DOSScore-v1.0(2021EN)
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General information
Name: nl.zorg.DOSScore 
Version: 1.0
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021
Metadata
| DCM::CoderList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::CreationDate | 11-10-2016 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.18.7 |
| DCM::KeywordList | DOS, delier |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | Werkgroep RadB Verpleegkundige Gegevens |
| DCM::Name | nl.zorg.DOSScore |
| 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 | |
| DCM::Version | 1.0 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (04-09-2017) .
Concept
The Delirium Observation Screening Scale is a tool to determine whether a patient has delirium. The DOSS includes 13 observations of behavior (verbal and non-verbal) which represent the symptoms of a delirium. These observations can be performed during regular contact with the patient.
Purpose
Delirium is one of the most forms of psychopathology among elderly patients and patients in the last phase of their lives. The main characteristic of delirium is the rapid onset and changing of symptoms. The DOSS is meant to qualify and quantify the nature and seriousness of delirium symptoms. This enables a quick start of treatment. The DOSS is used to signal risks and as an evaluation tool.
Evidence Base
The definitions of the concepts are based on the DOS score.
Information Model
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||
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NL-CM:18.7.1 |  DOSScore
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Root concept of the DOSScore information model. This root concept contains all data elements of the DOSScore information model. | |||||||||
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NL-CM:18.7.3 |  DOSScoreTotal
|
0..1 | Per shift a total score is calculated (minimum 0 and maximum 13). The total scores of three shifts (day, evening and night shifts) are summed to the total score of the day (minimum 0 and maximum 39).
The DOS scale final score is calculated by dividing the total score of the day by 3 (minimum 0 and maximum 13). A DOS scale final score < 3 means that the patient is probably not delirious. A DOS scale final score > 3 means that the patiënt is probably delirious. |
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NL-CM:18.7.5 | DOSScoreDateTime
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1 | The date on which the DOS score is registered. | ||||||||
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NL-CM:18.7.6 | DozesOff
|
0..1 | DOS observation: patient dozes off during conversation or activities.
Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.7 | EasilyDistracted
|
0..1 | DOS observation: patient is easily distracted by stimuli from the environment.
Someone is easily distracted by stimuli from the environment when he/she responds verbally or non-verbally to sounds or movements that have no relation to him/her and the nature of which does not make you expect a reaction from him/her. Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.8 | MaintainsAttention
|
0..1 | DOS observation: patient maintains attention to conversation or action.
Someone is maintaining attention to a conversation or action if he/she verbally or non-verbally shows that they are following the conversation or action. Score: 1: never 0: sometimes-always -: don't know |
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NL-CM:18.7.9 | UnfinishedQuestionAnswer
|
0..1 | DOS observation: patient does not finish question or answer.
Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.10 | AnswersNoFit
|
0..1 | DOS observation: patient gives answers that do not fit the question.
Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.11 | ReactsSlowly
|
0..1 | DOS observation: patient reacts slowly to instructions.
Someone reacts slowly to instructions when acting is delayed and/or there are moments of stillness/inactivity before moving into action. Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.12 | ThinksSomewhereElse
|
0..1 | DOS observation: patient thinks they are somewhere else.
Someone thinks they are somewhere else when he/she shows this in words or actions. Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.13 | KnowsPartDay
|
0..1 | DOS observation: patient knows which part of the day it is.
Someone knows what part of the day it is when he/she shows such in words or actions. Score: 1: never 0: sometimes-always -: don't know |
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NL-CM:18.7.14 | RemembersRecent
|
0..1 | DOS observation: patient remembers recent events.
Someone remembers recent events when he/she can for example tell whether they had visitors or what he/she ate. Score: 1: never 0: sometimes-always -: don't know |
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NL-CM:18.7.15 | Restless
|
0..1 | DOS observation: patient is picking, disorderly, restless.
Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.16 | PullsWires
|
0..1 | DOS observation: patient pulls IV tubing, feeding tubes, catheters, etc.
Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.17 | EasilyEmotional
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0..1 | DOS observation: patient is easily or suddenly emotional.
Someone is easily or suddenly emotional when he/she responds with a fierce emotion without provocation or when the fierceness of the emotion does not seem to match the provocation. Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.18 | Hallucinations
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0..1 | DOS observation: patient sees/hears things which are not there.
Someone sees/hears things which are not there when he/she shows this verbally (ask!) or non-verbally. Score: 0: never 1: sometimes-always -: don't know |
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NL-CM:18.7.2 | Comment
|
0..1 | Comment on the DOS score. |
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Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page 
Example Instances
Only available in Dutch
| DOSScore | |
| ZaktWeg | 1 |
| SnelAfgeleid | 1 |
| HeeftAandacht | 0 |
| VraagAntwoordNietAf | - |
| AntwoordenNietPassend | 1 |
| ReageertTraag | - |
| DenktErgensAnders | 0 |
| BeseftDagdeel | 0 |
| HerinnertRecent | 0 |
| Rusteloos | 0 |
| TrektDraden | 0 |
| SnelGeemotioneerd | 1 |
| Hallucinaties | 0 |
| DOSScoreDienst | Dagdienst |
| DOSScoreTotaal | 4 |
| DOSScoreDatumTijd | 19-12-2016 10:35 |
| Toelichting | - |
This information model in other releases
- Release 2017, (Version 1.0)
- Prerelease 2018-2, (Version 1.0)
- Prerelease 2019-2, (Version 1.0)
- Release 2020, (Version 1.0)
- Prerelease 2022-1, (Version 1.1)
- Prerelease 2023-1, (Version 1.2)
- Prerelease 2024-1, (Version 1.2)
Information model references
This information model refers to
- --
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
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file 
or as spreadsheet 
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
This page is generated on 30/11/2021 10:38:15 with ZibExtraction v. 6.4.8004.1652
