DOSScore-v1.0(2017EN): verschil tussen versies
Regel 3: | Regel 3: | ||
Version: '''1.0''' <br> | Version: '''1.0''' <br> | ||
HCIM Status:Final<br> | HCIM Status:Final<br> | ||
− | + | Release: '''2017''' <br> | |
Release status: Prepublished<br> | Release status: Prepublished<br> | ||
− | + | Release date: 04-09-2017 | |
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div> | ||
Regel 78: | Regel 78: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
− | + | <imagemap> Bestand:DOSScore-v1.0Model(EN).png | center | |
+ | rect 786 83 890 153 [[#11956]] | ||
+ | rect 788 175 892 245 [[#11963]] | ||
+ | rect 788 267 892 337 [[#11953]] | ||
+ | rect 788 359 892 429 [[#11959]] | ||
+ | rect 788 451 892 521 [[#11955]] | ||
+ | rect 671 451 776 521 [[#11965]] | ||
+ | rect 556 452 661 522 [[#11957]] | ||
+ | rect 441 451 546 521 [[#11967]] | ||
+ | rect 302 451 431 521 [[#11966]] | ||
+ | rect 179 451 292 521 [[#11954]] | ||
+ | rect 179 359 292 429 [[#11950]] | ||
+ | rect 179 267 292 337 [[#11952]] | ||
+ | rect 180 174 293 244 [[#11960]] | ||
+ | rect 430 83 536 176 [[#11964]] | ||
+ | rect 670 83 778 153 [[#11962]] | ||
+ | rect 179 83 292 153 [[#11958]] | ||
+ | rect 495 267 585 337 [[#11961]] | ||
+ | desc none | ||
+ | </imagemap> | ||
<BR> | <BR> | ||
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | {| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | ||
Regel 84: | Regel 103: | ||
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference | |style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference | ||
|-style="vertical-align:top; background-color: #E3E3E3; " | |-style="vertical-align:top; background-color: #E3E3E3; " | ||
− | |style = "text-align:center" |[[Bestand: block.png| 20px]] | + | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] |
||NL-CM:18.7.1 | ||NL-CM:18.7.1 | ||
− | |colspan ="6" style ="padding-left: 0px"|<span Title="NL: DOSScore">[[Bestand: arrowdown.png | 10px]]DOSScore</span> | + | |colspan ="6" style ="padding-left: 0px"|<span Id=11961 Title="NL: DOSScore">[[Bestand: arrowdown.png | 10px | link=]]DOSScore</span> |
| | | | ||
|Root concept of the DOSScore information model. This root concept contains all data elements of the DOSScore information model. | |Root concept of the DOSScore information model. This root concept contains all data elements of the DOSScore information model. | ||
Regel 92: | Regel 111: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.3 | ||NL-CM:18.7.3 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: DOSScoreTotaal">[[Bestand: arrowright.png | 10px]]DOSScoreTotal</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11964 Title="NL: DOSScoreTotaal">[[Bestand: arrowright.png | 10px | link=]]DOSScoreTotal</span> |
|0..1 | |0..1 | ||
|Per shift a total score is calculated (minimum 0 and maximum 13). The total scores of three shifts (day, evening and night shifts) are summed to the total score of the day (minimum 0 and maximum 39). | |Per shift a total score is calculated (minimum 0 and maximum 13). The total scores of three shifts (day, evening and night shifts) are summed to the total score of the day (minimum 0 and maximum 39). | ||
Regel 105: | Regel 124: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: TS.png| 16px]] | + | |style = "text-align:center" |[[Bestand: TS.png| 16px | link=]] |
||NL-CM:18.7.5 | ||NL-CM:18.7.5 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: DOSScoreDatumTijd">[[Bestand: arrowright.png | 10px]]DOSScoreDateTime</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11962 Title="NL: DOSScoreDatumTijd">[[Bestand: arrowright.png | 10px | link=]]DOSScoreDateTime</span> |
|1 | |1 | ||
|The date on which the DOS score is registered. | |The date on which the DOS score is registered. | ||
Regel 114: | Regel 133: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.6 | ||NL-CM:18.7.6 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: ZaktWeg">[[Bestand: arrowright.png | 10px]]DozesOff</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11960 Title="NL: ZaktWeg">[[Bestand: arrowright.png | 10px | link=]]DozesOff</span> |
|0..1 | |0..1 | ||
|DOS observation: patient dozes off during conversation or activities. | |DOS observation: patient dozes off during conversation or activities. | ||
Regel 128: | Regel 147: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.7 | ||NL-CM:18.7.7 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: SnelAfgeleid">[[Bestand: arrowright.png | 10px]]EasilyDistracted</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11952 Title="NL: SnelAfgeleid">[[Bestand: arrowright.png | 10px | link=]]EasilyDistracted</span> |
|0..1 | |0..1 | ||
|DOS observation: patient is easily distracted by stimuli from the environment. | |DOS observation: patient is easily distracted by stimuli from the environment. | ||
Regel 144: | Regel 163: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.8 | ||NL-CM:18.7.8 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: HeeftAandacht">[[Bestand: arrowright.png | 10px]]MaintainsAttention</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11950 Title="NL: HeeftAandacht">[[Bestand: arrowright.png | 10px | link=]]MaintainsAttention</span> |
|0..1 | |0..1 | ||
|DOS observation: patient maintains attention to conversation or action. | |DOS observation: patient maintains attention to conversation or action. | ||
Regel 160: | Regel 179: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.9 | ||NL-CM:18.7.9 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: VraagAntwoordNietAf">[[Bestand: arrowright.png | 10px]]UnfinishedQuestionAnswer</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11954 Title="NL: VraagAntwoordNietAf">[[Bestand: arrowright.png | 10px | link=]]UnfinishedQuestionAnswer</span> |
|0..1 | |0..1 | ||
|DOS observation: patient does not finish question or answer. | |DOS observation: patient does not finish question or answer. | ||
Regel 174: | Regel 193: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.10 | ||NL-CM:18.7.10 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: AntwoordenNietPassend">[[Bestand: arrowright.png | 10px]]AnswersNoFit</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11966 Title="NL: AntwoordenNietPassend">[[Bestand: arrowright.png | 10px | link=]]AnswersNoFit</span> |
|0..1 | |0..1 | ||
|DOS observation: patient gives answers that do not fit the question. | |DOS observation: patient gives answers that do not fit the question. | ||
Regel 188: | Regel 207: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.11 | ||NL-CM:18.7.11 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: ReageertTraag">[[Bestand: arrowright.png | 10px]]ReactsSlowly</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11967 Title="NL: ReageertTraag">[[Bestand: arrowright.png | 10px | link=]]ReactsSlowly</span> |
|0..1 | |0..1 | ||
|DOS observation: patient reacts slowly to instructions. | |DOS observation: patient reacts slowly to instructions. | ||
Regel 204: | Regel 223: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.12 | ||NL-CM:18.7.12 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: DenktErgensAnders">[[Bestand: arrowright.png | 10px]]ThinksSomewhereElse</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11957 Title="NL: DenktErgensAnders">[[Bestand: arrowright.png | 10px | link=]]ThinksSomewhereElse</span> |
|0..1 | |0..1 | ||
|DOS observation: patient thinks they are somewhere else. | |DOS observation: patient thinks they are somewhere else. | ||
Regel 220: | Regel 239: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.13 | ||NL-CM:18.7.13 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: BeseftDagdeel">[[Bestand: arrowright.png | 10px]]KnowsPartDay</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11965 Title="NL: BeseftDagdeel">[[Bestand: arrowright.png | 10px | link=]]KnowsPartDay</span> |
|0..1 | |0..1 | ||
|DOS observation: patient knows which part of the day it is. | |DOS observation: patient knows which part of the day it is. | ||
Regel 236: | Regel 255: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.14 | ||NL-CM:18.7.14 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: HerinnertRecent">[[Bestand: arrowright.png | 10px]]RemembersRecent</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11955 Title="NL: HerinnertRecent">[[Bestand: arrowright.png | 10px | link=]]RemembersRecent</span> |
|0..1 | |0..1 | ||
|DOS observation: patient remembers recent events. | |DOS observation: patient remembers recent events. | ||
Regel 252: | Regel 271: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.15 | ||NL-CM:18.7.15 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: Rusteloos">[[Bestand: arrowright.png | 10px]]Restless</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11959 Title="NL: Rusteloos">[[Bestand: arrowright.png | 10px | link=]]Restless</span> |
|0..1 | |0..1 | ||
|DOS observation: patient is picking, disorderly, restless. | |DOS observation: patient is picking, disorderly, restless. | ||
Regel 266: | Regel 285: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.16 | ||NL-CM:18.7.16 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: TrektDraden">[[Bestand: arrowright.png | 10px]]PullsWires</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11953 Title="NL: TrektDraden">[[Bestand: arrowright.png | 10px | link=]]PullsWires</span> |
|0..1 | |0..1 | ||
|DOS observation: patient pulls IV tubing, feeding tubes, catheters, etc. | |DOS observation: patient pulls IV tubing, feeding tubes, catheters, etc. | ||
Regel 280: | Regel 299: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.17 | ||NL-CM:18.7.17 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: SnelGeemotioneerd">[[Bestand: arrowright.png | 10px]]EasilyEmotional</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11963 Title="NL: SnelGeemotioneerd">[[Bestand: arrowright.png | 10px | link=]]EasilyEmotional</span> |
|0..1 | |0..1 | ||
|DOS observation: patient is easily or suddenly emotional. | |DOS observation: patient is easily or suddenly emotional. | ||
Regel 296: | Regel 315: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: INT.png| 16px]] | + | |style = "text-align:center" |[[Bestand: INT.png| 16px | link=]] |
||NL-CM:18.7.18 | ||NL-CM:18.7.18 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: Hallucinaties">[[Bestand: arrowright.png | 10px]]Hallucinations</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11956 Title="NL: Hallucinaties">[[Bestand: arrowright.png | 10px | link=]]Hallucinations</span> |
|0..1 | |0..1 | ||
|DOS observation: patient sees/hears things which are not there. | |DOS observation: patient sees/hears things which are not there. | ||
Regel 312: | Regel 331: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
− | |style = "text-align:center" |[[Bestand: ST.png| 16px]] | + | |style = "text-align:center" |[[Bestand: ST.png| 16px | link=]] |
||NL-CM:18.7.2 | ||NL-CM:18.7.2 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
− | |colspan ="5" style ="padding-left: 0px"|<span Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span> | + | |colspan ="5" style ="padding-left: 0px"|<span Id=11958 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span> |
|0..1 | |0..1 | ||
|Comment on the DOS score. | |Comment on the DOS score. | ||
Regel 333: | Regel 352: | ||
{|class="wikitable" width="360px" style= "font-size: 9.5pt;" | {|class="wikitable" width="360px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
− | |colspan="2" style="background-color: #1F497D; width: 100%; color | + | |colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>DOS</b></font><font color=#FFFFFF><b>Score</b></font> |
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 56%; "|ZaktWeg | | style="width: 56%; "|ZaktWeg | ||
Regel 387: | Regel 406: | ||
|} | |} | ||
+ | ==This information model in other releases== | ||
+ | --- | ||
==More on this information model== | ==More on this information model== | ||
− | + | 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: | ||
+ | <ul> | ||
+ | <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.18.7&effectiveDate=2017-09-04T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li> | ||
+ | <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li> | ||
+ | </ul> | ||
This information model is also available as [[Media:nl.zorg.DOSScore-v1.0(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.DOSScore-v1.0(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | This information model is also available as [[Media:nl.zorg.DOSScore-v1.0(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.DOSScore-v1.0(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ||
==About this information== | ==About this information== | ||
The information in this wikipage is based on Prerelease 2017 #1 <BR> | The information in this wikipage is based on Prerelease 2017 #1 <BR> | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | ||
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Versie van 30 nov 2017 om 12:28
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General information
Name: nl.zorg.DOSScore
Version: 1.0
HCIM Status:Final
Release: 2017
Release status: Prepublished
Release date: 04-09-2017
Metadata
DCM::CoderList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::ContactInformation.Address | * |
DCM::ContactInformation.Name | * |
DCM::ContactInformation.Telecom | * |
DCM::ContentAuthorList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::CreationDate | 11-10-2016 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.18.7 |
DCM::KeywordList | DOS, delier |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
DCM::Name | nl.zorg.DOSScore |
DCM::PublicationDate | 04-09-2017 |
DCM::PublicationStatus | Prepublished |
DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 04-09-2017 |
DCM::Superseeds | |
DCM::Version | 1.0 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (04-09-2017) .
Concept
The Delirium Observation Screening Scale is a tool to determine whether a patient has delirium. The DOSS includes 13 observations of behavior (verbal and non-verbal) which represent the symptoms of a delirium. These observations can be performed during regular contact with the patient.
Purpose
Delirium is one of the most forms of psychopathology among elderly patients and patients in the last phase of their lives. The main characteristic of delirium is the rapid onset and changing of symptoms. The DOSS is meant to qualify and quantify the nature and seriousness of delirium symptoms. This enables a quick start of treatment. The DOSS is used to signal risks and as an evaluation tool.
Evidence Base
The definitions of the concepts are based on the DOS score.
Information Model
![DOSScore-v1.0Model(EN).png](/images/0/04/DOSScore-v1.0Model%28EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||
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NL-CM:18.7.1 | ![]() |
Root concept of the DOSScore information model. This root concept contains all data elements of the DOSScore information model. | |||||||||
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NL-CM:18.7.3 | ![]() |
0..1 | Per shift a total score is calculated (minimum 0 and maximum 13). The total scores of three shifts (day, evening and night shifts) are summed to the total score of the day (minimum 0 and maximum 39).
The DOS scale final score is calculated by dividing the total score of the day by 3 (minimum 0 and maximum 13). A DOS scale final score < 3 means that the patient is probably not delirious. A DOS scale final score > 3 means that the patiënt is probably delirious. |
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NL-CM:18.7.5 | ![]() |
1 | The date on which the DOS score is registered. | ||||||||
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NL-CM:18.7.6 | ![]() |
0..1 | DOS observation: patient dozes off during conversation or activities.
Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.7 | ![]() |
0..1 | DOS observation: patient is easily distracted by stimuli from the environment.
Someone is easily distracted by stimuli from the environment when he/she responds verbally or non-verbally to sounds or movements that have no relation to him/her and the nature of which does not make you expect a reaction from him/her. Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.8 | ![]() |
0..1 | DOS observation: patient maintains attention to conversation or action.
Someone is maintaining attention to a conversation or action if he/she verbally or non-verbally shows that they are following the conversation or action. Score: 1: never 0: sometimes-always -: don't know |
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NL-CM:18.7.9 | ![]() |
0..1 | DOS observation: patient does not finish question or answer.
Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.10 | ![]() |
0..1 | DOS observation: patient gives answers that do not fit the question.
Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.11 | ![]() |
0..1 | DOS observation: patient reacts slowly to instructions.
Someone reacts slowly to instructions when acting is delayed and/or there are moments of stillness/inactivity before moving into action. Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.12 | ![]() |
0..1 | DOS observation: patient thinks they are somewhere else.
Someone thinks they are somewhere else when he/she shows this in words or actions. Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.13 | ![]() |
0..1 | DOS observation: patient knows which part of the day it is.
Someone knows what part of the day it is when he/she shows such in words or actions. Score: 1: never 0: sometimes-always -: don't know |
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NL-CM:18.7.14 | ![]() |
0..1 | DOS observation: patient remembers recent events.
Someone remembers recent events when he/she can for example tell whether they had visitors or what he/she ate. Score: 1: never 0: sometimes-always -: don't know |
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NL-CM:18.7.15 | ![]() |
0..1 | DOS observation: patient is picking, disorderly, restless.
Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.16 | ![]() |
0..1 | DOS observation: patient pulls IV tubing, feeding tubes, catheters, etc.
Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.17 | ![]() |
0..1 | DOS observation: patient is easily or suddenly emotional.
Someone is easily or suddenly emotional when he/she responds with a fierce emotion without provocation or when the fierceness of the emotion does not seem to match the provocation. Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.18 | ![]() |
0..1 | DOS observation: patient sees/hears things which are not there.
Someone sees/hears things which are not there when he/she shows this verbally (ask!) or non-verbally. Score: 0: never 1: sometimes-always -: don't know |
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![]() |
NL-CM:18.7.2 | ![]() |
0..1 | Comment on the DOS score. |
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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
DOSScore | |
ZaktWeg | 1 |
SnelAfgeleid | 1 |
HeeftAandacht | 0 |
VraagAntwoordNietAf | - |
AntwoordenNietPassend | 1 |
ReageertTraag | - |
DenktErgensAnders | 0 |
BeseftDagdeel | 0 |
HerinnertRecent | 0 |
Rusteloos | 0 |
TrektDraden | 0 |
SnelGeemotioneerd | 1 |
Hallucinaties | 0 |
DOSScoreDienst | Dagdienst |
DOSScoreTotaal | 4 |
DOSScoreDatumTijd | 19-12-2016 10:35 |
Toelichting | - |
This information model in other releases
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More on this information model
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
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage
This page is generated on 30/11/2017 13:24:38