GeneralMeasurement-v3.0(2017EN)

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General information

Name: nl.zorg.GeneralMeasurement
Version: 3.0
HCIM Status:Final
Publication: 2017
Release status: Prepublished
Publication date: 04-09-2017


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Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 14-3-2014
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.13.3
DCM::KeywordList Algemene meting
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.AlgemeneMeting
DCM::PublicationDate 04-09-2017
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 04-09-2017
DCM::Superseeds nl.nfu.AlgemeneMeting-v1.0
DCM::Version 3.0
HCIM::PublicationLanguage EN

Revision History

Concept

A general measurement determines the result of a measurement or determination made for a patient. The information model is used to record the measurement results for which no specific information models have yet been formulated. The information model is not intended for laboratory determinations to be carried out on the material taken from the patient.

Purpose

The measurement and documentation of physiological observations are an important tool for evaluating a patient’s condition. This information model offers the option to record various relevant measurement values.

Information Model



Type Id Concept Card. Definition DefinitionCode Reference
NL-CM:13.3.1 GeneralMeasurement Root concept of the GeneralMeasurement information model. This root concept contains all data elements of the GeneralMeasurement information model.
NL-CM:13.3.2 Investigation 0..1 A general measurement can contain multiple components. This concept contains the name and code of the entire measurement. The components are represented in one or more MeasurementResult concepts.
TestCodelist
NL-CM:13.3.3 ResultStatus 0..1 The status of the total measurement.
ResultStatusCodelist
NL-CM:13.3.4 Comment 0..1 Comments such as an interpretation or advice accompanying the result.
48767-8 Annotation comment
NL-CM:13.3.5 MeasurementResult 0..* Container of the MeasurementResult concept. This container contains all data elements of the MeasurementResult concept.
NL-CM:13.3.6 MeasurementName 1 Description (name and code) of the measurement.
MeasurementNameCodelist
NL-CM:13.3.7 ResultValue 0..1 The result of the measurement. Depending on the type of measurement, the result will consist of a value with a unit or a coded value (ordinal or nominal) or of a textual result.
NL-CM:13.3.8 MeasuringMethod 0..1 The test method used to obtain the result.
MeasuringMethodCodelist
NL-CM:13.3.9 ResultDateTime 0..1 Date and if possible the time at which the measurement was carried out.

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

MeetUitslag Toelichting ResultaatStatus
MetingNaam UitslagWaarde UitslagDatumTijd
Delirium observatie screening (DOS) 7 12-03-2014 Waarschijnlijk delier Definitief

Valuesets

MeasurementNameCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2
Conceptname Codesystem name Codesystem OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96

MeasuringMethodCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.3.4
Conceptname Codesystem name Codesystem OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96

ResultStatusCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1
Conceptname Conceptcode Codesystem name Codesystem OID Description
Pending pending ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Uitslag volgt
Preliminary preliminary ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Voorlopig
Final final ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Definitief
Appended appended ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Aanvullend
Corrected corrected ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Gecorrigeerd

TestCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.13.3.3
Conceptname Codesystem name Codesystem OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96


More on this information model

More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[1]
This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage
This page is generated on 21/09/2017 18:24:01


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