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General information

Name: nl.zorg.DOSScore NL.png
Version: 1.1
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 10-06-2022

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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 11-10-2016
DCM::DescriptionLanguage nl
DCM::Id 2.16.840.1.113883.
DCM::KeywordList DOS, delier
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.DOSScore
DCM::PublicationDate 10-06-2022
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 06-06-2022
DCM::Supersedes nl.zorg.DOSScore-v1.0
DCM::Version 1.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (04-09-2017)

Publicatieversie 1.1 (10-06-2022)

ZIB-1674 Terminologie codes ontbreken in de zib


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.


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
Block.png NL-CM:18.7.1 Arrowdown.pngDOSScore Root concept of the DOSScore information model. This root concept contains all data elements of the DOSScore information model.
160591000146109 Delirium observation screening assessment scale
INT.png NL-CM:18.7.3 Arrowright.pngDOSScoreTotal 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.

55681000146102 Delirium observation score
TS.png NL-CM:18.7.5 Arrowright.pngDOSScoreDateTime 1 The date on which the DOS score is registered.
INT.png NL-CM:18.7.6 Arrowright.pngDozesOff 0..1 DOS observation: patient dozes off during conversation or activities.

Score: 0: never 1: sometimes-always -: don't know

18007006 DOSScore DozesOff
INT.png NL-CM:18.7.7 Arrowright.pngEasilyDistracted 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

18007007 DOSScore EasilyDistracted
INT.png NL-CM:18.7.8 Arrowright.pngMaintainsAttention 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

18007008 DOSScore MaintainsAttention
INT.png NL-CM:18.7.9 Arrowright.pngUnfinishedQuestionAnswer 0..1 DOS observation: patient does not finish question or answer.

Score: 0: never 1: sometimes-always -: don't know

18007009 DOSScore UnfinishedQuestionAnswer
INT.png NL-CM:18.7.10 Arrowright.pngAnswersNoFit 0..1 DOS observation: patient gives answers that do not fit the question.

Score: 0: never 1: sometimes-always -: don't know

18007010 DOSScore AnswersNoFit
INT.png NL-CM:18.7.11 Arrowright.pngReactsSlowly 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

18007011 DOSScore ReactsSlowly
INT.png NL-CM:18.7.12 Arrowright.pngThinksSomewhereElse 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

18007012 DOSScore ThinksSomewhereElse
INT.png NL-CM:18.7.13 Arrowright.pngKnowsPartDay 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

18007013 DOSScore KnowsPartDay
INT.png NL-CM:18.7.14 Arrowright.pngRemembersRecent 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

18007014 DOSScore RemembersRecent
INT.png NL-CM:18.7.15 Arrowright.pngRestless 0..1 DOS observation: patient is picking, disorderly, restless.

Score: 0: never 1: sometimes-always -: don't know

18007015 DOSScore Restless
INT.png NL-CM:18.7.16 Arrowright.pngPullsWires 0..1 DOS observation: patient pulls IV tubing, feeding tubes, catheters, etc.

Score: 0: never 1: sometimes-always -: don't know

18007016 DOSScore PullsWires
INT.png NL-CM:18.7.17 Arrowright.pngEasilyEmotional 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

18007017 DOSScore EasilyEmotional
INT.png NL-CM:18.7.18 Arrowright.pngHallucinations 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

18007018 DOSScore Hallucinations
ST.png NL-CM:18.7.2 Arrowright.pngComment 0..1 Comment on the DOS score.
48767-8 Annotation comment [Interpretation] Narrative

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

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 -

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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 Pre-release 2022-1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20220930 [R] (september 2022-editie)
  • LOINC version 2.72

Conditions for use are located on the mainpage List2.png
This page is generated on 17/10/2022 23:14:08 with ZibExtraction v. 8.1.8325.41206

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