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.BarthelADLIndex 
Version: 3.1
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018
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 |
2-2-2013
|
| DCM::DeprecatedDate |
|
| DCM::DescriptionLanguage |
nl
|
| DCM::EndorsingAuthority.Address |
|
| DCM::EndorsingAuthority.Name |
PM
|
| DCM::EndorsingAuthority.Telecom |
|
| DCM::Id |
2.16.840.1.113883.2.4.3.11.60.40.3.4.2
|
| DCM::KeywordList |
score, index, ADL, afhankelijkheid, barthel
|
| DCM::LifecycleStatus |
Final
|
| DCM::ModelerList |
Kerngroep Registratie aan de Bron
|
| DCM::Name |
nl.zorg.BarthelIndex
|
| DCM::PublicationDate |
01-10-2018
|
| DCM::PublicationStatus |
Prepublished
|
| DCM::ReviewerList |
Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|
| DCM::RevisionDate |
31-12-2017
|
| DCM::Superseeds |
nl.zorg.BarthelIndex-v3.0
|
| DCM::Version |
3.1
|
| HCIM::PublicationLanguage |
EN
|
Revision History
Only available in Dutch
Publicatieversie 1.0 (15-02-2013)
-
Publicatieversie 1.1 (01-07-2013)
-
Publicatieversie 1.2 (01-04-2015)
| ZIB-166
|
Codelijsten uit de bouwsteen OverdrachtBarthelIndex codes en value op elkaar afstemmen.
|
| ZIB-168
|
OverdrachtBartelIndex: Onafhankelijk moet zijn Afhankelijk
|
| ZIB-208
|
In de klinische bouwsteen OverdrachtBarthelIndex komt de naamgeving van de tagged value DCM::ValueSet TrappenLopenCodelijst niet overeen met de naam van de valueset.
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| ZIB-209
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In de klinische bouwsteen OverdrachtBarthelIndex komt de naamgeving van de tagged value DCM::ValueSet BadenDoucheCodelijst niet overeen met de naam van de valueset.
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| ZIB-210
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In klinische bouwsteen OverdrachtBarthelIndex de waarde van DCM::Name aanpassen van OverdrachtBarthelIndex naar nl.nfu.OverdrachtBarthelIndex.
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| ZIB-211
|
Voor waardelijsten met codes uit codesystem NL-CM-CS in klinische bouwsteen nl.nfu.OverdrachtBarthelIndex eigen codesystems aangemaakt, incl. OID.
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| ZIB-212
|
Naamgeving concept BadenDouche aangepat naar BadenDouchen.
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| ZIB-308
|
Prefix Overdracht weggehaald bij de generieke bouwstenen
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Incl. algemene wijzigingsverzoeken:
| ZIB-94
|
Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
|
| ZIB-154
|
Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
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| ZIB-200
|
Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
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| ZIB-201
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Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
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| ZIB-309
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EOI aangepast
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| ZIB-324
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Codelijsten Name en Description beginnen met een Hoofdletter
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| ZIB-326
|
Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015
|
Publicatieversie 1.2.1 (22-05-2015)
| ZIB-375
|
Inconsistent gebruik van naamgeving Transfer(s)Codelijst.
|
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
|
.
Concept
The Barthel ADL index is a validated scale used to measure and track patients’ activities of daily living (ADL) and indirectly, the extent to which they are dependent on help.
The list comprises 10 variables: bowels, bladder, grooming, toilet use, feeding, transfers (from chair to bed and vice versa), mobility, dressing, climbing stairs and bathing, which are all given a score.
The total score is the sum of the scores of the 10 variables.
Purpose
Gaining insight into the dependence on healthcare for carrying out general daily activities by means of a validated score. This is done in order to adjust the care to meet the needs of the patient if necessary.
Information Model
| Type |
Id |
Concept |
Card. |
Definition |
DefinitionCode |
Reference
|
|
NL-CM:4.2.1
|
 BarthelADLIndex
|
|
Root concept of the BarthelADLIndex information model. This root concept contains all data elements of the BarthelADLIndex information model.
|
|
|
|
NL-CM:4.2.4
|
|
 Bowels
|
1
|
The bowel function describes the extent of fecal incontinence.
The measurement takes the condition as measured in the preceding week.
In this scale, the following interpretations are used:
- Incontinent: incontinent or enema required.
- Accident: max. 1 accident per week.
- Continent: continent for the entire week.
|
|
|
|
|
NL-CM:4.2.3
|
|
Bladder
|
1
|
The bladder function describes the extent of urinary incontinence.
The measurement takes the condition as measured in the preceding week.
In this scale, the following interpretations are used:
- Incontinent: incontinent or catheter required.
- Accident: max. 1 accident per 24 hours.
- Continent: continent for the entire week or patients who can attend to their own catheter.
|
|
|
|
|
NL-CM:4.2.5
|
|
Grooming
|
1
|
Grooming indicates the extent to which a patient is capable of maintaining their hygiene and appearance. This refers to personal hygiene such as brushing teeth, brushing hair, shaving and washing.
The measurement takes the condition as measured in the preceding 24-48 hours.
In this scale, the following interpretations are used:
- Dependent: not capable of grooming independently.
- Independent: capable of brushing teeth, brushing hair, shaving and washing independently.
|
|
|
|
|
NL-CM:4.2.6
|
|
ToiletUse
|
1
|
Toilet use indicates the extent to which a patient is capable of using the toilet independently.
In this scale, the following interpretations are used:
- Dependent: dependent.
- Help: needs some help but can do certain things themselves, like wiping.
- Independent: capable of using the toilet, sufficiently undressing, cleaning, getting dressed and leaving.
|
|
|
|
|
NL-CM:4.2.7
|
|
Feeding
|
1
|
Feeding indicates the extent to which a patient is capable of eating independently.
In this scale, the following interpretations are used:
- Not independent: not capable of eating independently.
- Help: food is puréed; patient does feed themselves, but needs help cutting food, spreading butter, et cetera.
- Independent: capable of eating normal food (including hard food). The food can be cooked and served by others, but is not to be puréed.
|
|
|
|
|
NL-CM:4.2.8
|
|
Transfers
|
1
|
Transfers indicates the extent to which a patient is capable of independently getting from a chair to the bed and vice versa.
In this scale, the following interpretations are used:
- Not independent: not capable of sitting up; the use of a patient hoist is required.
- Major help: help from a strong, trained individual or 2 regular individuals, but the patient can sit up by themselves.
- Minor help: a person to supervise or provide some help, either verbally or physically.
- Independent: does not need help.
|
|
|
|
|
NL-CM:4.2.9
|
|
Mobility
|
1
|
Mobility indicates the extent to which a patient is capable of moving independently.
In this scale, the following interpretations are used:
- Dependent: cannot move themselves.
- Independent with wheelchair: uses a wheelchair, with the ability to go around corners or open doors without help.
- Assisted walking: help from one person, for example verbally or physically.
- Independent: can move within the home or department; aids may be used.
|
|
|
|
|
NL-CM:4.2.10
|
|
Dressing
|
1
|
Dressing indicates the extent to which a patient is capable of dressing and undressing themselves independently.
In this scale, the following interpretations are used:
- Dependent: dependent.
- Help: needs help but can do about half themselves, such as only needing help with buttons and/or zippers.
- Independent: capable of selecting and putting on clothes.
|
|
|
|
|
NL-CM:4.2.11
|
|
ManagingStairs
|
1
|
Managing stairs indicates the extent to which a patient is capable of going up and down stairs independently.
In this scale, the following interpretations are used:
- Dependent: not capable of going up and down stairs.
- Help: needs help, for example verbally, physically or in the form of an aid.
- Independent: capable of going up and down stairs independently, and if necessary can carry their own aid.
|
|
|
|
|
NL-CM:4.2.12
|
|
Bathing
|
1
|
Bathing indicates the extent to which a patient is capable of independently taking a bath or shower.
In this scale, the following interpretations are used:
- Dependent: not capable of bathing independently.
- Independent: capable of getting in and out of the bath or shower and bathing without help or supervision.
|
|
|
|
NL-CM:4.2.2
|
|
TotalScore
|
1
|
The Barthel ADL index is the sum of the scores of the individual variables.
The interpretation of this total score is 0-9 for serious dependence, 10-19 for slight dependence and
20 for independence. Twenty is the maximum score.
|
|
|
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
| BarthelIndex
|
|
| Blaas
|
1
|
| Darm
|
2
|
| UiterlijkeVerzorging
|
1
|
| Toiletgebruik
|
2
|
| Eten
|
2
|
| Transfers
|
1
|
| Mobiliteit
|
1
|
| AanUitkleden
|
1
|
| TrappenLopen
|
2
|
| BadenDouchen
|
1
|
|
|
|
| TotaalScore
|
14
|
References
1. Barthel Index [Online] Beschikbaar op: http://www.zorginformatiemodel.nl/1_documentatie/Doc_Obs_Barthel_Index_R01_V1_3.pdf [Geraadpleegd: 23 februari 2015].
2. Barthel Index [Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 18 februari 2013].
3. GOOSSEN, W.T.F. et al. (2004) Specificaties CVA keteninformatiesysteem. Versie 1.1. Leidschendam, Nictiz.
4. HAAN DE, R. et al. (1993) Klinimetrische evaluatie van de Barthel-index, een maat voor beperkingen in het dagelijks functioneren. Nederlands Tijdschrift voor Geneeskunde. 37 (18), p. 917-921.
5. MAHONY, F.I. et al. (1965) Functional Evaluation: The Barthel Index. Maryland State Medical Journal. 1965 (14), p .61-65.
6. PEPPEN VAN, R.P.S. et al. (2004) Richtlijn Beroerte. Amersfoort, Koninklijk Nederlands Genootschap voor Fysiotherapie (KNGF).
Valuesets
BathingCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.10
|
Binding: Extensible
|
| Conceptname
|
Conceptcode
|
Conceptvalue
|
Codesystem name |
Codesystem OID
|
Description
|
| Afhankelijk
|
BATH0
|
0
|
BarthelBadenDouchen
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.10
|
Afhankelijk
|
| Onafhankelijk
|
BATH1
|
1
|
BarthelBadenDouchen
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.10
|
Onafhankelijk
|
BladderCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.2
|
Binding: Extensible
|
| Conceptname
|
Conceptcode
|
Conceptvalue
|
Codesystem name |
Codesystem OID
|
Description
|
| Incontinent
|
URIN0
|
0
|
BarthelBlaas
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.2
|
Incontinent of katheter
|
| Ongelukje
|
URIN1
|
1
|
BarthelBlaas
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.2
|
Af en toe een ongelukje (max. 1 keer per 24 uur)
|
| Continent
|
URIN2
|
2
|
BarthelBlaas
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.2
|
Continent (gedurende meer dan 7 dagen)
|
BowelsCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.1
|
Binding: Extensible
|
| Conceptname
|
Conceptcode
|
Conceptvalue
|
Codesystem name |
Codesystem OID
|
Description
|
| Incontinent
|
FECAL0
|
0
|
BarthelDarm
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.1
|
Incontinent
|
| Ongelukje
|
FECAL1
|
1
|
BarthelDarm
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.1
|
Af en toe een ongelukje
|
| Continent
|
FECAL2
|
2
|
BarthelDarm
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.1
|
Continent
|
ClimbingstairsCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.9
|
Binding: Extensible
|
| Conceptname
|
Conceptcode
|
Conceptvalue
|
Codesystem name |
Codesystem OID
|
Description
|
| Afhankelijk
|
CLIMB0
|
0
|
BarthelTrappenLopen
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.9
|
Niet in staat
|
| Hulp
|
CLIMB1
|
1
|
BarthelTrappenLopen
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.9
|
Heeft hulp nodig (woorden, lichamelijk of hulpmiddel)
|
| Onafhankelijk
|
CLIMB2
|
2
|
BarthelTrappenLopen
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.9
|
Onafhankelijk naar boven en naar beneden
|
DressingCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.8
|
Binding: Extensible
|
| Conceptname
|
Conceptcode
|
Conceptvalue
|
Codesystem name |
Codesystem OID
|
Description
|
| Afhankelijk
|
DRESS0
|
0
|
BarthelAanUitkleden
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.8
|
Afhankelijk
|
| Hulp
|
DRESS1
|
1
|
BarthelAanUitkleden
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.8
|
Heeft hulp nodig maar kan ongeveer de helft zelf
|
| Onafhankelijk
|
DRESS2
|
2
|
BarthelAanUitkleden
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.8
|
Onafhankelijk
|
FeedingCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.5
|
Binding: Extensible
|
| Conceptname
|
Conceptcode
|
Conceptvalue
|
Codesystem name |
Codesystem OID
|
Description
|
| Niet zelfstandig
|
FEED0
|
0
|
BarthelEten
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.5
|
Niet in staat (niet zelfstandig)
|
| Hulp
|
FEED1
|
1
|
BarthelEten
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.5
|
Heeft hulp nodig bij snijden, smeren van boter, enz.
|
| Onafhankelijk
|
FEED2
|
2
|
BarthelEten
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.5
|
Onafhankelijk
|
GroomingCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.3
|
Binding: Extensible
|
| Conceptname
|
Conceptcode
|
Conceptvalue
|
Codesystem name |
Codesystem OID
|
Description
|
| Hulp
|
GROOM0
|
0
|
BarthelUiterlijkeVerzorging
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.3
|
Heeft hulp nodig
|
| Onafhankelijk
|
GROOM1
|
1
|
BarthelUiterlijkeVerzorging
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.3
|
Onafhankelijk (gezicht, haar, tanden, scheren)
|
MobilityCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.7
|
Binding: Extensible
|
| Conceptname
|
Conceptcode
|
Conceptvalue
|
Codesystem name |
Codesystem OID
|
Description
|
| Afhankelijk
|
MOBIL0
|
0
|
BarthelMobiliteit
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.7
|
Kan zich niet verplaatsen
|
| Onafhankelijk met rolstoel
|
MOBIL1
|
1
|
BarthelMobiliteit
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.7
|
Onafhankelijk, maar maakt gebruik van rolstoel, incl. het zonder hulp nemen van hoeken en deuren.
|
| Loopt met hulp
|
MOBIL2
|
2
|
BarthelMobiliteit
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.7
|
Loopt met hulp van 1 persoon (hulp van woorden of lichamelijk)
|
| Onafhankelijk
|
MOBIL3
|
3
|
BarthelMobiliteit
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.7
|
Onafhankelijk
|
ToiletUseCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.4
|
Binding: Extensible
|
| Conceptname
|
Conceptcode
|
Conceptvalue
|
Codesystem name |
Codesystem OID
|
Description
|
| Afhankelijk
|
TOIL0
|
0
|
BarthelToiletgebruik
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.4
|
Afhankelijk
|
| Hulp
|
TOIL1
|
1
|
BarthelToiletgebruik
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.4
|
Heeft enige hulp nodig maar kan sommige dingen zelf
|
| Onafhankelijk
|
TOIL2
|
2
|
BarthelToiletgebruik
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.4
|
Onafhankelijk (op en af, uit- en aankleden, afvegen)
|
TransfersCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.6
|
Binding: Extensible
|
| Conceptname
|
Conceptcode
|
Conceptvalue
|
Codesystem name |
Codesystem OID
|
Description
|
| Niet zelfstandig
|
TRANS0
|
0
|
BarthelTransfer
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.6
|
Niet in staat (niet zelfstandig)
|
| Veel hulp
|
TRANS1
|
1
|
BarthelTransfer
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.6
|
Veel hulp (1-2 mensen lichamelijk)
|
| Weinig hulp
|
TRANS2
|
2
|
BarthelTransfer
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.6
|
Weinig hulp (met hulp van woorden of lichamelijk)
|
| Onafhankelijk
|
TRANS3
|
3
|
BarthelTransfer
|
2.16.840.1.113883.2.4.3.11.60.40.4.1.6
|
Onafhankelijk
|
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
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file 
or as spreadsheet 
About this information
The information in this wikipage is based on Prerelease 2018 #1
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
- LOINC version 2.64
Conditions for use are located on the mainpage
This page is generated on 23/12/2018 01:16:36 with ZibExtraction v. 3.0.6929.24609
