FunctionalOrMentalStatus-v3.2.1(2023EN)

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General information

Name: nl.zorg.FunctionalOrMentalStatus
Version: 3.2.1
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023

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Metadata

DCM::CoderList Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate 12-9-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.4.26
DCM::KeywordList mentale status, functionele status, functionele beperking, mentale stoornis, ADL
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.FunctioneleOfMentaleStatus
DCM::PublicationDate 15-10-2023
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 17-11-2021
DCM::Supersedes nl.zorg.FunctioneleOfMentaleStatus-v3.2
DCM::Version 3.2.1
HCIM::PublicationLanguage EN

Revision History

Concept

The functional or mental status provides insight into the patient’s functional and mental limitations.

Purpose

The patient’s functional and mental status can be recorded to provide insight into the patient’s limitations which need to be taken into account for further treatment and care and in order to evaluate the effects of a treatment.

Diagnoses with (the potential for) functional limitations are not to be recorded here. To record these, please use the Problem information model.

Information Model


#597MedicalDevice-v4.0(2023EN)#594#593#595#598#StatusNameICFCodelist#StatusNameSnomedCodelist#StatusValueICFCodelist#StatusValueSnomedCodelist


Type Id Concept Card. Definition DefinitionCode Reference
NL-CM:4.26.1 FunctionalOrMentalStatus Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus information model.
NL-CM:4.26.2 StatusName 1 Coded description of the functional or mental status or limitation.

Code systems used include:

  • SNOMED CT
  • ICF (International Classification of Functioning, Disability and Health)
StatusNameICFCodelist
StatusNameSnomedCodelist
NL-CM:4.26.3 StatusValue 0..1 The extent to which the patient is limited by the functional or mental condition.

If both the status name and the status value are recorded in code, then both values must come from the same code system. If the patient uses a medical device, the evaluation of the extent of the limitation will take place without this aid. The answer codes must be selected from the subselection of the code system corresponding with the request in accordance with the rules applicable to that system.

StatusValueICFCodelist
StatusValueSnomedCodelist
NL-CM:4.26.6 StatusDate 0..1 Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted.
NL-CM:4.26.4 Comment 0..1 Explanatory comments as a description of the functional or mental status.
48767-8 Annotation comment [Interpretation] Narrative
NL-CM:4.26.5 MedicalDevice:MedicalDevice 0..* Medical aid the patient has to reduce the impact of the disability or disorder.
MedicalDevice

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

FunctioneleOfMentaleStatus
StatusNaam Zich scheren
StatusWaarde Moeite met scheren
StatusDatum 23-02-2015
Toelichting --
MedischHulpmiddel --

Valuesets

StatusNameICFCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.3 Binding: Required
Conceptname Codesystem name Codesystem OID
All values ICF 2.16.840.1.113883.6.254

StatusNameSnomedCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.4 Binding: Required
Conceptname Codesystem name Codesystem OID
All values SNOMED CT 2.16.840.1.113883.6.96

StatusValueICFCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.6 Binding: Required
Conceptname Codesystem name Codesystem OID
All values ICF 2.16.840.1.113883.6.254

StatusValueSnomedCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.8 Binding: Required
Conceptname Codesystem name Codesystem OID
All values SNOMED CT 2.16.840.1.113883.6.96

This information model in other releases

Information model references

This information model refers to

This information model is used in

Technical specifications in HL7v3 CDA and HL7 FHIR

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
  • 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 2023-1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
  • LOINC version 2.76

Conditions for use are located on the mainpage
This page is generated on 31/10/2023 18:34:04 with ZibExtraction v. 9.3.8704.31782

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