleegkundige Gegevens | ||
|- | |- | ||
|style="width:250px; "|DCM::Name||nl.zorg.VrijheidsbeperkendeInterventie | |style="width:250px; "|DCM::Name||nl.zorg.VrijheidsbeperkendeInterventie | ||
Regel 54: | Regel 54: | ||
|style="width:250px; "|DCM::PublicationStatus||Prepublished | |style="width:250px; "|DCM::PublicationStatus||Prepublished | ||
|- | |- | ||
|style="width:250px; "|DCM::ReviewerList||Projectgroep V& | |style="width:250px; "|DCM::ReviewerList||Projectgroep V&VN en GGZ Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron | ||
|- | |- | ||
|style="width:250px; "|DCM::RevisionDate||05-09-2023 | |style="width:250px; "|DCM::RevisionDate||05-09-2023 | ||
Regel 200: | Regel 200: | ||
|colspan ="5" style ="padding-left: 0px"|<span Id=4305 Title="NL: WilsbekwaamToelichting">[[Bestand: arrowright.png | 10px | link=]]LegallyCapableComment</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=4305 Title="NL: WilsbekwaamToelichting">[[Bestand: arrowright.png | 10px | link=]]LegallyCapableComment</span> | ||
|0..1 | |0..1 | ||
|Comment on the decisions which the patient is legally capable of making. | |Comment on the decisions which the patient is legally capable of making. <font color="#121f3c">The comment contains at least the reason why the person is incompetent to act for oneself.</font> | ||
| | | | ||
{| | {| | ||
Regel 378: | Regel 378: | ||
|Description<!--vsDescription--> | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Geen instemming | |Geen instemming patiënt | ||
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten 1] | |[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten 1] | ||
|InstemmingStatus | |InstemmingStatus | ||
|2.16.840.1.113883.2.4.3.11.60.40.4.6.1 | |2.16.840.1.113883.2.4.3.11.60.40.4.6.1 | ||
|Geen instemming | |Geen instemming patiënt | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Instemming | |Instemming patiënt | ||
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten 2] | |[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten 2] | ||
|InstemmingStatus | |InstemmingStatus | ||
|2.16.840.1.113883.2.4.3.11.60.40.4.6.1 | |2.16.840.1.113883.2.4.3.11.60.40.4.6.1 | ||
|Instemming | |Instemming patiënt | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|Geen instemming wettelijk vertegenwoordiger | |Geen instemming wettelijk vertegenwoordiger | ||
Regel 458: | Regel 458: | ||
|Description<!--vsDescription--> | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Geforceerd toedienen van voeding bij | |<span title = "Geforceerd toedienen van voeding bij patiënt (regime/therapy)">Forced feeding of patient</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=37041007 37041007] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=37041007 37041007] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 627: | Regel 627: | ||
|Description<!--vsDescription--> | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Geforceerd toedienen van voeding bij | |<span title = "Geforceerd toedienen van voeding bij patiënt (regime/therapy)">Forced feeding of patient</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=37041007 37041007] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=37041007 37041007] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 711: | Regel 711: | ||
|Insluiten in een afzonderingsruimte | |Insluiten in een afzonderingsruimte | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Separeren in verblijfsruimte van | |<span title = "Separeren in verblijfsruimte van patiënt (procedure)">Seclusion in own acommodation</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=124051000146106 124051000146106] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=124051000146106 124051000146106] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 717: | Regel 717: | ||
|Insluiten in de eigen kamer | |Insluiten in de eigen kamer | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Separeren van | |<span title = "Separeren van patiënt (procedure)">Secluding patient</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=90278001 90278001] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=90278001 90278001] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 745: | Regel 745: | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|Onderzoek van woon-/verblijfruimte op gedrag- | |Onderzoek van woon-/verblijfruimte op gedrag-beïnvloedende middelen en gevaarlijke voorwerpen | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Controle op aanwezigheid van | |<span title = "Controle op aanwezigheid van gedragsbeïnvloedende middelen (procedure)">Detection of agents that influence behaviour</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=121621000146106 121621000146106] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=121621000146106 121621000146106] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|Controleren op de aanwezigheid van gedrag- | |Controleren op de aanwezigheid van gedrag-beïnvloedende middelen | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Beperken van gebruik van communicatiemiddelen (procedure)">Restriction of using communication systems</span> | |<span title = "Beperken van gebruik van communicatiemiddelen (procedure)">Restriction of using communication systems</span> | ||
Regel 759: | Regel 759: | ||
|Beperking in gebruik communicatiemiddelen | |Beperking in gebruik communicatiemiddelen | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Handelingen met betrekking tot beperken van inrichten van eigen leven (procedure)">Restrictions to organize one | |<span title = "Handelingen met betrekking tot beperken van inrichten van eigen leven (procedure)">Restrictions to organize one's life</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=121461000146102 121461000146102] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=121461000146102 121461000146102] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 796: | Regel 796: | ||
|Description<!--vsDescription--> | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Geforceerd toedienen van voeding bij | |<span title = "Geforceerd toedienen van voeding bij patiënt (regime/therapy)">Forced feeding of patient</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=37041007 37041007] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=37041007 37041007] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 850: | Regel 850: | ||
|Insluiten in een afzonderingsruimte | |Insluiten in een afzonderingsruimte | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Separeren in verblijfsruimte van | |<span title = "Separeren in verblijfsruimte van patiënt (procedure)">Seclusion in own acommodation</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=124051000146106 124051000146106] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=124051000146106 124051000146106] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 856: | Regel 856: | ||
|Insluiten in de eigen kamer | |Insluiten in de eigen kamer | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Separeren van | |<span title = "Separeren van patiënt (procedure)">Secluding patient</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=90278001 90278001] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=90278001 90278001] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 890: | Regel 890: | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|Onderzoek van woon-/verblijfruimte op gedrag- | |Onderzoek van woon-/verblijfruimte op gedrag-beïnvloedende middelen en gevaarlijke voorwerpen | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Controle op aanwezigheid van | |<span title = "Controle op aanwezigheid van gedragsbeïnvloedende middelen (procedure)">Detection of agents that influence behaviour</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=121621000146106 121621000146106] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=121621000146106 121621000146106] | ||
|SNOMED CT | |SNOMED CT | ||
|2.16.840.1.113883.6.96 | |2.16.840.1.113883.6.96 | ||
|Controleren op de aanwezigheid van gedrag- | |Controleren op de aanwezigheid van gedrag-beïnvloedende middelen | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Beperken van gebruik van communicatiemiddelen (procedure)">Restriction of using communication systems</span> | |<span title = "Beperken van gebruik van communicatiemiddelen (procedure)">Restriction of using communication systems</span> | ||
Regel 904: | Regel 904: | ||
|Beperking in gebruik communicatiemiddelen | |Beperking in gebruik communicatiemiddelen | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Handelingen met betrekking tot beperken van inrichten van eigen leven (procedure)">Restrictions to organize one | |<span title = "Handelingen met betrekking tot beperken van inrichten van eigen leven (procedure)">Restrictions to organize one's life</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=121461000146102 121461000146102] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=121461000146102 121461000146102] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 927: | Regel 927: | ||
:-- | :-- | ||
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->== | ==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. | 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:<!--ftReferenceIntro--> | Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro--> | ||
<ul> | <ul> | ||
<li> | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2023|14.6}}</li> | ||
<li> | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2023|VrijheidsbeperkendeInterventie}}</li> | ||
</ul> | </ul> | ||
==Downloads<!--ftDownloadTitle-->== | ==Downloads<!--ftDownloadTitle-->== | ||
Regel 943: | Regel 943: | ||
</ul> | </ul> | ||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | ||
This page is generated on | This page is generated on 31/10/2023 19:33:05 with ZibExtraction v. 9.3.8704.31782<!--ftDate--> <BR> | ||
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2023(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2023(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2023(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2023(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div> |
Huidige versie van 31 okt 2023 om 20:59
General information
Name: nl.zorg.FreedomRestrictingIntervention
Version: 1.3
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023
Metadata
DCM::CoderList | Werkgroep V&VN en GGZ Verpleegkundige Gegevens |
DCM::ContactInformation.Address | * |
DCM::ContactInformation.Name | * |
DCM::ContactInformation.Telecom | * |
DCM::ContentAuthorList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::CreationDate | 9-4-2020 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | PM |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.14.6 |
DCM::KeywordList | Onvrijwillige zorg,verplichte zorg,VrijheidsbeperkendeInterventies,Wvggz,Wzd,vrijheidsbeperking,wilsbekwaamheid,interventies |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Werkgroep V&VN en GGZ Verpleegkundige Gegevens |
DCM::Name | nl.zorg.VrijheidsbeperkendeInterventie |
DCM::PublicationDate | 15-10-2023 |
DCM::PublicationStatus | Prepublished |
DCM::ReviewerList | Projectgroep V&VN en GGZ Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 05-09-2023 |
DCM::Supersedes | nl.zorg.VrijheidsbeperkendeInterventie-v1.2 |
DCM::Version | 1.3 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-09-2020)
ZIB-825 | Hernoemen van vrijheidsbeperkende maatregelen naar verplichte zorg en aanpassen aan WVGGZ |
ZIB-829 | aanpassen van vrijheidsbeperkende maatregen ter voorkomen van dwang |
ZIB-895 | Foutieve code in SoortInterventieCodelijst binnen zib VrijheidsbeperkendeMaatregelen |
ZIB-1135 | referentie naar codesysteem UNSPSC in issue verwijderen. |
Publicatieversie 1.1 (01-12-2021)
ZIB-1297 | Zib vrijheidsbeperkende interventies pub. 2020 |
Publicatieversie 1.2 (10-06-2022)
ZIB-1611 | FreedomrestrictingIntervention TypeOfIntervention DefinitionCode niet correct |
Publicatieversie 1.3 (15-10-2023)
ZIB-1803 | Tweede voorbeeld VrijheidsbeperkendeInterventie mist verplicht veld |
ZIB-1826 | in vrijheidsbeperkende interventie zijn de vertalingen bij pols en enkelband door elkaar gehaald |
ZIB-1938 | Tekstuele wijzigingen zib VrijheidsbeperkendeInterventie |
Concept
Freedom restricting interventions are interventions that are used against the will of the person concerned and that consciously restrict the person's freedom to protect the person or his environment. This definition includes many forms of freedom restriction, such as (not exhaustive)
- Forced administration of fluid and nutrition
- Forced administration of medication
- Performing medical checks or other medical procedures
- Restricting freedom of movement
- Admitting to an accommodation and secluding when admitted to an accommodation.
- Exercising supervision
- Searching of clothing or body
- Restriction of visitors and the use of communication means
In the hospital, it is usually about restricting the freedom of movement, for example by using bed rails, moving a chair near to the table or using an arm splint for infusion. In combination with freedom-restricting interventions, soothing medication can be administered. In the case of small children, it is often a question of fixing hands, for example, to prevent a stomach tube from being pulled out.
For nurses to use it in hospitals, Dutch Nurses Association (V&VN) published a guideline [ref. 3].
In mental health care, care for the disabled and psychogeriatric care, it always concerns care that is used against the will of the patient.
The legal framework for using these interventions is (per 1-1-2020) governed by two laws, namely:
- The Wet verplichte ggz (Wvggz: Mandatory Care In Mental Health Act) for people with psychiatric disorders
- The Wet zorg en dwang (Wzd: Care and Compulsion Act) for people with intellectual disabilities and people with a psychogeriatric disorder, such as dementia.
The Wvggz refers to the term compulsory care, while the Wzd uses the term involuntary care.
A national registration system, the Argus registration, is used to register the interventions in the context of the Wvggz.
Purpose
Freedom-restricting interventions (also called involuntary / compulsory care) are applied to prevent or limit serious harm to the person concerned or others or to stabilize or restore the mental health of the person concerned.
Implementing freedom-restricting interventions is risky and can result in damage to the the person concerned if they are not carefully implemented. Health professionals fulfill an important role in identifying risks, observing the effect of the interventions and any changes to the policy in terms of involuntary/compulsory care. Recording all information on the interventions is of major importance for insight into decision-making, implementing, monitoring and evaluating the freedom-restricting interventions.
The reporting of applied freedom-restricting interventions is also part of the set of quality indicators of the Healthcare and Youth Care Inspectorate
Evidence Base
The Freedom-Restricting Intervention information model applies to both care in the hospital environment and to mental and disabled care and psychogeriatric care.
The reason for the revision of the information model is the fact that the Special Admissions for Psychiatric Hospitals Act (Bopz), on which the building block was partly based, will be replaced in January 2020 by two new laws, ie:
- The Wet verplichte ggz (Wvggz) for people with psychiatric disorders
- The Wet zorg en dwang (Wzd) for people with intellectual disabilities and people with a psychogeriatric disorder, such as dementia.
The new laws make new demands on what information is recorded. In the situations where the two above-mentioned laws apply, the information model is only applied when there is involuntary/compulsory care. That is why it is not recorded whether there has been resistance and to what extent.
Restrictions imposed on a voluntary basis - apart from a number of exceptions described in the law - are regarded as regular care and can be recorded with the appropriate information models.
Deciding whether involuntary / compulsory care is involved falls outside the scope of the building block.
The information model provides a start and end time for recording time registration. The last element is not relevant for all interventions: some interventions are momentary and not duration registrations.The information model offers the possibility to register a start and end time. The last element is not relevant for all interventions: some interventions are momentary and not duration registrations.
In this version the information model includes new value lists with interventions based on the aforementioned laws. Although is was attempted to achieve far-reaching harmonization in defining the interventions, it was nevertheless decided to make three separate lists for the different situations in order to simplify the correct application. The situations mentioned simply require other interventions.
Information Model
![FreedomRestrictingIntervention-v1.3Model(2023EN).png](/images/3/37/FreedomRestrictingIntervention-v1.3Model%282023EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||||||
![]() |
NL-CM:14.6.1 | ![]() |
Root concept of the FreedomRestrictingIntervention information model.This root concept contains all data elements of the FreedomRestrictingIntervention information model. | |||||||||||||||
![]() |
NL-CM:14.6.2 | ![]() |
1 | Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | ||||||||||||||
![]() |
NL-CM:14.6.3 | ![]() |
0..1 | Comment on the decisions which the patient is legally capable of making. The comment contains at least the reason why the person is incompetent to act for oneself. |
|
|||||||||||||
![]() |
NL-CM:14.6.4 | ![]() |
0..1 | The legal situation that applies to the patient during the intervention. |
| |||||||||||||
![]() |
NL-CM:14.6.5 | ![]() |
1 | The type of intervention describes the kind of freedom-restricting intervention/involuntary care. |
|
| ||||||||||||
![]() |
NL-CM:14.6.6 | ![]() |
0..1 | The reason for use provides the justification for applying involuntary care |
| |||||||||||||
![]() |
NL-CM:14.6.7 | ![]() |
0..1 | The assent given to the health professional(s) by legal representative to implement the involuntary care. |
|
| ||||||||||||
![]() |
NL-CM:14.6.8 | ![]() |
1 | The date and time on which the intervention was carried out for point in time registrations or the date and time on which the intervention was started for duration registrations. | ||||||||||||||
![]() |
NL-CM:14.6.9 | ![]() |
0..1 | The date and time at which the intervention ended. |
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
VrijheidsbeperkendeInterventie | |
JuridischeSituatie | |
Vertegenwoordiging | Voogdij |
Wilsbekwaam | Nee |
WilsbekwaamToelichting | Wilsonbekwaam t.a.v. geldzaken. |
SoortInterventie | Handelingen met betrekking tot het beperken van inrichten van eigen leven. |
Instemming | Instemming wettelijke vertegenwoordiger |
Begin | 01-05-2019 |
Einde | 05-05-2019 |
VrijheidsbeperkendeInterventie | |
JuridischeSituatie | |
JuridischeStatus | Crisismaatregel |
SoortInterventie | Plaatsing op een gesloten afdeling. |
Wilsbekwaam | Ja |
RedenVanToepassen | Afwenden crisissituatie |
Begin | 12-04-2020 |
Einde | 13-04-2020 |
Issues
At the time of making this version of the information model, a number of legal texts and elaborations thereof in the aforementioned regulations were only available as a draft versions. The information reflects the situation at the end of October 2019. Any changes after this date will be processed in subsequent versions. Final references, such as to the Argus 2.0 registration, will also become available in later versions.
References
1. Handreiking Argus [Online] Beschikbaar op:https://www.ggznederland.nl/uploads/publication/Argus%20Registratie%20van%20vrijheidsbeperkende%20interventies%20in%20de%20ggz.pdf [Geraadpleegd: 12 mei 2020] 2. Handreiking "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…" (V&VN, 2013) [Online] Beschikbaar op:https://www.venvn.nl/media/matnqkx4/20131120-aanbevelingen-vbi-beleid.pdf</a [Geraadpleegd: 12 mei 2020] 3. Wet verplichte GGZ (Wvggz) [Online] Beschikbaar op:https://www.dwangindezorg.nl/wvggz [Geraadpleegd: 12 mei 2020] 4. Wet zorg en dwang (Wzd) [Online] Beschikbar op:https://www.dwangindezorg.nl/wzd [Geraadpleegd: 12 mei 2020] 5. Wet zorg en dwang psychogeriatrische en verstandelijk gehandicapte cliënten [Online] op:https://zoek.officielebekendmakingen.nl/stcrt-2019-60908.html [Geraadpleegd: 12 mei 2020] 6: Regeling verplichte geestelijke gezondheidszorg [Online] op:https://zoek.officielebekendmakingen.nl/stcrt-2019-60909.html [Geraadpleegd: 12 mei 2020] 7. Basisset Medisch Specialistische Zorg 2020, hoofdstuk 8.4 Vrijheidsbeperkende interventie (VBI) [Online] op:https://www.igj.nl/documenten/indicatorensets/2019/09/03/basisset-medisch-specialistische-zorg-2020 [Geraadpleegd: 12 mei 2020]
Valuesets
AssentCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.6.5 | Binding: Required |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Geen instemming patiënt | 1 | InstemmingStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 | Geen instemming patiënt |
Instemming patiënt | 2 | InstemmingStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 | Instemming patiënt |
Geen instemming wettelijk vertegenwoordiger | 3 | InstemmingStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 | Geen instemming wettelijk vertegenwoordiger |
Instemming wettelijke vertegenwoordiger | 4 | InstemmingStatus | 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 | Instemming wettelijke vertegenwoordiger |
ReasonForUseCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.6.4 | Binding: Extensible |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Diversion of crisis situation | 121491000146107 | SNOMED CT | 2.16.840.1.113883.6.96 | Afwenden crisissituatie |
Diversion of situation that could result in self-harm or harm to others | 121481000146105 | SNOMED CT | 2.16.840.1.113883.6.96 | Afwenden ernstig nadeel |
Stabilisation of mental health | 121651000146102 | SNOMED CT | 2.16.840.1.113883.6.96 | Stabiliseren geestelijke gezondheid |
Mental health promotion | 385891009 | SNOMED CT | 2.16.840.1.113883.6.96 | Geestelijke gezondheid van betrokkene dusdanig te herstellen dat hij zijn autonomie zoveel mogelijk herwint |
Promotion of physical health | 121581000146106 | SNOMED CT | 2.16.840.1.113883.6.96 | Het stabiliseren of herstellen van de fysieke gezondheid van betrokkene in het geval diens gedrag als gevolg van zijn psychische stoornis leidt tot ernstig nadeel daarvoor |
TypeOfInterventionCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.6.1 | Binding: Extensible |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Forced feeding of patient | 37041007 | SNOMED CT | 2.16.840.1.113883.6.96 | Toedienen van vocht en voeding |
Forced medication | 29211000146105 | SNOMED CT | 2.16.840.1.113883.6.96 | Toedienen van medicatie |
Placing restraint using limb restraint | 123941000146105 | SNOMED CT | 2.16.840.1.113883.6.96 | Arm- en beenspalk |
Placing restraint using protective glove | 123971000146100 | SNOMED CT | 2.16.840.1.113883.6.96 | Veiligheidshandschoen |
Placing restraint using ankle restraint [DEPRECATED] | 123891000146106 | SNOMED CT | 2.16.840.1.113883.6.96 | Enkelbanden |
Placing restraint using wrist restraint [DEPRECATED] | 124031000146100 | SNOMED CT | 2.16.840.1.113883.6.96 | Polsbanden |
Placing restraint using ankle restraint | 240511000146108 | SNOMED CT | 2.16.840.1.113883.6.96 | Enkelbanden |
Placing restraint using wrist restraint | 240501000146106 | SNOMED CT | 2.16.840.1.113883.6.96 | Polsbanden |
Placing restraint using pinel restraint | 123961000146106 | SNOMED CT | 2.16.840.1.113883.6.96 | Onrustband |
Placing restraint using chair that prevents rising | 123901000146107 | SNOMED CT | 2.16.840.1.113883.6.96 | Stoelfixatie |
Placing restraint using nursing blanket | 123951000146108 | SNOMED CT | 2.16.840.1.113883.6.96 | Verpleegdeken |
Placing restraint using ultra-low bed | 124001000146105 | SNOMED CT | 2.16.840.1.113883.6.96 | Extra laag bed |
Placing restraint with forced use of half bed rails | 123931000146102 | SNOMED CT | 2.16.840.1.113883.6.96 | Onvrijwillige halve bedhekken |
Placing restraint using roll pillow | 123991000146101 | SNOMED CT | 2.16.840.1.113883.6.96 | Rolkussen/bedpositioneringskussen |
Placing restraint using wedge-like pillow | 124011000146107 | SNOMED CT | 2.16.840.1.113883.6.96 | Wigvormig kussen/kantelkussen |
Placing restraint with forced use of full bed rails | 123921000146104 | SNOMED CT | 2.16.840.1.113883.6.96 | Onvrijwillige hele bedhekken |
Placing restraint using protective helmet | 123981000146103 | SNOMED CT | 2.16.840.1.113883.6.96 | Beschermhelm |
Placing restraint using enclosure bed | 123911000146109 | SNOMED CT | 2.16.840.1.113883.6.96 | Tentbed |
Placing restraint using wheelchair lap tray | 124021000146102 | SNOMED CT | 2.16.840.1.113883.6.96 | Tafelblad/rolstoelblad |
Constant supervision of patient with camera | 121411000146104 | SNOMED CT | 2.16.840.1.113883.6.96 | Cameramonitoring |
Constant supervision of patient with bedsensor | 121401000146101 | SNOMED CT | 2.16.840.1.113883.6.96 | Belmat/bedsensor |
Constant supervision of patient with motion sensor | 121431000146106 | SNOMED CT | 2.16.840.1.113883.6.96 | Bewegingsalarm/bewegingssensor |
Constant supervision of patient with standing up alarm | 121441000146103 | SNOMED CT | 2.16.840.1.113883.6.96 | Opsta alarm |
Constant supervision of patient with leaving room alarm | 121421000146109 | SNOMED CT | 2.16.840.1.113883.6.96 | Verlaten kamer alarm |
Constant supervision of patient with acoustic monitoring | 121391000146104 | SNOMED CT | 2.16.840.1.113883.6.96 | Akoestische bewaking |
Restriction of using communication systems | 121471000146108 | SNOMED CT | 2.16.840.1.113883.6.96 | Beperking in gebruik communicatiemiddelen |
TypeOfInterventionWvggzCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.6.2 | Binding: Required |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Forced feeding of patient | 37041007 | SNOMED CT | 2.16.840.1.113883.6.96 | Toedienen van vocht en voeding |
Forced medication via oral route | 121531000146107 | SNOMED CT | 2.16.840.1.113883.6.96 | Toedienen van orale medicatie |
Forced medication via intramuscular route | 121511000146100 | SNOMED CT | 2.16.840.1.113883.6.96 | Toedienen van intramusculaire medicatie |
Forced medication via intravenous route | 121521000146105 | SNOMED CT | 2.16.840.1.113883.6.96 | Toedienen van intraveneuze medicatie |
Forced medication | 29211000146105 | SNOMED CT | 2.16.840.1.113883.6.96 | Toedienen van medicatie, overige toedieningsvormen |
Electroconvulsive therapy | 23835007 | SNOMED CT | 2.16.840.1.113883.6.96 | ECT |
Forced procedure | 123881000146109 | SNOMED CT | 2.16.840.1.113883.6.96 | Het verrichten van overige medische controles en handelingen |
Holding procedure | 225212001 | SNOMED CT | 2.16.840.1.113883.6.96 | Fysieke fixatie |
Placing restraint | 68894007 | SNOMED CT | 2.16.840.1.113883.6.96 | Mechanische fixatie |
Locked door procedure | 225210009 | SNOMED CT | 2.16.840.1.113883.6.96 | Plaatsing op een gesloten afdeling |
Forced restriction of movement | 130201000146105 | SNOMED CT | 2.16.840.1.113883.6.96 | Overige beperking van de bewegingsvrijheid |
Seclusion in seclusion room | 124061000146109 | SNOMED CT | 2.16.840.1.113883.6.96 | Insluiten in een separeerverblijf |
Seclusion in extra secured room | 124041000146108 | SNOMED CT | 2.16.840.1.113883.6.96 | Insluiten in een Extra Beveiligde Kamer |
Seclusion in separate area | 124071000146103 | SNOMED CT | 2.16.840.1.113883.6.96 | Insluiten in een afzonderingsruimte |
Seclusion in own acommodation | 124051000146106 | SNOMED CT | 2.16.840.1.113883.6.96 | Insluiten in de eigen kamer |
Secluding patient | 90278001 | SNOMED CT | 2.16.840.1.113883.6.96 | Overige vormen van insluiten |
Constant supervision of patient with camera | 121411000146104 | SNOMED CT | 2.16.840.1.113883.6.96 | Cameramonitoring |
Constant supervision | 225309002 | SNOMED CT | 2.16.840.1.113883.6.96 | Toezicht met andere elektronische middelen |
Searching clothes and/or body | 121631000146108 | SNOMED CT | 2.16.840.1.113883.6.96 | Onderzoek aan kleding of lichaam |
Search for dangerous objects | 62407006 | SNOMED CT | 2.16.840.1.113883.6.96 | Onderzoek van woon-/verblijfruimte op gedrag-beïnvloedende middelen en gevaarlijke voorwerpen |
Detection of agents that influence behaviour | 121621000146106 | SNOMED CT | 2.16.840.1.113883.6.96 | Controleren op de aanwezigheid van gedrag-beïnvloedende middelen |
Restriction of using communication systems | 121471000146108 | SNOMED CT | 2.16.840.1.113883.6.96 | Beperking in gebruik communicatiemiddelen |
Restrictions to organize one's life | 121461000146102 | SNOMED CT | 2.16.840.1.113883.6.96 | Overige beperkingen eigen leven in te richten |
Restriction to receive visitors | 121601000146103 | SNOMED CT | 2.16.840.1.113883.6.96 | Beperken van het recht op het ontvangen van bezoek |
Forced admission to mental health department | 121541000146104 | SNOMED CT | 2.16.840.1.113883.6.96 | Opnemen in een accommodatie |
Seclusion in temporary accommodation | 121641000146100 | SNOMED CT | 2.16.840.1.113883.6.96 | Overbrengen naar een plaats die geschikt is voor tijdelijk verblijf |
TypeOfInterventionWzdCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.6.3 | Binding: Required |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Forced feeding of patient | 37041007 | SNOMED CT | 2.16.840.1.113883.6.96 | Toedienen van vocht en voeding |
Forced medication | 29211000146105 | SNOMED CT | 2.16.840.1.113883.6.96 | Toedienen van medicatie |
Forced procedure | 123881000146109 | SNOMED CT | 2.16.840.1.113883.6.96 | Het verrichten van medische controles en handelingen |
Holding procedure | 225212001 | SNOMED CT | 2.16.840.1.113883.6.96 | Fysieke fixatie |
Placing restraint | 68894007 | SNOMED CT | 2.16.840.1.113883.6.96 | Mechanische fixatie |
Locked door procedure | 225210009 | SNOMED CT | 2.16.840.1.113883.6.96 | Plaatsing op een gesloten afdeling |
Forced restriction of movement | 130201000146105 | SNOMED CT | 2.16.840.1.113883.6.96 | Overige beperking van de bewegingsvrijheid |
Seclusion in seclusion room | 124061000146109 | SNOMED CT | 2.16.840.1.113883.6.96 | Insluiten in een separeerverblijf |
Seclusion in separate area | 124071000146103 | SNOMED CT | 2.16.840.1.113883.6.96 | Insluiten in een afzonderingsruimte |
Seclusion in own acommodation | 124051000146106 | SNOMED CT | 2.16.840.1.113883.6.96 | Insluiten in de eigen kamer |
Secluding patient | 90278001 | SNOMED CT | 2.16.840.1.113883.6.96 | Overige vormen van insluiten |
Constant supervision of patient with camera | 121411000146104 | SNOMED CT | 2.16.840.1.113883.6.96 | Cameramonitoring |
Constant supervision of patient with tracking system | 121451000146100 | SNOMED CT | 2.16.840.1.113883.6.96 | Toezicht met elektronische traceringsmiddelen |
Constant supervision | 225309002 | SNOMED CT | 2.16.840.1.113883.6.96 | Toezicht met andere elektronische middelen |
Searching clothes and/or body | 121631000146108 | SNOMED CT | 2.16.840.1.113883.6.96 | Onderzoek aan kleding of lichaam |
Search for dangerous objects | 62407006 | SNOMED CT | 2.16.840.1.113883.6.96 | Onderzoek van woon-/verblijfruimte op gedrag-beïnvloedende middelen en gevaarlijke voorwerpen |
Detection of agents that influence behaviour | 121621000146106 | SNOMED CT | 2.16.840.1.113883.6.96 | Controleren op de aanwezigheid van gedrag-beïnvloedende middelen |
Restriction of using communication systems | 121471000146108 | SNOMED CT | 2.16.840.1.113883.6.96 | Beperking in gebruik communicatiemiddelen |
Restrictions to organize one's life | 121461000146102 | SNOMED CT | 2.16.840.1.113883.6.96 | Overige beperkingen eigen leven in te richten |
Restriction to receive visitors | 121601000146103 | SNOMED CT | 2.16.840.1.113883.6.96 | Beperken van het recht op het ontvangen van bezoek |
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About this information
The information in this wikipage is based on Prerelease 2023-1
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
- LOINC version 2.76
Conditions for use are located on the mainpage
This page is generated on 31/10/2023 19:33:05 with ZibExtraction v. 9.3.8704.31782