HCIM Release 2016(EN)

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

Release 2016[bewerken]

The following summary shows which HCIM's are part of this publication, including the version numbers.
More information on Release 2016 is available in Dutch:

Health and care information models release 2016[bewerken]

group: Administrative, count: 6[bewerken]

ContactPerson-v3.0 HealthcareProvider-v3.0 Patient-v3.0
Encounter-v3.0 HealthProfessional-v3.0 Payer-v3.0

group: Basic elements, count: 1[bewerken]


group: Clinical context, count: 25[bewerken]

Alert-v3.0 FeedingTubeSystem-v3.0 NutritionAdvice-v3.0 Stoma-v3.0
AllergyIntolerance-v3.0 FunctionalOrMentalStatus-v3.0 Pregnancy-v3.0 Vaccination-v3.0
BladderFunction-v3.0 GeneralMentalFunctions-v3.0 PressureUlcer-v3.0 VisualFunction-v3.0
BowelFunction-v3.0 HearingFunction-v3.0 SensoryObsevationFunction-v3.0 Wound-v3.0
Burnwound-v3.0 Infusion-v3.0 SkinDisorder-v3.0
CommunicationSkills-v3.0 MedicalDevice-v3.0 Sleepfunction-v3.0
ConcernForTransfer-v3.0 MenstrualCycle-v3.0 SpecificMentalFunctions-v3.0

group: Measurements, count: 11[bewerken]

BloodPressure-v3.0 BodyWeight-v3.0 LaboratoryTestResultForTransfer-v3.0 Respiration-v3.0
BodyHeight-v3.0 GeneralMeasurement-v3.0 O2Saturation-v3.0 TextResultForTransfer-v3.0
BodyTemperature-v3.0 HeartRate-v3.0 PulseRate-v3.0

group: Medication, count: 4[bewerken]

MedicationAdministration-v3.0 MedicationDispense-v3.0 MedicationPrescription-v3.0 MedicationUse-v3.0

group: Patient context, count: 15[bewerken]

AdvanceDirective-v3.0 FamilyHistory-v3.0 LanguageProficiency-v3.0 Nationality-v3.0
AlcoholUse-v3.0 FamilySituation-v3.0 LifeStance-v3.0 ParticipationInSociety-v3.0
DrugUse-v3.0 HelpFromOthers-v3.0 LivingSituation-v3.0 TobaccoUse-v3.0
Education-v3.0 IllnessPerception-v3.0 MaritalStatus-v3.0

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

BarthelADLIndex-v3.0 GlasgowComaScale-v3.0 MUSTScore-v3.0 PainScore-v3.0
FallRiskForTransfer-v3.0 Malnutrition-v3.0 PainPerception-v3.0 SNAQScore-v3.0

group: Selfcare, count: 9[bewerken]

AbilityToDressOneself-v3.0 AbilityToPerformHaircareActivities-v3.0 AbilityToWashOneself-v3.0
AbilityToDrink-v3.0 AbilityToPerformMouthcareActivities-v3.0 HelpWithMedication-v3.0
AbilityToEat-v3.0 AbilityToUseToilet-v3.0 Mobility-v3.0

group: Treatment, count: 8[bewerken]

FreedomRestrictingMeasures-v3.0 NursingIntervention-v3.0 PlannedCareActivityForTransfer-v3.0 TreatmentDirective-v3.0
FreedomRestrictingMeasuresMentalHealthcare-v3.0 OutcomeOfCare-v3.0 ProcedureForTransfer-v3.0 TreatmentObjective-v3.0

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.