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General information

Name: nl.zorg.AbilityToPerformMouthcareActivities NL.png
Version: 3.1
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021

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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 PM
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.zorg.VermogenTotMondverzorging
DCM::PublicationDate 01-12-2021
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Supersedes nl.zorg.VermogenTotMondverzorging-v3.0
DCM::Version 3.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-530 Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
ZIB-531 Vervangen 5-punts ICF schaal door 3-punts SNOMED CT schaal voor beperkingen en stoornissen
ZIB-549 De Engelse naam van de bouwsteen en het rootconcept zijn niet correct


The ability to perform mouthcare activities 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 ICNP definitions.
In addition to this information model, 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 information model evaluates the ability to keep up their own dental hygiene on a three-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.pngAbilityToPerformMouthcareActivities Root concept of the AbilityToPerformMouthcareActivities information model. This root concept contains all data elements of the AbilityToPerformMouthcareActivities information model.
CD.png NL-CM:4.13.2 Arrowright.pngDentalHygiene 1 Taking care of mouth and teeth/molars or dentures.
288470005 Ability to perform mouthcare activities
List2.png DentalHygieneCodelist
Verwijzing.png NL-CM:4.13.4 Arrowright.pngProsthesis:MedicalDevice 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 ProthesisTypeCodelist

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 Hulp nodig
ProductType Gebitsprothese


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: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Independently able to perform mouthcare activities 19861000146103 SNOMED CT 2.16.840.1.113883.6.96 Onafhankelijk
Needs help with performing mouthcare activities 16671000146104 SNOMED CT 2.16.840.1.113883.6.96 Hulp nodig
Unable to perform mouthcare activities 289125004 SNOMED CT 2.16.840.1.113883.6.96 Volledig afhankelijk


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

This information model in other releases

Information model references

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This information model is used in


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 Pre-release 2021-2
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20210731 [R] (July 2021 Release)
  • LOINC version 2.67

Conditions for use are located on the mainpage List2.png
This page is generated on 30/11/2021 10:40:47 with ZibExtraction v. 6.4.8004.1652

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