LegalSituation-v2.0(2020EN)

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General information

Name: nl.zorg.LegalSituation NL.png
Version: 2.0
HCIM Status:Final
Release: 2020
Release status: Published
Release date: 01-09-2020


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Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList
DCM::CreationDate 20-4-2018
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.7.17
DCM::KeywordList Juridische status, wettelijke vertegenwoordiger, voogdij
DCM::LifecycleStatus Final
DCM::ModelerList
DCM::Name nl.zorg.JuridischeSituatie
DCM::PublicationDate 01-09-2020
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 12-05-2020
DCM::Supersedes nl.zorg.JuridischeSituatie-v1.0
DCM::Version 2.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (26-02-2019)

ZIB-670 Graag afzonderlijke zib maken van data element juridische status

Publicatieversie 2.0 (01-09-2020)

ZIB-1127 Codelijst JuridischeStatus is achterhaald
ZIB-1136 zib vrijheidsbeperkende maatregelen en zib juridische situatie

Concept

A legal situation can concern a legal status and/or representation.

The legal status indicates the basis on which the patient is staying in a healthcare organization. This can be either voluntary or involuntary, however the legal status is always determined by a judge.

Representation is important in situations where a person is legally not competent to give permission and/or factually (partly) incapable of doing so. A representative supports and takes decisions in the interest of the representee when they cannot do so themselves (temporarily or permanently).

Purpose

Health professionals must be aware of the existence of a legal status or representation because this in part determines what type of care can be provided to the patient. For example, a supporting legal status can be required for using freedom restricting interventions. For a mentally incompetent patient, it must be clear that there is a representative for further decision-making: in this case, the health professional should follow the decision of the representative of the mentally incompetent patient, unless this is incompatible with the care of a good health professional.

Evidence Base

In version 2.0, the new legal statuses resulting from the new legislation on involuntary / compulsory care have been added to the LegalStatus value list. In version 1.0 this list was based on the Vektis value list LegalStatus. However, this list is no longer maintained. That is why the value lists in the new version are based on an internal Nictiz codesystem.

Information Model


#RepresentationCodelist#12520#12526#12524#LegalStatusCodelist#12525#12527LegalSituation-v2.0Model(2020EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:7.17.1 Arrowdown.pngLegalSituation Root concept of the LegalSituation information model. This root concept contains all data elements of the LegalSituation information model.
CD.png NL-CM:7.17.2 Arrowright.pngLegalStatus (0..1) The legal status that applies to the patient. The legal status indicates the basis on which the patient is staying in a healthcare organization. This can be either voluntary or involuntary, however the legal status is always determined by a judge. A patient can also receive healthcare based on a forensic status.
303186005 Legal status of patient
List2.png LegalStatusCodelist
CD.png NL-CM:7.17.5 Arrowright.pngRepresentation (0..1) In some situations, a person is legally not competent to give permission and/or factually (partly) incapable of doing so. A representative supports and takes decisions in the interest of the representee when they cannot do so themselves (temporarily or permanently). The representative should involve the patient as much as possible in the fulfillment of their tasks and the factual capability of the patient must be honored as much as possible. The Wgbo (Dutch law) determines who are able to become representatives as well as an enforced order.
List2.png RepresentationCodelist
TS.png NL-CM:7.17.3 Arrowright.pngDateStart 0..1 The date on which the legal situation of the patient starts.
TS.png NL-CM:7.17.4 Arrowright.pngDateStop 0..1 The date on which the legal situation of the patient ends.

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

JuridischeSituatie
JuridischeStatus Onder toezichtstelling (ots)
DatumAanvang 01-01-2018
DatumEinde 01-01-2020
Vertegenwoordiging

Instructions

In case of an intervention, a distinction is made between seclusion and separation. For the purpose of unambiguous recording, the following definitions are used:

Seclusion:
Seclusion is the confinement of a patient for care, nursing and treatment in a specially designated seclusion room. A seclusion room is generally a bare single room with only a bed, sometimes with a table, a chair, a wardrobe and occasionally washing facilities. Seclusion may not take place in the "own" bedroom.

Separation:
Separation is the confinement of a patient in a specially designated enclosed space that has been approved as a separation residence; for several years now the term Extra Secure Room (EBK) has been used for this. The separation space is a specially equipped room, with a mattress or riveted bed and mostly without furniture. Separation should be applied with great caution. The risks of harmful side effects of separation, such as anxiety and stress, are significant. Also in the context of safety, separation should be avoided as much as possible and alternatives should be sought to avert the danger.

References

1. Handreiking Argus [Online] Beschikbaar op:https://www.ggznederland.nl/uploads/publication/Argus%20Registratie%20van%20vrijheidsbeperkende%20interventies%20in%20de%20ggz.pdf [Geraadpleegd: 12 mei 2020] 2. Handreiking "Vrijheidsbeperking in het ziekenhuis? Nee, tenzij…" (V&VN, 2013) [Online] Beschikbaar op:https://www.venvn.nl/media/matnqkx4/20131120-aanbevelingen-vbi-beleid.pdf</a [Geraadpleegd: 12 mei 2020] 3. Wet verplichte GGZ (Wvggz) [Online] Beschikbaar op:https://www.dwangindezorg.nl/wvggz [Geraadpleegd: 12 mei 2020] 4. Wet zorg en dwang (Wzd) [Online] Beschikbar op:https://www.dwangindezorg.nl/wzd [Geraadpleegd: 12 mei 2020] 5. Wet zorg en dwang psychogeriatrische en verstandelijk gehandicapte cliënten [Online] op:https://zoek.officielebekendmakingen.nl/stcrt-2019-60908.html [Geraadpleegd: 12 mei 2020] 6: Regeling verplichte geestelijke gezondheidszorg [Online] op:https://zoek.officielebekendmakingen.nl/stcrt-2019-60909.html [Geraadpleegd: 12 mei 2020] 7. Basisset Medisch Specialistische Zorg 2020, hoofdstuk 8.4 Vrijheidsbeperkende interventie (VBI) [Online] op:https://www.igj.nl/documenten/indicatorensets/2019/09/03/basisset-medisch-specialistische-zorg-2020 [Geraadpleegd: 12 mei 2020]

Valuesets

LegalStatusCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.7.17.1 Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Onder toezichtstelling (ots) OTS JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Onder toezichtstelling (ots)
Plaatsing in een inrichting voor jeugdigen (PIJ-maatregel) PIJ JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Plaatsing in een inrichting voor jeugdigen (PIJ-maatregel)
Tbs: ter beschikking stelling van de regering (tbs) TBS JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Tbs: ter beschikking stelling van de regering (tbs)
Besluit tot opname en verblijf OPM JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Besluit tot opname en verblijf
Rechterlijke machtiging RM JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Rechterlijke machtiging
Voortgezette machtiging VM JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Voortgezette machtiging
Beschikking tot inbewaringstelling (ibs) IBS JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Beschikking tot inbewaringstelling (ibs)
Voorwaardelijke machtiging voor jongvolwassenen met een verstandelijke beperking (VMM) VMM JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Voorwaardelijke machtiging voor jongvolwassenen met een verstandelijke beperking (VMM)
Zorgmachtiging ZM JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Zorgmachtiging
Crisismaatregel CM JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Crisismaatregel
Machtiging tot voortzetting van de crisismaatregel VCM JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Machtiging tot voortzetting van de crisismaatregel
Tijdelijke verplichte zorg in een noodsituatie/onvoorziene situatie waarin de zorgmachtiging of crisismaatregel niet voorziet NOOD JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Tijdelijke verplichte zorg in een noodsituatie/onvoorziene situatie waarin de zorgmachtiging of crisismaatregel niet voorziet
Tijdelijke verplichte zorg voorafgaand aan een crisismaatregel TEMP JuridischeStatus 2.16.840.1.113883.2.4.3.11.60.40.4.23.2 Tijdelijke verplichte zorg voorafgaand aan een crisismaatregel

RepresentationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.7.17.2 Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Voogdij 6 JuridischeVertegenwoordiging 2.16.840.1.113883.2.4.3.11.60.40.4.23.3 Voogdij
Bewindvoering 7 JuridischeVertegenwoordiging 2.16.840.1.113883.2.4.3.11.60.40.4.23.3 Bewindvoering
Mentorschap 8 JuridischeVertegenwoordiging 2.16.840.1.113883.2.4.3.11.60.40.4.23.3 Mentorschap
Onder curatele stelling 9 JuridischeVertegenwoordiging 2.16.840.1.113883.2.4.3.11.60.40.4.23.3 Onder curatele stelling
Zaakwaarneming 10 JuridischeVertegenwoordiging 2.16.840.1.113883.2.4.3.11.60.40.4.23.3 Zaakwaarneming

This information model in other releases

Information model references

This information model refers to

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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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

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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 2020
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20200309 [R] (March 2020 Interim Release)
  • LOINC version 2.67

Conditions for use are located on the mainpage List2.png
This page is generated on 03/09/2020 12:53:09 with ZibExtraction v. 4.0.7551.21411


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