Admission-v2.0(2024EN)

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General information

Name: nl.zorg.Admission
Version: 2.0
HCIM Status:Final
Release: 2024
Release status: Prepublished
Release date: 15-04-2024

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Metadata

DCM::CoderList Zib-centrum
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList *
DCM::CreationDate 1-12-2021
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name *
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.15.4
DCM::KeywordList Opname, Deelopname, Ziekenhuisopname
DCM::LifecycleStatus Final
DCM::ModelerList Zib-centrum
DCM::Name nl.zorg.Opname
DCM::PublicationDate 15-04-2024
DCM::PublicationStatus Prepublished
DCM::ReviewerList
DCM::RevisionDate 12-09-2023
DCM::Supersedes nl.zorg.Opname-v1.0
DCM::Version 2.0
HCIM::PublicationLanguage EN

Revision History

Concept

The stay of a patient or client in a healthcare facility in the context of a (partial) admission or emergency room visit. A (partial) admission is the entire or partial stay of a patient or client in a department equipped for nursing in a health care institution, for example, an inpatient ward, day care unit, emergency care, or observatory. This HCIM therefore applies to a whole admission, part of an admission, or emergency room visit in both past and present.

Purpose

Admissions or emergency room visits occur in a healthcare facility for the purpose of treating, observing or examining a patient or client.

Evidence Base

The codelists for Origin and Destination generally correspond to the ‘Landelijke Basisregistratie Ziekenhuiszorg’ (National Basic Registration Hospital Care)

Information Model


#TiggerForAdmissionCodelist#2505Problem-v4.7(2024EN)#2536#2535#OriginCodelist#DestinationCodelist#2540#2508#2539HealthcareProvider-v3.6(2024EN)#2513#2512HealthProfessional-v4.0(2024EN)#AdmissionScopeCodelist#CareTypeCodelist#2507#2511


Type Id Concept Card. Definition DefinitionCode Reference
NL-CM:15.4.1 Admission Root concept of the Admission information model.This root concept contains all data elements of the Admission information model.
NL-CM:15.4.2 CareType 1 The type of care that has been or will be provided to the patient during the (partial) admission. This is related, among other things, to the severity category of the care.
CareTypeCodelist
NL-CM:15.4.3 StartDateTime 1 Date and time when the (partial) admission will start or was started.
NL-CM:15.4.4 EndDateTime 0..1 Date and time on which the (partial) admission ended. For a future or ongoing admission, the end date can be empty.
NL-CM:15.4.5 ReasonAdmission 1 Container of the ReasonAdmission concept.This container contains all data elements of the ReasonAdmission concept.
NL-CM:15.4.6 Problem 1 The main problem to which the (partial) admission relates.
Problem
NL-CM:15.4.7 TiggerForAdmission 1 The specific reason for the admission in relation to the diagnosis and/or treatment of the problem.
59021000146108 Reason for admission
TiggerForAdmissionCodelist
NL-CM:15.4.8 CommentAdmissionReason 0..1 Comment on the reason for the (partial) admission, insofar as this cannot be sufficiently expressed in the other elements.
48767-8 Annotation comment [Interpretation] Narrative
NL-CM:15.4.9 Origin 1 Location where the patient comes from prior to the (partial) admission. This will mainly be used at the start of hospitalisation.
OriginCodelist
NL-CM:15.4.10 Destination 0..1 Location where the patient will go after the (partial) admission. This will mainly be used at the end of hospitalization.
DestinationCodelist
NL-CM:15.4.11 AdmissionScope 1 AdmissionScope indicates whether it is a overall admission or a partial admission.
AdmissionScopeCodelist
NL-CM:15.4.12 ResponsibleHealthProfessional::HealthProfessional 1 The health professional who is responsible during the (partial) admission. The information about the health professional can also include the specialism and role of the health professional.
HealthProfessional
NL-CM:15.4.13 CareFacility::HealthcareProvider 1 The physical location of the healthcare provider where the (partial) admission has taken place or will take place.
HealthcareProvider

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

Herkomst Begin
Datum
Tijd 		RedenOpname Verantwoordelijk
Behandelaar 		ZorgType Zorginstelling
Probleem Aanleiding
Opname 		Zorgverlener
Naam 		Zorgaanbieder
Naam
Eigen woonomgeving 16-05-2022 Gebroken been Uitvoeren verrichting J.H.R. Peters Reguliere verpleging Universitair Medisch Centrum Groningen

References

1. Landelijke Basisregistratie Ziekenhuiszorg [Online] Beschikbaar op: https://www.dhd.nl/klanten/klantenservice/handleidingen_formulieren/Documents/Handleiding%20LBZ.pdf [Geraadpleegd: 29 juni2017].

Valuesets

AdmissionScopeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.4.4 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Total admission TA OpnameScope 2.16.840.1.113883.2.4.3.11.60.40.4.29.1 Gehele opname
Admission part PA OpnameScope 2.16.840.1.113883.2.4.3.11.60.40.4.29.1 Opnamedeel

CareTypeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.4.5 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Regular nursing care 180121000146103 SNOMED CT 2.16.840.1.113883.6.96 Reguliere verpleging
Medium care of patient 180141000146109 SNOMED CT 2.16.840.1.113883.6.96 Verlenen van 'medium care' aan patiënt
High care of patient 180151000146107 SNOMED CT 2.16.840.1.113883.6.96 Verlenen van 'high care' aan patiënt
Intensive care 180131000146101 SNOMED CT 2.16.840.1.113883.6.96 IC-zorg [DEPRECATED]
Care of intensive care unit patient 133903000 SNOMED CT 2.16.840.1.113883.6.96 Verlenen van zorg aan patient op intensivecareafdeling
Care of accident and emergency unit patient 290191000146103 SNOMED CT 2.16.840.1.113883.6.96 Verlenen van zorg aan patiënt op spoedeisende hulp

DestinationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.4.2 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Home 264362003 SNOMED CT 2.16.840.1.113883.6.96 Eigen woonomgeving, niet zijnde een instelling
Left against medical advice 445060000 SNOMED CT 2.16.840.1.113883.6.96 Tegen advies in vertrokken [DEPRECATED]
Rehabilitation hospital 80522000 SNOMED CT 2.16.840.1.113883.6.96 Instelling voor revalidatie
Long term care facility 42665001 SNOMED CT 2.16.840.1.113883.6.96 Instelling voor verpleging/verzorging
Psychiatric hospital 62480006 SNOMED CT 2.16.840.1.113883.6.96 GGZ instelling
Hospital 22232009 SNOMED CT 2.16.840.1.113883.6.96 Ander ziekenhuis
Died in hospital 183676005 SNOMED CT 2.16.840.1.113883.6.96 Overleden [DEPRECATED]
Morgue 225737007 SNOMED CT 2.16.840.1.113883.6.96 Mortuarium
Hospice 284546000 SNOMED CT 2.16.840.1.113883.6.96 Hospice
Hospital abroad 155621000146109 SNOMED CT 2.16.840.1.113883.6.96 Ziekenhuis buitenland
Site of care 43741000 SNOMED CT 2.16.840.1.113883.6.96 Instelling (anders)
Discharge to other location within hospital premises 115841000146105 SNOMED CT 2.16.840.1.113883.6.96 Afdeling binnen zelfde instelling

OriginCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.4.3 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Home 264362003 SNOMED CT 2.16.840.1.113883.6.96 Eigen woonomgeving, niet zijnde een instelling
Rehabilitation hospital 80522000 SNOMED CT 2.16.840.1.113883.6.96 Instelling voor revalidatie
Long term care facility 42665001 SNOMED CT 2.16.840.1.113883.6.96 Instelling voor verpleging/verzorging
Psychiatric hospital 62480006 SNOMED CT 2.16.840.1.113883.6.96 GGZ instelling
Hospital 22232009 SNOMED CT 2.16.840.1.113883.6.96 Ander ziekenhuis
Newborn nursery unit 427695007 SNOMED CT 2.16.840.1.113883.6.96 In dit ziekenhuis geboren
Liveborn born in hospital 442311008 SNOMED CT 2.16.840.1.113883.6.96 In dit ziekenhuis geboren [DEPRECATED]
Hospice 284546000 SNOMED CT 2.16.840.1.113883.6.96 Hospice
Hospital abroad 155621000146109 SNOMED CT 2.16.840.1.113883.6.96 Ziekenhuis buitenland
Site of care 43741000 SNOMED CT 2.16.840.1.113883.6.96 Instelling (anders)
Accident and Emergency department 225728007 SNOMED CT 2.16.840.1.113883.6.96 SEH
Outpatient environment 440655000 SNOMED CT 2.16.840.1.113883.6.96 Poliklinische afdeling
Discharge to other location within hospital premises 115841000146105 SNOMED CT 2.16.840.1.113883.6.96 Afdeling binnen zelfde instelling
Incident site 702869004 SNOMED CT 2.16.840.1.113883.6.96 Locatie van incident

TiggerForAdmissionCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.15.4.1 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Procedure 71388002 SNOMED CT 2.16.840.1.113883.6.96 Uitvoeren verrichting
Administration of medication 18629005 SNOMED CT 2.16.840.1.113883.6.96 Medicatietoediening
Observation regime 225308005 SNOMED CT 2.16.840.1.113883.6.96 Observatie
Rehabilitation therapy 52052004 SNOMED CT 2.16.840.1.113883.6.96 Revalidatie
Safety procedure 370886002 SNOMED CT 2.16.840.1.113883.6.96 Veiligheid patiënt en/of omgeving
Respite care of patient 105386004 SNOMED CT 2.16.840.1.113883.6.96 Respijtzorg
Encounter for acute problem 180201000146103 SNOMED CT 2.16.840.1.113883.6.96 Contact vanwege acuut probleem

This information model in other releases

Information model references

This information model refers to

This information model is used in

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Technical specifications in HL7v3 CDA and HL7 FHIR

To exchange information based on health and care information models, additional, more technical specifications are required.<BR> 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 2024-1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20240331 [R] (maart 2024-editie)
  • LOINC version 2.77

Conditions for use are located on the mainpage
This page is generated on 25/04/2024 12:41:55 with ZibExtraction v. 9.3.8880.19756

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