Be.en.hd.TransferProcedure.Review

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General

Name: be.en.hd.TransferProcedure
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 6-6-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage en
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name healthdata.be
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.14.1
DCM::KeywordList procedure,verrichting
DCM::LifecycleStatus Draft
DCM::ModelerList Clinical Building Blocks Expert Group & healthdata.be
DCM::Name be.en.hd.TransferAct
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 concept Procedure indicates a therapeutic procedure undergone by the patient. If relevant, diagnostic procedures can be listed as well. A procedure can be a simple blood pressure measurement, but also a complex heart surgery.

Purpose

A procedure is carried out as part of a planned policy or to obtain additional information in the diagnostic process. Procedures are documented to gain insight into the treatment of a patient. In addition, procedures are documented for administrative purposes such as invoicing and workload measurement, scientific research and/or education.

Information model

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

rootconcept Procedure
Definition Root concept of the ProcedureTransfer building block. This root concept contains all data elements of the ProcedureTransfer building block.
Type Zib.png
DCM::DefinitionCode NL-CM:14.1.1
data ProcedureStartDate
Definition The start date (and if possible start time) of the procedure. A ‘vague’ date, such as only the year, is permitted.

The element offers the option to indicate the start of the period of a series of related procedures.

Datatype TS.png
DCM::DefinitionCode NL-CM:14.1.2
DCM::ExampleValue 06-05-2012
data ProcedureEndDate
Definition The end date (and if possible end time) of the procedure. A ‘vague’ date, such as only the year, is permitted.

The element offers the option to indicate the end of the period of a series of related procedures.

Datatype TS.png
DCM::DefinitionCode NL-CM:14.1.3
DCM::ExampleValue 07-06-2012
data Indication::Problem
Definition The indication is the reason for the procedure.
Datatype Container.png
DCM::DefinitionCode NL-CM:14.1.9
DCM::ReferencedDefinitionCode NL-CM:5.1.2 Dit is een verwijzing naar het concept Probleem in de bouwsteen OverdrachtConcern.
data Product
Definition The product, the placing of which in or on the body is the purpose of the procedure, for example placing an implant.
Datatype Container.png
DCM::DefinitionCode NL-CM:14.1.7
DCM::ReferencedDefinitionCode NL-CM:10.1.2 Dit is een verwijzing naar het concept Product in de bouwsteen MedischHulpmiddel.
data AnatomicalLocationOfTheProcedure
Definition Anatomical location which is the focus of the procedure.
Datatype CD.png
DCM::DefinitionCode NL-CM:14.1.8
DCM::ExampleValue linkerbeen
DCM::ValueSet File:List.png AnatomicalLocationOfTheProcedureCodeList OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1
data ProcedureType
Definition The name of the procedure.

As of 1 January 2013, all procedures in the primary process have to be documented with CBV codes. To meet this requirement, the DHD procedure thesaurus (CBV procedures set) is used to code procedures. It is possible that in addition to the CBV procedures set, the NIC will be used for nurse procedures and that a “coded value set” will be introduced for paramedic procedures.

Datatype CD.png
DCM::DefinitionCode NL-CM:14.1.4
DCM::ExampleValue Knie - prothese implantatie gewricht
DCM::ValueSet File:List.png ProcedureTypeCodeList OID: 2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2

Code Lists

AnatomicalLocationOfTheProcedureCodeList

OID:2.16.840.1.113883.2.4.3.11.60.40.2.14.1.1

Codes Coding Syst. Name Coding System OID
SNOMED CT: <<91723000 SNOMED CT 2.16.840.1.113883.6.96

ProcedureTypeCodeList

OID:2.16.840.1.113883.2.4.3.11.60.40.2.14.1.2

Codes Coding Syst. Name Coding System OID
Alle waarden CBV verrichtingen 99

References

1. GS1 Global Traceability Standard for Healthcare 1.2.0 (2013) [Online] Beschikbaar op: http://www.gs1.org/traceability/healthcare-traceability/1-2-0 [Geraadpleegd: 19 juni 2014].

2. Vektis Zorgverlenersspecificatie (subberoepsgroep) [Online] Beschikbaar op: http://ei.vektis.nl/WespCodelijstenDetail.aspx?Co_Ge_Code=COD016&Co_Or_Code=VEKT [Geraadpleegd: 19 juni 2014].

3. AZR-AGB-codelijst [Online] Beschikbaar op: http://www.agbcode.nl/MainPage/opzoeken.aspx?soort=IS [Geraadpleegd: 19 juni 2014].