SkinDisorder-v3.2(2018EN)

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General information

Name: nl.zorg.SkinDisorder NL.png
Version: 3.2
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 7-7-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.19.3
DCM::KeywordList Huidaandoening, huidirritatie
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.Huidaandoening
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.zorg.Huidaandoening-v3.1
DCM::Version 3.2
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-07-2015)

Publicatieversie 3.0 (01-05-2016)

Publicatieversie 3.1 (04-09-2017)

ZIB-530 Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
ZIB-576 Aanpassen bouwstenen die nog de prefix overdracht hebben, zodat de prefix kan vervallen.
ZIB-585 Toevoegen concept Lateraliteit aan het concept Anatomische Locatie

Publicatieversie 3.2 (31-12-2017)

ZIB-646 Aanpassing SNOMED codes

.

Concept

A skin condition is a disturbance of the organ skin caused by a source to be specified later on.

Purpose

Information on the skin condition is of importance for determining or continuing the required care. Specific expertise or materials can be facilitated in the event that a patient is transferred.
Any underlying medical afflictions causing the skin condition are not described in this concept but are recorded in the problem list.

Evidence Base

For the code list of the TypeOfCondition concept, we purposefully opted for a limited list. The reason for this is that there are many types of skin conditions that are almost always recorded as free text in the current situation. For this purpose, the concept offers the option to choose 'Other' in which the skin condition can be entered in free text. This code list can be expanded when skin conditions are recorded in a more structured way.

Information Model


#SkinDisorderAnatomicalLocationCodelist#10209#10208Problem-v4.1.1(2018EN)#10200#10202#10356#TypeOfDisorderCodelist#12322#SkinDisorderLateralityCodelistSkinDisorder-v3.2Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:19.3.1 Arrowdown.pngSkinDisorder Root concept of the SkinDisorder information model. This root concept contains all data elements of the SkinDisorder information model.
CD.png NL-CM:19.3.2 Arrowright.pngTypeOfDisorder 0..1 A description of the patient’s type of skin disorder.
95320005 Disorder of skin
List2.png TypeOfDisorderCodelist
TS.png NL-CM:19.3.3 Arrowright.pngDateOfOnset 0..1 The date on which the skin condition started. A ‘vague’ date, such as only the year, is permitted.
Verwijzing.png NL-CM:19.3.7 Arrowright.pngCause::Problem 0..1 The cause of the problem underlying the skin disorder.
47429007 Associated with
Block.png Problem
CD.png NL-CM:19.3.4 Arrowright.pngAnatomicalLocation 0..1 The location of the skin condition on the body.
363698007 Finding site
List2.png SkinDisorderAnatomicalLocationCodelist
CD.png NL-CM:19.3.8 Arrowright.pngLaterality 0..1 Laterality adds information about body side to the anatomic location, e.g. left
272741003 Laterality
List2.png SkinDisorderLateralityCodelist
ST.png NL-CM:19.3.6 Arrowright.pngComment 0..1 A comment on the skin condition and how to care for it.
48767-8 Annotation comment [Interpretation] Narrative

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

Huidaandoening
SoortAandoening Huidletsel door incontinentie
AnatomischeLocatie Lies
Lateraliteit Links
OntstaansDatum 10-09-2014
Oorzaak
ProbleemNaam -
Toelichting Intacte velrode huid met glanzend aspect.

Valuesets

SkinDisorderAnatomicalLocationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.3.2 Binding: Extensible
Conceptname Codesystem name Codesystem OID
SNOMED CT: < 442083009|Anatomical or acquired body structure| SNOMED CT 2.16.840.1.113883.6.96

SkinDisorderLateralityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.3.3 Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Left 7771000 SNOMED CT 2.16.840.1.113883.6.96 Links
Right 24028007 SNOMED CT 2.16.840.1.113883.6.96 Rechts
Right and left 51440002 SNOMED CT 2.16.840.1.113883.6.96 Rechts en links

TypeOfDisorderCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.19.3.1 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Irritant contact dermatitis due to incontinence 402276007 SNOMED CT 2.16.840.1.113883.6.96 Huidletsel door incontinentie
Intertrigo 58759008 SNOMED CT 2.16.840.1.113883.6.96 Intertrigo/smetten
Eczema 43116000 SNOMED CT 2.16.840.1.113883.6.96 Eczeem
Other OTH NullFlavor 2.16.840.1.113883.5.1008 Anders

This information model in other releases

Information model references

This information model refers to

This inforation model is used in

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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

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 22:22:26 with ZibExtraction v. 2.0.6879.31307


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