HCIM Release 2015(EN): verschil tussen versies

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== Release 2015 ==
 
== Release 2015 ==
 
The following summary shows which HCIM's are part of this publication, including the version numbers.<br>
 
The following summary shows which HCIM's are part of this publication, including the version numbers.<br>

Huidige versie van 23 dec 2018 om 21:18


Attention!! This is not the most recent HCIM release. You can find the most recent release here.

Release 2015

The following summary shows which HCIM's are part of this publication, including the version numbers.
More information on Release 2015 is available in Dutch:

Health and care information models release 2015

group: Administrative, count: 6

ContactPerson-v1.2 HealthcareProvider-v1.2 Patient-v2.0.1
Encounter-v1.2 HealthProfessional-v1.2.1 Payer-v1.2

group: Basic elements, count: 1

BasicElements-v1.0

group: Clinical context, count: 25

Alert-v1.0 FeedingTubeSystem-v1.0 NutritionAdvice-v1.0 Stoma-v1.0
AllergyIntolerance-v1.0.2 FunctionalOrMentalStatus-v1.0.1 Pregnancy-v1.0 Vaccination-v1.2
BladderFunction-v1.0 GeneralMentalFunctions-v1.0 PressureUlcer-v1.0 VisualFunction-v1.0
BowelFunction-v1.0 HearingFunction-v1.0 SensoryObservationFunction-v1.0 Wound-v1.0
Burnwound-v1.0 Infusion-v1.0 SkinDisorder-v1.0
CommunicationSkills-v1.0 MedicalDevice-v1.2 Sleepfunction-v1.0
ConcernForTransfer-v1.2 MenstrualCycle-v1.0 SpecificMentalFunctions-v1.0

group: Measurements, count: 11

BloodPressure-v1.2 BodyWeight-v1.2 LaboratoryTestResultForTransfer-v1.2.2 Respiration-v1.0.2
BodyHeight-v1.2 GeneralMeasurement-v1.0 O2Saturation-v1.2 TextResultForTransfer-v1.2
BodyTemperature-v1.2.1 HeartRate-v1.2 PulseRate-v1.2

group: Medication, count: 4

MedicationAdministration-v1.0 MedicationDispense-v1.0 MedicationPrescription-v1.0.1 MedicationUse-v1.0.1

group: Patient context, count: 15

AdvanceDirective-v1.0 FamilyHistory-v2.0 LanguageProficiency-v1.0 Nationality-v2.0
AlcoholUse-v1.2.1 FamilySituation-v1.0 LifeStance-v1.2.1 ParticipationInSociety-v1.0
DrugUse-v1.2.2 HelpFromOthers-v1.0 LivingSituation-v1.2 TobaccoUse-v1.2.1
Education-v1.2.1 IllnessPerception-v1.0 MaritalStatus-v1.2.1

group: Scales en screening tools, count: 8

BarthelADLIndex-v1.2.1 GlasgowComaScale-v1.2.1 MUSTScore-v1.0 PainScore-v1.2.1
FallRiskForTransfer-v1.0 Malnutrition-v1.0 PainPerception-v1.0 SNAQScore-v1.0

group: Selfcare, count: 9

AbilityToDressOneself-v1.0 AbilityToPerformHaircareActivities-v1.0 AbilityToWashOneself-v1.0
AbilityToDrink-v1.0 AbilityToPerformMouthcareActivities-v1.0 HelpWithMedication-v1.0
AbilityToEat-v1.0 AbilityToUseToilet-v1.0 Mobility-v1.0

group: Treatment, count: 8

FreedomRestrictingMeasures-v1.0 NursingIntervention-v1.0 PlannedCareActivityForTransfer-v1.2.1 TreatmentDirective-v1.0.1
FreedomRestrictingMeasuresMentalHealthcare-v1.0 OutcomeOfCare-v1.0 ProcedureForTransfer-v1.2 TreatmentObjective-v1.0

Special information models

Basic elements

A number of data elements are implicitly present in each information model and are therefore not explicitly specified in the HCIM. These are concepts that are of a more technical nature, often have little or no clinical relevance, but for the sake of clarity and readability of the data are necessary. The basic elements at each HCIM are:

  • Subject: The person to whom the information relates. Often this will be the patient, but for example, in small children it may be information about the parent or caregiver.
  • Source of information: The person who provided the information and ensures the correctness of it. This is not always a healthcare professional who enters the data in the information system, but it may also be the patient or another person, such as a parent, caretaker or guardian.
  • Author: The person who has recorded the information. Depending on the information system in which the data is recorded, this may be the patient, a contact person or the healthcare professional.
  • Identification number: The number that identifies the instantiation of the HCIM (worldwide) uniquely. The number is composed of an identification of the issuer organization and a unique number assigned by this organization
  • DateTime : The date and possibly the time at which the event relates to the information. This is the medically relevant date and time.

A more detailed explanation of the basic elements can be found in Architecture Document Volume 1, paragraph 3.8 PDF.png.