HCIM Release 2015(EN)

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Attention!! This is not the most recent HCIM release. You can find the most recent release here.

Release 2015[bewerken]

The following summary shows which HCIM's are part of this publication, including the version numbers.
More information on Release 2015 is available in Dutch:

Health and care information models release 2015[bewerken]

group: Administrative, count: 6[bewerken]

ContactPerson-v1.2 HealthcareProvider-v1.2 Patient-v2.0.1
Encounter-v1.2 HealthProfessional-v1.2.1 Payer-v1.2

group: Basic elements, count: 1[bewerken]

BasicElements-v1.0

group: Clinical context, count: 25[bewerken]

Alert-v1.0 FeedingTubeSystem-v1.0 NutritionAdvice-v1.0 Stoma-v1.0
AllergyIntolerance-v1.0.2 FunctionalOrMentalStatus-v1.0.1 Pregnancy-v1.0 Vaccination-v1.2
BladderFunction-v1.0 GeneralMentalFunctions-v1.0 PressureUlcer-v1.0 VisualFunction-v1.0
BowelFunction-v1.0 HearingFunction-v1.0 SensoryObservationFunction-v1.0 Wound-v1.0
Burnwound-v1.0 Infusion-v1.0 SkinDisorder-v1.0
CommunicationSkills-v1.0 MedicalDevice-v1.2 Sleepfunction-v1.0
ConcernForTransfer-v1.2 MenstrualCycle-v1.0 SpecificMentalFunctions-v1.0

group: Measurements, count: 11[bewerken]

BloodPressure-v1.2 BodyWeight-v1.2 LaboratoryTestResultForTransfer-v1.2.2 Respiration-v1.0.2
BodyHeight-v1.2 GeneralMeasurement-v1.0 O2Saturation-v1.2 TextResultForTransfer-v1.2
BodyTemperature-v1.2.1 HeartRate-v1.2 PulseRate-v1.2

group: Medication, count: 4[bewerken]

MedicationAdministration-v1.0 MedicationDispense-v1.0 MedicationPrescription-v1.0.1 MedicationUse-v1.0.1

group: Patient context, count: 15[bewerken]

AdvanceDirective-v1.0 FamilyHistory-v2.0 LanguageProficiency-v1.0 Nationality-v2.0
AlcoholUse-v1.2.1 FamilySituation-v1.0 LifeStance-v1.2.1 ParticipationInSociety-v1.0
DrugUse-v1.2.2 HelpFromOthers-v1.0 LivingSituation-v1.2 TobaccoUse-v1.2.1
Education-v1.2.1 IllnessPerception-v1.0 MaritalStatus-v1.2.1

group: Scales en screening tools, count: 8[bewerken]

BarthelADLIndex-v1.2.1 GlasgowComaScale-v1.2.1 MUSTScore-v1.0 PainScore-v1.2.1
FallRiskForTransfer-v1.0 Malnutrition-v1.0 PainPerception-v1.0 SNAQScore-v1.0

group: Selfcare, count: 9[bewerken]

AbilityToDressOneself-v1.0 AbilityToPerformHaircareActivities-v1.0 AbilityToWashOneself-v1.0
AbilityToDrink-v1.0 AbilityToPerformMouthcareActivities-v1.0 HelpWithMedication-v1.0
AbilityToEat-v1.0 AbilityToUseToilet-v1.0 Mobility-v1.0

group: Treatment, count: 8[bewerken]

FreedomRestrictingMeasures-v1.0 NursingIntervention-v1.0 PlannedCareActivityForTransfer-v1.2.1 TreatmentDirective-v1.0.1
FreedomRestrictingMeasuresMentalHealthcare-v1.0 OutcomeOfCare-v1.0 ProcedureForTransfer-v1.2 TreatmentObjective-v1.0

Special information models[bewerken]

Basic elements[bewerken]

A number of data elements are implicitly present in each information model and are therefore not explicitly specified in the HCIM. These are concepts that are of a more technical nature, often have little or no clinical relevance, but for the sake of clarity and readability of the data are necessary. The basic elements at each HCIM are:

  • Subject: The person to whom the information relates. Often this will be the patient, but for example, in small children it may be information about the parent or caregiver.
  • Source of information: The person who provided the information and ensures the correctness of it. This is not always a healthcare professional who enters the data in the information system, but it may also be the patient or another person, such as a parent, caretaker or guardian.
  • Author: The person who has recorded the information. Depending on the information system in which the data is recorded, this may be the patient, a contact person or the healthcare professional.
  • Identification number: The number that identifies the instantiation of the HCIM (worldwide) uniquely. The number is composed of an identification of the issuer organization and a unique number assigned by this organization
  • DateTime : The date and possibly the time at which the event relates to the information. This is the medically relevant date and time.

A more detailed explanation of the basic elements can be found in Architecture Document Volume 1, paragraph 3.8 PDF.png.