Be.en.hd.BarthelIndex.Review

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General

Name: be.en.hd.BarthelIndex
Version: 0.0.1
Status: Draft

Metadata

DCM::CoderList healthdata.be
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Clinical Building Blocks Expert Group & healthdata.be
DCM::CreationDate 2-2-2013
DCM::DeprecatedDate
DCM::DescriptionLanguage en
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name healthdata.be
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.4.2
DCM::KeywordList score, index, ADL, afhankelijkheid, barthel
DCM::LifecycleStatus Draft
DCM::ModelerList Clinical Building Blocks Expert Group & healthdata.be
DCM::Name be.en.hd.BarthelIndex
DCM::PublicationDate
DCM::PublicationStatus
DCM::ReviewerList Clinical Building Blocks Expert Group & healthdata.be
DCM::RevisionDate 05-01-2016
DCM::Superseeds
DCM::Version 0.0.1

Revision History

Concept

The Barthel ADL index is a validated scale used to measure and track patients’ activities of daily living (ADL) and indirectly, the extent to which they are dependent on help. The list comprises 10 variables: bowels, bladder, grooming, toilet use, feeding, transfers (from chair to bed and vice versa), mobility, dressing, climbing stairs and bathing, which are all given a score. The total score is the sum of the scores of the 10 variables.

Purpose

Gaining insight into the dependence on healthcare for carrying out general daily activities by means of a validated score. This is done in order to adjust the care to meet the needs of the patient if necessary.

Information model

Be.en.hd.BarthelIndexModel.png
Refer to the legend page for more information about the used types and data types

rootconcept BarthelIndex
Definition Root concept of the BarthelIndex building block. This root concept contains all data elements of the BarthelIndex building block.
Type Zib.png
DCM::DefinitionCode NL-CM:4.2.1
DCM::DefinitionCode SNOMED CT: 273302005 Barthel index (assessment scale)
data TotalScore
Definition The Barthel ADL index is the sum of the scores of the individual variables.

The interpretation of this total score is 0-9 for serious dependence, 10-19 for slight dependence and 20 for independence. Twenty is the maximum score.

Datatype INT.png
DCM::DefinitionCode NL-CM:4.2.2 TOTSCORE
data Bowels
Definition The bowel function describes the extent of fecal incontinence.

The measurement takes the condition as measured in the preceding week. In this scale, the following interpretations are used:

  • Incontinent: incontinent or enema required.
  • Accident: max. 1 accident per week.
  • Continent: continent for the entire week.
Datatype CO.png
DCM::DefinitionCode NL-CM:4.2.4 FECAL
DCM::ValueSet File:List.png DarmCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.1
data Bladder
Definition The bladder function describes the extent of urinary incontinence.

The measurement takes the condition as measured in the preceding week. In this scale, the following interpretations are used:

  • Incontinent: incontinent or catheter required.
  • Accident: max. 1 accident per 24 hours.
  • Continent: continent for the entire week or patients who can attend to their own catheter.
Datatype CO.png
DCM::DefinitionCode NL-CM:4.2.3 URIN
DCM::ValueSet File:List.png BlaasCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.2
data Grooming
Definition Grooming indicates the extent to which a patient is capable of maintaining their hygiene and appearance. This refers to personal hygiene such as brushing teeth, brushing hair, shaving and washing.

The measurement takes the condition as measured in the preceding 24-48 hours. In this scale, the following interpretations are used:

  • Dependent: not capable of grooming independently.
  • Independent: capable of brushing teeth, brushing hair, shaving and washing independently.
Datatype CO.png
DCM::DefinitionCode NL-CM:4.2.5 GROOM
DCM::ValueSet File:List.png UiterlijkeVerzorgingCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.3
data ToiletUse
Definition Toilet use indicates the extent to which a patient is capable of using the toilet independently.

In this scale, the following interpretations are used:

  • Dependent: dependent.
  • Help: needs some help but can do certain things themselves, like wiping.
  • Independent: capable of using the toilet, sufficiently undressing, cleaning, getting dressed and leaving.
Datatype CO.png
DCM::DefinitionCode NL-CM:4.2.6 TOIL
DCM::ValueSet File:List.png ToiletgebruikCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.4
data Feeding
Definition Feeding indicates the extent to which a patient is capable of eating independently.

In this scale, the following interpretations are used:

  • Not independent: not capable of eating independently.
  • Help: food is puréed; patient does feed themselves, but needs help cutting food, spreading butter, et cetera.
  • Independent: capable of eating normal food (including hard food). The food can be cooked and served by others, but is not to be puréed.
Datatype CO.png
DCM::DefinitionCode NL-CM:4.2.7 FEED
DCM::ValueSet File:List.png EtenCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.5
data Transfers
Definition Transfers indicates the extent to which a patient is capable of independently getting from a chair to the bed and vice versa.

In this scale, the following interpretations are used:

  • Not independent: not capable of sitting up; the use of a patient hoist is required.
  • Major help: help from a strong, trained individual or 2 regular individuals, but the patient can sit up by themselves.
  • Minor help: a person to supervise or provide some help, either verbally or physically.
  • Independent: does not need help.
Datatype CO.png
DCM::DefinitionCode NL-CM:4.2.8 TRANS
DCM::ValueSet File:List.png TransfersCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.6
data Mobility
Definition Mobility indicates the extent to which a patient is capable of moving independently.

In this scale, the following interpretations are used:

  • Dependent: cannot move themselves.
  • Independent with wheelchair: uses a wheelchair, with the ability to go around corners or open doors without help.
  • Assisted walking: help from one person, for example verbally or physically.
  • Independent: can move within the home or department; aids may be used.
Datatype CO.png
DCM::DefinitionCode NL-CM:4.2.9 MOB
DCM::ValueSet File:List.png MobiliteitCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.7
data Dressing
Definition Dressing indicates the extent to which a patient is capable of dressing and undressing themselves independently. In this scale, the following interpretations are used:
  • Dependent: dependent.
  • Help: needs help but can do about half themselves, such as only needing help with buttons and/or zippers.
  • Independent: capable of selecting and putting on clothes.
Datatype CO.png
DCM::DefinitionCode NL-CM:4.2.10 DRESS
DCM::ValueSet File:List.png AanUitkledenCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.8
data Climbing stairs
Definition Climbing stairs indicates the extent to which a patient is capable of going up and down stairs independently.

In this scale, the following interpretations are used:

  • Dependent: not capable of going up and down stairs.
  • Help: needs help, for example verbally, physically or in the form of an aid.
  • Independent: capable of going up and down stairs independently, and if necessary can carry their own aid.
Datatype CO.png
DCM::DefinitionCode NL-CM:4.2.11 CLIMB
DCM::ValueSet File:List.png TrappenLopenCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.9
data Bathing
Definition Bathing indicates the extent to which a patient is capable of independently taking a bath or shower.

In this scale, the following interpretations are used:

  • Dependent: not capable of bathing independently.
  • Independent: capable of getting in and out of the bath or shower and bathing without help or supervision.
Datatype CO.png
DCM::DefinitionCode NL-CM:4.2.12 BATH
DCM::ValueSet File:List.png BadenDouchenCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.2.10

Code Lists

AanUitkledenCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.4.2.8

Concept Name Concept Code Concept Value Coding Syst. Name Coding System OID Description
Afhankelijk DRESS0 0 BarthelAanUitkleden 2.16.840.1.113883.2.4.3.11.60.40.4.1.8 Afhankelijk
Hulp DRESS1 1 BarthelAanUitkleden 2.16.840.1.113883.2.4.3.11.60.40.4.1.8 Heeft hulp nodig maar kan ongeveer de helft zelf
Onafhankelijk DRESS2 2 BarthelAanUitkleden 2.16.840.1.113883.2.4.3.11.60.40.4.1.8 Onafhankelijk

BadenDouchenCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.4.2.10

Concept Name Concept Code Concept Value Coding Syst. Name Coding System OID Description
Afhankelijk BATH0 0 BarthelBadenDouchen 2.16.840.1.113883.2.4.3.11.60.40.4.1.10 Afhankelijk
Onafhankelijk BATH1 1 BarthelBadenDouchen 2.16.840.1.113883.2.4.3.11.60.40.4.1.10 Onafhankelijk

BlaasCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.4.2.2

Concept Name Concept Code Concept Value Coding Syst. Name Coding System OID Description
Incontinent URIN0 0 BarthelBlaas 2.16.840.1.113883.2.4.3.11.60.40.4.1.2 Incontinent of katheter
Ongelukje URIN1 1 BarthelBlaas 2.16.840.1.113883.2.4.3.11.60.40.4.1.2 Af en toe een ongelukje (max. 1 keer per 24 uur)
Continent URIN2 2 BarthelBlaas 2.16.840.1.113883.2.4.3.11.60.40.4.1.2 Continent (gedurende meer dan 7 dagen)

DarmCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.4.2.1

Concept Name Concept Code Concept Value Coding Syst. Name Coding System OID Description
Incontinent FECAL0 0 BarthelDarm 2.16.840.1.113883.2.4.3.11.60.40.4.1.1 Incontinent
Ongelukje FECAL1 1 BarthelDarm 2.16.840.1.113883.2.4.3.11.60.40.4.1.1 Af en toe een ongelukje
Continent FECAL2 2 BarthelDarm 2.16.840.1.113883.2.4.3.11.60.40.4.1.1 Continent

EtenCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.4.2.5

Concept Name Concept Code Concept Value Coding Syst. Name Coding System OID Description
Niet zelfstandig FEED0 0 BarthelEten 2.16.840.1.113883.2.4.3.11.60.40.4.1.5 Niet in staat (niet zelfstandig)
Hulp FEED1 1 BarthelEten 2.16.840.1.113883.2.4.3.11.60.40.4.1.5 Heeft hulp nodig bij snijden, smeren van boter, enz.
Onafhankelijk FEED2 2 BarthelEten 2.16.840.1.113883.2.4.3.11.60.40.4.1.5 Onafhankelijk

MobiliteitCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.4.2.7

Concept Name Concept Code Concept Value Coding Syst. Name Coding System OID Description
Afhankelijk MOBIL0 0 BarthelMobiliteit 2.16.840.1.113883.2.4.3.11.60.40.4.1.7 Kan zich niet verplaatsen
Onafhankelijk met rolstoel MOBIL1 1 BarthelMobiliteit 2.16.840.1.113883.2.4.3.11.60.40.4.1.7 Onafhankelijk, maar maakt gebruik van rolstoel, incl. het zonder hulp nemen van hoeken en deuren.
Loopt met hulp MOBIL2 2 BarthelMobiliteit 2.16.840.1.113883.2.4.3.11.60.40.4.1.7 Loopt met hulp van 1 persoon (hulp van woorden of lichamelijk)
Onafhankelijk MOBIL3 3 BarthelMobiliteit 2.16.840.1.113883.2.4.3.11.60.40.4.1.7 Onafhankelijk

ToiletgebruikCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.4.2.4

Concept Name Concept Code Concept Value Coding Syst. Name Coding System OID Description
Afhankelijk TOIL0 0 BarthelToiletgebruik 2.16.840.1.113883.2.4.3.11.60.40.4.1.4 Afhankelijk
Hulp TOIL1 1 BarthelToiletgebruik 2.16.840.1.113883.2.4.3.11.60.40.4.1.4 Heeft enige hulp nodig maar kan sommige dingen zelf
Onafhankelijk TOIL2 2 BarthelToiletgebruik 2.16.840.1.113883.2.4.3.11.60.40.4.1.4 Onafhankelijk (op en af, uit- en aankleden, afvegen)

TransfersCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.4.2.6

Concept Name Concept Code Concept Value Coding Syst. Name Coding System OID Description
Niet zelfstandig TRANS0 0 BarthelTransfer 2.16.840.1.113883.2.4.3.11.60.40.4.1.6 Niet in staat (niet zelfstandig)
Veel hulp TRANS1 1 BarthelTransfer 2.16.840.1.113883.2.4.3.11.60.40.4.1.6 Veel hulp (1-2 mensen lichamelijk)
Weinig hulp TRANS2 2 BarthelTransfer 2.16.840.1.113883.2.4.3.11.60.40.4.1.6 Weinig hulp (met hulp van woorden of lichamelijk)
Onafhankelijk TRANS3 3 BarthelTransfer 2.16.840.1.113883.2.4.3.11.60.40.4.1.6 Onafhankelijk

TrappenLopenCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.4.2.9

Concept Name Concept Code Concept Value Coding Syst. Name Coding System OID Description
Afhankelijk CLIMB0 0 BarthelTrappenLopen 2.16.840.1.113883.2.4.3.11.60.40.4.1.9 Niet in staat
Hulp CLIMB1 1 BarthelTrappenLopen 2.16.840.1.113883.2.4.3.11.60.40.4.1.9 Heeft hulp nodig (woorden, lichamelijk of hulpmiddel)
Onafhankelijk CLIMB2 2 BarthelTrappenLopen 2.16.840.1.113883.2.4.3.11.60.40.4.1.9 Onafhankelijk naar boven en naar beneden

UiterlijkeVerzorgingCodelijst

OID:2.16.840.1.113883.2.4.3.11.60.40.2.4.2.3

Concept Name Concept Code Concept Value Coding Syst. Name Coding System OID Description
Hulp GROOM0 0 BarthelUiterlijkeVerzorging 2.16.840.1.113883.2.4.3.11.60.40.4.1.3 Heeft hulp nodig
Onafhankelijk GROOM1 1 BarthelUiterlijkeVerzorging 2.16.840.1.113883.2.4.3.11.60.40.4.1.3 Onafhankelijk (gezicht, haar, tanden, scheren)

References

1. Barthel Index [Online] Beschikbaar op: http://www.zorginformatiemodel.nl/1_documentatie/Doc_Obs_Barthel_Index_R01_V1_3.pdf [Geraadpleegd: 23 februari 2015].

2. Barthel Index [Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 18 februari 2013].

3. GOOSSEN, W.T.F. et al. (2004) Specificaties CVA keteninformatiesysteem. Versie 1.1. Leidschendam, Nictiz.

4. HAAN DE, R. et al. (1993) Klinimetrische evaluatie van de Barthel-index, een maat voor beperkingen in het dagelijks functioneren. Nederlands Tijdschrift voor Geneeskunde. 37 (18), p. 917-921.

5. MAHONY, F.I. et al. (1965) Functional Evaluation: The Barthel Index. Maryland State Medical Journal. 1965 (14), p .61-65.

6. PEPPEN VAN, R.P.S. et al. (2004) Richtlijn Beroerte. Amersfoort, Koninklijk Nederlands Genootschap voor Fysiotherapie (KNGF).