Procedure-v4.1(2017EN): verschil tussen versies

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Regel 1: Regel 1:
==General information==
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<!-- Hieronder wordt een transclude page aangeroepen -->
Name: '''nl.zorg.Procedure''' [[Bestand:NL.png|link=Verrichting-v4.1(2017NL)]]<BR>
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.1(EN)|1|Procedure-v4.1(2017EN)}}
Version: '''4.1''' <br>
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<!-- Tot hier de transclude page -->
HCIM Status:Final<br>
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==General information<!--hdGeneralInformation-->==
Release: '''2017''' <br>
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Name<!--hdName-->: '''nl.zorg.Procedure''' [[Bestand:NL.png|link=Verrichting-v4.1(2017NL)]]<BR>
Release status: Published<br>
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Version<!--hdVersion-->: '''4.1''' <br>
Release date: 31-12-2017
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HCIM Status<!--hdStatus-->:Final<br>
 +
Release<!--hdPublication-->: '''2017''' <br>
 +
Release status<!--hdPublicationStatus-->: Published<br>
 +
Release date<!--hdPublicationDate-->: 31-12-2017
 
-----
 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(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-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(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">
''Only available in Dutch''
+
''Only available in Dutch<!--noTranslation-->''
  
 
<u>Publicatieversie 1.0</u> (15-02-2013)
 
<u>Publicatieversie 1.0</u> (15-02-2013)
Regel 219: Regel 222:
 
<BR>
 
<BR>
 
<imagemap> Bestand:Procedure-v4.1Model(EN).png | center  
 
<imagemap> Bestand:Procedure-v4.1Model(EN).png | center  
rect 120 496 288 546 [[#ProcedureMethodCodelist]]
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rect 130 504 298 554 [[#ProcedureMethodCodelist]]
rect 187 400 317 470 [[#13108]]
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rect 197 408 327 478 [[#13108]]
rect 747 496 925 546 [[#ProcedureLateralityCodelist]]
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rect 757 504 935 554 [[#ProcedureLateralityCodelist]]
rect 708 400 841 470 [[#13095]]
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rect 718 408 851 478 [[#13095]]
rect 499 496 725 546 [[#ProcedureAnatomicalLocationCodelist]]
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rect 509 504 735 554 [[#ProcedureAnatomicalLocationCodelist]]
rect 309 496 477 546 [[#ProcedureTypeCodelist]]
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rect 319 504 487 554 [[#ProcedureTypeCodelist]]
rect 708 303 841 373 [[HealthProfessional-v3.2(2017EN)]]
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rect 718 311 851 381 [[HealthProfessional-v3.2(2017EN)]]
rect 189 206 319 276 [[Problem-v4.1(2017EN)]]
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rect 199 214 329 284 [[Problem-v4.1(2017EN)]]
rect 187 109 317 179 [[#13106]]
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rect 197 117 327 187 [[#13106]]
rect 450 109 576 179 [[#13097]]
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rect 460 117 586 187 [[#13097]]
rect 708 206 841 276 [[HealthcareProvider-v3.1.1(2017EN)]]
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rect 718 214 851 284 [[HealthcareProvider-v3.1.1(2017EN)]]
rect 187 303 317 373 [[MedicalDevice-v3.1(2017EN)]]
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rect 197 311 327 381 [[MedicalDevice-v3.1(2017EN)]]
rect 339 400 501 472 [[#13094]]
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rect 349 408 511 480 [[#13094]]
rect 708 108 841 178 [[HealthProfessional-v3.2(2017EN)]]
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rect 718 116 851 186 [[HealthProfessional-v3.2(2017EN)]]
rect 453 254 573 334 [[#13096]]
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rect 463 262 583 342 [[#13096]]
rect 523 400 685 472 [[#13100]]
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rect 533 408 695 480 [[#13100]]
 
desc none
 
desc none
 
</imagemap>
 
</imagemap>
Regel 240: Regel 243:
 
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
 
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
 
|-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; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
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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-->
 
|-style="vertical-align:top; background-color: #E3E3E3; "
 
|-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 250: Regel 253:
 
{|
 
{|
 
|-
 
|-
|<span Title="Codesystem: SNOMED CT"> 71388002 Verrichting</span>
+
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=71388002 71388002] Verrichting</span>
 
|}
 
|}
 
|
 
|
Regel 285: Regel 288:
 
{|
 
{|
 
|-
 
|-
|<span Title="Codesystem: SNOMED CT"> 405813007 Procedure site - Direct</span>
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|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=405813007 405813007] Procedure site - Direct</span>
 
|}
 
|}
 
|
 
|
Regel 302: Regel 305:
 
{|
 
{|
 
|-
 
|-
|<span Title="Codesystem: SNOMED CT"> 272741003 Laterality</span>
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|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=272741003 272741003] Laterality</span>
 
|}
 
|}
 
|
 
|
Regel 319: Regel 322:
 
{|
 
{|
 
|-
 
|-
|<span Title="Codesystem: SNOMED CT"> 363702006 Has focus</span>
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|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=363702006 363702006] Has focus</span>
 
|}
 
|}
 
|
 
|
Regel 352: Regel 355:
 
{|
 
{|
 
|-
 
|-
|<span Title="Codesystem: SNOMED CT"> 260686004 Method</span>
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|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=260686004 260686004] Method</span>
 
|}
 
|}
 
|
 
|
Regel 369: Regel 372:
 
{|
 
{|
 
|-
 
|-
|<span Title="Codesystem: SNOMED CT"> 405815000 Procedure device</span>
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|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=405815000 405815000] Procedure device</span>
 
|}
 
|}
 
|
 
|
Regel 416: Regel 419:
 
|}
 
|}
 
|}
 
|}
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>
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]
+
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]
  
 
==Example Instances==
 
==Example Instances==
''Only available in Dutch''
+
''Only available in Dutch<!--noTranslation-->''
  
 
{|class="wikitable" width="1248px" style= "font-size: 9.5pt;"
 
{|class="wikitable" width="1248px" style= "font-size: 9.5pt;"
Regel 486: Regel 489:
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
|-style='vertical-align:top; background-color: #E8D7BE;'
 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1
+
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1
 +
|Binding<!--vsBindingTag-->:
 
|}
 
|}
 
{| class="wikitable"  width="60% "
 
{| class="wikitable"  width="60% "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
+
|Conceptname<!--vsConceptName-->
|Codesystem name||Codesystem OID
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|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
|SNOMED CT: < 442083009 <noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki>
+
|SNOMED CT: < [https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=442083009 442083009]<noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki>
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
 
|}
 
|}
 
 
=== ProcedureLateralityCodelist===
 
=== ProcedureLateralityCodelist===
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
|-style='vertical-align:top; background-color: #E8D7BE;'
 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3
+
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3
 +
|Binding<!--vsBindingTag-->:
 
|}
 
|}
 
{| class="wikitable"  width="60% "
 
{| class="wikitable"  width="60% "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
+
|Conceptname<!--vsConceptName-->
|Conceptcode
+
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
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|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
+
|Description<!--vsDescription-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Left
 
|Left
|7771000
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|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=7771000 7771000]
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
Regel 517: Regel 521:
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Right
 
|Right
|24028007
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|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24028007 24028007]
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
Regel 523: Regel 527:
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Right and left
 
|Right and left
|51440002
+
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=51440002 51440002]
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
 
|Rechts en links
 
|Rechts en links
 
|}
 
|}
 
 
=== ProcedureMethodCodelist===
 
=== ProcedureMethodCodelist===
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
|-style='vertical-align:top; background-color: #E8D7BE;'
 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4
+
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4
 +
|Binding<!--vsBindingTag-->:
 
|}
 
|}
 
{| class="wikitable"  width="60% "
 
{| class="wikitable"  width="60% "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
+
|Conceptname<!--vsConceptName-->
|Codesystem name||Codesystem OID
+
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
|SNOMED CT: < 129264002 <noWiki>|</noWiki>Action (qualifier value)<noWiki>|</noWiki>
+
|SNOMED CT: < [https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=129264002 129264002]<noWiki>|</noWiki>Action (qualifier value)<noWiki>|</noWiki>
 
|SNOMED CT
 
|SNOMED CT
 
|2.16.840.1.113883.6.96
 
|2.16.840.1.113883.6.96
 
|}
 
|}
 
 
=== ProcedureTypeCodelist===
 
=== ProcedureTypeCodelist===
 
{| class="wikitable" width="60%"  
 
{| class="wikitable" width="60%"  
 
|-style='vertical-align:top; background-color: #E8D7BE;'
 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2
+
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2
 +
|Binding<!--vsBindingTag-->:
 
|}
 
|}
 
{| class="wikitable"  width="60% "
 
{| class="wikitable"  width="60% "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
 
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
+
|Conceptname<!--vsConceptName-->
|Codesystem name||Codesystem OID
+
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 
|-style="vertical-align:top; "
 
|-style="vertical-align:top; "
 
|Alle waarden
 
|Alle waarden
Regel 559: Regel 563:
 
|}
 
|}
  
 
+
==This information model in other releases<!--ftOtherReleases-->==
==This information model in other releases==
+
<!-- Hieronder wordt een transclude page aangeroepen -->
<ul>
+
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.14.1(EN)|2|2017}}
<li>[[ProcedureForTransfer-v1.2(2015EN) | Release 2015, (Version 1.2)]]</li>
+
<!-- Tot hier de transclude page -->
<li>[[ProcedureForTransfer-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
+
==Information model references<!--ftReferences-->==
</ul>
+
====This information model refers to<!--ftRefersTo-->====
==More on this information model==
+
*[[HealthcareProvider-v3.1.1(2017EN)|HealthcareProvider-v3.1.1]]
 +
*[[HealthProfessional-v3.2(2017EN)|HealthProfessional-v3.2]]
 +
*[[MedicalDevice-v3.1(2017EN)|MedicalDevice-v3.1]]
 +
*[[Problem-v4.1(2017EN)|Problem-v4.1]]
 +
====This information model is used in<!--ftReferredBy-->====
 +
*[[Encounter-v3.1(2017EN)|Encounter-v3.1]]
 +
*[[PlannedCareActivityForTransfer-v3.1(2017EN)|PlannedCareActivityForTransfer-v3.1]]
 +
*[[TextResult-v4.1(2017EN)|TextResult-v4.1]]
 +
==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--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.14.1&effectiveDate=2017-12-31T00:00:00&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--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.14.1&effectiveDate=2017-12-31T00:00:00&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|2017}}</li>
 
</ul>
 
</ul>
This information model is also available as [[Media:nl.zorg.Procedure-v4.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Procedure-v4.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
+
==Downloads<!--ftDownloadTitle-->==
==About this information==
+
This information model is also available as [[Media:nl.zorg.Procedure-v4.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Procedure-v4.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
The information in this wikipage is based on Release 2017 <BR>
+
==About this information<!--ftHeader2-->==
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
+
The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR>
This page is generated on 24/01/2018 15:59:08 <BR>
+
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
 +
This page is generated on 19/12/2018 18:34:05 with ZibExtraction v. 3.0.6927.32850<!--ftDate--> <BR>
 
-----
 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
+
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Versie van 20 dec 2018 om 12:31


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.Procedure NL.png
Version: 4.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017


Back 16.png Back to HCIM list

Metadata

DCM::CoderList Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate 6-6-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.14.1
DCM::KeywordList procedure,verrichting
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.Verrichting
DCM::PublicationDate 31-12-2017
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.Verrichting-v4.0
DCM::Version 4.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-02-2013) -

Publicatieversie 1.1 (01-07-2013)

ZIB-55 RFC Bouwsteen Procedure
ZIB-24 Diagnostische verrichtingen onderdeel van Results

Publicatieversie 1.2 (01-04-2015)

ZIB-84 Klinische bouwsteen nl.nfu.OverdrachtProcedure uitbreiden met Aanvrager (n.a.v. issue #077)
ZIB-93 Bouwsteennaam Procedure wijzigen in Verrichting
ZIB-95 Elementen in Example of the Instrument OverdrachtProcedure komen niet terug in model
ZIB-122 De definitie van de sectie Concept van de bouwsteen OverdrachtProcedure aanpassen.
ZIB-270 Aanpassen DCM::DefinitionCode van rootconcept Verrichting van NL-CM-14.1.1 naar NL-CM:14.1.1.
ZIB-271 In de klinische bouwsteen OverdrachtProcedure DCM::ValueSet SNOMED CT aangepast van concept AnatomischeLokalisatie naar tagged value DCM::ContentExpression.
ZIB-272 In klinische bouwsteen OverdrachtProcedure DCM::ValueSet CBV verrichtingen van concept VerrichtingType aangepast naar tagged value DCM::CodeSystem.
ZIB-273 Tagged value DCM::ReferencedDefinitionCode is onjuist voor classes UitgevoerdDoor::Zorgverlener en AangevraagdDoor::Zorgverlener, dit zou NL-CM:17.1.1 moeten zijn i.p.v. NL-CM:17.1.2.
ZIB-308 Prefix Overdracht weggehaald bij de generieke bouwstenen
ZIB-325 AnatomischeLokaisatie wijzigen in AnatomischeLocatie
ZIB-353 Tagged values DCM::CodeSystem aanpassen naar DCM::ValueSet incl. gekoppelde codelijst.

Incl. algemene wijzigingsverzoeken:

ZIB-94 Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
ZIB-154 Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
ZIB-200 Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
ZIB-201 Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
ZIB-309 EOI aangepast
ZIB-324 Codelijsten Name en Description beginnen met een Hoofdletter
ZIB-326 Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015

Publicatieversie 3.0 (01-05-2016)

ZIB-401 CBV Verrichtingen mist geldig OID
ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-475 Terminologiekoppeling Drugsgebruik
ZIB-549 De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
ZIB-564 Aanpassing/harmonisatie Engelse conceptnamen
ZIB-576 Aanpassen bouwstenen die nog de prefix overdracht hebben, zodat de prefix kan vervallen.

Publicatieversie 4.0 (04-09-2017)

ZIB-457 Uitbreiding AnatomischeLocatieCodelijst met Snomed qualifiers
ZIB-458 Uitbreiding met dataelement "werkwijze"
ZIB-515 Geen informatie
ZIB-518 Geen informatie
ZIB-549 De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
ZIB-564 Aanpassing/harmonisatie Engelse conceptnamen
ZIB-574 Alleen verwijzen naar het rootconcept van de ZIB.
ZIB-576 Aanpassen bouwstenen die nog de prefix overdracht hebben, zodat de prefix kan vervallen.
ZIB-578 Aan het concept anatomische locatie moet een concept Laterariteit toegevoegd worden.
ZIB-581 Geen informatie
ZIB-585 Toevoegen concept Lateraliteit aan het concept Anatomische Locatie

Publicatieversie 4.1 (31-12-2017)

ZIB-646 Aanpassing SNOMED codes

Concept

The concept Procedure indicates a therapeutic or diagnostic procedure undergone by the patient.
A procedure can be a simple blood pressure measurement, but also a complex heart surgery.

Purpose

A procedure is carried out as part of a planned policy or to obtain additional information in the diagnostic process. Procedures are documented to gain insight into the treatment of a patient. In addition, procedures are documented for administrative purposes such as invoicing and workload measurement, scientific research and/or education.

Information Model


#ProcedureMethodCodelist#13108#ProcedureLateralityCodelist#13095#ProcedureAnatomicalLocationCodelist#ProcedureTypeCodelistHealthProfessional-v3.2(2017EN)Problem-v4.1(2017EN)#13106#13097HealthcareProvider-v3.1.1(2017EN)MedicalDevice-v3.1(2017EN)#13094HealthProfessional-v3.2(2017EN)#13096#13100Procedure-v4.1Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:14.1.1 Arrowdown.pngProcedure Root concept of the Procedure information model. This root concept contains all data elements of the Procedure information model.
71388002 Verrichting
TS.png NL-CM:14.1.2 Arrowright.pngProcedureStartDate 0..1 The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.

The element offers the option to indicate the start of the period of a series of related procedures.

TS.png NL-CM:14.1.3 Arrowright.pngProcedureEndDate 0..1 The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.

The element offers the option to indicate the end of the period of a series of related procedures.

CD.png NL-CM:14.1.8 Arrowright.pngProcedureAnatomicalLocation 0..1 Anatomical location which is the focus of the procedure.
405813007 Procedure site - Direct
List2.png ProcedureAnatomicalLocationCodelist
CD.png NL-CM:14.1.11 Arrowright.pngProcedureLaterality 0..1 Laterality adds information about body side to the anatomic location, e.g. left
272741003 Laterality
List2.png ProcedureLateralityCodelist
Verwijzing.png NL-CM:14.1.9 Arrowright.pngIndication::Problem 0..* The indication is the reason for the procedure.
363702006 Has focus
Block.png Problem
CD.png NL-CM:14.1.4 Arrowright.pngProcedureType 1 The name of the procedure.

As of 1 January 2013, all procedures in the primary process have to be documented with CBV codes. To meet this requirement, the DHD procedure thesaurus (CBV procedures set) is used to code procedures. It is possible that in addition to the CBV procedures set, the NIC will be used for nurse procedures and that a “coded value set” will be introduced for paramedic procedures.

List2.png ProcedureTypeCodelist
CD.png NL-CM:14.1.12 Arrowright.pngProcedureMethod 0..* the method or technique that was used to perform the procedure, e.g. approach, lavage, pressuring, ets
260686004 Method
List2.png ProcedureMethodCodelist
Verwijzing.png NL-CM:14.1.7 Arrowright.pngMedicalDevice 0..* The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.
405815000 Procedure device
Block.png MedicalDevice
Verwijzing.png NL-CM:14.1.5 Arrowright.pngLocation::HealthcareProvider 0..1 The healthcare center where the procedure was or is carried out.
Block.png HealthcareProvider
Verwijzing.png NL-CM:14.1.6 Arrowright.pngPerformer::HealthProfessional 0..* The healthcare provider who carried out the procedure. In most cases, only the medical specialty is entered, and not the name of the healthcare provider.
Block.png HealthProfessional
Verwijzing.png NL-CM:14.1.10 Arrowright.pngRequester::HealthProfessional 0..* The healthcare provider who requested the procedure.
Block.png HealthProfessional

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

VerrichtingType Verrichting
Anatomische
Locatie
Verrichting Lateraliteit Verrichting
Start
Datum
Product Indicatie Uitgevoerd
Door
Locatie
ProductType ProductID ProbleemNaam Toelichting Specialisme OrganisatieNaam
Knie - prothese implantatie gewricht Knie Links 05-06-2012 Orthopedic surgical implants (01)05050474530799
(17)160131
(21)1148130801
Implantant, Gen 2 Tibia Insert 5/6-9mm Artrose Beperking bij het bewegen van het gewricht, drukpijn door slijtage van twee compartimenten van de linker knie. Orthopedie UMCG

Instructions

Only the procedures are described in this information model, not the results of the procedures. The LaboratoryResult and TextResult information models can be used to document the results.

Issues

Voor een succesvolle implementatie is een meer specifieke vulling van de VerrichtingMethodeCodelijst noodzakelijk

References

1. GS1 Global Traceability Standard for Healthcare 1.2.0 (2013) [Online] Beschikbaar op: http://www.gs1.org/traceability/healthcare-traceability/1-2-0 [Geraadpleegd: 19 juni 2014].

2. Vektis Zorgverlenersspecificatie (subberoepsgroep) [Online] Beschikbaar op: http://ei.vektis.nl/WespCodelijstenDetail.aspx?Co_Ge_Code=COD016&Co_Or_Code=VEKT [Geraadpleegd: 19 juni 2014].

3. AZR-AGB-codelijst [Online] Beschikbaar op: http://www.agbcode.nl/MainPage/opzoeken.aspx?soort=IS [Geraadpleegd: 19 juni 2014].

Valuesets

ProcedureAnatomicalLocationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1 Binding:
Conceptname Codesystem name Codesystem OID
SNOMED CT: < 442083009|Anatomical or acquired body structure| SNOMED CT 2.16.840.1.113883.6.96

ProcedureLateralityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.3 Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Left 7771000 SNOMED CT 2.16.840.1.113883.6.96 Links
Right 24028007 SNOMED CT 2.16.840.1.113883.6.96 Rechts
Right and left 51440002 SNOMED CT 2.16.840.1.113883.6.96 Rechts en links

ProcedureMethodCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.4 Binding:
Conceptname Codesystem name Codesystem OID
SNOMED CT: < 129264002|Action (qualifier value)| SNOMED CT 2.16.840.1.113883.6.96

ProcedureTypeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2 Binding:
Conceptname Codesystem name Codesystem OID
Alle waarden Verrichtingenthesaurus DHD 2.16.840.1.113883.2.4.3.120.5.2

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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

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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 2017
Conditions for use are located on the mainpage List2.png
This page is generated on 19/12/2018 18:34:05 with ZibExtraction v. 3.0.6927.32850


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