NursingIntervention-v4.0(2021EN)
Inhoud
- 1 General information
- 2 Metadata
- 3 Revision History
- 4 Concept
- 5 Purpose
- 6 Information Model
- 7 Example Instances
- 8 Instructions
- 9 References
- 10 Traceability to other Standards
- 11 Valuesets
- 12 This information model in other releases
- 13 Information model references
- 14 Technical specifications in HL7v3 CDA and HL7 FHIR
- 15 Downloads
- 16 About this information
General information
Name: nl.zorg.NursingIntervention 
Version: 4.0
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021
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 | PM |
| 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.zorg.VerpleegkundigeInterventie |
| DCM::PublicationDate | 01-12-2021 |
| DCM::PublicationStatus | Prepublished |
| DCM::ReviewerList | Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron |
| DCM::RevisionDate | 10-09-2021 |
| DCM::Supersedes | nl.zorg.VerpleegkundigeInterventie-v3.2 |
| DCM::Version | 4.0 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-07-2015)
Publicatieversie 3.0 (01-05-2016)
| ZIB-453 | Wijziging naamgeving ZIB's en logo's door andere opzet van beheer |
Publicatieversie 3.1 (04-09-2017)
| ZIB-542 | Verwijderen verwijzingen naar codesystemen ICF, Omaha System, NANDA,,NIC en NOC |
Publicatieversie 3.2 (01-10-2018)
| ZIB-728 | aanpassing zib verpleegkundige interventie |
Publicatieversie 4.0 (01-12-2021)
| ZIB-1252 | CLONE - VerpleegkundigeInterventie-v3.2, aanpassing verwijzing codelijst |
| ZIB-1281 | diverse refsets voor verpleegkundige interventies/observaties. |
| ZIB-1483 | Voorbeelden verpleegkundige interventie niet aangepast |
| ZIB-1486 | Code nodig voor frequentie/interval verpleegkundige interventie |
| ZIB-1502 | Intentie van VerpleegkundigeInterventie wordt niet duidelijk gemaakt |
| ZIB-1510 | zib VerpleegkundigeInterventie: voorbeeld voldoet niet (meer) aan zib |
| ZIB-1558 | Verander conceptnaam "HealthcareProvider" naar "HealthProfessional" |
Concept
A nursing intervention is the care and/or treatment that a nurse performs on the basis of expert judgment and clinical knowledge. It is part of the nursing process; interventions are determined on the basis of indicated care problems (nursing diagnoses) and on the basis of treatment goals. In the home care situation, after instruction, some actions can also be performed by the patient himself or by a caregiver. In the right context, the concept can describe historical, future and advised nursing interventions.
Purpose
Nursing interventions are an essential part of the nursing process. A nursing intervention is recorded to document nursing actions and to inform other healthcare providers. In this way, optimal nursing and continuity of care can be facilitated.
Information Model
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||||
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NL-CM:14.2.1 |  NursingIntervention
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Root concept of the NursingIntervention information model. This root concept contains all data elements of the NursingIntervention information model. |
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NL-CM:14.2.2 |  Intervention
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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. It is possible to build a hierarchy of nursing interventions (where one intervention is part of another). |
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NL-CM:14.2.6 | Indication::Problem
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0..1 | The nursing-related problem (indication) providing cause for the intervention. |
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NL-CM:14.2.14 | TreatmentObjective
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0..1 | The description of the treatment goal that the intervention decision is based on. |
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NL-CM:14.2.3 | Interval
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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. |
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NL-CM:14.2.4 | Frequency
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0..1 | The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day. |
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NL-CM:14.2.11 | ProcedureStartDateTime
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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. | |||||||||||
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NL-CM:14.2.12 | ProcedureEndDateTime
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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. | |||||||||||
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NL-CM:14.2.13 | MedicalDevice
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0..* | Description of the materials used for the nursing procedure, such as bandages. |
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NL-CM:14.2.18 | Instruction
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0..1 | Instructions for performing the nursing action. This is particularly at issue when the action is performed by the patient himself or by a caregiver. | |||||||||||
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NL-CM:14.2.15 | Performer
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0..1 | The person carrying out the nursing procedure. | |||||||||||
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NL-CM:14.2.7 | HealthProfessional
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(0..1) | The health professional carrying out the nursing procedure. |
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NL-CM:14.2.16 | Caregiver::ContactPerson
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(0..1) | The caregiver carrying out the nursing procedure. |
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NL-CM:14.2.17 | Patient
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(0..1) | The patient carrying out the nursing procedure. |
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NL-CM:14.2.8 | Requester::HealthProfessional
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0..* | The health professional who requested the nursing intervention. If desired, only the requester’s specialty can be entered. |
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NL-CM:14.2.5 | Comment
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0..1 | Comment on the nursing intervention. |
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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
| VerpleegkundigeInterventie | |
| Interventie | Ondersteunen bij wassen en/of persoonlijke hygiene |
| ActieStartDatumTijd | 10-9-2021 |
| Frequentie | 1/dag |
| Instructie | Let op: valrisico |
| Indicatie | |
| ProbleemNaam | Probleem met zichtzelf wassen en drogen |
| ProbleemBeginDatum | 28-8-2021 |
| ProbleemStatus | Actueel |
| Toelichting | Meneer kan niet buigen |
| Behandeldoel | |
| GewenstZorgresultaat | Wassen onafhankelijk |
Instructions
For the nursing domain: when two parties use different classification systems, the SNOMED CT based Dutch nursing problem list is used for exchange of information, so that data becomes comparable and interchangeable. A mapping table is available from the Dutch nursing problem list to Omaha System, NANDA-I and ICF.
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]
Traceability to other Standards
The HCIM NursingIntervention is a specialization of the HCIM Procedure.
Valuesets
NursingActivityCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.6 | Binding: Required |
| Conceptname | Codesystem name | Codesystem OID |
| SNOMED CT: ^733990004|Nursing Activities Reference Set| | SNOMED CT | 2.16.840.1.113883.6.96 |
NursingInterventionCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.5 | Binding: Required |
| Conceptname | Codesystem name | Codesystem OID |
| SNOMED CT: ^99051000146107|Dutch nursing intervention simple reference set| | SNOMED CT | 2.16.840.1.113883.6.96 |
This information model in other releases
- Release 2015, (Version 1.0)
- Release 2016, (Version 3.0)
- Release 2017, (Version 3.1)
- Prerelease 2018-2, (Version 3.2)
- Prerelease 2019-2, (Version 3.2)
- Release 2020, (Version 3.2)
- Prerelease 2022-1, (Version 4.0)
- Prerelease 2023-1, (Version 4.0.1)
- Prerelease 2024-1, (Version 4.1)
Information model references
This information model refers to
- ContactPerson-v3.5
- HealthProfessional-v3.5.1
- MedicalDevice-v3.4
- Patient-v4.0
- Problem-v4.5
- TreatmentObjective-v3.2
This information model is used in
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 10:41:21 with ZibExtraction v. 6.4.8004.1652
