Procedure-v5.4.1(2022EN)

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General information

Name: nl.zorg.Procedure NL.png
Version: 5.4.1
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 15-10-2023

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Metadata

DCM::CoderList Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate 6-6-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.14.1
DCM::KeywordList procedure,verrichting
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.Verrichting
DCM::PublicationDate 15-10-2023
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 01-09-2023
DCM::Supersedes nl.zorg.Verrichting-v5.4
DCM::Version 5.4.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-02-2013)

Publicatieversie 1.1 (01-07-2013)

Issue summaries niet beschikbaar
Bevat: ZIB-55, ZIB-24.

Publicatieversie 1.2 (01-04-2015) Bevat: ZIB-84, ZIB-93, ZIB-95, ZIB-122, ZIB-270, ZIB-271, ZIB-272, ZIB-273, ZIB-308, ZIB-325, ZIB-353.

Incl. algemene wijzigingsverzoeken: ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326.

Publicatieversie 3.0 (01-05-2016) Bevat: ZIB-401, ZIB-453.

Publicatieversie 3.1 (04-09-2017) Bevat: ZIB-475, ZIB-549, ZIB-564, ZIB-576, ZIB-578.

Publicatieversie 4.0 (04-09-2017) Bevat: ZIB-457, ZIB-458, ZIB-515, ZIB-518, ZIB-549, ZIB-564, ZIB-574, ZIB-576, ZIB-578, ZIB-581, ZIB-585.

Publicatieversie 4.1 (31-12-2017) Bevat: ZIB-646.

Publicatieversie 4.2 (26-02-2019) Bevat: ZIB-624, ZIB-633, ZIB-625, ZIB-675.

Publicatieversie 5.0 (06-07-2019) Bevat: ZIB-821.

Publicatieversie 5.1 (31-01-2020) Bevat: ZIB-954, ZIB-908.

Publicatieversie 5.2 (01-09-2020) Bevat: ZIB-666, ZIB-993, ZIB-1087, ZIB-1088, ZIB-1095, ZIB-1116.

Publicatieversie 5.3 (01-12-2021) Bevat: ZIB-977, ZIB-1444.

Publicatieversie 5.4 (10-06-2022) Bevat: ZIB-1488, ZIB-1602.

Publicatieversie 5.4.1 (15-10-2023) Bevat: ZIB-1785, ZIB-1974.

Concept

The concept Procedure describes therapeutic or diagnostic procedure undergone by the patient or which the patient will undergo. The concept can describe in the right context historical, future as well as advised procedures.
A procedure can be a simple blood pressure measurement, but also a complex heart surgery.
In some care settings, the term treatment is used instead of the term procedure.

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


#ProcedureMethodCodelist#1292#ProcedureTypeDHDCodelistProblem-v4.6(2022EN)#1290#1285HealthcareProvider-v3.5(2022EN)MedicalDevice-v3.5(2022EN)#1283HealthProfessional-v3.5.2(2022EN)#1284#ProcedureTypeNZaCodelist#ProcedureTypeCBVCodelist#ProcedureTypeGGZCodelist#ProcedureTypeCodelistAnatomicalLocation-v1.0.2(2022EN)#ProcedureTypeMaternityCareCodelistProcedure-v5.4.1Model(2022EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:14.1.1 Arrowdown.pngProcedure Root concept of the Procedure information model. This root concept contains all data elements of the Procedure information model.
71388002 Procedure
TS.png NL-CM:14.1.2 Arrowright.pngProcedureStartDate 0..1 The (desired) start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.

The element offers the option to indicate the start of the period of a series of related procedures. 

TS.png NL-CM:14.1.3 Arrowright.pngProcedureEndDate 0..1 The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.

The element offers the option to indicate the end of the period of a series of related procedures. The end date element is only used for a procedures that takes some time and is then always applied. If the procedure still continues, the value is left empty. For instantaneous or very short lasting procedures the element is omitted.

CD.png NL-CM:14.1.4 Arrowright.pngProcedureType 1 The name of the procedure.<br />Choices are the DHD procedure thesaurus,  the procedures file (CBV), the Care activities file (NZa), the Dutch Mental Health and Addiction Care procedures list (GGZ) and the procedures list of the Dutch College of General Practitioners (NHG).
List2.png ProcedureTypeCBVCodelist
List2.png ProcedureTypeCodelist
List2.png ProcedureTypeDHDCodelist
List2.png ProcedureTypeGGZCodelist
List2.png ProcedureTypeMaternityCareCodelist
List2.png ProcedureTypeNZaCodelist
CD.png NL-CM:14.1.12 Arrowright.pngProcedureMethod 0..* The method or technique that is going to be or was used to perform the procedure, e.g. approach, lavage, pressuring, etc.
260686004 Method
List2.png ProcedureMethodCodelist
Verwijzing.png NL-CM:14.1.13 Arrowright.pngProcedureAnatomicalLocation::AnatomicalLocation 0..1 Anatomical location that is the focus of the procedure.
405813007 Procedure site - Direct
Block.png AnatomicalLocation
Verwijzing.png NL-CM:14.1.9 Arrowright.pngIndication::Problem 0..* The indication is the reason for the procedure.
363702006 Has focus
Block.png Problem
Verwijzing.png NL-CM:14.1.7 Arrowright.pngMedicalDevice 0..* The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.
405815000 Procedure device
Block.png MedicalDevice
Verwijzing.png NL-CM:14.1.5 Arrowright.pngLocation::HealthcareProvider 0..1 The healthcare provider where the procedure was, is or will be carried out.
Block.png HealthcareProvider
Verwijzing.png NL-CM:14.1.6 Arrowright.pngPerformer::HealthProfessional 0..* The healthcare professional 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 professional.
Block.png HealthProfessional

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

Voorbeeld file fout: Unable to find the specified file. : nl.zorg.Zib of versie niet gevonden-v5.4.1(NL)_Voorbeeld.docx

References

1. Waardelijst GGZ-Verrichtingen [Online] Beschikbaar op: http://https://www.vippggz.nl/waardelijst-ggz-verrichtingen.html [Geraadpleegd: 03-08-2020].

Valuesets

ProcedureMethodCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4 Binding: Required
Conceptname Codesystem name Codesystem OID
SNOMED CT: <129264002|Action| SNOMED CT 2.16.840.1.113883.6.96

ProcedureTypeCBVCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.6 Binding: Required
Conceptname Codesystem name Codesystem OID
All values CBV codes 2.16.840.1.113883.2.4.3.120.5.3

ProcedureTypeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.8 Binding: Required
Conceptname Codesystem name Codesystem OID
All values NHG tabel 49 Ingrepen en behandelingen 2.16.840.1.113883.2.4.4.30.49

ProcedureTypeDHDCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2 Binding: Required
Conceptname Codesystem name Codesystem OID
All values DHD Verrichtingenthesaurus 2.16.840.1.113883.2.4.3.120.5.2

ProcedureTypeGGZCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.7 Binding: Required
Conceptname Codesystem name Codesystem OID
All values GGZ Verrichtingenijst 2.16.840.1.113883.3.3210.14.2.2.15

ProcedureTypeMaternityCareCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.9 Binding: Required
Conceptname Codesystem name Codesystem OID
SNOMED CT: ^146481000146103|Dutch obstetric procedures simple reference set| SNOMED CT 2.16.840.1.113883.6.96

ProcedureTypeNZaCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.5 Binding: Required
Conceptname Codesystem name Codesystem OID
All values NZa codes 2.16.840.1.113883.2.4.3.27.15.5

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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.<BR> 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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

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This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Pre-release 2022-1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
  • LOINC version 2.76

Conditions for use are located on the mainpage List2.png
This page is generated on 27/03/2024 11:11:45 with ZibExtraction v. 9.3.8851.20230

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