FunctioneleOfMentaleStatus-v3.1(2018EN)

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General information

Name: nl.zorg.FunctioneleOfMentaleStatus NL.png
Version: 3.1
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018

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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 01-10-2018
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.FunctioneleOfMentaleStatus-v3.0
DCM::Version 3.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-04-2015)

ZIB-89 Aanpassing OverdrachtFuntioneleStatus door deze te vervangen door een nieuwe bouwsteen die alleen een generieke functionele beperking bevat.
ZIB-308 Prefix Overdracht weggehaald bij de generieke bouwstenen

Incl. algemene wijzigingsverzoeken:

ZIB-94 Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
ZIB-154 Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
ZIB-200 Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
ZIB-201 Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
ZIB-309 EOI aangepast
ZIB-324 Codelijsten Name en Description beginnen met een Hoofdletter
ZIB-326 Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015

Publicatieversie 1.0.1 (22-05-2015)

ZIB-384 Inconsistent gebruik van de naam StatusWaardeSnomedCodelijst.
ZIB-383 Inconsistent gebruik van de naam StatusWaardeNOCCodelijst.
ZIB-382 Inconsistent gebruik van de naam StatusWaardeOMAHACodelijst.

Publicatieversie 3.0 (01-05-2016)

ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-564 Aanpassing/harmonisatie Engelse conceptnamen

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


#StatusNaamICFCodelijst#StatusNaamSnomedCodelijst#StatusNaamOMAHACodelijst#StatusNaamNOCCodelijst#StatusWaardeICFCodelijst#StatusWaardeNOCCodelijst#StatusWaardeSnomedCodelijst#StatusWaardeOMAHACodelijst#11272MedicalDevice-v3.1.1(2018EN)#11267#11266#11269#11273FunctioneleOfMentaleStatus-v3.1Model(2018EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:4.26.1 Arrowdown.pngFunctioneleOfMentaleStatus Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus information model.
CD.png NL-CM:4.26.2 Arrowright.pngStatusNaam 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)
  • NOC (Nursing Outcomes Classification)
  • OMAHA
List2.png StatusNaamICFCodelijst
List2.png StatusNaamNOCCodelijst
List2.png StatusNaamOMAHACodelijst
List2.png StatusNaamSnomedCodelijst
CO.png NL-CM:4.26.3 Arrowright.pngStatusWaarde 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.

List2.png StatusWaardeICFCodelijst
List2.png StatusWaardeNOCCodelijst
List2.png StatusWaardeOMAHACodelijst
List2.png StatusWaardeSnomedCodelijst
TS.png NL-CM:4.26.6 Arrowright.pngStatusDatum 0..1 Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted.
ST.png NL-CM:4.26.4 Arrowright.pngToelichting 0..1 Explanatory comments as a description of the functional or mental status.
48767-8 Annotation comment [Interpretation] Narrative
Verwijzing.png NL-CM:4.26.5 Arrowright.pngHulpmiddel::MedischHulpmiddel 0..* Medical aid the patient has to reduce the impact of the disability or disorder.
Block.png MedicalDevice

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

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

Valuesets

StatusNaamICFCodelijst

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.3 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden ICF 2.16.840.1.113883.6.254

StatusNaamNOCCodelijst

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.2 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden NOC 2.16.840.1.113883.6.16

StatusNaamOMAHACodelijst

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.1 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden OMAHA 2.16.840.1.113883.6.98

StatusNaamSnomedCodelijst

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.4 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96

StatusWaardeICFCodelijst

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.6 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden ICF 2.16.840.1.113883.6.254

StatusWaardeNOCCodelijst

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.7 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden NOC 2.16.840.1.113883.6.16

StatusWaardeOMAHACodelijst

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.5 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden OMAHA 2.16.840.1.113883.6.98

StatusWaardeSnomedCodelijst

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.8 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96

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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 Artdecor.jpg
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Downloads

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 Prerelease 2018 #1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
  • LOINC version 2.64

Conditions for use are located on the mainpage List2.png
This page is generated on 23/12/2018 00:46:48 with ZibExtraction v. 3.0.6929.24609

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