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General information

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

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DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 2-4-2014
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Name NFU & V&VN
DCM::Id 2.16.840.1.113883.
DCM::KeywordList Mondverzorging, ADL, beperking, tandverzorging
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.nfu.VermogenTotMondverzorging
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::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015).


The ability to keep up one’s own dental hygiene is part of self-care. This includes brushing teeth twice a day with fluoride toothpaste and/or cleaning (partial) dentures, cleaning jaws without teeth (edentulous jaws) and taking care of the mucous membrane of the mouth.
Limitations in this ability indicate a reduced ability to cope for oneself.
This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently.
(Source: Instruction card for oral hygiene, 2011)


Problems with oral health can lead to malnutrition or disease: if the patient has difficulty eating, insufficient nutrients are absorbed. A bad set of teeth can also have negative social consequences, such as no longer being able to talk properly, having bad breath or a patient being embarrassed because of their appearance.
Information on limitations in a patient’s ability to keep up their own dental hygiene is important in determining the nature and intensity of the care the patient needs. In a transfer situation, it offers the receiving organization the ability to anticipate the intensity of the care to be given to the patient, enabling continuity in healthcare for the patient.
If policy has been implemented to improve a patient’s ability to do things independently, the entered extent of independence helps to evaluate the efficiency of the treatment.

Evidence Base

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

In addition to this building block, there are more tools for entering the extent of independence, such as the BarthelIndex. The BarthelIndex is mainly used for patients who have had a stroke.

This building block evaluates the ability to keep up their own dental hygiene on a five-point scale. In the BarthelIndex, this falls under the aspect of Grooming. In this tool, the ability is scored on a scale with fewer points.

Information Model


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:4.13.1 Arrowdown.pngAbilityToKeepUpDentalHygiene Root concept of the AbilityToKeepUpDentalHygiene building block. This root concept contains all data elements of the AbilityToKeepUpDentalHygiene building block.
CO.png NL-CM:4.13.3 Arrowright.pngDentalHygiene 1 Keeping up dental hygiene by brushing teeth, flossing, using interdental brushes and cleaning dental prostheses or orthoses.
d5201 Verzorgen van tanden
List2.png DentalHygieneCodelist
Verwijzing.png NL-CM:4.13.4 Arrowright.pngProsthesis:MedicalAid 0..* Information on the dental aids used by the patient.
Block.png MedicalDevice
CD.png NL-CM:10.1.3 Arrowright.pngProductType A specification of the type of medical aids used by the patient, such as a prosthesis or orthesis.
List2.png ProsthesisTypeCodelist
Verwijzing.png NL-CM:4.13.2 Arrowright.pngNursingProcedure 0..* The nursing procedures needed to help the patient with their dental hygiene.
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

VerzorgenTanden Lichte beperking (5-24%)
ProductType Gebitsprothese
Activiteit 2 maal daags gebitsprothese poetsen.


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

2. Instructiekaart Mondverzorging. (2011) [Online] Beschikbaar op:https://www.tno.nl/media/1905/instructiekaarten_instructiefilm_mondverzorging_verpleeghuisbewoners.pdf [Geraadpleegd: 13 februari 2015]

3. Richtlijn Mondverzorging. [Online] Beschikbaar op:http://www.verenso.nl/assets/Uploads/Downloads/Richtlijnen/Richtlijnmondzorg.pdf[Geraadpleegd: 13 februari 2015]



Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen beperking d5201.0 ICF 2.16.840.1.113883.6.254 Beperking 0-4%
Lichte beperking d5201.1 ICF 2.16.840.1.113883.6.254 Beperking 5-24%
Matige beperking d5201.2 ICF 2.16.840.1.113883.6.254 Beperking 25-49%
Ernstige beperking d5201.3 ICF 2.16.840.1.113883.6.254 Beperking 50-95%
Volledige beperking d5201.4 ICF 2.16.840.1.113883.6.254 Beperking 96-100%


Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Dental prosthesis, device 27606000 SNOMED CT 2.16.840.1.113883.6.96 Gebitsprothese
Orthodontic bracket 261345007 SNOMED CT 2.16.840.1.113883.6.96 Orthothese

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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


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 12:37:04 with ZibExtraction v. 3.0.6932.1989

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