HCIM Prerelease 2018(EN)

Uit Zorginformatiebouwstenen
Ga naar: navigatie, zoeken

Prerelease 2018-1

This is a prerelease. More information about prereleases and releases you can find here.
The following summary shows which hcim's are part of this prerelease, including the version numbers.
More information on Prerelease 2018-1 you can find in the ReleaseNotes 2018-1 PDF.png (in Dutch).

Health and care information models prerelease 2018#1

group: Administrative, count: 6

ContactPerson-v3.2 HealthcareProvider-v3.2 Patient-v3.1.1
Encounter-v3.1 HealthProfessional-v3.2 Payer-v3.1

group: Basic elements, count: 1

BasicElements-v1.0

group: Clinical context, count: 21

Alert-v3.2 FeedingPatternInfant-v1.0 NutritionAdvice-v3.1 Vaccination-v3.2
AllergyIntolerance-v3.2 FeedingTubeSystem-v3.2 Pregnancy-v3.1 VisualFunction-v3.1
BladderFunction-v3.1 FunctionalOrMentalStatus-v3.1 PressureUlcer-v3.2 Wound-v3.1
BowelFunction-v3.1.1 HearingFunction-v3.1 Problem-v4.1.1
Burnwound-v3.2 Infusion-v3.2 SkinDisorder-v3.2
DevelopmentChild-v1.1 MedicalDevice-v3.1.1 Stoma-v3.2

group: Measurements, count: 13

BloodPressure-v3.1 FluidBalance-v1.0 LaboratoryTestResult-v4.2 TextResult-v4.2
BodyHeight-v3.1 GeneralMeasurement-v3.0 O2Saturation-v3.1
BodyTemperature-v3.1 HeadCircumference-v1.1 PulseRate-v3.1
BodyWeight-v3.1 HeartRate-v3.2 Respiration-v3.1

group: Medication, count: 6

AdministrationAgreement-v1.0.1 MedicationAdministration2-v1.0.1 MedicationDispense-v2.0
DispenseRequest-v1.0.1 MedicationAgreement-v1.0.1 MedicationUse2-v1.0.1

group: Partial information models, count: 7

AddressInformation-v1.0 InstructionsForUse-v1.1.1 PharmaceuticalProduct-v2.0 TimeInterval-v1.0
ContactInformation-v1.0 NameInformation-v1.0.1 Range-v1.0

group: Patient context, count: 16

AdvanceDirective-v3.1 FamilyHistory-v3.1 IllnessPerception-v3.1 MaritalStatus-v3.0.1
AlcoholUse-v3.1 FamilySituation-v3.0 LanguageProficiency-v3.1 Nationality-v3.0
DrugUse-v3.2 FamilySituationChild-v1.1 LifeStance-v3.1 ParticipationInSociety-v3.1
Education-v3.1 HelpFromOthers-v3.0 LivingSituation-v3.2 TobaccoUse-v3.1

group: Scales en screening tools, count: 13

ApgarScore-v1.0 DOSScore-v1.0 PainScore-v3.1 StrongKidsScore-v1.0
BarthelADLIndex-v3.1 FLACCpainScale-v1.0 SNAQ65+Score-v1.0
ChecklistPainBehavior-v1.0 GlasgowComaScale-v3.1 SNAQrcScore-v1.0
ComfortScale-v1.0 MUSTScore-v3.0 SNAQScore-v3.1

group: Selfcare, count: 10

AbilityToDressOneself-v3.1 AbilityToGroome-v1.0 AbilityToPerformNursingActivities-v1.0 Mobility-v3.1
AbilityToDrink-v3.1 AbilityToManageMedication-v1.0 AbilityToUseToilet-v3.1
AbilityToEat-v3.1 AbilityToPerformMouthcareActivities-v3.1 AbilityToWashOneself-v3.1

group: Treatment, count: 7

FreedomRestrictingMeasures-v3.1.1 OutcomeOfCare-v3.1 Procedure-v4.1 TreatmentObjective-v3.1
NursingIntervention-v3.1 PlannedCareActivityForTransfer-v3.1 TreatmentDirective-v3.1

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.

Partial information models

To enable reuse of information patterns, which do not themselves describe a complete (care) concept, partial information models (substructures) have been defined and applied.
Unlike complete HCIM’s, partial information models are never used independently, but always included (inclusion) in the model of a complete HCIM.
See Architecture Document Volume 1 PDF.png for more information on this.
Partial information models can be identified by the prefix "nl.zorg.part" in the HCIM name.

Downloads

At the bottom of each HCIM wikipage you can find links to download the HCIM information in PDF of XLSX format.
It is also possible to download the whole set of HCIM's of this release in one file as PDFZIP.png(50 MB), XLSXZIP.png or XMIZIP.png. The last file also contains valuelist in XML format.

Additional information

NEW!

  • Starting from prepublication 2018-1, LOINC and SNOMED CT terms are displayed in Dutch wikipages in Dutch and in English wikipages in English, if an official translation is available.
  • A section has been added to each HCIM wikipage indicating which other HCIM's the building block refers to and in which other HCIM's the HCIM is used.