GeneralMeasurement-v3.0(2018EN)

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General information

Name: nl.zorg.GeneralMeasurement NL.png
Version: 3.0
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018


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Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 14-3-2014
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.13.3
DCM::KeywordList Algemene meting
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.AlgemeneMeting
DCM::PublicationDate 01-10-2018
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.nfu.AlgemeneMeting-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

Concept

A general measurement determines the result of a measurement or determination made for a patient. The information model is used to record the measurement results for which no specific information models have yet been formulated. The information model is not intended for laboratory determinations to be carried out on the material taken from the patient.

Purpose

The measurement and documentation of physiological observations are an important tool for evaluating a patient’s condition. This information model offers the option to record various relevant measurement values.

Information Model


#MeasurementNameCodelist#TestCodelist#MeasuringMethodCodelist#8464#8462#8459#8455#8456#8458#ResultStatusCodelist#8463#8460#8457GeneralMeasurement-v3.0Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:13.3.1 Arrowdown.pngGeneralMeasurement Root concept of the GeneralMeasurement information model. This root concept contains all data elements of the GeneralMeasurement information model.
CD.png NL-CM:13.3.2 Arrowright.pngInvestigation 0..1 A general measurement can contain multiple components. This concept contains the name and code of the entire measurement. The components are represented in one or more MeasurementResult concepts.
List2.png TestCodelist
CD.png NL-CM:13.3.3 Arrowright.pngResultStatus 0..1 The status of the total measurement.
List2.png ResultStatusCodelist
ST.png NL-CM:13.3.4 Arrowright.pngComment 0..1 Comments such as an interpretation or advice accompanying the result.
48767-8 Annotation comment [Interpretation] Narrative
Folder.png NL-CM:13.3.5 Arrowdown.pngMeasurementResult 0..* Container of the MeasurementResult concept. This container contains all data elements of the MeasurementResult concept.
CD.png NL-CM:13.3.6 Arrowright.pngMeasurementName 1 Description (name and code) of the measurement.
List2.png MeasurementNameCodelist
ANY.png NL-CM:13.3.7 Arrowright.pngResultValue 0..1 The result of the measurement. Depending on the type of measurement, the result will consist of a value with a unit or a coded value (ordinal or nominal) or of a textual result.
CD.png NL-CM:13.3.8 Arrowright.pngMeasuringMethod 0..1 The test method used to obtain the result.
List2.png MeasuringMethodCodelist
TS.png NL-CM:13.3.9 Arrowright.pngResultDateTime 0..1 Date and if possible the time at which the measurement was carried out.

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

MeetUitslag Toelichting ResultaatStatus
MetingNaam UitslagWaarde UitslagDatumTijd
Delirium observatie screening (DOS) 7 12-03-2014 Waarschijnlijk delier Definitief

Valuesets

MeasurementNameCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.3.2 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96

MeasuringMethodCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.3.4 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96

ResultStatusCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.3.1 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Pending pending ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Uitslag volgt
Preliminary preliminary ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Voorlopig
Final final ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Definitief
Appended appended ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Aanvullend
Corrected corrected ResultaatStatus 2.16.840.1.113883.2.4.3.11.60.40.4.15.1 Gecorrigeerd

TestCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.13.3.3 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96

This information model in other releases

Information model references

This information model refers to

--

This inforation 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 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 2018 #1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
  • LOINC version 2.64

Conditions for use are located on the mainpage List2.png
This page is generated on 01/11/2018 22:20:33 with ZibExtraction v. 2.0.6879.31307


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