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HdBe-BarthelIndex

WARNING This page contains a draft CBB, as raw output from the zib export and automatic conversion to CBB. It requires thorough review and adaption to the Belgian realm. This CBB is merely added for informative use.

CBB	Concept	Status
HdBe-BarthelADLIndex	De Barthel-index is een gevalideerd meetinstrument voor het vastleggen en volgen van activiteiten van het dagelijks leven (ADL) van patiënten en indirect de mate van afhankelijk zijn van hulp. De lijst bestaat uit 10 onderdelen: darm, blaas, uiterlijke verzorging, toiletgebruik, eten, transfers (bed-stoel en omgekeerd), mobiliteit, aan- en uitkleden, trappen lopen en baden/douchen waaraan een score wordt toegekend. De totaalscore is de som van de scores van de 10 onderdelen. Purpose Het verkrijgen van inzicht in de afhankelijkheid van zorg voor het uitvoeren van algemene dagelijkse activiteiten door middel van een gevalideerde score. Dit om, zo nodig, de zorg aan te passen aan de behoeften van de patiënt. References Barthel Index [Online] Beschikbaar op: http://www.zorginformatiemodel.nl/1_documentatie/Doc_Obs_Barthel_Index_R01_V1_3.pdf [Geraadpleegd: 23 februari 2015]. Barthel Index [Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 18 februari 2013]. GOOSSEN, W.T.F. et al. (2004) Specificaties CVA keteninformatiesysteem. Versie 1.1. Leidschendam, Nictiz. 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. MAHONY, F.I. et al. (1965) Functional Evaluation: The Barthel Index. Maryland State Medical Journal. 1965 (14), p .61-65. PEPPEN VAN, R.P.S. et al. (2004)* Richtlijn Beroerte. *Amersfoort, Koninklijk Nederlands Genootschap voor Fysiotherapie (KNGF).	draft

CBB

Concept

Status

HdBe-BarthelADLIndex

De Barthel-index is een gevalideerd meetinstrument voor het vastleggen en volgen van activiteiten van het dagelijks leven (ADL) van patiënten en indirect de mate van afhankelijk zijn van hulp. De lijst bestaat uit 10 onderdelen: darm, blaas, uiterlijke verzorging, toiletgebruik, eten, transfers (bed-stoel en omgekeerd), mobiliteit, aan- en uitkleden, trappen lopen en baden/douchen waaraan een score wordt toegekend. De totaalscore is de som van de scores van de 10 onderdelen.

Purpose

Het verkrijgen van inzicht in de afhankelijkheid van zorg voor het uitvoeren van algemene dagelijkse activiteiten door middel van een gevalideerde score. Dit om, zo nodig, de zorg aan te passen aan de behoeften van de patiënt.

References

Barthel Index [Online] Beschikbaar op: http://www.zorginformatiemodel.nl/1_documentatie/Doc_Obs_Barthel_Index_R01_V1_3.pdf [Geraadpleegd: 23 februari 2015].
Barthel Index [Online] Beschikbaar op: http://www.openehr.org/knowledge/ [Geraadpleegd: 18 februari 2013].
GOOSSEN, W.T.F. et al. (2004) Specificaties CVA keteninformatiesysteem. Versie 1.1. Leidschendam, Nictiz.
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.
MAHONY, F.I. et al. (1965) Functional Evaluation: The Barthel Index. Maryland State Medical Journal. 1965 (14), p .61-65.
PEPPEN VAN, R.P.S. et al. (2004)* Richtlijn Beroerte. *Amersfoort, Koninklijk Nederlands Genootschap voor Fysiotherapie (KNGF).

draft

BarthelADLIndex			BarthelADLIndex	Element id BarthelADLIndex Short description BarthelIndex Definition Rootconcept van de bouwsteen BarthelIndex. Dit rootconcept bevat alle gegevenselementen van de bouwsteen BarthelIndex. Data type BarthelADLIndex Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id BarthelADLIndex.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id BarthelADLIndex.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
Bowels		1..1	CodeableConceptBinding	Element id BarthelADLIndex.Bowels Short description Darm Definition De darmfunctie beschrijft de mate van ontlastingsincontinentie. Bij de uitvraag wordt de toestand van de voorgaande week beschouwd. Hierbij worden de volgende interpretaties gehanteerd: Incontinent: incontinent of klysma noodzakelijk. Ongelukje: max. 1 keer per week een ongelukje. Continent: gedurende de hele week continent. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Bowels codes Bowels (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Bladder		1..1	CodeableConceptBinding	Element id BarthelADLIndex.Bladder Short description Blaas Definition De blaasfunctie beschrijft de mate van urine-incontinentie. Bij de uitvraag wordt de toestand van de voorgaande week beschouwd. Hierbij worden de volgende interpretaties gehanteerd: Incontinent: incontinent of katheter. Ongelukje: max. 1 keer per 24 uur een ongelukje. Continent: gedurende de hele week continent of een patiënt die zijn katheter zelf kan verzorgen. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Bladder codes Bladder (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Grooming		1..1	CodeableConceptBinding	Element id BarthelADLIndex.Grooming Short description UiterlijkeVerzorging Definition Uiterlijke verzorging geeft een indicatie van de mate waarin de patiënt in staat is zichzelf te verzorgen. Dit verwijst naar persoonlijke verzorging zoals tandenpoetsen, haren te kammen, scheren en wassen. Bij de uitvraag wordt de toestand van de voorgaande 24-48 uur beschouwd. Hierbij worden de volgende interpretaties gehanteerd: Afhankelijk: niet in staat zelfstandig het uiterlijk te verzorgen. Onafhankelijk: in staat zelfstandig tanden te poetsen, haren te kammen, te scheren en te wassen. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Grooming codes Grooming (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
ToiletUse		1..1	CodeableConceptBinding	Element id BarthelADLIndex.ToiletUse Short description Toiletgebruik Definition Toiletgebruik geeft een indicatie van de mate waarin de patiënt in staat is zelfstandig het toilet te gebruiken. Hierbij worden de volgende interpretaties gehanteerd: Afhankelijk: afhankelijk. Hulp: heeft enige hulp nodig maar kan sommige dingen zelf, bijvoorbeeld zichzelf afvegen. Onafhankelijk: in staat om naar toilet te gaan, zich voldoende uit te kleden, schoon te maken, aan te kleden en weg te gaan. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding ToiletUse codes ToiletUse (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Feeding		1..1	CodeableConceptBinding	Element id BarthelADLIndex.Feeding Short description Eten Definition Eten geeft een indicatie van de mate waarin de patiënt zelfstandig kan eten. Hierbij worden de volgende interpretaties gehanteerd: Niet zelfstandig: niet in staat zelfstandig te eten. Hulp: voedsel wordt fijngemaakt; patiënt eet zelf maar heeft hulp nodig bij snijden, smeren van boter, enzovoorts. Onafhankelijk: in staat om normaal voedsel (ook hard voedsel) te eten. Het eten mag gekookt en geserveerd worden door anderen maar mag niet worden fijngemaakt. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Feeding codes Eating (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Transfers		1..1	CodeableConceptBinding	Element id BarthelADLIndex.Transfers Short description Transfers Definition Transfer geeft een indicatie van de mate waarin de patiënt in staat is zelfstandig transfers uit te voeren van bed naar stoel en terug. Hierbij worden de volgende interpretaties gehanteerd: Niet zelfstandig: niet in staat om te zitten, er wordt gebruik gemaakt van tillift. Veel hulp: hulp van een sterk, getraind persoon of 2 gewone personen, maar patiënt kan zelfstandig rechtop zitten. Weinig hulp: een persoon voor toezicht of enige hulp, in woorden of lichamelijk. Onafhankelijk: heeft geen hulp nodig. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Transfers codes Transfers (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Mobility		1..1	CodeableConceptBinding	Element id BarthelADLIndex.Mobility Short description Mobiliteit Definition Mobiliteit geeft een indicatie van de mate waarin de patiënt in staat is zelfstandig te verplaatsen. Hierbij worden de volgende interpretaties gehanteerd: Afhankelijk: kan zich niet verplaatsen. Onafhankelijk met rolstoel: maakt gebruik van rolstoel incl. het zonder hulp nemen van hoeken en deuren. Loopt met hulp: hulp van één persoon, bijv. in woorden of lichamelijk. Onafhankelijk: kan zich verplaatsen in huis of op afdeling; hulpmiddel mag worden gebruikt. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Mobility codes Mobility (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Dressing		1..1	CodeableConceptBinding	Element id BarthelADLIndex.Dressing Short description AanUitkleden Definition AanUitkleden geeft een indicatie van de mate waarin de patiënt in staat is zichzelf zelfstandig aan en uit te kleden. Hierbij worden de volgende interpretaties gehanteerd: Afhankelijk: afhankelijk. Hulp: heeft hulp nodig maar kan ongeveer de helft zelf, bijv. alleen hulp bij knopen en/of ritssluitingen. Onafhankelijk: in staat kleren te kiezen en aan te doen. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Dressing codes Dressing (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
ManagingStairs		1..1	CodeableConceptBinding	Element id BarthelADLIndex.ManagingStairs Short description TrappenLopen Definition TrappenLopen geeft een indicatie van de mate waarin de patiënt in staat is zelfstandig de trap op en af te gaan. Hierbij worden de volgende interpretaties gehanteerd: Afhankelijk: niet in staat de trap op en af te gaan. Hulp: heeft hulp nodig, bijv. in woorden, lichamelijk of in de vorm van een hulpmiddel. Onafhankelijk: in staat zelfstandig de trap op en af te gaan, en kan eventueel hulpmiddel zelf dragen. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding ManagingStairs codes ManagingStairs (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Bathing		1..1	CodeableConceptBinding	Element id BarthelADLIndex.Bathing Short description BadenDouchen Definition BadenDouchen geeft een indicatie van de mate waarin de patiënt in staat is zelfstandig te douchen of in bad te gaan. Hierbij worden de volgende interpretaties gehanteerd: Afhankelijk: niet in staat zelfstandig te baden. Onafhankelijk: in staat zonder toezicht of hulp in en uit bad stappen en zichzelf te wassen. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding Bathing codes Bathing (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
TotalScore		1..1	positiveInt	Element id BarthelADLIndex.TotalScore Short description TotaalScore Definition De score van de Barthel index is de som van de scores op de afzonderlijke variabelen. De interpretatie van deze totaalscore is 0-9 voor ernstig beperkt, 10-19 voor matig beperkt en 20 voor zelfstandig. Twintig is de maximale score. Comments 32 bit number; for values larger than this, use decimal Data type positiveInt Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a

BarthelADLIndex		0..*
BarthelADLIndex.Bowels	CodeableConcept	1..1
BarthelADLIndex.Bladder	CodeableConcept	1..1
BarthelADLIndex.Grooming	CodeableConcept	1..1
BarthelADLIndex.ToiletUse	CodeableConcept	1..1
BarthelADLIndex.Feeding	CodeableConcept	1..1
BarthelADLIndex.Transfers	CodeableConcept	1..1
BarthelADLIndex.Mobility	CodeableConcept	1..1
BarthelADLIndex.Dressing	CodeableConcept	1..1
BarthelADLIndex.ManagingStairs	CodeableConcept	1..1
BarthelADLIndex.Bathing	CodeableConcept	1..1
BarthelADLIndex.TotalScore	positiveInt	1..1

BarthelADLIndex
Definition	Root concept of the BarthelADLIndex information model. This root concept contains all data elements of the BarthelADLIndex information model.
Cardinality	0...*
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
BarthelADLIndex.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
BarthelADLIndex.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
BarthelADLIndex.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.
Cardinality	1...1
Type	CodeableConcept
Binding	Bowels codes Bowels (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BarthelADLIndex.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.
Cardinality	1...1
Type	CodeableConcept
Binding	Bladder codes Bladder (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BarthelADLIndex.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.
Cardinality	1...1
Type	CodeableConcept
Binding	Grooming codes Grooming (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BarthelADLIndex.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.
Cardinality	1...1
Type	CodeableConcept
Binding	ToiletUse codes ToiletUse (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BarthelADLIndex.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.
Cardinality	1...1
Type	CodeableConcept
Binding	Feeding codes Eating (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BarthelADLIndex.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.
Cardinality	1...1
Type	CodeableConcept
Binding	Transfers codes Transfers (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BarthelADLIndex.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.
Cardinality	1...1
Type	CodeableConcept
Binding	Mobility codes Mobility (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BarthelADLIndex.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.
Cardinality	1...1
Type	CodeableConcept
Binding	Dressing codes Dressing (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BarthelADLIndex.ManagingStairs
Definition	Managing 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.
Cardinality	1...1
Type	CodeableConcept
Binding	ManagingStairs codes ManagingStairs (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BarthelADLIndex.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.
Cardinality	1...1
Type	CodeableConcept
Binding	Bathing codes Bathing (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
BarthelADLIndex.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.
Cardinality	1...1
Type	positiveInt
Comments	32 bit number; for values larger than this, use decimal
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a

Example instances

[CBB name]
[Concept name ]	[example value]

// example of NameInformation

## Example instances

| NameInformation      |                   |
|----------------------|-------------------|
| FirstNames | Johanna Petronella Maria   
| Initials | J.P.M. 
| GivenName | Jo 
| NameUsage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| LastName.Prefix | van
| LastName.LastName | Putten
| LastNamePartner.PartnerPrefix | van der
| LastNamePartner.PartnerLastName | Giessen
| Titles |

zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference

Concept	Category	Description
`[element.path]`	[category of change]	[Description of change]([Reference to ticket/issue/zulip chat using MarkDown link])

Terminology Bindings

Path	Name	Strength	URL
Bowels	Bowels	required	https://fhir.healthdata.be/ValueSet/Bowels
Bladder	Bladder	required	https://fhir.healthdata.be/ValueSet/Bladder
Grooming	Grooming	required	https://fhir.healthdata.be/ValueSet/Grooming
ToiletUse	ToiletUse	required	https://fhir.healthdata.be/ValueSet/ToiletUse
Feeding	Eating	required	https://fhir.healthdata.be/ValueSet/Eating
Transfers	Transfers	required	https://fhir.healthdata.be/ValueSet/Transfers
Mobility	Mobility	required	https://fhir.healthdata.be/ValueSet/Mobility
Dressing	Dressing	required	https://fhir.healthdata.be/ValueSet/Dressing
ManagingStairs	ManagingStairs	required	https://fhir.healthdata.be/ValueSet/ManagingStairs
Bathing	Bathing	required	https://fhir.healthdata.be/ValueSet/Bathing