Be.en.hd.FunctionalOrMentalStatus

From Clinical Building Blocks
Jump to: navigation, search


General

Name: be.en.hd.FunctionalOrMentalStatus
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 12-9-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage en
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name healthdata.be
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.4.26
DCM::KeywordList mentale status, functionele status, functionele beperking, mentale stoornis, ADL
DCM::LifecycleStatus Draft
DCM::ModelerList Clinical Building Blocks Expert Group & healthdata.be
DCM::Name be.en.hd.FunctionalOrMentalStatus
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 functional or mental status provides insight into the patient’s functional and mental limitations.

Purpose

The patient’s functional and mental status can be recorded to provide insight into the patient’s limitations which need to be taken into account for further treatment and care and in order to evaluate the effects of a treatment.

Diagnoses with (the potential for) functional limitations are not to be recorded here. To record these, please use the ConcernTransfer building block.

Information model

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

rootconcept FunctionalOrMentalStatus
Definition Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus building block.
Type Zib.png
data StatusDate
Definition Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted.
Datatype TS.png
data Explanation
Definition Explanatory comments as a description of the functional or mental status.
Datatype ST.png
data MedicalAid:MedicalAid
Definition Medical aid the patient has to reduce the impact of the disability or disorder.
Datatype Container.png
DCM::ReferencedDefinitionCode NL-CM:10.1.1 Dit is een verwijzing naar het concept MedischHulpmiddel in de bouwsteen MedischHulpmiddel.
data StatusName
Definition Coded description of the functional or mental status or limitation.

Code systems used include:

  • SNOMED CT
  • ICF (International Classification of Functioning, Disability and Health)
  • NOC (Nursing Outcomes Classification)
  • OMAHA
Datatype CD.png
DCM::ExampleValue Scheren (SNOMED-CT: 284887008 ability to shave)
DCM::ValueSet File:List.png StatusNaamICFCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.3
DCM::ValueSet File:List.png StatusNaamNOCCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.2
DCM::ValueSet File:List.png StatusNaamOMAHACodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.1
DCM::ValueSet File:List.png StatusNaamSnomedCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.4
data StatusValue
Definition The extent to which the patient is limited by the functional or mental condition.

If both the status name and the status value are recorded in code, then both values must come from the same code system. If the patient uses a medical aid, the evaluation of the extent of the limitation will take place without this aid.

Datatype CO.png
DCM::ExampleValue Moeite met scheren (SNOMED-CT: 284892005 difficulty shaving)
DCM::ValueSet File:List.png StatusWaardeICFCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.6
DCM::ValueSet File:List.png StatusWaardeNOCCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.7
DCM::ValueSet File:List.png StatusWaardeOMAHACodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.5
DCM::ValueSet File:List.png StatusWaardeSnomedCodelijst OID: 2.16.840.1.113883.2.4.3.11.60.40.2.4.26.8

Code Lists

StatusNameCodeList

OID:2.16.840.1.113883.2.4.3.11.60.40.2.4.26.4

Codes Coding Syst. Name Coding System OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96

StatusValueCodeList

OID:2.16.840.1.113883.2.4.3.11.60.40.2.4.26.8

Codes Coding Syst. Name Coding System OID
Alle waarden SNOMED CT 2.16.840.1.113883.6.96

References