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General information

Name: nl.zorg.FreedomRestrictingMeasures NL.png
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016

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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 5-5-2014
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Name PM
DCM::Id 2.16.840.1.113883.
DCM::KeywordList Vrijheidsbeperkendemaatregelen, wilsbekwaamheid, interventies
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.VrijheidsbeperkendeMaatregelen
DCM::PublicationDate 1-5-2016
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 8-9-2015
DCM::Superseeds nl.nfu.VrijheidsbeperkendeMaatregelen-v1.0
DCM::Version 3.0
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


Medical restraints are (physical or verbal) measures used to restrict the freedom of the patient in question.
In hospitals, these often include the use of side rails, a cushion belt (around the waist), limb restraints or a Posey bed. Medical restraints are often used in combination with sedatives.
Medical restraints may only be implemented under strict conditions. The Vereniging Verpleegkundigen & Verzorgenden Nederland (V&VN) [Dutch Nurses and Carers Association] published a set of guidelines for nurses to implement these restraints in hospitals.
The patient’s high-risk behavior providing cause for the restraints is not described in this concept.


Implementing medical restraints is risky and can result in damage to the patient if they are not carefully implemented. Nurses fulfil an important role in identifying risks, observing the effect of the restraints and any changes to the policy in terms of medical restraints. Recording all information on the measures is of major importance for insight into decision-making, implementing, monitoring and evaluating the measures. In the event of a transfer to the next facility, the proper preparations can be taken to safely continue the care and to limit the risks to the patient and their environment.

Patient Population

This information model does not focus on patients that reside in mental healthcare facilities, as mental healthcare uses a national registration system (Argus registration) when implementing medical restraints.

Information Model


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:14.3.1 Arrowdown.pngMedicalRestraints Root concept of the MedicalRestraints information model. This root concept contains all data elements of the MedicalRestraints information model.
CD.png NL-CM:14.3.2 Arrowright.pngLegalStatus 0..1 The legal situation that applies to the patient. The code of the legal status is based on the Vektis/AZR code list COD232-VEKT Legal Status.
303186005 Legal status of patient
List2.png LegalStatusCodelist
BL.png NL-CM:14.3.3 Arrowright.pngLegallyCapable 1 Indicator stating whether the patient is deemed capable of overseeing the consequences of a certain procedure, situation or decision.
ST.png NL-CM:14.3.4 Arrowright.pngLegallyCapableExplanation 0..1 Explanation of the decisions which the patient is legally capable of making.
48767-8 Annotation comment
Folder.png NL-CM:14.3.5 Arrowdown.pngRestraint 0..* Container of the Restraint concept. This container contains all data elements of the Restraint concept.
ST.png NL-CM:14.3.6 Arrowright.pngTypeOfRestraint 1 The type of restraint describes the medical restraints. In a hospital setting, these restraints are mainly based on the Dutch Nurses and Carers Association’s Handbook "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…” [Medical Restraints in the Hospital? Not unless...].
225317005 Restriction of movement
CD.png NL-CM:14.3.7 Arrowright.pngPermission 1 The permission given to the healthcare provider(s) by the patient or legal representative to implement the medical restraint.
309370004 Consent status
List2.png PermissionCodelist
TS.png NL-CM:14.3.8 Arrowright.pngStartEpisode 0..1 The date and time at which the restraints started.
TS.png NL-CM:14.3.9 Arrowright.pngEndOfEpisode 0..1 The date and time at which the restraints ended.
Verwijzing.png NL-CM:14.3.10 Arrowright.pngNursingProcedure 0..* Description of the nursing procedures involved in medical restraints.
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

Wilsbekwaam Nee
WilsbekwaamToelichting Wilsonbekwaam t.a.v. geldzaken.
SoortInterventie Links armspalk i.v.m. infuus.
Toestemming Instemming wettelijke vertegenwoordiger
AanvangEpisode 01-05-2014
EindeEpisode 05-05-2014
Activiteit Zorgen voor rustige omgeving zonder veel prikkels, vaste aanspreekpersoon per dienst.


1. Handreiking "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…" (V&VN, 2013) [Online] Beschikbaar op: [Geraadpleegd: 13 februari 2015]



Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging 1 Juridische Status 2.16.840.1.113883. Rechterlijke machtiging (rm) voorlopig / voortgezette machtiging
RM op eigen verzoek 2 Juridische Status 2.16.840.1.113883. RM op eigen verzoek
RM met voorwaardelijk ontslag 3 Juridische Status 2.16.840.1.113883. RM met voorwaardelijk ontslag
Onder toezichtstelling (ots) 4 Juridische Status 2.16.840.1.113883. Onder toezichtstelling (ots)
In bewaringstelling (ibs) 5 Juridische Status 2.16.840.1.113883. In bewaringstelling (ibs)
Voogdij 6 Juridische Status 2.16.840.1.113883. Voogdij
Bewindvoering 7 Juridische Status 2.16.840.1.113883. Bewindvoering
Mentorschap 8 Juridische Status 2.16.840.1.113883. Mentorschap
Onder curatele stelling 9 Juridische Status 2.16.840.1.113883. Onder curatele stelling
Zaakwaarneming 10 Juridische Status 2.16.840.1.113883. Zaakwaarneming
Strafrechterlijke justitiële contacten: tbs 11 Juridische Status 2.16.840.1.113883. Strafrechterlijke justitiële contacten: tbs
Strafrechterlijke justitiële contacten: overig 12 Juridische Status 2.16.840.1.113883. Strafrechterlijke justitiële contacten: overig


Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geen instemming patiënt 1 InstemmingStatus 2.16.840.1.113883. Geen instemming patiënt
Instemming patiënt 2 InstemmingStatus 2.16.840.1.113883. Instemming patiënt
Geen instemming wettelijk vertegenwoordiger 3 InstemmingStatus 2.16.840.1.113883. Geen instemming wettelijk vertegenwoordiger
Instemming wettelijke vertegenwoordiger 4 InstemmingStatus 2.16.840.1.113883. Instemming wettelijke vertegenwoordiger

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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 Release summer 2016
Conditions for use are located on the mainpage List2.png
This page is generated on 21/12/2018 16:29:28 with ZibExtraction v. 3.0.6929.24609

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