HCIM Release 2020(EN)
Release 2020
This is a release. More information about prereleases and releases you can find here.
The following summary shows which hcim's are part of this prerelease, including the version numbers.
More information on Release 2020 you can find in the ReleaseNotes 2020 
(in Dutch).
Health and care information models release 2020
group: Administrative, count: 6
| ContactPerson-v3.3 | HealthcareProvider-v3.3 | Patient-v3.1.1 | |
| Encounter-v4.0 | HealthProfessional-v3.4 | Payer-v3.1 |
group: Basic elements, count: 1
| BasicElements-v1.0.1 |
group: Clinical context, count: 21
group: Measurements, count: 13
group: Medication, count: 6
| AdministrationAgreement-v1.0.2 | MedicationAdministration2-v1.1 | MedicationDispense-v2.0.1 | |
| DispenseRequest-v1.0.2 | MedicationAgreement-v1.1 | MedicationUse2-v1.1 |
group: Partial information models, count: 7
| AddressInformation-v1.1 | InstructionsForUse-v1.2 | PharmaceuticalProduct-v2.1.1 | TimeInterval-v1.0 |
| ContactInformation-v1.1.1 | NameInformation-v1.0.1 | Range-v1.0.1 |
group: Patient context, count: 17
group: Scales en screening tools, count: 13
group: Selfcare, count: 10
group: Treatment, count: 6
| FreedomRestrictingMeasures-v3.2 | OutcomeOfCare-v3.1 | TreatmentDirective-v3.2 | |
| NursingIntervention-v3.2 | Procedure-v5.1 | TreatmentObjective-v3.1 |
New information models and deprecated information models in release 2020
In release 2020 a number of new information models are added to the nationwide set of information models.
A number of existing information models on the other hand are declared deprecated.
New information models
Deprecated informtion models
| BasicElements |
| GeneralMeasurement |
| FreedomRestrictingMeasures |
| TreatmentDirective |
The reason for the cancellation of the BasicElementen HCIM is that from the beginning of the existence of the HCIMs and the BasicElementen HCIMs, there has been discussion and uncertainty about the data elements in BasicElementen in relation to individual HCIMs:
- Information source: not clinically relevant for every HCIM, and moreover not clear for each HCIM what is meant by this, especially in relation to the element Author.
- Subject: implicitly this is always the patient. In the sporadic cases where the patient is not the subject, this has already been explicitly modeled in the HCIMs concerned, as in FamilieAnamnese, for example.
- DateTime: often multiple dates and times are relevant and relevant in zibs and the basic element creates confusion. It has already been explicitly modeled in many zibs.
- Author: not clinically relevant for every HCIM, and moreover not clear for each HCIM what is meant by this, especially in relation to the source of the information and the recorder in the file.
- Identification number: not clinically relevant for every HCIM and, moreover, usually without clinical significance. And for HCIMs, where this is not under discussion, it is often already modeled in the HCIM concerned.
Explanation:
- For HCIMs, for which this is (clinically) relevant, some data elements that were in BasisElementen in (pre-) Publications prior to Publication2020 will be modeled in the HCIM itself, if not already done. The clinical significance will be defined in the context of the HCIM concerned.
- Users of the HCIMs are called upon to indicate (by submitting a change proposal to the HCIM concerned) which data elements from the Basic Elements must be explicitly modeled, and what the clinical significance is, of which (1.) has not yet been done is.
The fact that the BasisElementen HCIM with regard to Publication2020 no longer exists means that data elements from the BasicElements, which are not explicitly modeled in the HCIM concerned, can possibly be added, for example, and in particular in application datasets.
The Treatment Instruction HCIM has been replaced by the Treatment Instruction HCIM2 following the input from the NHG.
The Freedom-Restricting Measures HCIM by the Freedom-Restricting Intervention HCIM as a result of new legislation on involuntary care (Mandatory Mental Health Care Act and the Care and Compulsion Act).
Special information models
Partial information models
To enable reuse of information patterns, which do not themselves describe a complete (care) concept, partial information models (substructures) have been defined and applied.
Unlike complete HCIM’s, partial information models are never used independently, but always included (inclusion) in the model of a complete HCIM.
See Architecture Document Volume 1 for more information on this.
Partial information models can be identified by the prefix "nl.zorg.part" in the HCIM name.
Blauwdrukken voor zibs
Met ingang van publicatie 2020 wordt voor de ontwikkeling van nieuwe zibs waar mogelijk gebruik gemaakt van ontwerpblauwdrukken.
Meer informatie over deze blauwdrukken vindt u op de speciale wiki pagina over dit onderwerp. Deze pagina is ook bereikbaar via het hoofdmenu links op de pagina.
Downloads
At the bottom of each HCIM wikipage you can find links to download the HCIM information in PDF of XLSX format.
It is also possible to download the whole set of HCIM's of this release in one file as PDF
(50 MB), XLSX or XMI. The last file also contains valuelist in XML format.
Additional information
NEW!
- Starting from prepublication 2018-1, LOINC and SNOMED CT terms are displayed in Dutch wikipages in Dutch and in English wikipages in English, if an official translation is available.
- Pay attention! Publication 2020 contains many newly created SNOMED CT codes. These codes are not yet included in the current SNOMED CT release at the time of publication. As a result, these codes are incorrectly referred to as 'unknown code'.
- This will be resolved after the release of the new SNOMED CT release.
- A section has been added to each HCIM wikipage indicating which other HCIM's the building block refers to and in which other HCIM's the HCIM is used.