In de klinische bouwsteen OverdrachtProcedure DCM::ValueSet SNOMED CT aangepast van concept AnatomischeLokalisatie naar tagged value DCM::ContentExpression.
Tagged value DCM::ReferencedDefinitionCode is onjuist voor classes UitgevoerdDoor::Zorgverlener en AangevraagdDoor::Zorgverlener, dit zou NL-CM:17.1.1 moeten zijn i.p.v. NL-CM:17.1.2.
OverdrachtGeplandeZorgactiviteit laten vervallen en onderliggende zibs aanpassen
Concept
The concept Procedure indicates a therapeutic or diagnostic procedure undergone by the patient or which the patient will undergo.
A procedure can be a simple blood pressure measurement, but also a complex heart surgery.
Purpose
A procedure is carried out or planned as part of a planned policy or to obtain additional information in the diagnostic process. Procedures are documented to gain insight into the treatment of a patient. In addition, procedures are documented for administrative purposes such as invoicing and workload measurement, scientific research and/or education.
Information Model
Type
Id
Concept
Card.
Definition
DefinitionCode
Reference
NL-CM:14.1.1
Procedure
Root concept of the Procedure information model. This root concept contains all data elements of the Procedure information model.
As of 1 January 2013, all procedures in the primary process have to be documented with CBV codes. To meet this requirement, the DHD procedure thesaurus (CBV procedures set) is used to code procedures. It is possible that in addition to the CBV procedures set, the NIC will be used for nurse procedures and that a “coded value set” will be introduced for paramedic procedures.
The healthcare provider who carried out or will carry out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare provider.
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
VerrichtingType
Verrichting Anatomische Locatie
Verrichting Lateraliteit
Verrichting Start Datum
Product
Indicatie
Uitgevoerd Door
Locatie
ProductType
ProductID
ProbleemNaam
Toelichting
Specialisme
OrganisatieNaam
Knie - prothese implantatie gewricht
Knie
Links
05-06-2012
Orthopedic surgical implants
(01)05050474530799 (17)160131 (21)1148130801
Implantant, Gen 2 Tibia Insert 5/6-9mm
Artrose
Beperking bij het bewegen van het gewricht, drukpijn door slijtage van twee compartimenten van de linker knie.
Orthopedie
UMCG
Instructions
We allow multiple, current code systems (SNOMED, NZa and CBV) with the preference of using SNOMED (using DHD-Verrichtingenthesaurus) as soon as available.
Only the procedures are described in this information model, not the results of the procedures. The LaboratoryResult and TextResult information models can be used to document the results.
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
Procedure
ProcedureStartDate
or as spreadsheet 