Exclusion-v1.0(2024EN)

General information

Name: nl.zorg.Exclusion
Version: 1.0
HCIM Status:Final
Release: 2024
Release status: Prepublished
Release date: 15-04-2024

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Metadata

DCM::CoderList	Zib-centrum
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Zib-centrum
DCM::CreationDate	31-01-2024
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	*
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.5.7
DCM::KeywordList
DCM::LifecycleStatus	Final
DCM::ModelerList	*
DCM::Name	nl.zorg.Uitsluiting
DCM::PublicationDate	15-04-2024
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Zib-centrum
DCM::RevisionDate
DCM::Supersedes	*
DCM::Version	1.0
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-04-2024) Bevat: .

Concept

An explicit statement about exclusion of a specific condition or state.

Purpose

Explicitly assessing the absence of a condition or state.

Evidence Base

The absence of a clinical concept is not a property of that concept, but a statement about the concept. That is why HCIM's such as DIagnosticInsight do not contain presence status. To explicitly indicate that a health aspect is not present, the HCIM Exclusion is used, which refers to a HCIM that models the excluded aspect. Of these HCIM's, only those elements that name the aspect are used, such as the name. By referring to the relevant HCIM's, semantic unification is achieved with regard to naming.
This HCIM shall not be used in the next situations:

• In the context of the tract anamneses or a questionnaire, often a large number of health aspects are reviewed, whereby it is determined whether or not the patient is familiar with them, resulting in a 'yes/no' choice. This HCIM is not intended for these situations. This can be supported with a HCIM based on the HCIM template Patient Questionnaire.
• Findings such as 'No known allergies' et cetera cannot be captured with the Exclusion HCIM, as this would require that the concept of 'Known allergies' be modeled with (in this case) the Hypersensitivity HCIM. Such a statement, which refers to a list or section, must be implemented in an information standard at the according level.
• If a condition or symptom is no longer present (but was present before) this is indicated by the course element.

Information Model

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:5.7.1	Exclusion							This is a reference to the rootconcept of information model Exclusion.	413350009 Finding with explicit context
	NL-CM:5.7.2		DateOfStatement					0..1	Date on which it was assessed that the concept was not present.
	NL-CM:5.7.3		ExclusionStatement					0..1	Statement of exclusion. Default the text is 'No known..' or 'No known history of ..'
	NL-CM:5.7.4		ExcludedAspect					1	Container of the ExcludedAspect concept.This container contains all data elements of the ExcludedAspect concept.
	NL-CM:5.7.5			DiagnosticInsight				(0..1)	Diagnosis that is excluded.		DiagnosticInsight
	NL-CM:5.7.6			Symptom				(0..1)	Symptom that is excluded.		Symptom
	NL-CM:5.7.7			HypersensitivityIntolerance				(0..1)	Hypersensitivity or intolerance that is excluded.		Hypersensitivity

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

Uitsluiting
Uitsluitingsverklaring	DatumVaststelling	UitgeslotenAspect::DiagnostischInzicht
		DiagnoseNaam	NadereSpecificatieDiagnoseNaam
Geen bekendheid met	04-12-2019	Diabetes mellitus type 2	--

Instructions

When referring to the underlying HCIMs, only a limited number of fields of these HCIM's are filled. These are respectively
 

• DiagnosticInsight (constraint: not a differential diagnosis):
  • DiagnosisName
  • if relevant, FurtherSpecificationDiagnosisNam
• Symptom
  • SymptomName
  • if relevant, FurtherSpecificationSymptomName
• HypersensitivityIntolerance
  • DiagnosisName
  • if relevant, FurtherSpecificationDiagnosisName
  • Substance or Radiation

In none of the above three cases is a reference made to the HCIM Condition, as the current HCIM models the absence of the condition.

Information model references

This information model refers to

• DiagnosticInsight-v1.0
• Hypersensitivity-v1.0
• Symptom-v1.0

This information model is used in

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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
• 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 Prerelease 2024-1
SNOMED CT and LOINC codes are based on:

• SNOMED Clinical Terms versie: 20240331 [R] (maart 2024-editie)
• LOINC version 2.77

Conditions for use are located on the mainpage
This page is generated on 25/04/2024 12:43:10 with ZibExtraction v. 9.3.8880.19756

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