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General information

Name: nl.nfu.FreedomRestrictingMeasuresMentalHealthcare NL.png
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 8-9-2015

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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 22-5-2014
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Name NFU & V&VN
DCM::Id 2.16.840.1.113883.
DCM::KeywordList Vrijheidsbeperkende maatregelen, Argus, wilsbekwaamheid, interventies
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.nfu.VrijheidsbeperkendeMaatregelenGGZ
DCM::PublicationDate 8-9-2015
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 8-9-2015
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015).


Medical restraints are (physical or verbal) measures used to restrict the freedom of the patient in question. Many forms of medical restraints fall under this definition, including but not limited to:

  • involuntary treatment
  • physical restraints (such as a cushion belt)
  • house rules

Medical restraints may only be implemented under strict conditions. The ‘Wet BOPZ’ [Dutch Psychiatric Hospitals (Compulsory Admissions) Act] protects the rights of clients who are involuntarily admitted into mental healthcare, services for the disabled and in geriatric psychiatry. The act only applies in ‘BOPZ’-marked facilities and also applies to some (closed) wards in retirement homes.
Mental healthcare facilities use a national registration system to register the restraints called Argus registration.


Implementing medical restraints is risky and can result in damage to patients 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 building block is intended for patients residing in mental healthcare facilities. 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:14.4.1 Arrowdown.pngMentalHealthcareMedicalRestraints Root concept of the MentalHealthcareMedicalRestraints building block. This root concept contains all data elements of the MentalHealthcareMedicalRestraints building block.
CD.png NL-CM:14.4.2 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 LegalStatusMentalHealthcareCodelist
BL.png NL-CM:14.4.3 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:14.4.4 Arrowright.pngLegallyCapableExplanation 0..1 Explanation of the decisions which the patient is legally capable of making.
48767-8 Annotation comment
Folder.png NL-CM:14.4.5 Arrowdown.pngRestraint 0..* Container of the Restraint concept. This container contains all data elements of the Restraint concept.
CD.png NL-CM:14.4.6 Arrowright.pngArgusRestraint 1 ArgusRestraint describes the medical restraints in mental healthcare, as outlined in a clear registration following the Argus data set.
390811008 Crisis/short term interventions in health care
List2.png ArgusRestraintCodelist
CO.png NL-CM:14.4.7 Arrowright.pngArgusPermission 1 The permission given to the healthcare provider(s) by the patient or legal representative to implement the medical restraint following the Argus data set.
309370004 Consent status
List2.png ArgusPermissionCodelist
TS.png NL-CM:14.4.8 Arrowright.pngArgusStartEpisode 1 The date and time at which the restraints started.
TS.png NL-CM:14.4.9 Arrowright.pngArgusEndOfEpisode 0..1 The date and time at which the restraints ended.
Verwijzing.png NL-CM:14.4.10 Arrowright.pngNursingProcedure 0..* Description of the required 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

JuridischeStatus RM
Wilsbekwaam Nee
WilsbekwaamToelichting Wilsonbekwaam t.a.v. behandeling.
ArgusInterventie Gedwongen medicatie
ArgusInstemming Geen verzet
ArgusAanvangEpisode 01-05-2014
ArgusEindeEpisode 05-05-2014
Activiteit Zorgen voor rustige omgeving, vast aanspreekpersoon.


1. Handreiking Argus [Online] Beschikbaar op: [Geraadpleegd: 13 februari 2015]

2. Argus [Online] Beschikbaar op: [Geraadpleegd: 13 februari 2015]



Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Op eigen verzoek E1 ArgusCodes 2.16.840.1.113883. Op eigen verzoek
Geen verzet E2 ArgusCodes 2.16.840.1.113883. Geen verzet
Verzet E3 ArgusCodes 2.16.840.1.113883. Verzet


Valueset OID: 2.16.840.1.113883. Binding:
Conceptname Conceptcode Codesystem name Codesystem OID Description
Separatie A1 ArgusCodes 2.16.840.1.113883. Separatie
Afzondering A2 ArgusCodes 2.16.840.1.113883. Afzondering
Fixatie A3 ArgusCodes 2.16.840.1.113883. Fixatie
Gedwongen medicatie A4 ArgusCodes 2.16.840.1.113883. Gedwongen medicatie
Gedwongen voeding en/of vocht A5 ArgusCodes 2.16.840.1.113883. Gedwongen voeding en/of vocht
Andere interventies A6 ArgusCodes 2.16.840.1.113883. Andere interventies


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
Strafrechtelijke justitiële contacten: tbs 11 Juridische Status 2.16.840.1.113883. Strafrechtelijke justitiële contacten: tbs
Strafrechtelijke justitiële contacten: overig 12 Juridische Status 2.16.840.1.113883. Strafrechtelijke justitiële contacten: overig

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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.
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 Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage List2.png
This page is generated on 24/12/2018 12:37:28 with ZibExtraction v. 3.0.6932.1989

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