GeneralMentalFunctions-v1.0(2015EN): verschil tussen versies

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(3 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.nfu.GeneralMentalFunctions''' [[Bestand:NL.png|link=AlgemeneMentaleFuncties-v1.0(2015NL)]]<BR>
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.18.1(EN)|1|GeneralMentalFunctions-v1.0(2015EN)}}
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Version: '''1.0''' <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: '''2015''' <br>
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Name<!--hdName-->: '''nl.nfu.GeneralMentalFunctions''' [[Bestand:NL.png|link=AlgemeneMentaleFuncties-v1.0(2015NL)]]<BR>
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Release status: Published<br>
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Version<!--hdVersion-->: '''1.0''' <br>
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Release date: 8-9-2015
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HCIM Status<!--hdStatus-->:Final<br>
 +
Release<!--hdPublication-->: '''2015''' <br>
 +
Release status<!--hdPublicationStatus-->: Published<br>
 +
Release date<!--hdPublicationDate-->: 8-9-2015
 
-----
 
-----
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(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-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(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:GeneralMentalFunctions-v1.0Model(EN).png | center  
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<imagemap> Bestand:GeneralMentalFunctions-v1.0Model(2015EN).png | center  
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rect 634 189 744 259 [[#9513]]
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rect 164 310 283 360 [[#ConsciousnessCodelist]]
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rect 171 181 273 251 [[#9076]]
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rect 181 189 283 259 [[#9076]]
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rect 183 569 346 619 [[#OrientationInTimeCodelist]]
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rect 193 577 356 627 [[#OrientationInTimeCodelist]]
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Regel 107: Regel 110:
 
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Regel 129: Regel 132:
 
{|
 
{|
 
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|
Regel 146: Regel 149:
 
{|
 
{|
 
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|<span Title="Codesystem: SNOMED CT"> 43173001 Orientation, function</span>
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|
Regel 160: Regel 163:
 
{|
 
{|
 
|-
 
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|<span Title="Codesystem: ICF"> b1140 Orientatie in tijd</span>
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Regel 180: Regel 183:
 
{|
 
{|
 
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|<span Title="Codesystem: ICF"> b1141 Orientatie in plaats</span>
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Regel 198: Regel 201:
 
{|
 
{|
 
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|<span Title="Codesystem: ICF"> b1142 Orientatie in persoon</span>
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|
Regel 218: Regel 221:
 
{|
 
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|<span Title="Codesystem: ICF"> b117 Intellectuele functies</span>
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Regel 235: Regel 238:
 
{|
 
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Regel 252: Regel 255:
 
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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-->''
  
 
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Regel 313: Regel 317:
 
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Regel 319: Regel 323:
 
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Regel 325: Regel 329:
 
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Regel 331: Regel 335:
 
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=== IntellectualFunctionsCodelist===
 
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Regel 356: Regel 360:
 
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Regel 362: Regel 366:
 
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Regel 368: Regel 372:
 
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Regel 374: Regel 378:
 
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Regel 399: Regel 403:
 
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Regel 405: Regel 409:
 
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Regel 411: Regel 415:
 
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Regel 417: Regel 421:
 
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|ICF
 
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|Stoornis 96-100%
 
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=== OrientationInPersonCodelist===
 
=== OrientationInPersonCodelist===
 
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Regel 442: Regel 446:
 
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Regel 448: Regel 452:
 
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Regel 454: Regel 458:
 
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|Ernstige stoornis
 
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Regel 460: Regel 464:
 
|-style="vertical-align:top; "
 
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|Volledige stoornis
 
|Volledige stoornis
−
|b1142.4
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|[https://terminologie.nictiz.nl/art-decor/claml?collection=icf-nl-data&conceptId=b1142 b1142.4]
 
|ICF
 
|ICF
 
|2.16.840.1.113883.6.254
 
|2.16.840.1.113883.6.254
 
|Stoornis 96-100%
 
|Stoornis 96-100%
 
|}
 
|}
−
 
 
=== OrientationInTimeCodelist===
 
=== OrientationInTimeCodelist===
 
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|2.16.840.1.113883.6.254
 
|2.16.840.1.113883.6.254
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|2.16.840.1.113883.6.254
 
|2.16.840.1.113883.6.254
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|ICF
 
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|2.16.840.1.113883.6.254
 
|2.16.840.1.113883.6.254
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|ICF
 
|ICF
 
|2.16.840.1.113883.6.254
 
|2.16.840.1.113883.6.254
Regel 503: Regel 507:
 
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|[https://terminologie.nictiz.nl/art-decor/claml?collection=icf-nl-data&conceptId=b1140 b1140.4]
 
|ICF
 
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|2.16.840.1.113883.6.254
 
|2.16.840.1.113883.6.254
Regel 509: Regel 513:
 
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==This information model in other releases==
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<ul>
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.18.1(EN)|2|2015}}
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<li>[[GeneralMentalFunctions-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
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==Information model references<!--ftReferences-->==
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==More on this information model==
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To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
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Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
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Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
 
<ul>
 
<ul>
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<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.18.1&effectiveDate=2015-09-08T00:00:00&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--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.18.1&effectiveDate=2015-09-08T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
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<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>
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<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2015}}</li>
 
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This information model is also available as [[Media:nl.nfu.GeneralMentalFunctions-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.GeneralMentalFunctions-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
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This information model is also available as [[Media:nl.nfu.GeneralMentalFunctions-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.GeneralMentalFunctions-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
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Huidige versie van 24 dec 2018 om 11:14


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

General information

Name: nl.nfu.GeneralMentalFunctions NL.png
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015

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 1-4-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name NFU & V&VN
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.18.1
DCM::KeywordList Mentale functies, intellectuele functies, oriëntatie, bewustzijn
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.nfu.AlgemeneMentaleFuncties
DCM::PublicationDate 8-9-2015
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 8-9-2015
DCM::Superseeds
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015).

Concept

Important parts of the brain’s general mental functions are intellectual functions, orientation and consciousness.
If there is a disorder in the intellectual functions as a result of a mental disability, it is not described in this building block but is recorded as a medical diagnosis.
Disorders in orientation and consciousness combined with disorders in attention, memory and observation are seen as important symptoms for the potential presence of a delirium. The latter disorders are recorded in the SpecificMentalFunctions building block.

Purpose

Together, consciousness, orientation and intellectual functions provide a good insight into a patient’s mental condition.
This information is essential in drawing up the healthcare plan. The availability of this information allows you to take into account the patient’s wishes and capabilities. Furthermore, it offers a handle in approaching and supporting the patient.
Having this information available earlier on for a transfer enables procedures to be promptly initiated to continue the care as well as possible.

Evidence Base

This building block assumes that if the patient has a disorder in intellectual functions as a result of a mental disability, this disorder is to be included on the problem list in the medical transfer (if possible using the DSM classification).
The aforementioned assumes the following definition of a mental disability: “A patient with a mental disability has a congenital disability or a disability which occurred at a later developmental stage in intellectual function. They have an IQ of 70/75 or lower. This is accompanied by limitations in social (self-)reliance. This diagnosis is partially based on the need for support."
(Source: Meijer S (RIVM). Verstandelijke beperking samengevat. In: Volksgezondheid Toekomst Verkenning, Nationaal Kompas Volksgezondheid. Bilthoven: RIVM.)

The need for support involved can be described in the relevant building block.

The definitions of the concepts were (partially) taken from the ICF definitions.

Information Model


#9513#ConsciousnessCodelist#9076#OrientationInPersonCodelist#OrientationInTimeCodelistNursingIntervention-v1.0(2015EN)#9051#9057#9067#9077#OrientationInLocationCodelist#9054#9065#IntellectualFunctionsCodelistGeneralMentalFunctions-v1.0Model(2015EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:18.1.1 Arrowdown.pngGeneralMentalFunctions Root concept of the GeneralMentalFunctions building block. This concept contains all data elements of the GeneralMentalFunctions building block.
CO.png NL-CM:18.1.2 Arrowright.pngConsciousness 0..1 General mental function relating to the extent of consciousness and alertness including the lucidity and continuity of being awake.

Contains: the extent of consciousness, continuity of consciousness, and quality of consciousness. Examples of disorders that may occur include: loss of consciousness, coma, vegetative state, dissociative fugue, trance, frenzy, altered consciousness caused by drugs, delirium and stupor.

b110 Bewustzijn
List2.png ConsciousnessCodelist
Folder.png NL-CM:18.1.6 Arrowdown.pngOrientation 0..1 Container of the Orientation concept. This container contains all data elements of the Orientation concept.
43173001 Orientation, function
CO.png NL-CM:18.1.7 Arrowright.pngOrientationInTime 0..1 Orientation in time describes a patient being aware of the day, date, month and year.
b1140 Orientatie in tijd
List2.png OrientationInTimeCodelist
CO.png NL-CM:18.1.8 Arrowright.pngOrientationInLocation 0..1 Orientation in location describes a patient being aware of their physical location, such as their immediate surroundings or their city or country of residence.


b1141 Orientatie in plaats
List2.png OrientationInLocationCodelist
CO.png NL-CM:18.1.9 Arrowright.pngOrientationInPerson 0..1 Orientation in person describes a patient being aware of their own identity and of the identity of people in their immediate environment.
b1142 Orientatie in persoon
List2.png OrientationInPersonCodelist
CO.png NL-CM:18.1.3 Arrowright.pngIntellectualFunctions 0..1 Intellectual functions describe general mental functions needed for the ability to understand things and to constructively integrate different mental functions, including all cognitive functions and development, for the duration of the patient’s life.

Contains: intellectual growth and intellectual growth disorders such as those that occur in intellectual retardation and dementia.

b117 Intellectuele functies
List2.png IntellectualFunctionsCodelist
ST.png NL-CM:18.1.4 Arrowright.pngExplanation 0..1 Explanation or comment on the general mental functions.
48767-8 Annotation comment
Verwijzing.png NL-CM:18.1.5 Arrowright.pngNursingProcedure 0..* The nursing procedures needed to help the patient with disorders in general mental functions.
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

AlgemeneMentaleFuncties
Bewustzijn Lichte stoornis (5-24%)
IntellectueleFuncties Lichte stoornis (5-24%)
Orientatie
OrientatieInTijd Matige stoornis (25-49%)
OrientatieInPlaats Ernstige stoornis (50-95%)
OrientatieInPersoon Lichte stoornis (5-24%)
VerpleegkundigeActie
Activiteit Ondersteuning dagstructuur aan de hand van programma, lag op een eenpersoonskamer.
Toelichting Patiënt is na operatie acuut verward geweest, gaat al wel beter, maar is soms nog weg kwijt. Heeft wel door dat hij soms in de war is en vindt dit erg vervelend.

References

1. International Classification of Functioning Disability and Health (ICF) [Online] Beschikbaar op:http:/www.rivm.nl/who-fic/icf.htm [Geraadpleegd: 13 februari 2015]

Valuesets

ConsciousnessCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.18.1.4 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen stoornis b110.0 ICF 2.16.840.1.113883.6.254 Stoornis 0-4%
Lichte stoornis b110.1 ICF 2.16.840.1.113883.6.254 Stoornis 5-24%
Matige stoornis b110.2 ICF 2.16.840.1.113883.6.254 Stoornis 25-49%
Ernstige stoornis b110.3 ICF 2.16.840.1.113883.6.254 Stoornis 50-95%
Volledige stoornis b110.4 ICF 2.16.840.1.113883.6.254 Stoornis 96-100%

IntellectualFunctionsCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.18.1.5 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen stoornis b117.0 ICF 2.16.840.1.113883.6.254 Stoornis 0-4%
Lichte stoornis b117.1 ICF 2.16.840.1.113883.6.254 Stoornis 5-24%
Matige stoornis b117.2 ICF 2.16.840.1.113883.6.254 Stoornis 25-49%
Ernstige stoornis b117.3 ICF 2.16.840.1.113883.6.254 Stoornis 50-95%
Volledige stoornis b117.4 ICF 2.16.840.1.113883.6.254 Stoornis 96-100%

OrientationInLocationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.18.1.2 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen stoornis b1141.0 ICF 2.16.840.1.113883.6.254 Stoornis 0-4%
Lichte stoornis b1141.1 ICF 2.16.840.1.113883.6.254 Stoornis 5-24%
Matige stoornis b1141.2 ICF 2.16.840.1.113883.6.254 Stoornis 25-49%
Ernstige stoornis b1141.3 ICF 2.16.840.1.113883.6.254 Stoornis 50-95%
Volledige stoornis b1141.4 ICF 2.16.840.1.113883.6.254 Stoornis 96-100%

OrientationInPersonCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.18.1.3 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen stoornis b1142.0 ICF 2.16.840.1.113883.6.254 Stoornis 0-4%
Lichte stoornis b1142.1 ICF 2.16.840.1.113883.6.254 Stoornis 5-24%
Matige stoornis b1142.2 ICF 2.16.840.1.113883.6.254 Stoornis 25-49%
Ernstige stoornis b1142.3 ICF 2.16.840.1.113883.6.254 Stoornis 50-95%
Volledige stoornis b1142.4 ICF 2.16.840.1.113883.6.254 Stoornis 96-100%

OrientationInTimeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.18.1.1 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen stoornis b1140.0 ICF 2.16.840.1.113883.6.254 Stoornis 0-4%
Lichte stoornis b1140.1 ICF 2.16.840.1.113883.6.254 Stoornis 5-24%
Matige stoornis b1140.2 ICF 2.16.840.1.113883.6.254 Stoornis 25-49%
Ernstige stoornis b1140.3 ICF 2.16.840.1.113883.6.254 Stoornis 50-95%
Volledige stoornis b1140.4 ICF 2.16.840.1.113883.6.254 Stoornis 96-100%

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 Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage List2.png
This page is generated on 24/12/2018 12:34:45 with ZibExtraction v. 3.0.6932.1989

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.nl/index.php?title=GeneralMentalFunctions-v1.0(2015EN)&oldid=16585"