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.
Container of the Memory concept. This container contains all data elements of the Memory concept.
303116000 Memory,function
NL-CM:18.4.6
ShortTermMemory
0..1
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]
Valuesets
AttentionCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.18.4.1
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Geen stoornis
b1520.0
ICF
2.16.840.1.113883.6.254
Stoornis 0-4%
Lichte stoornis
b1520.1
ICF
2.16.840.1.113883.6.254
Stoornis 5-24%
Matige stoornis
b1520.2
ICF
2.16.840.1.113883.6.254
Stoornis 25-49%
Ernstige stoornis
b1520.3
ICF
2.16.840.1.113883.6.254
Stoornis 50-95%
Volledige stoornis
b1520.4
ICF
2.16.840.1.113883.6.254
Stoornis 96-100%
LongTermMemoryCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.18.4.3
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Geen stoornis
b1441.0
ICF
2.16.840.1.113883.6.254
Stoornis 0-4%
Lichte stoornis
b1441.1
ICF
2.16.840.1.113883.6.254
Stoornis 5-24%
Matige stoornis
b1441.2
ICF
2.16.840.1.113883.6.254
Stoornis 25-49%
Ernstige stoornis
b1441.3
ICF
2.16.840.1.113883.6.254
Stoornis 50-95%
Volledige stoornis
b1441.4
ICF
2.16.840.1.113883.6.254
Stoornis 96-100%
MoodAdequacyCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.18.4.8
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Geen stoornis
b1520.0
ICF
2.16.840.1.113883.6.254
Stoornis 0-4%
Lichte stoornis
b1520.1
ICF
2.16.840.1.113883.6.254
Stoornis 5-24%
Matige stoornis
b1520.2
ICF
2.16.840.1.113883.6.254
Stoornis 25-49%
Ernstige stoornis
b1520.3
ICF
2.16.840.1.113883.6.254
Stoornis 50-95%
Volledige stoornis
b1520.4
ICF
2.16.840.1.113883.6.254
Stoornis 96-100%
MoodRegulationCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.18.4.9
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Geen stoornis
b1521.0
ICF
2.16.840.1.113883.6.254
Stoornis 0-4%
Lichte stoornis
b1521.1
ICF
2.16.840.1.113883.6.254
Stoornis 5-24%
Matige stoornis
b1521.2
ICF
2.16.840.1.113883.6.254
Stoornis 25-49%
Ernstige stoornis
b1521.3
ICF
2.16.840.1.113883.6.254
Stoornis 50-95%
Volledige stoornis
b1521.4
ICF
2.16.840.1.113883.6.254
Stoornis 96-100%
ShortTermMemoryCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.18.4.2
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Geen stoornis
b1440.0
ICF
2.16.840.1.113883.6.254
Stoornis 0-4%
Lichte stoornis
b1440.1
ICF
2.16.840.1.113883.6.254
Stoornis 5-24%
Matige stoornis
b1440.2
ICF
2.16.840.1.113883.6.254
Stoornis 25-49%
Ernstige stoornis
b1440.3
ICF
2.16.840.1.113883.6.254
Stoornis 50-95%
Volledige stoornis
b1440.4
ICF
2.16.840.1.113883.6.254
Stoornis 96-100%
SpeedOfThoughtCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.18.4.4
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Geen stoornis
b1600.0
ICF
2.16.840.1.113883.6.254
Stoornis 0-4%
Lichte stoornis
b1600.1
ICF
2.16.840.1.113883.6.254
Stoornis 5-24%
Matige stoornis
b1600.2
ICF
2.16.840.1.113883.6.254
Stoornis 25-49%
Ernstige stoornis
b1600.3
ICF
2.16.840.1.113883.6.254
Stoornis 50-95%
Volledige stoornis
b1600.4
ICF
2.16.840.1.113883.6.254
Stoornis 96-100%
ThoughtCoherenceCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.18.4.5
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Geen stoornis
b1601.0
ICF
2.16.840.1.113883.6.254
Stoornis 0-4%
Lichte stoornis
b1601.1
ICF
2.16.840.1.113883.6.254
Stoornis 5-24%
Matige stoornis
b1601.2
ICF
2.16.840.1.113883.6.254
Stoornis 25-49%
Ernstige stoornis
b1601.3
ICF
2.16.840.1.113883.6.254
Stoornis 50-95%
Volledige stoornis
b1601.4
ICF
2.16.840.1.113883.6.254
Stoornis 96-100%
ThoughtContentCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.18.4.6
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Geen stoornis
b1602.0
ICF
2.16.840.1.113883.6.254
Stoornis 0-4%
Lichte stoornis
b1602.1
ICF
2.16.840.1.113883.6.254
Stoornis 5-24%
Matige stoornis
b1602.2
ICF
2.16.840.1.113883.6.254
Stoornis 25-49%
Ernstige stoornis
b1602.3
ICF
2.16.840.1.113883.6.254
Stoornis 50-95%
Volledige stoornis
b1602.4
ICF
2.16.840.1.113883.6.254
Stoornis 96-100%
ThoughtControlCodelist
Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.18.4.7
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Geen stoornis
b1603.0
ICF
2.16.840.1.113883.6.254
Stoornis 0-4%
Lichte stoornis
b1603.1
ICF
2.16.840.1.113883.6.254
Stoornis 5-24%
Matige stoornis
b1603.2
ICF
2.16.840.1.113883.6.254
Stoornis 25-49%
Ernstige stoornis
b1603.3
ICF
2.16.840.1.113883.6.254
Stoornis 50-95%
Volledige stoornis
b1603.4
ICF
2.16.840.1.113883.6.254
Stoornis 96-100%
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 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 28/09/2017 00:06:06