HCIM Release 2024(EN)
Release 2024
This is a release. More information about prereleases and releases can be found here.
The following summary shows which hcim's are part of this release, including the version numbers.
More information on release 2024 can be found in the ReleaseNotes 2024 
(in Dutch) and in the sections below.
Health and care information models release 2024
group: Administrative, count: 8
| Admission-v3.0 | ContactPerson-v5.0 | HealthcareProvider-v3.6 | Patient-v4.3 |
| CareTeam-v2.0 | Encounter-v7.0 | HealthProfessional-v4.0.1 | Payer-v4.1 |
group: Clinical context, count: 33
group: Measurements, count: 15
group: Medication, count: 6
| AdministrationAgreement-v3.0 | MedicationAdministration2-v3.0 | MedicationDispense-v3.0.1 | |
| DispenseRequest-v4.0 | MedicationAgreement-v4.0 | MedicationUse2-v3.0 |
group: Partial information models, count: 8
| AddressInformation-v1.2 | ContactInformation-v1.3.1 | NameInformation-v1.2 | Range-v1.0.1 |
| AnatomicalLocation-v1.0.3 | InstructionsForUse-v3.1 | PharmaceuticalProduct-v2.2.1 | TimeInterval-v1.3 |
group: Patient context, count: 18
group: Process patterns, count: 3
| CollectionData-v1.0.1 | OrderData-v1.0.1 | RegistrationData-v1.1.2 |
group: Scales en screening tools, count: 15
group: Selfcare, count: 10
group: Treatment, count: 7
| CareAgreement-v2.0 | NursingIntervention-v5.0 | Procedure-v6.0 | TreatmentObjective-v4.0 |
| FreedomRestrictingIntervention-v1.3 | OutcomeOfCare-v3.3.1 | TreatmentDirective2-v2.1 |
New information models and deprecated information models in release 2024
In release 2024 a number of new information models are added to the national set of HCIM's.
A number of existing information models on the other hand are declared deprecated.
New HCIM's
Deprecated HCIM's
| AllergyIntolerance |
| Problem |
| MedicationContraIndication |
Reason for deprecation
The following zibs have been replaced with other zibs
| Current modelling | New modelling |
| AllergyIntolerance, Hypersensitivity | HypersensitivityIntolerance, Reaction, SurveillanceDecision |
| Problem | Condition, DiagnosticInsight, Symptom |
| MedicationContraIndication | Alert1 |
MedicationContraIndication is now included in the existing HCIM Alert, as a contraindication is a specialisation of an alert and, with the introduction of the new zib Monitoring Decision, there is now coverage of the old zibs in both new zibs. Monitoring Decision can now be used to record a monitoring decision not only for medication but also for other unsafe substances.
AllergyIntolerance and Hypersensitivity are brought together in one zib HypersensitivityIntolerance, this HCIM can broadly cover all diagnoses that amount to a patient's tendency to develop an adverse reaction when exposed to a specific substance, group of substances or type of radiation.
Reaction has become a separate building block so that it can not only be related to a HypersensitivityIntolerance, but can also be related to, for example, a MedicationAgreement or Procedure.
The choice of the new modelling of Problem affects all HCIMs referring to Problem.
To better understand these changes resulting from the choice, [[NewReferencesToProblem | this page] describes for each of these zibs how the reference is modified and shows the modified information model.
Special information models
Partial information models
To enable reuse of information patterns, which do not themselves describe a complete (care) concept, partial information models (substructures) have been defined and applied.
Unlike complete HCIM’s, partial information models are never used independently, but always included (inclusion) in the model of a complete HCIM.
See Architecture Document Volume 1 for more information on this.
Partial information models can be identified by the prefix "nl.zorg.part" in the HCIM name.
Templates for HCIM's
As of publication 2020, templates will be used where possible as design patterns for the development of new HCIM's.
More information about these templates can be found on the special wiki page on this topic. This page is also accessible via the main menu on the left of this page.
Process patterns
HCIMs model the information of clinical concepts. They describe those elements of the clinical concept that are relevant to almost all use cases.
When using HCIMs in information standards in particular, the need often arises to add additional information that in itself does not describe an aspect of the clinical concept, but rather forms part of the (often more administrative or logistical) process in which the clinical concept is used and which is described in the information standard.
Process pattern information models have been created to meet the above-mentioned need within the present methodology.
More information about process pattern information models is available on this page.
Downloads
At the bottom of each HCIM wikipage you can find links to download the HCIM information in PDF of XLSX format.
It is also possible to download the whole set of HCIM's of this release in one file as PDF
(50 MB), XLSX or XMI. The last file also contains valuelist in XML format.
Additional information
- Starting from prepublication 2018-1, LOINC and SNOMED CT terms are displayed in Dutch wikipages in Dutch and in English wikipages in English, if an official translation is available.
- Attention! This prerelease contains newly created SNOMED CT codes. These codes are not yet included in the current SNOMED CT release at the time of publication. As a result, these codes are incorrectly referred to as 'unknown code'.
- This will be resolved after the new SNOMED CT release.
- A section has been added to each HCIM wikipage indicating which other HCIM's the building block refers to and in which other HCIM's the HCIM is used.