FunctionalOrMentalStatus-v3.2.1(2023EN): verschil tussen versies

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Regel 26: Regel 26:
|style="width:250px; "|DCM::ContactInformation.Telecom||*
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|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens &amp; Kerngroep Registratie aan de Bron
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
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|style="width:250px; "|DCM::CreationDate||12-9-2014
|style="width:250px; "|DCM::CreationDate||12-9-2014
Regel 54: Regel 54:
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|style="width:250px; "|DCM::PublicationStatus||Prepublished
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|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens &amp; Kerngroep Registratie aan de Bron
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
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|style="width:250px; "|DCM::RevisionDate||17-11-2021
|style="width:250px; "|DCM::RevisionDate||17-11-2021
Regel 83: Regel 83:
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|style="width:75px; "|[[ZIBIssues500_0#ZIB-94 | ZIB-94 ]]
|style="width:75px; "|[[ZIBIssues500_0#ZIB-94 | ZIB-94 ]]
|Aanpassen tekst van Disclaimer, Terms of Use &amp; Copyrights
|Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
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|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-154 | ZIB-154 ]]
|style="width:75px; "|[[ZIBIssues500_0#ZIB-154 | ZIB-154 ]]
Regel 121: Regel 121:
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|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]
|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]
|Wijziging naamgeving ZIB&#39;s en logo&#39;s door andere opzet van beheer
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
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Regel 135: Regel 135:
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|style="width:75px; "|[[ZIBIssues500_1#ZIB-681 | ZIB-681 ]]
|style="width:75px; "|[[ZIBIssues500_1#ZIB-681 | ZIB-681 ]]
|ICF &#39;alle waarden&#39; n.v.t. op FunctioneleOfMentaleStatus antwoord
|ICF 'alle waarden' n.v.t. op FunctioneleOfMentaleStatus antwoord
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Regel 199: Regel 199:
|Coded description of the functional or mental status or limitation.  
|Coded description of the functional or mental status or limitation.  
Code systems used include:  
Code systems used include:  
&lt;ul&gt;
<ul>
&lt;li&gt;SNOMED CT&lt;/li&gt;
<li>SNOMED CT</li>
&lt;li&gt;ICF (International Classification of Functioning, Disability and Health) &lt;/li&gt;
<li>ICF (International Classification of Functioning, Disability and Health) </li>
&lt;/ul&gt;
</ul>


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Regel 365: Regel 365:
*[[TreatmentObjective-v3.2.1(2023EN)|TreatmentObjective-v3.2.1]]
*[[TreatmentObjective-v3.2.1(2023EN)|TreatmentObjective-v3.2.1]]
==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.&lt;BR&gt;
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>HL7&#174; version 3 CDA compatible specifications, available through the Nictiz ART-DECOR&#174; environment<!--ftArtDecorReference--> {{ArtDecorLinks|2023|4.26}}</li>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2023|4.26}}</li>
<li>HL7&#174; FHIR&#174; compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2023|FunctioneleOfMentaleStatus}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2023|FunctioneleOfMentaleStatus}}</li>
</ul>
</ul>
==Downloads<!--ftDownloadTitle-->==
==Downloads<!--ftDownloadTitle-->==
Regel 381: Regel 381:
</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 26/10/2023 15:50:25 with ZibExtraction v. 9.0.8682.20490<!--ftDate--> <BR>
This page is generated on 31/10/2023 18:34:04 with ZibExtraction v. 9.3.8704.31782<!--ftDate--> <BR>
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Huidige versie van 31 okt 2023 om 19:59


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.FunctionalOrMentalStatus NL.png
Version: 3.2.1
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023

Back 16.png 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 12-9-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.4.26
DCM::KeywordList mentale status, functionele status, functionele beperking, mentale stoornis, ADL
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.FunctioneleOfMentaleStatus
DCM::PublicationDate 15-10-2023
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 17-11-2021
DCM::Supersedes nl.zorg.FunctioneleOfMentaleStatus-v3.2
DCM::Version 3.2.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-04-2015)

ZIB-89 Aanpassing OverdrachtFuntioneleStatus door deze te vervangen door een nieuwe bouwsteen die alleen een generieke functionele beperking bevat.
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 1.0.1 (22-05-2015)

ZIB-384 Inconsistent gebruik van de naam StatusWaardeSnomedCodelijst.
ZIB-383 Inconsistent gebruik van de naam StatusWaardeNOCCodelijst.
ZIB-382 Inconsistent gebruik van de naam StatusWaardeOMAHACodelijst.

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-564 Aanpassing/harmonisatie Engelse conceptnamen

Publicatieversie 3.1 (26-02-2019)

ZIB-681 ICF 'alle waarden' n.v.t. op FunctioneleOfMentaleStatus antwoord

Publicatieversie 3.2 (01-09-2020)

ZIB-1110 Laten vervallen Omaha en NOC
ZIB-1142 Toevoegen element Geslacht aan ZIB zorgverlener

Publicatieversie 3.2.1 (01-12-2021)

ZIB-1575 Deprecated termen en waardelijsten uit de prepublicatie halen

Concept

The functional or mental status provides insight into the patient’s functional and mental limitations.

Purpose

The patient’s functional and mental status can be recorded to provide insight into the patient’s limitations which need to be taken into account for further treatment and care and in order to evaluate the effects of a treatment.

Diagnoses with (the potential for) functional limitations are not to be recorded here. To record these, please use the Problem information model.

Information Model


#597MedicalDevice-v4.0(2023EN)#594#593#595#598#StatusNameICFCodelist#StatusNameSnomedCodelist#StatusValueICFCodelist#StatusValueSnomedCodelistFunctionalOrMentalStatus-v3.2.1Model(2023EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:4.26.1 Arrowdown.pngFunctionalOrMentalStatus Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus information model.
CD.png NL-CM:4.26.2 Arrowright.pngStatusName 1 Coded description of the functional or mental status or limitation.

Code systems used include:

  • SNOMED CT
  • ICF (International Classification of Functioning, Disability and Health)
List2.png StatusNameICFCodelist
List2.png StatusNameSnomedCodelist
CO.png NL-CM:4.26.3 Arrowright.pngStatusValue 0..1 The extent to which the patient is limited by the functional or mental condition.

If both the status name and the status value are recorded in code, then both values must come from the same code system. If the patient uses a medical device, the evaluation of the extent of the limitation will take place without this aid. The answer codes must be selected from the subselection of the code system corresponding with the request in accordance with the rules applicable to that system.

List2.png StatusValueICFCodelist
List2.png StatusValueSnomedCodelist
TS.png NL-CM:4.26.6 Arrowright.pngStatusDate 0..1 Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted.
ST.png NL-CM:4.26.4 Arrowright.pngComment 0..1 Explanatory comments as a description of the functional or mental status.
48767-8 Annotation comment [Interpretation] Narrative
Verwijzing.png NL-CM:4.26.5 Arrowright.pngMedicalDevice:MedicalDevice 0..* Medical aid the patient has to reduce the impact of the disability or disorder.
Block.png MedicalDevice

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

FunctioneleOfMentaleStatus
StatusNaam Zich scheren
StatusWaarde Moeite met scheren
StatusDatum 23-02-2015
Toelichting --
MedischHulpmiddel --

Valuesets

StatusNameICFCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.3 Binding: Required
Conceptname Codesystem name Codesystem OID
All values ICF 2.16.840.1.113883.6.254

StatusNameSnomedCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.4 Binding: Required
Conceptname Codesystem name Codesystem OID
All values SNOMED CT 2.16.840.1.113883.6.96

StatusValueICFCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.6 Binding: Required
Conceptname Codesystem name Codesystem OID
All values ICF 2.16.840.1.113883.6.254

StatusValueSnomedCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.8 Binding: Required
Conceptname Codesystem name Codesystem OID
All values 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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

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 List2.png
This page is generated on 31/10/2023 18:34:04 with ZibExtraction v. 9.3.8704.31782

Back 16.png Back to HCIM list
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