<status value="draft" /> <date value="2022-07-07T15:04:03.2592055+00:00" /> <publisher value="Healthdata.be (Sciensano)" /> <contact> <name value="Service portal – healthdata.be" /> <telecom> <system value="url" /> <value value="https://sciensano.service-now.com/sp" /> <use value="work" /> </telecom> </contact> <description value="Personal grooming activity means taking care of skin, nails and hair (and beard or mustache, if applicable). This is a part of self-care. Limitations in this ability indicate a reduced ability to cope for oneself. Washing hair does not fall into this category; it falls under the ability to wash oneself. This activity and activities such as those including eating, getting dressed and bathing are also known as activities of daily living (ADL). These are the activities people go through in daily life. The extent to which a person is able to do all these activities by themselves is a measure for their total ability to do things independently. #### Purpose Information on a patient’s ability to perform activities of personal grooming is important in determining the nature and intensity of the care the patient needs. In a transfer situation, it offers the receiving organization the ability to anticipate the intensity of the care to be given to the patient, enabling continuity in healthcare for the patient. If policy has been implemented to improve a patient’s ability to do things independently, the entered extent of independence helps to determine the efficiency of the treatment. #### Evidence Base The definitions of the concepts were (partially) taken from the ICNP (International Classification for Nursing Practice). In addition to this information model, there are more tools for entering the extent of independence, such as the BarthelIndex. The BarthelIndex is mainly used for patients who have had a stroke. This information model evaluates the ability to perform personal grooming activities on a three-point scale."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Onder uiterlijk verzorging wordt verstaan het schoonhouden/verzorgen van huid (make-up), haar (en indien van toepassing baard/snor) en nagels. En dit is een is een onderdeel van zelfzorg. Beperkingen in dit vermogen duiden op een verminderde zelfredzaamheid op dit gebied. Het wassen van het haar valt hier niet onder, dit valt onder vermogen om zich te wassen. Deze activiteit wordt samen met activiteiten zoals onder andere eten, zich kleden en zich wassen, ook aangeduid als algemene dagelijkse levensverrichtingen (ADL). Dit zijn de handelingen die mensen dagelijks in het gewone leven verrichten. De mate waarin een persoon al deze activiteiten zelfstandig kan verrichten zijn een maat voor de totale zelfredzaamheid. #### Purpose Informatie over het vermogen om zelf zorg te dragen voor de uiterlijke verzorging is van belang bij het bepalen van de aard en intensiteit van de zorg die aan de patiënt geboden moet worden. In een overdrachtsituatie biedt het de ontvangende organisatie de mogelijkheid te anticiperen op de zwaarte van de te leveren zorg waardoor de continuïteit van de zorgverlening gerealiseerd kan worden. Indien beleid is ingezet om de zelfredzaamheid te verbeteren, biedt de vastgelegde mate van zelfstandigheid de mogelijkheid de doeltreffendheid van de behandeling vast te stellen. #### Evidence Base De definities van de concepten zijn (deels) ontleend aan de ICNP (International Classification for Nursing Practice). Naast deze bouwsteen zijn er meer instrumenten om zelfredzaamheid vast te leggen, zoals de BarthelIndex. De BarthelIndex wordt met name gebruikt voor patiënten met een beroerte. Deze bouwsteen evalueert het vermogen tot uiterlijke verzorging met een driepuntsschaal. **References** 1. International Classification for Nursing Practice (ICNP) [Online] Beschikbaar op: [http://www.icn.ch/what-we-do/international-classification-for-nursing-practice-icnpr/](http://www.icn.ch/what-we-do/international-classification-for-nursing-practice-icnpr/) [Geraadpleegd: 15 december 2016]" /> </extension> </extension> </description> <copyright value="Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise." /> <fhirVersion value="4.0.1" /> <kind value="logical" /> <abstract value="true" /> <type value="https://fhir.healthdata.be/StructureDefinition/LogicalModel/AbilityToGroom" /> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Element" /> <derivation value="specialization" /> <snapshot> <element id="AbilityToGroom"> <path value="AbilityToGroom" /> <short value="Base for all elements" /> <definition value="Base definition for all elements in a resource." /> <min value="0" /> <max value="*" /> <base> <path value="AbilityToGroom" /> <min value="0" /> <max value="*" /> </base> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="AbilityToGroom.id"> <path value="AbilityToGroom.id" /> <representation value="xmlAttr" /> <short value="xml:id (or equivalent in JSON)" /> <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces." /> <comment value="Note that FHIR strings may not exceed 1MB in size" /> <min value="0" /> <max value="1" /> <base> <path value="Element.id" /> <min value="0" /> <max value="1" /> </base> <type> <code value="string" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> </element> <element id="AbilityToGroom.extension"> <path value="AbilityToGroom.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <description value="Extensions are always sliced by (at least) url" /> <rules value="open" /> </slicing> <short value="Additional Content defined by implementations" /> <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension." /> <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone." /> <alias value="extensions" /> <alias value="user content" /> <min value="0" /> <max value="*" /> <base> <path value="Element.extension" /> <min value="0" /> <max value="*" /> </base> <type> <code value="Extension" /> </type> <condition value="ele-1" /> <constraint> <key value="ele-1" /> <severity value="error" /> <human value="All FHIR elements must have a @value or children" /> <expression value="hasValue() | (children().count() > id.count())" /> <xpath value="@value|f:*|h:div" /> <source value="http://hl7.org/fhir/StructureDefinition/Element" /> </constraint> <constraint> <key value="ext-1" /> <severity value="error" /> <human value="Must have either extensions or value[x], not both" /> <expression value="extension.exists() != value.exists()" /> <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])" /> <source value="http://hl7.org/fhir/StructureDefinition/Extension" /> </constraint> <mapping> <identity value="rim" /> <map value="n/a" /> </mapping> <mapping> <identity value="rim" /> <map value="N/A" /> </mapping> </element> <element id="AbilityToGroom.AbilityToGroome"> <path value="AbilityToGroom.AbilityToGroome" /> <short value="AbilityToGroome"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="VermogenTotUiterlijkeVerzorging" /> </extension> </extension> </short> <definition value="Root concept of the AbilityToGroom information model. This root concept contains all data elements of the AbilityToGroom information model."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Rootconcept van de bouwsteen VermogenTotUiterlijkeVerzorging. Dit rootconcept bevat alle gegevenselementen van de bouwsteen VermogenTotUiterlijkeVerzorging." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> <base> <path value="AbilityToGroome" /> <min value="0" /> <max value="*" /> </base> </element> </snapshot> <differential> <element id="AbilityToGroome"> <path value="AbilityToGroome" /> <short value="AbilityToGroome"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="VermogenTotUiterlijkeVerzorging" /> </extension> </extension> </short> <definition value="Root concept of the AbilityToGroom information model. This root concept contains all data elements of the AbilityToGroom information model."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Rootconcept van de bouwsteen VermogenTotUiterlijkeVerzorging. Dit rootconcept bevat alle gegevenselementen van de bouwsteen VermogenTotUiterlijkeVerzorging." /> </extension> </extension> </definition> <min value="0" /> <max value="*" /> </element> <element id="AbilityToGroome.Grooming"> <path value="AbilityToGroome.Grooming" /> <short value="Grooming"> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="UiterlijkeVerzorging" /> </extension> </extension> </short> <definition value="Personal grooming includes tending to hair and facial hair, such as combing it, or shaving and/or trimming facial hair; skincare, *e.g.* using make-up; nailcare ."> <extension url="http://hl7.org/fhir/StructureDefinition/translation"> <extension url="lang"> <valueCode value="nl-NL" /> </extension> <extension url="content"> <valueMarkdown value="Uiterlijke verzorging omvat het verzorgen van hoofd- en gezichtshaar, zoals het met de kam in model brengen en het scheren en/of trimmen van de gezichtsbeharing; het verzorgen van de huid, zoals het aanbrengen van make-up; het verzorgen van de nagels." /> </extension> </extension> </definition> <min value="1" /> <max value="1" /> <type> <code value="CodeableConcept" /> </type> <binding> <strength value="required" /> <description value="Grooming codes" /> <valueSet value="https://fhir.healthdata.be/ValueSet/UiterlijkeVerzorging" /> </binding> </element> </differential> </StructureDefinition>