OutcomeOfCare-v1.0(2015EN): verschil tussen versies

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Regel 3: Regel 3:
Version: '''1.0''' <br>
Version: '''1.0''' <br>
HCIM Status:Final<br>
HCIM Status:Final<br>
Publication: '''2015''' <br>
Release: '''2015''' <br>
Release status: Published<br>
Release status: Published<br>
Publication date: 8-9-2015
Release date: 8-9-2015
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
Regel 75: Regel 75:
==Information Model==
==Information Model==
<BR>
<BR>
[[Bestand: OutcomeOfCare-v1.0Model(EN).png | center]]
<imagemap> Bestand:OutcomeOfCare-v1.0Model(EN).png | center  
rect 380 86 480 166 [[#10313]]
rect 365 221 489 291 [[GeneralMeasurement-v1.0(2015EN)]]
rect 522 221 668 291 [[FunctionalOrMentalStatus-v1.0.1(2015EN)]]
rect 575 91 719 161 [[NursingIntervention-v1.0(2015EN)]]
rect 205 221 329 291 [[#10318]]
desc none
</imagemap>
<BR>
<BR>
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
Regel 81: Regel 88:
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px]]
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:13.4.1
||NL-CM:13.4.1
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: UitkomstVanZorg">[[Bestand: arrowdown.png | 10px]]HealthcareResult</span>
|colspan ="6" style ="padding-left: 0px"|<span Id=10313 Title="NL: UitkomstVanZorg">[[Bestand: arrowdown.png | 10px | link=]]HealthcareResult</span>
|
|
|Root concept of the HealthcareResult building block. This root concept contains all data elements of the HealthcareResult building block.
|Root concept of the HealthcareResult building block. This root concept contains all data elements of the HealthcareResult building block.
Regel 89: Regel 96:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:13.4.5
||NL-CM:13.4.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Zorgresultaat">[[Bestand: arrowright.png | 10px]]HealthcareResult</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10318 Title="NL: Zorgresultaat">[[Bestand: arrowright.png | 10px | link=]]HealthcareResult</span>
|(0..1)
|(0..1)
|The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result.
|The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result.
Regel 102: Regel 109:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:13.4.2
||NL-CM:13.4.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Meetwaarde::AlgemeneMeting">[[Bestand: arrowright.png | 10px]]MeasurementValue::GeneralMeasurement</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10314 Title="NL: Meetwaarde::AlgemeneMeting">[[Bestand: arrowright.png | 10px | link=]]MeasurementValue::GeneralMeasurement</span>
|(0..1)
|(0..1)
|Measurements in which an observation, carried out with a (measuring) tool if possible, is translated to a relevant unit.
|Measurements in which an observation, carried out with a (measuring) tool if possible, is translated to a relevant unit.
Regel 112: Regel 119:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[GeneralMeasurement-v1.0(2015EN) |GeneralMeasurement]]
|[[Bestand: block.png | link=GeneralMeasurement-v1.0(2015EN)]]||[[GeneralMeasurement-v1.0(2015EN) |GeneralMeasurement]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:13.4.3
||NL-CM:13.4.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Gezondheidstoestand::FunctioneleOfMentaleStatus">[[Bestand: arrowright.png | 10px]]HealthCondition::FunctionalOrMentalStatus</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10315 Title="NL: Gezondheidstoestand::FunctioneleOfMentaleStatus">[[Bestand: arrowright.png | 10px | link=]]HealthCondition::FunctionalOrMentalStatus</span>
|(0..1)
|(0..1)
|A description of the patient’s health condition in the form of a functional and/or mental status.
|A description of the patient’s health condition in the form of a functional and/or mental status.
Regel 125: Regel 132:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[FunctionalOrMentalStatus-v1.0.1(2015EN) |FunctionalOrMentalStatus]]
|[[Bestand: block.png | link=FunctionalOrMentalStatus-v1.0.1(2015EN)]]||[[FunctionalOrMentalStatus-v1.0.1(2015EN) |FunctionalOrMentalStatus]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:13.4.4
||NL-CM:13.4.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Interventie::VerpleegkundigeInterventie">[[Bestand: arrowright.png | 10px]]Intervention::NursingIntervention</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=10317 Title="NL: Interventie::VerpleegkundigeInterventie">[[Bestand: arrowright.png | 10px | link=]]Intervention::NursingIntervention</span>
|0..1
|0..1
|A description of the nursing intervention of which the effectivity is evaluated with the healthcare result.
|A description of the nursing intervention of which the effectivity is evaluated with the healthcare result.
Regel 138: Regel 145:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]]
|[[Bestand: block.png | link=NursingIntervention-v1.0(2015EN)]]||[[NursingIntervention-v1.0(2015EN) |NursingIntervention]]
|}
|}
|}
|}
Regel 149: Regel 156:
{|class="wikitable" width="610px" style= "font-size: 9.5pt;"
{|class="wikitable" width="610px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|UitkomstVanZorg
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>UitkomstV</b></font><font color=#FFFFFF><b>an</b></font><font color=#FFFFFF><b>Z</b></font><font color=#FFFFFF><b>org</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Meetwaarde
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Meetwaarde</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="width: 26%; "|ResultaatStatus
| style="width: 26%; "|ResultaatStatus
Regel 159: Regel 166:
| style="width: 74%; "|Waarschijnlijk delier.
| style="width: 74%; "|Waarschijnlijk delier.
|-style=vertical-align:top;
|-style=vertical-align:top;
|colspan="2" style="background-color: #BFBFBF; width: 100%; color: Black; font-weight: bold; "|MeetUitslag
|colspan="2" style="background-color: #BFBFBF; width: 100%; "|<b>MeetUitslag</b>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="width: 26%; "|MetingNaam
| style="width: 26%; "|MetingNaam
Regel 170: Regel 177:
| style="width: 74%; "|10-09-2014
| style="width: 74%; "|10-09-2014
|-style=vertical-align:top;
|-style=vertical-align:top;
|colspan="2" style="background-color: #4F81BD; width: 100%; color: #FFFFFF; font-weight: bold; "|Interventie
|colspan="2" style="background-color: #4F81BD; width: 100%; "|<font color=#FFFFFF><b>Interventie</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="width: 26%; "|Interventie
| style="width: 26%; "|Interventie
Regel 176: Regel 183:
|}
|}


==This information model in other releases==
<ul>
<li>[[OutcomeOfCare-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
<li>[[OutcomeOfCare-v3.1(2017EN) | Release 2017, (Version 3.1)]]</li>
</ul>
==More on this information model==
==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[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.13.4] <BR>
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:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.13.4&effectiveDate=2015-09-08T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
</ul>
This information model is also available as [[Media:nl.nfu.OutcomeOfCare-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.OutcomeOfCare-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
This information model is also available as [[Media:nl.nfu.OutcomeOfCare-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.OutcomeOfCare-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
==About this information==
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
This page is generated on 28/09/2017 00:05:34 <BR>
This page is generated on 24/01/2018 17:37:07 <BR>
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>

Versie van 24 jan 2018 23:20

General information

Name: nl.nfu.OutcomeOfCare NL.png
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015

Back 16.png Back to HCIM list

Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 8-9-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name NFU & V&VN
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.13.4
DCM::KeywordList Uitkomst van zorg, zorgresultaat
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.nfu.UitkomstVanZorg
DCM::PublicationDate 8-9-2015
DCM::PublicationStatus Published
DCM::ReviewerList 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

The Healthcare Results (healthcare results) concept describes the determined status of the patient in terms of a certain problem. Comparing the healthcare result with the treatment goal provides insight into the effectivity of the nursing interventions/activities carried out for this problem. It is a part of the nursing process, together with nursing diagnoses/problems, the treatment goal and nursing interventions.
There are different classification systems that describe healthcare results with a measurement value, such as the NOC (Nursing Outcome Classification), Omaha System, and ICF (International Classification of Functioning, Disability and Health). One of these classifications is to be used if possible.

Purpose

Healthcare results are important parameters for evaluating the patient’s health and monitoring the effectivity of the medical treatment and nursing interventions.

Information Model


#10313GeneralMeasurement-v1.0(2015EN)FunctionalOrMentalStatus-v1.0.1(2015EN)NursingIntervention-v1.0(2015EN)#10318OutcomeOfCare-v1.0Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:13.4.1 Arrowdown.pngHealthcareResult Root concept of the HealthcareResult building block. This root concept contains all data elements of the HealthcareResult building block.
ST.png NL-CM:13.4.5 Arrowright.pngHealthcareResult (0..1) The textual account of the healthcare result. If HealthcareResult cannot be entered as a measurement value or functional/mental status, it can be described as free text in the healthcare result.
27574-3 Skilled nursing treatment plan Progress note and attainment of goals (narrative)
Verwijzing.png NL-CM:13.4.2 Arrowright.pngMeasurementValue::GeneralMeasurement (0..1) Measurements in which an observation, carried out with a (measuring) tool if possible, is translated to a relevant unit.
Block.png GeneralMeasurement
Verwijzing.png NL-CM:13.4.3 Arrowright.pngHealthCondition::FunctionalOrMentalStatus (0..1) A description of the patient’s health condition in the form of a functional and/or mental status.
Block.png FunctionalOrMentalStatus
Verwijzing.png NL-CM:13.4.4 Arrowright.pngIntervention::NursingIntervention 0..1 A description of the nursing intervention of which the effectivity is evaluated with the healthcare result.
Block.png NursingIntervention

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

UitkomstVanZorg
Meetwaarde
ResultaatStatus Definitief
Toelichting Waarschijnlijk delier.
MeetUitslag
MetingNaam Delirium observatie screening (DOS)
UitslagWaarde 7
UitslagDatumTijd 10-09-2014
Interventie
Interventie Waarborgen van veiligheid.

This information model in other releases

More on this information model

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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

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 List2.png
This page is generated on 24/01/2018 17:37:07

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=OutcomeOfCare-v1.0(2015EN)&oldid=9931"