ProcedureForTransfer-v1.2(2015EN): verschil tussen versies

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Regel 3: Regel 3:
Version: '''1.2''' <br>
Version: '''1.2''' <br>
HCIM Status:Final<br>
HCIM Status:Final<br>
Publication: '''2015''' <br>
Release: '''2015''' <br>
Release status: Published<br>
Release status: Published<br>
Publication date: 1-4-2015
Release date: 1-4-2015
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
Regel 151: Regel 151:
==Information Model==
==Information Model==
<BR>
<BR>
[[Bestand: ProcedureForTransfer-v1.2Model(EN).png | center]]
<imagemap> Bestand:ProcedureForTransfer-v1.2Model(EN).png | center  
rect 25 195 241 245 [[#AnatomicalLocationOfTheProcedureCodelist]]
rect 709 409 852 479 [[HealthProfessional-v1.2.1(2015EN)]]
rect 751 184 880 254 [[ConcernForTransfer-v1.2(2015EN)]]
rect 448 64 578 134 [[#9938]]
rect 634 61 761 131 [[#9939]]
rect 361 409 494 479 [[HealthcareProvider-v1.2(2015EN)]]
rect 751 284 880 354 [[MedicalDevice-v1.2(2015EN)]]
rect 283 284 445 356 [[#9942]]
rect 535 409 668 479 [[HealthProfessional-v1.2.1(2015EN)]]
rect 546 223 666 303 [[#9937]]
rect 283 184 445 256 [[#9940]]
rect 25 296 241 346 [[#ProcedureTypeCodelist]]
desc none
</imagemap>
<BR>
<BR>
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
Regel 157: Regel 171:
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px]]
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:14.1.1
||NL-CM:14.1.1
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: Verrichting">[[Bestand: arrowdown.png | 10px]]Procedure</span>
|colspan ="6" style ="padding-left: 0px"|<span Id=9937 Title="NL: Verrichting">[[Bestand: arrowdown.png | 10px | link=]]Procedure</span>
|
|
|Root concept of the ProcedureTransfer building block. This root concept contains all data elements of the ProcedureTransfer building block.
|Root concept of the ProcedureTransfer building block. This root concept contains all data elements of the ProcedureTransfer building block.
Regel 165: Regel 179:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:14.1.2
||NL-CM:14.1.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: VerrichtingStartDatum">[[Bestand: arrowright.png | 10px]]ProcedureStartDate</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=9938 Title="NL: VerrichtingStartDatum">[[Bestand: arrowright.png | 10px | link=]]ProcedureStartDate</span>
|0..1
|0..1
|The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.  
|The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.  
Regel 177: Regel 191:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:14.1.3
||NL-CM:14.1.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: VerrichtingEindDatum">[[Bestand: arrowright.png | 10px]]ProcedureEndDate</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=9939 Title="NL: VerrichtingEindDatum">[[Bestand: arrowright.png | 10px | link=]]ProcedureEndDate</span>
|0..1
|0..1
|The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.  
|The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.  
Regel 189: Regel 203:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:14.1.8
||NL-CM:14.1.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: VerrichtingAnatomischeLocatie">[[Bestand: arrowright.png | 10px]]AnatomicalLocationOfTheProcedure</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=9940 Title="NL: VerrichtingAnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocationOfTheProcedure</span>
|0..*
|0..*
|Anatomical location which is the focus of the procedure.
|Anatomical location which is the focus of the procedure.
Regel 199: Regel 213:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#AnatomicalLocationOfTheProcedureCodelist|AnatomicalLocationOfTheProcedureCodelist]]
|[[Bestand: List2.png | link=#AnatomicalLocationOfTheProcedureCodelist]]||[[#AnatomicalLocationOfTheProcedureCodelist|AnatomicalLocationOfTheProcedureCodelist]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:14.1.9
||NL-CM:14.1.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Indicatie::Probleem">[[Bestand: arrowright.png | 10px]]Indication::Problem</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=9941 Title="NL: Indicatie::Probleem">[[Bestand: arrowright.png | 10px | link=]]Indication::Problem</span>
|0..*
|0..*
|The indication is the reason for the procedure.
|The indication is the reason for the procedure.
Regel 212: Regel 226:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[ConcernForTransfer-v1.2(2015EN) |ConcernForTransfer]]
|[[Bestand: block.png | link=ConcernForTransfer-v1.2(2015EN)]]||[[ConcernForTransfer-v1.2(2015EN) |ConcernForTransfer]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:14.1.4
||NL-CM:14.1.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: VerrichtingType">[[Bestand: arrowright.png | 10px]]ProcedureType</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=9942 Title="NL: VerrichtingType">[[Bestand: arrowright.png | 10px | link=]]ProcedureType</span>
|1
|1
|The name of the procedure.   
|The name of the procedure.   
Regel 228: Regel 242:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#ProcedureTypeCodelist|ProcedureTypeCodelist]]
|[[Bestand: List2.png | link=#ProcedureTypeCodelist]]||[[#ProcedureTypeCodelist|ProcedureTypeCodelist]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:14.1.7
||NL-CM:14.1.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Product">[[Bestand: arrowright.png | 10px]]Product</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=9943 Title="NL: Product">[[Bestand: arrowright.png | 10px | link=]]Product</span>
|0..*
|0..*
|The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.
|The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.
Regel 241: Regel 255:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[MedicalDevice-v1.2(2015EN) |MedicalDevice]]
|[[Bestand: block.png | link=MedicalDevice-v1.2(2015EN)]]||[[MedicalDevice-v1.2(2015EN) |MedicalDevice]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:14.1.5
||NL-CM:14.1.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Locatie::Zorgaanbieder">[[Bestand: arrowright.png | 10px]]Location::HealthcareProvider</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=9944 Title="NL: Locatie::Zorgaanbieder">[[Bestand: arrowright.png | 10px | link=]]Location::HealthcareProvider</span>
|1
|1
|The healthcare center where the procedure was or is carried out.
|The healthcare center where the procedure was or is carried out.
Regel 254: Regel 268:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[HealthcareProvider-v1.2(2015EN) |HealthcareProvider]]
|[[Bestand: block.png | link=HealthcareProvider-v1.2(2015EN)]]||[[HealthcareProvider-v1.2(2015EN) |HealthcareProvider]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:14.1.6
||NL-CM:14.1.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: UitgevoerdDoor::Zorgverlener">[[Bestand: arrowright.png | 10px]]CarriedOutBy::HealthcareProvider</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=9945 Title="NL: UitgevoerdDoor::Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]CarriedOutBy::HealthcareProvider</span>
|1..*
|1..*
|The healthcare provider who carried out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare provider.
|The healthcare provider who carried out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare provider.
Regel 267: Regel 281:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[HealthProfessional-v1.2.1(2015EN) |HealthProfessional]]
|[[Bestand: block.png | link=HealthProfessional-v1.2.1(2015EN)]]||[[HealthProfessional-v1.2.1(2015EN) |HealthProfessional]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:14.1.10
||NL-CM:14.1.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: AangevraagdDoor::Zorgverlener">[[Bestand: arrowright.png | 10px]]RequestedBy::HealthcareProvider</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=9946 Title="NL: AangevraagdDoor::Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]RequestedBy::HealthcareProvider</span>
|0..*
|0..*
|The healthcare provider who requested the procedure.
|The healthcare provider who requested the procedure.
Regel 280: Regel 294:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[HealthProfessional-v1.2.1(2015EN) |HealthProfessional]]
|[[Bestand: block.png | link=HealthProfessional-v1.2.1(2015EN)]]||[[HealthProfessional-v1.2.1(2015EN) |HealthProfessional]]
|}
|}
|}
|}
Regel 291: Regel 305:
{|class="wikitable" width="1145px" style= "font-size: 9.5pt;"
{|class="wikitable" width="1145px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 9%; color: #FFFFFF; font-weight: bold; "|VerrichtingType
| style="background-color: #1F497D; width: 9%; "|<font color=#FFFFFF><b>VerrichtingType</b></font>
| style="background-color: #1F497D; width: 10%; color: #FFFFFF; font-weight: bold; "|Verrichting<BR>Anatomische<BR>Locatie
| style="background-color: #1F497D; width: 10%; "|<font color=#FFFFFF><b>Verrichting</b><BR></font><font color=#FFFFFF><b>Anatomische</b><BR></font><font color=#FFFFFF><b>Locatie</b></font>
| style="background-color: #1F497D; width: 9%; color: #FFFFFF; font-weight: bold; "|Verrichting<BR>Start<BR>Datum
| style="background-color: #1F497D; width: 9%; "|<font color=#FFFFFF><b>Verrichting</b><BR></font><font color=#FFFFFF><b>Start</b><BR></font><font color=#FFFFFF><b>Datum</b></font>
|colspan="3" style="background-color: #1F497D; width: 28%; color: #FFFFFF; font-weight: bold; "|Product
|colspan="3" style="background-color: #1F497D; width: 28%; "|<font color=#FFFFFF><b>Product</b></font>
|colspan="2" style="background-color: #1F497D; width: 26%; color: #FFFFFF; font-weight: bold; "|Indicatie
|colspan="2" style="background-color: #1F497D; width: 26%; "|<font color=#FFFFFF><b>Indicatie</b></font>
| style="background-color: #1F497D; width: 10%; color: #FFFFFF; font-weight: bold; "|Uitgevoerd<BR>Door
| style="background-color: #1F497D; width: 10%; "|<font color=#FFFFFF><b>Uitgevoerd</b><BR></font><font color=#FFFFFF><b>Door</b></font>
| style="background-color: #1F497D; width: 9%; color: #FFFFFF; font-weight: bold; "|Locatie
| style="background-color: #1F497D; width: 9%; "|<font color=#FFFFFF><b>Locatie</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="background-color: #548DD4; width: 9%; "|
| style="background-color: #548DD4; width: 9%; "|
| style="background-color: #548DD4; width: 10%; "|
| style="background-color: #548DD4; width: 10%; "|
| style="background-color: #548DD4; width: 9%; "|
| style="background-color: #548DD4; width: 9%; "|
| style="background-color: #548DD4; width: 10%; color: #FFFFFF; font-weight: bold; "|ProductType
| style="background-color: #548DD4; width: 10%; "|<font color=#FFFFFF><b>ProductType</b></font>
|colspan="2" style="background-color: #548DD4; width: 18%; color: #FFFFFF; font-weight: bold; "|ProductID
|colspan="2" style="background-color: #548DD4; width: 18%; "|<font color=#FFFFFF><b>ProductID</b></font>
| style="background-color: #548DD4; width: 8%; color: #FFFFFF; font-weight: bold; "|ProbleemNaam
| style="background-color: #548DD4; width: 8%; "|<font color=#FFFFFF><b>ProbleemNaam</b></font>
| style="background-color: #548DD4; width: 18%; color: #FFFFFF; font-weight: bold; "|Toelichting
| style="background-color: #548DD4; width: 18%; "|<font color=#FFFFFF><b>Toelichting</b></font>
| style="background-color: #548DD4; width: 10%; color: #FFFFFF; font-weight: bold; "|Specialisme
| style="background-color: #548DD4; width: 10%; "|<font color=#FFFFFF><b>Specialisme</b></font>
| style="background-color: #548DD4; width: 9%; color: #FFFFFF; font-weight: bold; "|OrganisatieNaam
| style="background-color: #548DD4; width: 9%; "|<font color=#FFFFFF><b>OrganisatieNaam</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 9%; "|
| style="background-color: #D9D9D9; width: 9%; "|
Regel 371: Regel 385:




==This information model in other releases==
<ul>
<li>[[ProcedureForTransfer-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
<li>[[Procedure-v4.1(2017EN) | Release 2017, (Version 4.1)]]</li>
</ul>
==More on this information model==
==More on this information model==
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.14.1] <BR>
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:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.14.1&effectiveDate=2015-04-01T00:00:00&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 [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
</ul>
This information model is also available as [[Media:nl.nfu.ProcedureForTransfer-v1.2(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.ProcedureForTransfer-v1.2(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
This information model is also available as [[Media:nl.nfu.ProcedureForTransfer-v1.2(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.ProcedureForTransfer-v1.2(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
==About this information==
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
This page is generated on 28/09/2017 00:00:45 <BR>
This page is generated on 24/01/2018 17:13:46 <BR>
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>

Versie van 25 jan 2018 00:20

General information

Name: nl.nfu.ProcedureForTransfer NL.png
Version: 1.2
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 1-4-2015

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 6-6-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name NFU
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.14.1
DCM::KeywordList procedure,verrichting
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.nfu.OverdrachtVerrichting
DCM::PublicationDate 1-4-2015
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 1-4-2015
DCM::Superseeds
DCM::Version 1.2
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-02-2013) -

Publicatieversie 1.1 (01-07-2013)

ZIB-55 RFC Bouwsteen Procedure
ZIB-24 Diagnostische verrichtingen onderdeel van Results

Publicatieversie 1.2 (01-04-2015)

ZIB-84 Klinische bouwsteen nl.nfu.OverdrachtProcedure uitbreiden met Aanvrager (n.a.v. issue #077)
ZIB-93 Bouwsteennaam Procedure wijzigen in Verrichting
ZIB-95 Elementen in Example of the Instrument OverdrachtProcedure komen niet terug in model
ZIB-122 De definitie van de sectie Concept van de bouwsteen OverdrachtProcedure aanpassen.
ZIB-270 Aanpassen DCM::DefinitionCode van rootconcept Verrichting van NL-CM-14.1.1 naar NL-CM:14.1.1.
ZIB-271 In de klinische bouwsteen OverdrachtProcedure DCM::ValueSet SNOMED CT aangepast van concept AnatomischeLokalisatie naar tagged value DCM::ContentExpression.
ZIB-272 In klinische bouwsteen OverdrachtProcedure DCM::ValueSet CBV verrichtingen van concept VerrichtingType aangepast naar tagged value DCM::CodeSystem.
ZIB-273 Tagged value DCM::ReferencedDefinitionCode is onjuist voor classes UitgevoerdDoor::Zorgverlener en AangevraagdDoor::Zorgverlener, dit zou NL-CM:17.1.1 moeten zijn i.p.v. NL-CM:17.1.2.
ZIB-308 Prefix Overdracht weggehaald bij de generieke bouwstenen
ZIB-325 AnatomischeLokaisatie wijzigen in AnatomischeLocatie
ZIB-353 Tagged values DCM::CodeSystem aanpassen naar DCM::ValueSet incl. gekoppelde codelijst.

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

Concept

The concept Procedure indicates a therapeutic procedure undergone by the patient. If relevant, diagnostic procedures can be listed as well.
A procedure can be a simple blood pressure measurement, but also a complex heart surgery.

Purpose

A procedure is carried out as part of a planned policy or to obtain additional information in the diagnostic process. Procedures are documented to gain insight into the treatment of a patient. In addition, procedures are documented for administrative purposes such as invoicing and workload measurement, scientific research and/or education.

Evidence Base

Only the procedures are described in this building block, not the results of the procedures. The LaboratoryResultTransfer and TextResultTransfer building blocks can be used to document the results.

Information Model


#AnatomicalLocationOfTheProcedureCodelistHealthProfessional-v1.2.1(2015EN)ConcernForTransfer-v1.2(2015EN)#9938#9939HealthcareProvider-v1.2(2015EN)MedicalDevice-v1.2(2015EN)#9942HealthProfessional-v1.2.1(2015EN)#9937#9940#ProcedureTypeCodelistProcedureForTransfer-v1.2Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:14.1.1 Arrowdown.pngProcedure Root concept of the ProcedureTransfer building block. This root concept contains all data elements of the ProcedureTransfer building block.
TS.png NL-CM:14.1.2 Arrowright.pngProcedureStartDate 0..1 The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.

The element offers the option to indicate the start of the period of a series of related procedures.

TS.png NL-CM:14.1.3 Arrowright.pngProcedureEndDate 0..1 The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.

The element offers the option to indicate the end of the period of a series of related procedures.

CD.png NL-CM:14.1.8 Arrowright.pngAnatomicalLocationOfTheProcedure 0..* Anatomical location which is the focus of the procedure.
List2.png AnatomicalLocationOfTheProcedureCodelist
Verwijzing.png NL-CM:14.1.9 Arrowright.pngIndication::Problem 0..* The indication is the reason for the procedure.
Block.png ConcernForTransfer
CD.png NL-CM:14.1.4 Arrowright.pngProcedureType 1 The name of the procedure.

As of 1 January 2013, all procedures in the primary process have to be documented with CBV codes. To meet this requirement, the DHD procedure thesaurus (CBV procedures set) is used to code procedures. It is possible that in addition to the CBV procedures set, the NIC will be used for nurse procedures and that a “coded value set” will be introduced for paramedic procedures.

List2.png ProcedureTypeCodelist
Verwijzing.png NL-CM:14.1.7 Arrowright.pngProduct 0..* The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.
Block.png MedicalDevice
Verwijzing.png NL-CM:14.1.5 Arrowright.pngLocation::HealthcareProvider 1 The healthcare center where the procedure was or is carried out.
Block.png HealthcareProvider
Verwijzing.png NL-CM:14.1.6 Arrowright.pngCarriedOutBy::HealthcareProvider 1..* The healthcare provider who carried out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare provider.
Block.png HealthProfessional
Verwijzing.png NL-CM:14.1.10 Arrowright.pngRequestedBy::HealthcareProvider 0..* The healthcare provider who requested the procedure.
Block.png HealthProfessional

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

VerrichtingType Verrichting
Anatomische
Locatie 		Verrichting
Start
Datum 		Product Indicatie Uitgevoerd
Door 		Locatie
ProductType ProductID ProbleemNaam Toelichting Specialisme OrganisatieNaam
Knie - prothese implantatie gewricht linker knie 05-06-2012 Orthopedic surgical implants (01)05050474530799
(17)160131
(21)1148130801 		Implantant, Gen 2 Tibia Insert 5/6-9mm Artrose Beperking bij het bewegen van het gewricht, drukpijn door slijtage van twee compartimenten van de linker knie. Orthopedie UMCG

References

1. GS1 Global Traceability Standard for Healthcare 1.2.0 (2013) [Online] Beschikbaar op: http://www.gs1.org/traceability/healthcare-traceability/1-2-0 [Geraadpleegd: 19 juni 2014].

2. Vektis Zorgverlenersspecificatie (subberoepsgroep) [Online] Beschikbaar op: http://ei.vektis.nl/WespCodelijstenDetail.aspx?Co_Ge_Code=COD016&Co_Or_Code=VEKT [Geraadpleegd: 19 juni 2014].

3. AZR-AGB-codelijst [Online] Beschikbaar op: http://www.agbcode.nl/MainPage/opzoeken.aspx?soort=IS [Geraadpleegd: 19 juni 2014].

Valuesets

AnatomicalLocationOfTheProcedureCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1
Conceptname Codesystem name Codesystem OID
SNOMED CT: <<91723000 | anatomical structure | SNOMED CT 2.16.840.1.113883.6.96

ProcedureTypeCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2
Conceptname Codesystem name Codesystem OID
Alle waarden CBV verrichtingen 99


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About this information

The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage List2.png
This page is generated on 24/01/2018 17:13:46

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