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

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==General information==
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Name: '''nl.nfu.NursingIntervention''' [[Bestand:NL.png|link=VerpleegkundigeInterventie-v1.0(2015NL)]]<BR>
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.2(EN)|1|NursingIntervention-v1.0(2015EN)}}
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Version: '''1.0''' <br>
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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.NursingIntervention''' [[Bestand:NL.png|link=VerpleegkundigeInterventie-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>
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Release<!--hdPublication-->: '''2015''' <br>
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Release status<!--hdPublicationStatus-->: Published<br>
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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==
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==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).
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<BR>
 
<BR>
 
<imagemap> Bestand:NursingIntervention-v1.0Model(EN).png | center  
 
<imagemap> Bestand:NursingIntervention-v1.0Model(EN).png | center  
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rect 180 48 334 98 [[#InterventionINCPCodelist]]
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rect 190 56 344 106 [[#InterventionINCPCodelist]]
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rect 471 48 625 98 [[#InterventionNICCodelist]]
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rect 481 56 635 106 [[#InterventionNICCodelist]]
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rect 759 48 913 98 [[#InterventionOmahaCodelist]]
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rect 202 304 344 374 [[TreatmentObjective-v1.0(2015EN)]]
 
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|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
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|style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference-->
 
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|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
 
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
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{|
 
{|
 
|-
 
|-
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|<span Title="Codesystem: SNOMED CT"> 9632001 Nursing procedure</span>
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|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=9632001 9632001] Nursing procedure</span>
 
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|}
 
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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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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="666px" style= "font-size: 9.5pt;"
 
{|class="wikitable" width="666px" style= "font-size: 9.5pt;"
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|-style="vertical-align:top; "
 
|Alle waarden
 
|Alle waarden
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|2.16.840.1.113883.6.97
 
|2.16.840.1.113883.6.97
 
|}
 
|}
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=== InterventionNICCodelist===
 
=== InterventionNICCodelist===
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
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|-style='vertical-align:top; background-color: #E8D7BE;'
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|-style="background-color: #1F497D; color: white; font-weight: bold; "
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|Conceptname
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|Conceptname<!--vsConceptName-->
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|Codesystem name||Codesystem OID
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|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 
|-style="vertical-align:top; "
 
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|Alle waarden
 
|Alle waarden
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|2.16.840.1.113883.6.15
 
|2.16.840.1.113883.6.15
 
|}
 
|}
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=== InterventionOmahaCodelist===
 
=== InterventionOmahaCodelist===
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
|-style='vertical-align:top; background-color: #E8D7BE;'
 
|-style='vertical-align:top; background-color: #E8D7BE;'
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|Binding<!--vsBindingTag-->:
 
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{| class="wikitable"  width="60% "
 
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|-style="background-color: #1F497D; color: white; font-weight: bold; "
 
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|Conceptname
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|Conceptname<!--vsConceptName-->
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|Codesystem name||Codesystem OID
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|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 
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|Alle waarden
 
|Alle waarden
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|}
 
|}
  
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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-2.16.840.1.113883.2.4.3.11.60.40.3.14.2(EN)|2|2015}}
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<li>[[NursingIntervention-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
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<!-- Tot hier de transclude page -->
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<li>[[NursingIntervention-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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*[[ConcernForTransfer-v1.2(2015EN)|ConcernForTransfer-v1.2]]
 +
*[[HealthProfessional-v1.2.1(2015EN)|HealthProfessional-v1.2.1]]
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*[[MedicalDevice-v1.2(2015EN)|MedicalDevice-v1.2]]
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*[[TreatmentObjective-v1.0(2015EN)|TreatmentObjective-v1.0]]
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====This information model is used in<!--ftReferredBy-->====
 +
*[[AbilityToDressOneself-v1.0(2015EN)|AbilityToDressOneself-v1.0]]
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*[[AbilityToDrink-v1.0(2015EN)|AbilityToDrink-v1.0]]
 +
*[[AbilityToEat-v1.0(2015EN)|AbilityToEat-v1.0]]
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*[[AbilityToPerformHaircareActivities-v1.0(2015EN)|AbilityToPerformHaircareActivities-v1.0]]
 +
*[[AbilityToPerformMouthcareActivities-v1.0(2015EN)|AbilityToPerformMouthcareActivities-v1.0]]
 +
*[[AbilityToUseToilet-v1.0(2015EN)|AbilityToUseToilet-v1.0]]
 +
*[[AbilityToWashOneself-v1.0(2015EN)|AbilityToWashOneself-v1.0]]
 +
*[[BladderFunction-v1.0(2015EN)|BladderFunction-v1.0]]
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*[[BowelFunction-v1.0(2015EN)|BowelFunction-v1.0]]
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*[[Burnwound-v1.0(2015EN)|Burnwound-v1.0]]
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*[[CommunicationSkills-v1.0(2015EN)|CommunicationSkills-v1.0]]
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*[[FallRiskForTransfer-v1.0(2015EN)|FallRiskForTransfer-v1.0]]
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*[[FeedingTubeSystem-v1.0(2015EN)|FeedingTubeSystem-v1.0]]
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*[[FreedomRestrictingMeasures-v1.0(2015EN)|FreedomRestrictingMeasures-v1.0]]
 +
*[[FreedomRestrictingMeasuresMentalHealthcare-v1.0(2015EN)|FreedomRestrictingMeasuresMentalHealthcare-v1.0]]
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*[[GeneralMentalFunctions-v1.0(2015EN)|GeneralMentalFunctions-v1.0]]
 +
*[[HelpWithMedication-v1.0(2015EN)|HelpWithMedication-v1.0]]
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*[[IllnessPerception-v1.0(2015EN)|IllnessPerception-v1.0]]
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*[[Infusion-v1.0(2015EN)|Infusion-v1.0]]
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*[[LanguageProficiency-v1.0(2015EN)|LanguageProficiency-v1.0]]
 +
*[[Malnutrition-v1.0(2015EN)|Malnutrition-v1.0]]
 +
*[[MenstrualCycle-v1.0(2015EN)|MenstrualCycle-v1.0]]
 +
*[[Mobility-v1.0(2015EN)|Mobility-v1.0]]
 +
*[[NutritionAdvice-v1.0(2015EN)|NutritionAdvice-v1.0]]
 +
*[[OutcomeOfCare-v1.0(2015EN)|OutcomeOfCare-v1.0]]
 +
*[[PainPerception-v1.0(2015EN)|PainPerception-v1.0]]
 +
*[[ParticipationInSociety-v1.0(2015EN)|ParticipationInSociety-v1.0]]
 +
*[[PlannedCareActivityForTransfer-v1.2.1(2015EN)|PlannedCareActivityForTransfer-v1.2.1]]
 +
*[[PressureUlcer-v1.0(2015EN)|PressureUlcer-v1.0]]
 +
*[[SkinDisorder-v1.0(2015EN)|SkinDisorder-v1.0]]
 +
*[[Sleepfunction-v1.0(2015EN)|Sleepfunction-v1.0]]
 +
*[[SpecificMentalFunctions-v1.0(2015EN)|SpecificMentalFunctions-v1.0]]
 +
*[[Stoma-v1.0(2015EN)|Stoma-v1.0]]
 +
*[[Wound-v1.0(2015EN)|Wound-v1.0]]
 +
==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--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.14.2&effectiveDate=2015-09-08T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
+
<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=2.16.840.1.113883.2.4.3.11.60.5.4.2.14.2&effectiveDate=2015-09-08T00:00:00&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|2015}}</li>
 
</ul>
 
</ul>
−
This information model is also available as [[Media:nl.nfu.NursingIntervention-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.NursingIntervention-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
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==Downloads<!--ftDownloadTitle-->==
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==About this information==
+
This information model is also available as [[Media:nl.nfu.NursingIntervention-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.NursingIntervention-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
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The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <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--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
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This page is generated on 24/01/2018 17:37:29 <BR>
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Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
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This page is generated on 20/12/2018 12:43:27 with ZibExtraction v. 3.0.6928.22723<!--ftDate--> <BR>
 
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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>

Versie van 20 dec 2018 om 12:14


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.NursingIntervention 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 7-7-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name NFU & V&VN
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.14.2
DCM::KeywordList Interventie, verpleegkundige actie
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.nfu.VerpleegkundigeInterventie
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

A nursing intervention is the care and/or treatment carried out by a nurse based on an expert opinion and clinical knowledge. It is part of the nursing process; interventions are determined as a result of indexed healthcare problems (nursing diagnoses) and based on treatment goals. The interventions are outlined in the nursing procedures.

Purpose

The nursing interventions are an essential part of the nursing process. A nursing intervention is recorded to document the nursing policy and to update other healthcare providers on the intervention. The documentation of nursing interventions offers the option to determine whether the interventions outlined in the treatment plan have been carried out. This way, we can facilitate optimal nursing and continuity of care.

Evidence Base

Various classifications can be used in an organization to support the nursing process (nursing diagnoses/ symptoms, interventions and healthcare results). The chosen classification system usually depends on the context of the care (and the accessibility of the classification). Commonly used systems include Omaha System, NANDA, NIC and NOC (also known as the NNN-classification) and ICF.
For more information, please refer to the ‘References’ section.

Information Model


#InterventionINCPCodelist#InterventionNICCodelist#InterventionOmahaCodelist#10022#10013#10025HealthProfessional-v1.2.1(2015EN)ConcernForTransfer-v1.2(2015EN)#10018#10020#10017HealthProfessional-v1.2.1(2015EN)#10026#10028#10029MedicalDevice-v1.2(2015EN)TreatmentObjective-v1.0(2015EN)NursingIntervention-v1.0Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:14.2.1 Arrowdown.pngNursingIntervention Root concept of the NursingIntervention building block. This root concept contains all data elements of the NursingIntervention building block.
CD.png NL-CM:14.2.2 Arrowright.pngIntervention 1 A nursing intervention is a treatment carried out by a nurse based on an expert opinion and clinical knowledge for the benefit of the person requesting healthcare. The intervention is targeted towards a certain problem (diagnosis) and has a predetermined healthcare result. There are different classifications that describe interventions, including the NIC (National Intervention Classification) and the Omaha System. This building block uses coded interventions.
List2.png InterventionINCPCodelist
List2.png InterventionNICCodelist
List2.png InterventionOmahaCodelist
Verwijzing.png NL-CM:14.2.6 Arrowright.pngIndication::Problem 0..1 The nursing-related problem (indication) providing cause for the intervention.
Block.png ConcernForTransfer
Verwijzing.png NL-CM:14.2.14 Arrowright.pngTreatmentGoal 0..1 The description of the treatment goal that the intervention decision is based on.
Block.png TreatmentObjective
Folder.png NL-CM:14.2.9 Arrowdown.pngNursingProcedure 1..* Container of the NursingProcedure concept. This container contains all data elements of the NursingProcedure concept.
9632001 Nursing procedure
PQ.png NL-CM:14.2.3 Arrowright.pngInterval 0..1 Interval indicates the time between planned procedures.

When entering an interval, the focus is on the time between the consecutive procedures, such as in the treatment of a wound, for example. The exact times are of lesser importance.

PQ.png NL-CM:14.2.4 Arrowright.pngFrequency 0..1 The frequency describes how often and in which period certain procedures are carried out, e.g. 3x a day.
ST.png NL-CM:14.2.10 Arrowright.pngActivity 1 The description of nursing procedures carried out in the care for a patient. A nursing intervention consists of a set of patient-related nursing procedures.
TS.png NL-CM:14.2.11 Arrowright.pngProcedureStartDateTime 0..1 The start date (and if possible start time) of the procedure. The concept offers the option to indicate the start of the period of a series of repeating procedures.
TS.png NL-CM:14.2.12 Arrowright.pngProcedureEndDateTime 0..1 The end date (and if possible end time) of the procedure. The concept offers the option to indicate the end of the period of a series of repeating procedures.
Verwijzing.png NL-CM:14.2.13 Arrowright.pngMedicalAid::MedicalAid 0..* Description of the materials used for the nursing procedure, such as bandages.
Block.png MedicalDevice
Verwijzing.png NL-CM:14.2.7 Arrowright.pngCarriedOutBy::HealthcareProvider 0..1 The healthcare provider carrying out the nursing procedure.
Block.png HealthProfessional
Verwijzing.png NL-CM:14.2.8 Arrowright.pngRequestedBy::HealthcareProvider 0..* The healthcare provider who requested the nursing intervention. If desired, only the requester’s specialty can be entered.
Block.png HealthProfessional
ST.png NL-CM:14.2.5 Arrowright.pngExplanation 0..1 Explanation of the nursing intervention.
48767-8 Annotation comment

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

VerpleegkundigeInterventie
Interventie Pijnmanagement
Indicatie
ProbleemNaam Pijn
Behandeldoel
Streefwaarde
MetingNaam Pijnscore
UitslagWaarde <4
UitslagDatumTijd 10-09-2015
VerpleegkundigeActie
Activiteit Ondersteuning van de wond bij hoesten.
ActieStartDatumTijd 10-08-2015
ActieEindDatumTijd 15-08-2015
VerpleegkundigeActie
Activiteit Toedienen medicatie volgens voorschrift bij pijnscore > 4.
ActieStartDatumTijd 10-08-2015
Toelichting -

References

1. Richtlijn Verpleegkundige en verzorgende verslaglegging (V&VN, 2011) [Online] Beschikbaar op:http://www.diliguide.nl/document/4060/file/pdf/ [Geraadpleegd: 13 februari 2015]

2. Vreeke E, Klein Wolterink G. Classificatie- en terminologiestelsels voor verpleegkundige informatie. Nictiz & NFU (2014). [Geraadpleegd: 13 februari 2015]

3. The Omaha System [Online] Beschikbaar op:http://www.omahasystem.org/ [Geraadpleegd: 13 februari 2015]

4. Nursing Intervention Classification (NIC) [Online] Beschikbaar op:http://www.nursing.uiowa.edu/center-for-nursing-classification-and-clinical-effectiveness [Geraadpleegd: 13 februari 2015]

5. Nursing Outcome Classification (NOC) [Online] Beschikbaar op:http://www.nursing.uiowa.edu/center-for-nursing-classification-and-clinical-effectiveness [Geraadpleegd: 13 februari 2015]

6. North American Nursing Diagnosis Association (NANDA) [Online] Beschikbaar op:http://www.nanda.org/ [Geraadpleegd: 13 februari 2015]

7. International Classification for Nursing Practice (ICNP) [Online] Beschikbaar op:www.icn.ch[Geraadpleegd: 13 februari 2015]

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

Valuesets

InterventionINCPCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.1 Binding:
Conceptname Codesystem name Codesystem OID
Alle waarden ICNP 2.16.840.1.113883.6.97

InterventionNICCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.2 Binding:
Conceptname Codesystem name Codesystem OID
Alle waarden NIC 2.16.840.1.113883.6.15

InterventionOmahaCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.2.3 Binding:
Conceptname Codesystem name Codesystem OID
Alle waarden Omaha 2.16.840.1.113883.6.98

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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 20/12/2018 12:43:27 with ZibExtraction v. 3.0.6928.22723

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