NursingIntervention-v1.0(2015EN)

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General information

Name: nl.nfu.NursingIntervention
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015

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Metadata

DCM::CoderList	Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate	7-7-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	NFU & V&VN
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.14.2
DCM::KeywordList	Interventie, verpleegkundige actie
DCM::LifecycleStatus	Final
DCM::ModelerList	Werkgroep RadB Verpleegkundige Gegevens
DCM::Name	nl.nfu.VerpleegkundigeInterventie
DCM::PublicationDate	8-9-2015
DCM::PublicationStatus	Published
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	8-9-2015
DCM::Superseeds
DCM::Version	1.0
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015).

Concept

A nursing intervention is the care and/or treatment carried out by a nurse based on an expert opinion and clinical knowledge. It is part of the nursing process; interventions are determined as a result of indexed healthcare problems (nursing diagnoses) and based on treatment goals. The interventions are outlined in the nursing procedures.

Purpose

The nursing interventions are an essential part of the nursing process. A nursing intervention is recorded to document the nursing policy and to update other healthcare providers on the intervention. The documentation of nursing interventions offers the option to determine whether the interventions outlined in the treatment plan have been carried out. This way, we can facilitate optimal nursing and continuity of care.

Evidence Base

Various classifications can be used in an organization to support the nursing process (nursing diagnoses/ symptoms, interventions and healthcare results). The chosen classification system usually depends on the context of the care (and the accessibility of the classification). Commonly used systems include Omaha System, NANDA, NIC and NOC (also known as the NNN-classification) and ICF.
For more information, please refer to the ‘References’ section.

Information Model

NursingIntervention-v1.0Model(2015EN).png

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:14.2.1

NursingIntervention

Root concept of the NursingIntervention building block. This root concept contains all data elements of the NursingIntervention building block.

NL-CM:14.2.2

Intervention

1

A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result. There are different classifications that describe interventions, including the NIC (National Intervention Classification) and the Omaha System. This building block uses coded interventions.

	InterventionINCPCodelist
	InterventionNICCodelist
	InterventionOmahaCodelist

NL-CM:14.2.6

Indication::Problem

0..1

The nursing-related problem (indication) providing cause for the intervention.

ConcernForTransfer

NL-CM:14.2.14

TreatmentGoal

0..1

The description of the treatment goal that the intervention decision is based on.

TreatmentObjective

NL-CM:14.2.9

NursingProcedure

1..*

Container of the NursingProcedure concept. This container contains all data elements of the NursingProcedure concept.

9632001 Nursing procedure

NL-CM:14.2.3

Interval

0..1

Interval indicates the time between planned procedures.

When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance.

NL-CM:14.2.4

Frequency

0..1

The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day.

NL-CM:14.2.10

Activity

1

The description of nursing procedures carried out in the care for a patient. A nursing intervention consists of a set of patient-related nursing procedures.

NL-CM:14.2.11

ProcedureStartDateTime

0..1

The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures.

NL-CM:14.2.12

ProcedureEndDateTime

0..1

The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures.

NL-CM:14.2.13

MedicalAid::MedicalAid

0..*

Description of the materials used for the nursing procedure, such as bandages.

MedicalDevice

NL-CM:14.2.7

CarriedOutBy::HealthcareProvider

0..1

The healthcare provider carrying out the nursing procedure.

HealthProfessional

NL-CM:14.2.8

RequestedBy::HealthcareProvider

0..*

The healthcare provider who requested the nursing intervention. If desired, only the requester’s specialty can be entered.

HealthProfessional

NL-CM:14.2.5

Explanation

0..1

Explanation of the nursing intervention.

48767-8 Annotation comment

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

VerpleegkundigeInterventie
Interventie	Pijnmanagement
Indicatie
ProbleemNaam	Pijn
Behandeldoel
Streefwaarde
MetingNaam	Pijnscore
UitslagWaarde	<4
UitslagDatumTijd	10-09-2015
VerpleegkundigeActie
Activiteit	Ondersteuning van de wond bij hoesten.
ActieStartDatumTijd	10-08-2015
ActieEindDatumTijd	15-08-2015
VerpleegkundigeActie
Activiteit	Toedienen medicatie volgens voorschrift bij pijnscore > 4.
ActieStartDatumTijd	10-08-2015

Toelichting	-

References

1. Richtlijn Verpleegkundige en verzorgende verslaglegging (V&VN, 2011) [Online] Beschikbaar op:http://www.diliguide.nl/document/4060/file/pdf/ [Geraadpleegd: 13 februari 2015]

2. Vreeke E, Klein Wolterink G. Classificatie- en terminologiestelsels voor verpleegkundige informatie. Nictiz & NFU (2014). [Geraadpleegd: 13 februari 2015]

3. The Omaha System [Online] Beschikbaar op:http://www.omahasystem.org/ [Geraadpleegd: 13 februari 2015]

4. Nursing Intervention Classification (NIC) [Online] Beschikbaar op:http://www.nursing.uiowa.edu/center-for-nursing-classification-and-clinical-effectiveness [Geraadpleegd: 13 februari 2015]

5. Nursing Outcome Classification (NOC) [Online] Beschikbaar op:http://www.nursing.uiowa.edu/center-for-nursing-classification-and-clinical-effectiveness [Geraadpleegd: 13 februari 2015]

6. North American Nursing Diagnosis Association (NANDA) [Online] Beschikbaar op:http://www.nanda.org/ [Geraadpleegd: 13 februari 2015]

7. International Classification for Nursing Practice (ICNP) [Online] Beschikbaar op:www.icn.ch[Geraadpleegd: 13 februari 2015]

8. International Classification of Functioning, Disability and Health (ICF) [Online] Beschikbaar op:http://www.rivm.nl/who-fic/icf.htm [Geraadpleegd: 13 februari 2015]

Valuesets

InterventionINCPCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.1	Binding:

Conceptname	Codesystem name	Codesystem OID
Alle waarden	ICNP	2.16.840.1.113883.6.97

InterventionNICCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2	Binding:

Conceptname	Codesystem name	Codesystem OID
Alle waarden	NIC	2.16.840.1.113883.6.15

InterventionOmahaCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.3	Binding:

Conceptname	Codesystem name	Codesystem OID
Alle waarden	Omaha	2.16.840.1.113883.6.98

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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
HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

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About this information

The information in this wikipage is based on Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 24/12/2018 12:37:20 with ZibExtraction v. 3.0.6932.1989

Back to HCIM list

NursingIntervention-v1.0(2015EN)

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Evidence Base

Information Model

Example Instances

References