FreedomRestrictingMeasuresMentalHealthcare-v3.0(2016EN)

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General information

Name: nl.zorg.FreedomRestrictingMeasuresMentalHealthcare
Version: 3.0
HCIM Status:Final
Publication: 2016
Release status: Published
Publication date: 1-5-2016

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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 22-5-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.14.4
DCM::KeywordList Vrijheidsbeperkende maatregelen, Argus, wilsbekwaamheid, interventies
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.VrijheidsbeperkendeMaatregelenGGZ
DCM::PublicationDate 1-5-2016
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 8-9-2015
DCM::Superseeds nl.nfu.VrijheidsbeperkendeMaatregelenGGZ-v1.0
DCM::Version 3.0
HCIM::PublicationLanguage EN

Revision History

Concept

Medical restraints are (physical or verbal) measures used to restrict the freedom of the patient in question. Many forms of medical restraints fall under this definition, including but not limited to:

  • involuntary treatment
  • physical restraints (such as a cushion belt)
  • house rules


Medical restraints may only be implemented under strict conditions. The ‘Wet BOPZ’ [Dutch Psychiatric Hospitals (Compulsory Admissions) Act] protects the rights of clients who are involuntarily admitted into mental healthcare, services for the disabled and in geriatric psychiatry. The act only applies in ‘BOPZ’-marked facilities and also applies to some (closed) wards in retirement homes.
Mental healthcare facilities use a national registration system to register the restraints called Argus registration.

Purpose

Implementing medical restraints is risky and can result in damage to patients if they are not carefully implemented. Nurses fulfil an important role in identifying risks, observing the effect of the restraints and any changes to the policy in terms of medical restraints. Recording all information on the measures is of major importance for insight into decision-making, implementing, monitoring and evaluating the measures. In the event of a transfer to the next facility, the proper preparations can be taken to safely continue the care and to limit the risks to the patient and their environment.

Patient Population

This information model is intended for patients residing in mental healthcare facilities. Mental healthcare uses a national registration system (Argus registration) when implementing medical restraints.

Information Model



Type Id Concept Card. Definition DefinitionCode Reference
NL-CM:14.4.1 MentalHealthcareMedicalRestraints Root concept of the MentalHealthcareMedicalRestraints information model. This root concept contains all data elements of the MentalHealthcareMedicalRestraints information model.
NL-CM:14.4.2 LegalStatus 0..1 The legal situation that applies to the patient. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status.
303186005 Legal status of patient
LegalStatusMentalHealthcareCodelist
NL-CM:14.4.3 LegallyCapable 1 Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision.
NL-CM:14.4.4 LegallyCapableExplanation 0..1 Explanation of the decisions which the patient is legally capable of making.
48767-8 Annotation comment
NL-CM:14.4.5 Restraint 0..* Container of the Restraint concept. This container contains all data elements of the Restraint concept.
NL-CM:14.4.6 ArgusRestraint 1 ArgusRestraint describes the medical restraints in mental healthcare, as outlined in a clear registration following the Argus data set.
390811008 Crisis/short term interventions in health care
ArgusRestraintCodelist
NL-CM:14.4.7 ArgusPermission 1 The permission given to the healthcare provider(s) by the patient or legal representative to implement the medical restraint following the Argus data set.
309370004 Consent status
ArgusPermissionCodelist
NL-CM:14.4.8 ArgusStartEpisode 1 The date and time at which the restraints started.
NL-CM:14.4.9 ArgusEndOfEpisode 0..1 The date and time at which the restraints ended.
NL-CM:14.4.10 NursingProcedure 0..* Description of the required nursing procedures involved in medical restraints.
NursingIntervention

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

VrijheidsbeperkendeMaatregelenGGZ
JuridischeStatus RM
Wilsbekwaam Nee
WilsbekwaamToelichting Wilsonbekwaam t.a.v. behandeling.
Interventie
ArgusInterventie Gedwongen medicatie
ArgusInstemming Geen verzet
ArgusAanvangEpisode 01-05-2014
ArgusEindeEpisode 05-05-2014
VerpleegkundigeActie
Activiteit Zorgen voor rustige omgeving, vast aanspreekpersoon.

References

1. Handreiking Argus [Online] Beschikbaar op:http://www.veiligezorgiederszorg.nl/speerpunt-dwang-en-drang/handreiking-argus-def.pdf [Geraadpleegd: 13 februari 2015]

2. Argus [Online] Beschikbaar op:http://www.veiligezorgiederszorg.nl/speerpunten/dwang-en-drang.html [Geraadpleegd: 13 februari 2015]

Valuesets

ArgusPermissionCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.4.2
Conceptname Conceptcode Codesystem name Codesystem OID Description
Op eigen verzoek E1 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Op eigen verzoek
Geen verzet E2 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Geen verzet
Verzet E3 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Verzet

ArgusRestraintCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.4.1
Conceptname Conceptcode Codesystem name Codesystem OID Description
Separatie A1 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Separatie
Afzondering A2 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Afzondering
Fixatie A3 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Fixatie
Gedwongen medicatie A4 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Gedwongen medicatie
Gedwongen voeding en/of vocht A5 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Gedwongen voeding en/of vocht
Andere interventies A6 ArgusCodes 2.16.840.1.113883.2.4.3.11.22.217 Andere interventies

LegalStatusMentalHealthcareCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.4.3
Conceptname Conceptcode Codesystem name Codesystem OID Description
Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging 1 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
RM op eigen verzoek 2 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 RM op eigen verzoek
RM met voorwaardelijk ontslag 3 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 RM met voorwaardelijk ontslag
Onder toezichtstelling (ots) 4 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Onder toezichtstelling (ots)
In bewaringstelling (ibs) 5 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 In bewaringstelling (ibs)
Voogdij 6 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Voogdij
Bewindvoering 7 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Bewindvoering
Mentorschap 8 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Mentorschap
Onder curatele stelling 9 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Onder curatele stelling
Zaakwaarneming 10 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Zaakwaarneming
Strafrechtelijke justitiële contacten: tbs 11 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Strafrechtelijke justitiële contacten: tbs
Strafrechtelijke justitiële contacten: overig 12 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Strafrechtelijke justitiële contacten: overig


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 Release summer 2016
Conditions for use are located on the mainpage
This page is generated on 28/09/2017 01:09:04

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