LegalSituation-v3.0(2021EN)

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General information

Name: nl.zorg.LegalSituation
Version: 3.0
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021

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Metadata

DCM::CoderList	Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList
DCM::CreationDate	20-4-2018
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	PM
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.7.17
DCM::KeywordList	Juridische status, wettelijke vertegenwoordiger, voogdij
DCM::LifecycleStatus	Final
DCM::ModelerList
DCM::Name	nl.zorg.JuridischeSituatie
DCM::PublicationDate	01-12-2021
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	09-11-2021
DCM::Supersedes	nl.zorg.JuridischeSituatie-v2.0
DCM::Version	3.0
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (26-02-2019)

ZIB-670

Graag afzonderlijke zib maken van data element juridische status

Publicatieversie 2.0 (01-09-2020)

ZIB-1127	Codelijst JuridischeStatus is achterhaald
ZIB-1136	zib vrijheidsbeperkende maatregelen en zib juridische situatie

Publicatieversie 3.0 (01-12-2021)

ZIB-1357	zib Juridische situatie (2020)
ZIB-1480	juridische situatie; toevoeging waardenlijst vertegenwoordiging
ZIB-1504	Uitsplitsen IBS voor GGZ crisisdiensten

Concept

A legal situation can concern a legal status and/or representation.

The legal status indicates the basis on which the patient is staying in a healthcare organization. This can be either voluntary or involuntary, however the legal status is always determined by a judge.

Representation is important in situations where a person is legally not competent to give permission and/or factually (partly) incapable of doing so. A representative supports and takes decisions in the interest of the representee when they cannot do so themselves (temporarily or permanently).

Purpose

Health professionals must be aware of the existence of a legal status or representation because this in part determines what type of care can be provided to the patient. For example, a supporting legal status can be required for using freedom restricting interventions. For a mentally incompetent patient, it must be clear that there is a representative for further decision-making: in this case, the health professional should follow the decision of the representative of the mentally incompetent patient, unless this is incompatible with the care of a good health professional.

Evidence Base

In version 2.0, the new legal statuses resulting from the new legislation on involuntary / compulsory care have been added to the LegalStatus value list. In version 1.0 this list was based on the Vektis value list LegalStatus. However, this list is no longer maintained. That is why the value lists in the new version are based on an internal Nictiz codesystem.

Information Model

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:7.17.1

LegalSituation

Root concept of the LegalSituation information model. This root concept contains all data elements of the LegalSituation information model.

NL-CM:7.17.2

LegalStatus

(0..1)

The legal status that applies to the patient. The legal status indicates the basis on which the patient is staying in a healthcare organization. This can be either voluntary or involuntary, however the legal status is always determined by a judge. A patient can also receive healthcare based on a forensic status.

303186005 Legal status of patient

LegalStatusCodelist

NL-CM:7.17.5

Representation

(0..1)

In some situations, a person is legally not competent to give permission and/or factually (partly) incapable of doing so. A representative supports and takes decisions in the interest of the representee when they cannot do so themselves (temporarily or permanently). The representative should involve the patient as much as possible in the fulfillment of their tasks and the factual capability of the patient must be honored as much as possible. The Wgbo (Dutch law) determines who are able to become representatives as well as an enforced order.

151701000146105 Type of guardian

RepresentationCodelist

NL-CM:7.17.3

DateStart

0..1

The date on which the legal situation of the patient starts.

NL-CM:7.17.4

DateStop

0..1

The date on which the legal situation of the patient ends.

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

JuridischeSituatie
JuridischeStatus	Onder toezichtstelling (ots)
DatumAanvang	01-01-2018
DatumEinde	01-01-2020
Vertegenwoordiging

Instructions

In case of an intervention, a distinction is made between seclusion and separation. For the purpose of unambiguous recording, the following definitions are used:

Seclusion:
Seclusion is the confinement of a patient for care, nursing and treatment in a specially designated seclusion room. A seclusion room is generally a bare single room with only a bed, sometimes with a table, a chair, a wardrobe and occasionally washing facilities. Seclusion may not take place in the "own" bedroom.

Separation:
Separation is the confinement of a patient in a specially designated enclosed space that has been approved as a separation residence; for several years now the term Extra Secure Room (EBK) has been used for this. The separation space is a specially equipped room, with a mattress or riveted bed and mostly without furniture. Separation should be applied with great caution. The risks of harmful side effects of separation, such as anxiety and stress, are significant. Also in the context of safety, separation should be avoided as much as possible and alternatives should be sought to avert the danger.

References

1. Handreiking Argus [Online] Beschikbaar op:https://www.ggznederland.nl/uploads/publication/Argus%20Registratie%20van%20vrijheidsbeperkende%20interventies%20in%20de%20ggz.pdf [Geraadpleegd: 12 mei 2020] 2. Handreiking "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…" (V&VN, 2013) [Online] Beschikbaar op:https://www.venvn.nl/media/matnqkx4/20131120-aanbevelingen-vbi-beleid.pdf</a [Geraadpleegd: 12 mei 2020] 3. Wet verplichte GGZ (Wvggz) [Online] Beschikbaar op:https://www.dwangindezorg.nl/wvggz [Geraadpleegd: 12 mei 2020] 4. Wet zorg en dwang (Wzd) [Online] Beschikbar op:https://www.dwangindezorg.nl/wzd [Geraadpleegd: 12 mei 2020] 5. Wet zorg en dwang psychogeriatrische en verstandelijk gehandicapte cliënten [Online] op:https://zoek.officielebekendmakingen.nl/stcrt-2019-60908.html [Geraadpleegd: 12 mei 2020] 6: Regeling verplichte geestelijke gezondheidszorg [Online] op:https://zoek.officielebekendmakingen.nl/stcrt-2019-60909.html [Geraadpleegd: 12 mei 2020] 7. Basisset Medisch Specialistische Zorg 2020, hoofdstuk 8.4 Vrijheidsbeperkende interventie (VBI) [Online] op:https://www.igj.nl/documenten/indicatorensets/2019/09/03/basisset-medisch-specialistische-zorg-2020 [Geraadpleegd: 12 mei 2020]

Valuesets

LegalStatusCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.7.17.1	Binding: Required

RepresentationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.7.17.2	Binding: Required

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Voogdij	6	JuridischeVertegenwoordiging	2.16.840.1.113883.2.4.3.11.60.40.4.23.3	Voogdij
Bewindvoering	7	JuridischeVertegenwoordiging	2.16.840.1.113883.2.4.3.11.60.40.4.23.3	Bewindvoering
Mentorschap	8	JuridischeVertegenwoordiging	2.16.840.1.113883.2.4.3.11.60.40.4.23.3	Mentorschap
Onder curatele stelling	9	JuridischeVertegenwoordiging	2.16.840.1.113883.2.4.3.11.60.40.4.23.3	Onder curatele stelling
Zaakwaarneming	10	JuridischeVertegenwoordiging	2.16.840.1.113883.2.4.3.11.60.40.4.23.3	Zaakwaarneming
Volmacht zorg & behandeling	20	JuridischeVertegenwoordiging	2.16.840.1.113883.2.4.3.11.60.40.4.23.3	Volmacht zorg & behandeling
Vertegenwoordiging op basis van relatie	21	JuridischeVertegenwoordiging	2.16.840.1.113883.2.4.3.11.60.40.4.23.3	Vertegenwoordiging op basis van relatie

This information model in other releases

Information model references

This information model refers to

--

This information model is used in

FreedomRestrictingIntervention-v1.1

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 Pre-release 2021-2
SNOMED CT and LOINC codes are based on:

SNOMED Clinical Terms version: 20210731 [R] (July 2021 Release)
LOINC version 2.67

Conditions for use are located on the mainpage
This page is generated on 30/11/2021 10:39:13 with ZibExtraction v. 6.4.8004.1652

Back to HCIM list

LegalSituation-v3.0(2021EN)

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Information Model

Example Instances

Instructions

References