FreedomRestrictingMeasures-v3.0(2016EN): verschil tussen versies

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(2 tussenliggende versies door dezelfde gebruiker niet weergegeven)
Regel 1: Regel 1:
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==General information==
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<!-- Hieronder wordt een transclude page aangeroepen -->
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Name: '''nl.zorg.FreedomRestrictingMeasures''' [[Bestand:NL.png|link=VrijheidsbeperkendeMaatregelen-v3.0(2016NL)]]<BR>
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.3(EN)|1|FreedomRestrictingMeasures-v3.0(2016EN)}}
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Version: '''3.0''' <br>
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<!-- Tot hier de transclude page -->
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HCIM Status:Final<br>
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==General information<!--hdGeneralInformation-->==
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Release: '''2016''' <br>
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Name<!--hdName-->: '''nl.zorg.FreedomRestrictingMeasures''' [[Bestand:NL.png|link=VrijheidsbeperkendeMaatregelen-v3.0(2016NL)]]<BR>
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Release status: Published<br>
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Version<!--hdVersion-->: '''3.0''' <br>
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Release date: 1-5-2016
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HCIM Status<!--hdStatus-->:Final<br>
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Release<!--hdPublication-->: '''2016''' <br>
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Release status<!--hdPublicationStatus-->: Published<br>
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Release date<!--hdPublicationDate-->: 1-5-2016
 
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div>
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
  
 
==Metadata==
 
==Metadata==
Regel 61: Regel 64:
 
==Revision History==
 
==Revision History==
 
<div class="mw-collapsible mw-collapsed">
 
<div class="mw-collapsible mw-collapsed">
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''Only available in Dutch''
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''Only available in Dutch<!--noTranslation-->''
  
 
<u>Publicatieversie 1.0</u> (01-07-2015)
 
<u>Publicatieversie 1.0</u> (01-07-2015)
Regel 87: Regel 90:
 
==Information Model==
 
==Information Model==
 
<BR>
 
<BR>
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<imagemap> Bestand:FreedomRestrictingMeasures-v3.0Model(EN).png | center  
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<imagemap> Bestand:FreedomRestrictingMeasures-v3.0Model(2016EN).png | center  
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rect 351 432 447 502 [[#9853]]
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rect 361 440 457 510 [[#9853]]
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rect 654 442 816 492 [[#PermissionCodelist]]
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rect 664 450 826 500 [[#PermissionCodelist]]
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rect 441 318 545 388 [[#9855]]
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rect 652 59 780 129 [[#9843]]
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rect 662 67 790 137 [[#9843]]
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rect 411 69 555 119 [[#LegalStatusCodelist]]
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rect 421 77 565 127 [[#LegalStatusCodelist]]
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rect 202 59 322 129 [[#9852]]
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rect 212 67 332 137 [[#9852]]
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rect 652 184 780 254 [[#9837]]
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rect 662 192 790 262 [[#9837]]
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Regel 105: Regel 108:
 
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|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
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|-style="vertical-align:top; background-color: #E3E3E3; "
 
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
 
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
Regel 124: Regel 127:
 
{|
 
{|
 
|-
 
|-
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|<span Title="Codesystem: SNOMED CT"> 303186005 Legal status of patient</span>
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|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=303186005 303186005] Legal status of patient</span>
 
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Regel 150: Regel 153:
 
{|
 
{|
 
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|-
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|<span Title="Codesystem: LOINC"> 48767-8 Annotation comment</span>
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|<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment</span>
 
|}
 
|}
 
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Regel 173: Regel 176:
 
{|
 
{|
 
|-
 
|-
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|<span Title="Codesystem: SNOMED CT"> 225317005 Restriction of movement</span>
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|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=225317005 225317005] Restriction of movement</span>
 
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Regel 187: Regel 190:
 
{|
 
{|
 
|-
 
|-
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|<span Title="Codesystem: SNOMED CT"> 309370004 Consent status</span>
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|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=309370004 309370004] Consent status</span>
 
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Regel 228: Regel 231:
 
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Columns Concept and DefinitionCode: hover over the values for more information<BR>
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Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR>
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For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]
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For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]
  
 
==Example Instances==
 
==Example Instances==
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''Only available in Dutch''
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''Only available in Dutch<!--noTranslation-->''
  
 
{|class="wikitable" width="553px" style= "font-size: 9.5pt;"
 
{|class="wikitable" width="553px" style= "font-size: 9.5pt;"
Regel 274: Regel 277:
 
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|-style="background-color: #1F497D; color: white; font-weight: bold; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
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|Conceptname
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|Conceptname<!--vsConceptName-->
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|Conceptcode
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|Conceptcode<!--vsConceptCode-->
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|Codesystem name||Codesystem OID
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|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
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|Description
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|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
 
|Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
Regel 355: Regel 359:
 
|Strafrechterlijke justitiële contacten: overig
 
|Strafrechterlijke justitiële contacten: overig
 
|}
 
|}
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=== PermissionCodelist===
 
=== PermissionCodelist===
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
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|-style='vertical-align:top; background-color: #E8D7BE;'
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{| class="wikitable"  width="60% "
 
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|-style="background-color: #1F497D; color: white; font-weight: bold; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
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|Conceptname
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|Conceptname<!--vsConceptName-->
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|Conceptcode
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|Conceptcode<!--vsConceptCode-->
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|Codesystem name||Codesystem OID
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|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
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|Description
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|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Geen instemming patiënt
 
|Geen instemming patiënt
Regel 393: Regel 397:
 
|}
 
|}
  
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==This information model in other releases<!--ftOtherReleases-->==
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==This information model in other releases==
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<!-- Hieronder wordt een transclude page aangeroepen -->
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<ul>
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.3(EN)|2|2016}}
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<li>[[FreedomRestrictingMeasures-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li>
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<!-- Tot hier de transclude page -->
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<li>[[FreedomRestrictingMeasures-v3.1(2017EN) | Release 2017, (Version 3.1)]]</li>
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==Information model references<!--ftReferences-->==
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</ul>
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====This information model refers to<!--ftRefersTo-->====
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==More on this information model==
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*[[NursingIntervention-v3.0(2016EN)|NursingIntervention-v3.0]]
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====This information model is used in<!--ftReferredBy-->====
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:--
 +
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
 
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
 
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:
+
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
 
<ul>
 
<ul>
−
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.14.3&effectiveDate=2016-05-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
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<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.14.3&effectiveDate=2016-05-01T00:00:00&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>
+
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2016}}</li>
 
</ul>
 
</ul>
−
This information model is also available as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
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==Downloads<!--ftDownloadTitle-->==
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==About this information==
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This information model is also available as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.FreedomRestrictingMeasures-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
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The information in this wikipage is based on Release summer 2016 <BR>
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==About this information<!--ftHeader2-->==
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Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
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The information in this wikipage is based on<!--ftInfoBase--> Release summer 2016 <BR>
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This page is generated on 24/01/2018 23:44:42 <BR>
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Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
 +
This page is generated on 21/12/2018 16:29:28 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR>
 
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div>
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2016(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2016(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Huidige versie van 24 dec 2018 om 11:08


Attention!! This is not the most recent version of this information model. You can find the most recent version here.

General information

Name: nl.zorg.FreedomRestrictingMeasures NL.png
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016

Back 16.png Back to HCIM list

Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 5-5-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.14.3
DCM::KeywordList Vrijheidsbeperkendemaatregelen, wilsbekwaamheid, interventies
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.VrijheidsbeperkendeMaatregelen
DCM::PublicationDate 1-5-2016
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 8-9-2015
DCM::Superseeds nl.nfu.VrijheidsbeperkendeMaatregelen-v1.0
DCM::Version 3.0
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

Concept

Medical restraints are (physical or verbal) measures used to restrict the freedom of the patient in question.
In hospitals, these often include the use of side rails, a cushion belt (around the waist), limb restraints or a Posey bed. Medical restraints are often used in combination with sedatives.
Medical restraints may only be implemented under strict conditions. The Vereniging Verpleegkundigen & Verzorgenden Nederland (V&VN) [Dutch Nurses and Carers Association] published a set of guidelines for nurses to implement these restraints in hospitals.
The patient’s high-risk behavior providing cause for the restraints is not described in this concept.

Purpose

Implementing medical restraints is risky and can result in damage to the patient if they are not carefully implemented. Nurses fulfil an important role in identifying risks, observing the effect of the restraints and any changes to the policy in terms of medical restraints. Recording all information on the measures is of major importance for insight into decision-making, implementing, monitoring and evaluating the measures. In the event of a transfer to the next facility, the proper preparations can be taken to safely continue the care and to limit the risks to the patient and their environment.

Patient Population

This information model does not focus on patients that reside in mental healthcare facilities, as mental healthcare uses a national registration system (Argus registration) when implementing medical restraints.

Information Model


#9853#PermissionCodelist#9856#9845#9840#9855#9843#LegalStatusCodelist#9852NursingIntervention-v3.0(2016EN)#9837#9851FreedomRestrictingMeasures-v3.0Model(2016EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:14.3.1 Arrowdown.pngMedicalRestraints Root concept of the MedicalRestraints information model. This root concept contains all data elements of the MedicalRestraints information model.
CD.png NL-CM:14.3.2 Arrowright.pngLegalStatus 0..1 The legal situation that applies to the patient. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status.
303186005 Legal status of patient
List2.png LegalStatusCodelist
BL.png NL-CM:14.3.3 Arrowright.pngLegallyCapable 1 Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision.
ST.png NL-CM:14.3.4 Arrowright.pngLegallyCapableExplanation 0..1 Explanation of the decisions which the patient is legally capable of making.
48767-8 Annotation comment
Folder.png NL-CM:14.3.5 Arrowdown.pngRestraint 0..* Container of the Restraint concept. This container contains all data elements of the Restraint concept.
ST.png NL-CM:14.3.6 Arrowright.pngTypeOfRestraint 1 The type of restraint describes the medical restraints. In a hospital setting, these restraints are mainly based on the Dutch Nurses and Carers Association’s Handbook "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…” [Medical Restraints in the Hospital? Not unless...].
225317005 Restriction of movement
CD.png NL-CM:14.3.7 Arrowright.pngPermission 1 The permission given to the healthcare provider(s) by the patient or legal representative to implement the medical restraint.
309370004 Consent status
List2.png PermissionCodelist
TS.png NL-CM:14.3.8 Arrowright.pngStartEpisode 0..1 The date and time at which the restraints started.
TS.png NL-CM:14.3.9 Arrowright.pngEndOfEpisode 0..1 The date and time at which the restraints ended.
Verwijzing.png NL-CM:14.3.10 Arrowright.pngNursingProcedure 0..* Description of the nursing procedures involved in medical restraints.
Block.png NursingIntervention

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

VrijheidsbeperkendeMaatregelen
JuridischeStatus
Wilsbekwaam Nee
WilsbekwaamToelichting Wilsonbekwaam t.a.v. geldzaken.
Interventie
SoortInterventie Links armspalk i.v.m. infuus.
Toestemming Instemming wettelijke vertegenwoordiger
AanvangEpisode 01-05-2014
EindeEpisode 05-05-2014
VerpleegkundigeActie
Activiteit Zorgen voor rustige omgeving zonder veel prikkels, vaste aanspreekpersoon per dienst.

References

1. Handreiking "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…" (V&VN, 2013) [Online] Beschikbaar op:http://www.venvn.nl/Portals/1/Nieuws/2014%20Documenten/WEB_VenVN_Handl_VBI.pdf [Geraadpleegd: 13 februari 2015]

Valuesets

LegalStatusCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.2 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging 1 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
RM op eigen verzoek 2 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 RM op eigen verzoek
RM met voorwaardelijk ontslag 3 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 RM met voorwaardelijk ontslag
Onder toezichtstelling (ots) 4 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Onder toezichtstelling (ots)
In bewaringstelling (ibs) 5 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 In bewaringstelling (ibs)
Voogdij 6 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Voogdij
Bewindvoering 7 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Bewindvoering
Mentorschap 8 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Mentorschap
Onder curatele stelling 9 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Onder curatele stelling
Zaakwaarneming 10 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Zaakwaarneming
Strafrechterlijke justitiële contacten: tbs 11 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Strafrechterlijke justitiële contacten: tbs
Strafrechterlijke justitiële contacten: overig 12 Juridische Status 2.16.840.1.113883.2.4.3.11.22.232 Strafrechterlijke justitiële contacten: overig

PermissionCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.3.1 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen instemming patiënt 1 InstemmingStatus 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 Geen instemming patiënt
Instemming patiënt 2 InstemmingStatus 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 Instemming patiënt
Geen instemming wettelijk vertegenwoordiger 3 InstemmingStatus 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 Geen instemming wettelijk vertegenwoordiger
Instemming wettelijke vertegenwoordiger 4 InstemmingStatus 2.16.840.1.113883.2.4.3.11.60.40.4.6.1 Instemming wettelijke vertegenwoordiger

This information model in other releases

Information model references

This information model refers to

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

Downloads

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 Release summer 2016
Conditions for use are located on the mainpage List2.png
This page is generated on 21/12/2018 16:29:28 with ZibExtraction v. 3.0.6929.24609

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.nl/index.php?title=FreedomRestrictingMeasures-v3.0(2016EN)&oldid=16213"