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
Important parts of the brain’s specific mental functions are attention, mood, thought and memory.
Disorders in attention, memory and observation combined with orientation and consciousness from the GeneralMentalFunctions building block are seen as important symptoms for a delirium.
The concept specific mental functions does not contain behavior resulting from a mental disorder.
Purpose
There is a link between the described specific mental functions. In context, insight into any disorders in the function(s) can provide a good picture of the patient’s mental state. This information is essential in drawing up the healthcare plan, taking into account the approach and support for the patient within their wishes and possibilities.
Evidence Base
The definitions of the concepts were (partially) taken from the ICF definitions.
Information Model
Type
Id
Concept
Card.
Definition
DefinitionCode
Reference
NL-CM:18.4.1
SpecificMentalFunctions
Root concept of the SpecificMentalFunctions building block. This concept contains all data elements of the SpecificMentalFunctions building block.
NL-CM:18.4.2
Attention
0..1
Attention is the specific mental function linked to focusing on an external stimulus or an internal experience during the required period.
This concept includes holding your attention, changing areas of attention, dividing attention, and sharing attention; concentration; distractibility.
The short-term memory includes the temporary memory storage of around 30 seconds, from which information is lost if it is not stored in the long-term memory.
The long-term memory contains the memory system which enables a patient to store information from the short-term memory for longer periods of time. This includes both autobiographical memory, in which memories of certain events are stored, and semantic memory for language and facts.
Thought coherence describes the connections within and logic of the thought process.
This concept includes superficiality, exhaustive detail and unnecessarily repeating executed procedures, spoken words or sentences and continuing to see past observations.
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
SpecifiekeMentaleFuncties
Aandacht
Lichte stoornis (5-24%)
Geheugen
GeheugenKorteTermijn
Lichte stoornis (5-24%)
GeheugenLangeTermijn
Matige stoornis (25-49%)
Stemming
StemmingAdequaatheid
Lichte stoornis (5-24%)
StemmingRegulering
Matige stoornis (25-49%)
Denken
Denktempo
Lichte stoornis (5-24%)
DenkenCoherentie
Lichte stoornis (5-24%)
DenkenInhoud
Lichte stoornis (5-24%)
DenkenControle
Matige stoornis (25-49%)
VerpleegkundigeActie
Activiteit
Ondersteuning dagstructuur aan de hand van programma, lag op een eenpersoonskamer.
Toelichting
Patiënt is na operatie acuut verward geweest, gaat al wel beter, maar is soms nog weg kwijt. Heeft wel door dat hij soms in de war is en vindt dit erg vervelend.
References
1. International Classification of Functioning Disability and Health (ICF) [Online] Beschikbaar op:http:/www.rivm.nl/who-fic/icf.htm [Geraadpleegd: 13 februari 2015]
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
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 24/12/2018 12:36:42 with ZibExtraction v. 3.0.6932.1989