HCIM Release 2015(EN)

Release 2015

The following summary shows which HCIM's are part of this publication, including the version numbers.
More information on Release 2015 is available in Dutch:

• ReleaseNotes 2015
• Configuration Summary 2015
• Errata 2015 .

Health and care information models release 2015

group: Administrative, number: 6

ContactPerson-v1.2	HealthcareProvider-v1.2	Patient-v2.0.1
Encounter-v1.2	HealthProfessional-v1.2.1	Payer-v1.2

group: Basic elements, number: 1

BasicElements-v1.0

group: Medical, number: 23

Alert-v1.0	BodyWeight-v1.2	LaboratoryTestResultForTransfer-v1.2.2	PulseRate-v1.2
AllergyIntolerance-v1.0.2	ConcernForTransfer-v1.2	MedicalDevice-v1.2	Respiration-v1.0.2
BarthelADLIndex-v1.2.1	FunctionalOrMentalStatus-v1.0.1	O2Saturation-v1.2	TextResultForTransfer-v1.2
BloodPressure-v1.2	GeneralMeasurement-v1.0	PainScore-v1.2.1	TreatmentDirective-v1.0.1
BodyHeight-v1.2	GlasgowComaScale-v1.2.1	PlannedCareActivityForTransfer-v1.2.1	Vaccination-v1.2
BodyTemperature-v1.2.1	HeartRate-v1.2	ProcedureForTransfer-v1.2

group: Medication, number: 4

MedicationAdministration-v1.0

MedicationDispense-v1.0

MedicationPrescription-v1.0.1

MedicationUse-v1.0.1

group: Nursing, number: 43

AbilityToDressOneself-v1.0	FallRiskForTransfer-v1.0	LanguageProficiency-v1.0	PressureUlcer-v1.0
AbilityToDrink-v1.0	FamilySituation-v1.0	Malnutrition-v1.0	SensoryObservationFunction-v1.0
AbilityToEat-v1.0	FeedingTubeSystem-v1.0	MenstrualCycle-v1.0	SkinDisorder-v1.0
AbilityToPerformHaircareActivities-v1.0	FreedomRestrictingMeasures-v1.0	Mobility-v1.0	Sleepfunction-v1.0
AbilityToPerformMouthcareActivities-v1.0	FreedomRestrictingMeasuresMentalHealthcare-v1.0	MUSTScore-v1.0	SNAQScore-v1.0
AbilityToUseToilet-v1.0	GeneralMentalFunctions-v1.0	NursingIntervention-v1.0	SpecificMentalFunctions-v1.0
AbilityToWashOneself-v1.0	HearingFunction-v1.0	NutritionAdvice-v1.0	Stoma-v1.0
BladderFunction-v1.0	HelpFromOthers-v1.0	OutcomeOfCare-v1.0	TreatmentObjective-v1.0
BowelFunction-v1.0	HelpWithMedication-v1.0	PainPerception-v1.0	VisualFunction-v1.0
Burnwound-v1.0	IllnessPerception-v1.0	ParticipationInSociety-v1.0	Wound-v1.0
CommunicationSkills-v1.0	Infusion-v1.0	Pregnancy-v1.0

group: Patient, number: 10

AdvanceDirective-v1.0	Education-v1.2.1	LivingSituation-v1.2	TobaccoUse-v1.2.1
AlcoholUse-v1.2.1	FamilyHistory-v2.0	MaritalStatus-v1.2.1
DrugUse-v1.2.2	LifeStance-v1.2.1	Nationality-v2.0

Special information models

Basic elements

A number of data elements are implicitly present in each information model and are therefore not explicitly specified in the HCIM. These are concepts that are of a more technical nature, often have little or no clinical relevance, but for the sake of clarity and readability of the data are necessary. The basic elements at each HCIM are:

• Subject: The person to whom the information relates. Often this will be the patient, but for example, in small children it may be information about the parent or caregiver.
• Source of information: The person who provided the information and ensures the correctness of it. This is not always a healthcare professional who enters the data in the information system, but it may also be the patient or another person, such as a parent, caretaker or guardian.
• Author: The person who has recorded the information. Depending on the information system in which the data is recorded, this may be the patient, a contact person or the healthcare professional.
• Identification number: The number that identifies the instantiation of the HCIM (worldwide) uniquely. The number is composed of an identification of the issuer organization and a unique number assigned by this organization
• DateTime : The date and possibly the time at which the event relates to the information. This is the medically relevant date and time.

A more detailed explanation of the basic elements can be found in Architecture Document Volume 1, paragraph 3.8 .