PlannedCareActivityForTransfer-v3.1(2018EN)

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General information

Name: nl.zorg.PlannedCareActivityForTransfer NL.png
Version: 3.1
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018


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Metadata

DCM::CoderList Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate 15-11-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.16.1
DCM::KeywordList Geplande afspraken, orders, clinical reminders
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.OverdrachtGeplandeZorgActiviteit
DCM::PublicationDate 01-10-2018
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.OverdrachtGeplandeZorgActiviteit-v3.0
DCM::Version 3.1
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (15-02-2013)

Publicatieversie 1.1 (01-07-2013)

ZIB-46 Commentaar Astrid van Ginneken op PlanofCare

Publicatieversie 1.2 (01-04-2015)

ZIB-115 Uitbreiding GOG bouwsteen PlanOfCare door verwijzing naar OverdrachtVerpleegkundigeInterventie op te nemen.
ZIB-149 Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst PlanOfCareOrderTypeCodelijst n.a.v. review terminologie expert.
ZIB-264 In klinische bouwsteen OverdrachtPlanOfCare kwam de waarde van de tagged value DCM::ValueSet van concept OrderStatus niet overeen met naam van de gekoppelde valueset.
ZIB-265 In klinische bouwsteen OverdrachtPlanOfCare kwam de waarde van de tagged value DCM::ValueSet van concept OrderType niet overeen met naam van de gekoppelde valueset.
ZIB-306 Aanpassen modellering keuzebox, boundary en cardinaliteit
ZIB-328 Bouwsteen OverdrachtPlanOfCare hernoemd naar GeplandeZorgActiviteit

Incl. algemene wijzigingsverzoeken:

ZIB-94 Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
ZIB-154 Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
ZIB-200 Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
ZIB-201 Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
ZIB-309 EOI aangepast
ZIB-324 Codelijsten Name en Description beginnen met een Hoofdletter
ZIB-326 Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015

Publicatieversie 1.2.1 (22-05-2015)

ZIB-402 In waardelijst OrderStatusCodelijst staat een verkeerde OID.

Publicatieversie 3.0 (01-05-2016)

ZIB-453 Wijziging naamgeving ZIB's en logo's door andere opzet van beheer

Publicatieversie 3.1 (04-09-2017)

ZIB-549 De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
ZIB-564 Aanpassing/harmonisatie Engelse conceptnamen
ZIB-607 Aanpassen verwijzingen naar medicatie zib ivm nieuwe medicatie zib's

Concept

All planned appointments, referrals, treatments and diagnostic procedures, open orders and orders of which the results are not yet known that are relevant to the patient’s care may be included. Clinical reminders can also be included here. These are postponed orders that are not yet active. (For example: please note! patient still needs a booster vaccination in x weeks; or please note! check the oral mucosa next time). The PlannedCareActivity concept is a line from the treatment plan.
This gives every recipient, user or healthcare facility insight into the planned care for this patient.

Purpose

Recording planned appointments, referrals, treatments, diagnostic procedures, open orders and orders of which the results are not yet known gives every recipient, user or healthcare facility insight in the planned healthcare for this patient. This can prevent situations in which diagnostics and treatment can conflict with each other.
This will give the recipient the option to place an order, cancel the order or act in any other way in accordance with their own policy.
For orders that do not yet have results, the recipient is informed of the fact that potentially relevant results will be made available (which have to be requested).

Evidence Base

The scope is limited to planned and desired orders and appointments. The composition of the current information model is not yet suitable for transferring a treatment plan. At this point, it also lacks accepted healthcare standards and transmural care processes.

Information Model


NursingIntervention-v3.1(2018EN)#12966#OrderStatusCodelist#OrderTypeCodelist#12959#12964#12972#12969#12971MedicalDevice-v3.1.1(2018EN)MedicationAdministration2-v1.0.1(2018EN)Encounter-v3.1(2018EN)Procedure-v4.1(2018EN)Vaccination-v3.2(2018EN)PlannedCareActivityForTransfer-v3.1Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:16.1.1 Arrowdown.pngPlannedCareActivity Root concept of the PlannedCareActivityTransfer information model. This root concept contains all data elements of the PlannedCareActivityTransfer information model.
CD.png NL-CM:16.1.9 Arrowright.pngOrderStatus 0..1 The status of the order.
List2.png OrderStatusCodelist
TS.png NL-CM:16.1.10 Arrowright.pngStartDate 0..1 Planned or requested date. Clinical reminders can be used to indicate from when the procedure can take place. A vague date (such as only the month and year) is permitted.
TS.png NL-CM:16.1.11 Arrowright.pngEndDate 0..1 The planned end date of the procedure can be included as well if needed. Depending on the type of procedure, this can also be used to indicate before which time it has to have been completed.
CD.png NL-CM:16.1.8 Arrowright.pngOrderType 1 Type of order, request or reminder.
List2.png OrderTypeCodelist
ST.png NL-CM:16.1.2 Arrowright.pngOrderOther (0..1) Orders that do not fit in any of the other concepts can be described in free text.
Verwijzing.png NL-CM:16.1.3 Arrowright.pngMedicationAdministration (0..1) The medication for which future administration still has to be agreed on. This information is usually included in the Medication section.
Block.png MedicationAdministration2
Verwijzing.png NL-CM:16.1.4 Arrowright.pngProcedure (0..1) A planned procedure including things like the indication and location.
Block.png Procedure
Verwijzing.png NL-CM:16.1.12 Arrowright.pngNursingProcedure (0..1) A planned nursing intervention.
Block.png NursingIntervention
Verwijzing.png NL-CM:16.1.5 Arrowright.pngVaccination (0..1) A planned vaccination.
Block.png Vaccination
Verwijzing.png NL-CM:16.1.6 Arrowright.pngAppointment::Contact (0..1) An appointment including the location and reason for contact.
Block.png Encounter
Verwijzing.png NL-CM:16.1.7 Arrowright.pngMedicalDevice (0..1) A requested medical device.
Block.png MedicalDevice

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

GeplandeZorgActiviteit
Verrichting OrderStatus
Verrichting Type Indicatie Verrichting StartDatum Locatie
ProbleemNaam OrganisatieNaam
Biopt huid Naevus wang 12-3-2013 Ziekenhuis X plastische chirurgie Order geplaatst
GeplandeZorgActiviteit
Verrichting OrderStatus
Verrichting Type Indicatie Verrichting StartDatum Locatie
ProbleemNaam OrganisatieNaam
Colonoscopie Status na colon carcinoom flexura lienalis Mei 2015 Ziekenhuis Y MDL In uitvoering
GeplandeZorgActiviteit
Vaccinatie OrderStatus
ProductCode Toelichting Vaccinatie Datum Locatie
OrganisatieType
Pneumococcen Status na accidentele miltextirpatie bij hemicolectomie links 2017 Huisartspraktijk Aangevraagd

Valuesets

OrderStatusCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.16.1.2 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Ordered new ActStatus 2.16.840.1.113883.5.14 Order geplaatst
Requested 385644000 SNOMED CT 2.16.840.1.113883.6.96 Aangevraagd
Pending active ActStatus 2.16.840.1.113883.5.14 In afwachting van uitvoering
In progress 385651009 SNOMED CT 2.16.840.1.113883.6.96 In uitvoering
On hold held ActStatus 2.16.840.1.113883.5.14 Opgeschort
Cancelled cancelled ActStatus 2.16.840.1.113883.5.14 Geannuleerd
Noshow aborted ActStatus 2.16.840.1.113883.5.14 Niet nagekomen

OrderTypeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.16.1.1 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Patient encounter procedure 308335008 SNOMED CT 2.16.840.1.113883.6.96 Patientcontact
Procedure 71388002 SNOMED CT 2.16.840.1.113883.6.96 Verrichting
Nursing procedure 9632001 SNOMED CT 2.16.840.1.113883.6.96 Verpleegkundige actie
Biomedical equipment 303607000 SNOMED CT 2.16.840.1.113883.6.96 Medisch hulpmiddel
Active immunization 33879002 SNOMED CT 2.16.840.1.113883.6.96 Vaccinatie
Administration of medication 18629005 SNOMED CT 2.16.840.1.113883.6.96 Medicatietoediening

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 17:37:08 with ZibExtraction v. 2.0.6879.31307


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