CollectionData-v1.0(2024EN)

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General information

Name: nl.zorg.process.CollectionData NL.png
Version: 1.0
HCIM Status:Final
Release: 2024
Release status: Prepublished
Release date: 15-04-2024


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Metadata

DCM::CoderList Zib-centrum
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Zib-centrum
DCM::CreationDate 22-03-2024
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name *
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.22.3
DCM::KeywordList
DCM::LifecycleStatus Final
DCM::ModelerList *
DCM::Name nl.zorg.process.AfnameGegevens
DCM::PublicationDate 15-04-2024
DCM::PublicationStatus Prepublished
DCM::ReviewerList Zib-centrum
DCM::RevisionDate
DCM::Supersedes *
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-04-2024)

ZIB-2191 Toevoegen 'Gegevens afnamespecialist' aan Monster of nieuwe Zib AfnameMateriaal
ZIB-2192 Toevoegen 'Gegevens inleveraar' aan Monster of nieuwe Zib AfnameMateriaal
ZIB-2193 Toevoegen 'Afnamelocatie' / 'Locatie van vergaring' aan Monster of nieuwe Zib AfnameMateriaal
ZIB-2195 Geen informatie
ZIB-2196 Toevoegen 'Opmerkingen t.a.v. afname' aan Monster of nieuwe Zib AfnameMateriaal
ZIB-2197 Toevoegen 'Toestand van de patiënt' aan Monster of nieuwe Zib AfnameGegevens

Concept

Data recorded about the collection of a sample. If the collection was performed by the patient himself then this may include data during the submission of the sample. Data recorded at the time of collection that provide context to the material collected, such as whether or not the patient was sober, may also be recorded.

Purpose

To record the relevant details about the collection or acceptance of a sample from a patient.

Evidence Base

Recording of collection data occurs when a sample is collected. This sample can be the basis for a laboratory study. Sample is currently only modeled within the LaboratoryTestResult zib. However, it is recognized that there are use cases in which Sample could be an independent building block and it is expected that this will be realized in one of the next zib publications.

Information Model


#4527HealthProfessional-v4.0(2024EN)ContactPerson-v4.1(2024EN)HealthcareProvider-v3.6(2024EN)#4520#FastingStatusCodelist#4528TimeInterval-v1.3(2024EN)#4523#CollectionMethodCodelist#4530#4529#4532CollectionData-v1.0Model(2024EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:22.3.1 Arrowdown.pngCollectionData This is a reference to the rootconcept of information model CollectionData.
TS.png NL-CM:22.3.2 Arrowright.pngCollectionDateTime 0..1 Date and time at which the material was collected.
399445004 Specimen collection date
TS.png NL-CM:22.3.3 Arrowright.pngReceivedDateTime 0..1 Date and time that the material is handed over at the laboratory or specimen collection center. This is the case with material that is collected by the patient himself.
Verwijzing.png NL-CM:22.3.4 Arrowright.pngCollectionPeriod::TimeInterval 0..1 If the material has not been collected at a single point in time but over a certain period, this period can be captured in this concept. An example is 24 hour urine.
Block.png TimeInterval
Verwijzing.png NL-CM:22.3.5 Arrowright.pngCollector::HealthProfessional 1 Health professional that collected the material from the patient. This can also be the health professional who reviews the material after the patient or contact person submits the material.
Block.png HealthProfessional
CD.png NL-CM:22.3.6 Arrowright.pngCollectionMethod 0..1 If relevant for the results, the method of obtaining the specimen can be entered.
118171006 Specimen procedure
List2.png CollectionMethodCodelist
Verwijzing.png NL-CM:22.3.7 Arrowright.pngCollectionLocation::HealthcareProvider 0..1 Location where the material was taken from the patient or location where the material was accepted after the patient or contact person submits the material.
Block.png HealthcareProvider
Verwijzing.png NL-CM:22.3.8 Arrowright.pngSubmitter::ContactPerson 0..1 Person not being the patient who hands in the material. When the patiënt is the submitter then this is not recorded. This is recorded primarily for legal reasons.
Block.png ContactPerson
PQ.png NL-CM:22.3.9 Arrowright.pngCollectedVolume 0..1 Total volume of the collected material. If it is necessary to determine the absolute amount of a particular substance in the collected material, the volume thereof must be given.
CD.png NL-CM:22.3.10 Arrowright.pngFastingStatus 0..1 Status regarding the fasting. Has the patient not eaten and/or drunk as was agreed upon prior to the collection of the material. For some tests, it is important for the patient to be fasting.
49541-6 Fasting status - Reported
List2.png FastingStatusCodelist
ST.png NL-CM:22.3.11 Arrowright.pngComment 0..1 Additional information that is important in the context of the collection and which cannot be described in any of the other elements.

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

AfnameGegevens
Afname
DatumTijd
Afnemer::Zorgverlener Afname
procedure
Aanname
DatumTijd
Inleveraar::
Contactpersoon
NuchterStatus
ZorgverlenerIdentificatienummer Naamgegevens.Achternaam
03-01-2024 09:00 12309851 28520004 | venapunctie voor bloedtest (verrichting) N
94131000146101 | afname van urine voor kweek (verrichting) | 12-06-2023 09:00 Jansen

Instructions

When implementing CollectionData, always add a reference to the thing that was collected, that is, the sample.

Issues

CollectionData should get a reference to the sample, however, Sample is still part of the zib LaboratoryResult. In a future release, Sample will become its own zib and the reference can be added.

References

1. HL7 FHIR r4 specimen.collection. [Online] Beschikbaar op: https://hl7.org/fhir/R4/specimen-definitions.html#Specimen.collection [Geraadpleegd: 26 maart 2024]. 2. OpenEHR CKM Specimen cluster [online] Beschikbaar op: https://ckm.openehr.org/ckm/archetypes/1013.1.331 [Geraadpleegd: 26 maart 2024].

Valuesets

CollectionMethodCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.22.3.1 Binding: Required
Conceptname Codesystem name Codesystem OID
SNOMED CT: <71388002|Procedure| SNOMED CT 2.16.840.1.113883.6.96

FastingStatusCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.22.3.2 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Patient was fasting prior to the procedure. F hl7VS-relevantClincialInformation 2.16.840.1.113883.21.440 Patient was fasting prior to the procedure.
The patient indicated they did not fast prior to the procedure. NF hl7VS-relevantClincialInformation 2.16.840.1.113883.21.440 The patient indicated they did not fast prior to the procedure.

This information model in other releases

Information model references

This information model refers to

This information model is used in

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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.<BR> 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

Downloads

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 Prerelease 2024-1
Conditions for use are located on the mainpage List2.png
This page is generated on 25/04/2024 12:12:17 with ZibExtraction v. 9.3.8880.19756


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