FreedomRestrictingMeasuresMentalHealthcare-v1.0(2015EN)
General information
Name: nl.nfu.FreedomRestrictingMeasuresMentalHealthcare 
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015
Metadata
| DCM::CoderList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::CreationDate | 22-5-2014 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | NFU & V&VN |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.14.4 |
| DCM::KeywordList | Vrijheidsbeperkende maatregelen, Argus, wilsbekwaamheid, interventies |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::Name | nl.nfu.VrijheidsbeperkendeMaatregelenGGZ |
| DCM::PublicationDate | 8-9-2015 |
| DCM::PublicationStatus | Published |
| DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 8-9-2015 |
| DCM::Superseeds | |
| DCM::Version | 1.0 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-07-2015).
Concept
Medical restraints are (physical or verbal) measures used to restrict the freedom of the patient in question. Many forms of medical restraints fall under this definition, including but not limited to:
- involuntary treatment
- physical restraints (such as a cushion belt)
- house rules
Medical restraints may only be implemented under strict conditions. The ‘Wet BOPZ’ [Dutch Psychiatric Hospitals (Compulsory Admissions) Act] protects the rights of clients who are involuntarily admitted into mental healthcare, services for the disabled and in geriatric psychiatry. The act only applies in ‘BOPZ’-marked facilities and also applies to some (closed) wards in retirement homes.
Mental healthcare facilities use a national registration system to register the restraints called Argus registration.
Purpose
Implementing medical restraints is risky and can result in damage to patients if they are not carefully implemented. Nurses fulfil an important role in identifying risks, observing the effect of the restraints and any changes to the policy in terms of medical restraints. Recording all information on the measures is of major importance for insight into decision-making, implementing, monitoring and evaluating the measures. In the event of a transfer to the next facility, the proper preparations can be taken to safely continue the care and to limit the risks to the patient and their environment.
Patient Population
This building block is intended for patients residing in mental healthcare facilities. Mental healthcare uses a national registration system (Argus registration) when implementing medical restraints.
Information Model
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||
|
NL-CM:14.4.1 |  MentalHealthcareMedicalRestraints
|
Root concept of the MentalHealthcareMedicalRestraints building block. This root concept contains all data elements of the MentalHealthcareMedicalRestraints building block. | |||||||||||
|
NL-CM:14.4.2 |  LegalStatus
|
0..1 | The legal situation that applies to the patient. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status. |
|
| ||||||||
|
NL-CM:14.4.3 | LegallyCapable
|
1 | Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision. | ||||||||||
|
NL-CM:14.4.4 | LegallyCapableExplanation
|
0..1 | Explanation of the decisions which the patient is legally capable of making. |
|
|||||||||
|
NL-CM:14.4.5 | Restraint
|
0..* | Container of the Restraint concept. This container contains all data elements of the Restraint concept. | ||||||||||
|
|
NL-CM:14.4.6 | ArgusRestraint
|
1 | ArgusRestraint describes the medical restraints in mental healthcare, as outlined in a clear registration following the Argus data set. |
|
| ||||||||
|
NL-CM:14.4.7 | ArgusPermission
|
1 | The permission given to the healthcare provider(s) by the patient or legal representative to implement the medical restraint following the Argus data set. |
|
| ||||||||
|
NL-CM:14.4.8 | ArgusStartEpisode
|
1 | The date and time at which the restraints started. | ||||||||||
|
|
NL-CM:14.4.9 | ArgusEndOfEpisode
|
0..1 | The date and time at which the restraints ended. | ||||||||||
|
NL-CM:14.4.10 | NursingProcedure
|
0..* | Description of the required nursing procedures involved in medical restraints. |
| |||||||||
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
| VrijheidsbeperkendeMaatregelenGGZ | |
| JuridischeStatus | RM |
| Wilsbekwaam | Nee |
| WilsbekwaamToelichting | Wilsonbekwaam t.a.v. behandeling. |
| Interventie | |
| ArgusInterventie | Gedwongen medicatie |
| ArgusInstemming | Geen verzet |
| ArgusAanvangEpisode | 01-05-2014 |
| ArgusEindeEpisode | 05-05-2014 |
| VerpleegkundigeActie | |
| Activiteit | Zorgen voor rustige omgeving, vast aanspreekpersoon. |
References
1. Handreiking Argus [Online] Beschikbaar op:http://www.veiligezorgiederszorg.nl/speerpunt-dwang-en-drang/handreiking-argus-def.pdf [Geraadpleegd: 13 februari 2015]
2. Argus [Online] Beschikbaar op:http://www.veiligezorgiederszorg.nl/speerpunten/dwang-en-drang.html [Geraadpleegd: 13 februari 2015]
Valuesets
ArgusPermissionCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.4.2 |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Op eigen verzoek | E1 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Op eigen verzoek |
| Geen verzet | E2 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Geen verzet |
| Verzet | E3 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Verzet |
ArgusRestraintCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.4.1 |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Separatie | A1 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Separatie |
| Afzondering | A2 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Afzondering |
| Fixatie | A3 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Fixatie |
| Gedwongen medicatie | A4 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Gedwongen medicatie |
| Gedwongen voeding en/of vocht | A5 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Gedwongen voeding en/of vocht |
| Andere interventies | A6 | ArgusCodes | 2.16.840.1.113883.2.4.3.11.22.217 | Andere interventies |
LegalStatusMentalHealthcareCodelist
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.4.3 |
| Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
| Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging | 1 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging |
| RM op eigen verzoek | 2 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | RM op eigen verzoek |
| RM met voorwaardelijk ontslag | 3 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | RM met voorwaardelijk ontslag |
| Onder toezichtstelling (ots) | 4 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Onder toezichtstelling (ots) |
| In bewaringstelling (ibs) | 5 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | In bewaringstelling (ibs) |
| Voogdij | 6 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Voogdij |
| Bewindvoering | 7 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Bewindvoering |
| Mentorschap | 8 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Mentorschap |
| Onder curatele stelling | 9 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Onder curatele stelling |
| Zaakwaarneming | 10 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Zaakwaarneming |
| Strafrechtelijke justitiële contacten: tbs | 11 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Strafrechtelijke justitiële contacten: tbs |
| Strafrechtelijke justitiële contacten: overig | 12 | Juridische Status | 2.16.840.1.113883.2.4.3.11.22.232 | Strafrechtelijke justitiële contacten: overig |
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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
This page is generated on 24/01/2018 17:37:40