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HdBe-FunctioneleOfMentaleStatus

CBB	Concept	Status
HdBe-FunctionalOrMentalStatus	De functionele of mentale status geeft inzicht in de functionele en mentale beperkingen van de patiënt. Purpose De functionele en mentale status van de patiënt kunnen worden vastgelegd om inzicht te geven in de beperkingen van de patiënt waar rekening mee gehouden moet worden bij de verdere behandeling en verpleging en om het resultaat van een behandeling te kunnen evalueren. Het is niet de bedoeling om diagnoses, die functioneel beperkend (kunnen) zijn hier vast te leggen. Hiervoor dient gebruik gemaakt van de bouwsteen Probleem.	active

CBB

Concept

Status

HdBe-FunctionalOrMentalStatus

De functionele of mentale status geeft inzicht in de functionele en mentale beperkingen van de patiënt.

Purpose

De functionele en mentale status van de patiënt kunnen worden vastgelegd om inzicht te geven in de beperkingen van de patiënt waar rekening mee gehouden moet worden bij de verdere behandeling en verpleging en om het resultaat van een behandeling te kunnen evalueren.

Het is niet de bedoeling om diagnoses, die functioneel beperkend (kunnen) zijn hier vast te leggen. Hiervoor dient gebruik gemaakt van de bouwsteen Probleem.

active

FunctionalOrMentalStatus			FunctionalOrMentalStatus	Element id FunctionalOrMentalStatus Short description FunctioneleOfMentaleStatus Definition Rootconcept van FunctioneleOfMentaleStatus. Dit concept bevat alle gegevenselementen van de bouwsteen FunctioneleOfMentaleStatus. Data type FunctionalOrMentalStatus 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 FunctionalOrMentalStatus.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 FunctionalOrMentalStatus.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
StatusName		1..1	CodeableConceptBinding	Element id FunctionalOrMentalStatus.StatusName Short description StatusNaam Definition Gecodeerde omschrijving van de functionele of mentale status of beperking. Gebruikt codesysteem is SNOMED CT 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 Description of the StatusName StatusName (extensible) 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
StatusValue		0..1	CodeableConceptBinding	Element id FunctionalOrMentalStatus.StatusValue Short description StatusWaarde Definition De mate waarin de functionele of mentale conditie beperkend is. Indien zowel statusnaam als statuswaarde gecodeerd vastgelegd worden, dienen beide waarden uit hetzelfde codesysteem te komen. Indien de patiënt een hulpmiddel gebruikt, vindt de beoordeling van de mate van beperking plaats zonder gebruik van dit hulpmiddel. De antwoord codes dienen geselecteerd te worden uit de bij de vraag horende subselectie van het codesysteem conform de voor dat systeem geldende regels. 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 Description of the StatusValue StatusValue (extensible) 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
StatusDate		0..1	dateTime	Element id FunctionalOrMentalStatus.StatusDate Short description StatusDatum Definition Datum waarop de status is vastgesteld. Een vage datum, b.v. alleen een jaartal is toegestaan. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
Comment		0..1	string	Element id FunctionalOrMentalStatus.Comment Short description Toelichting Definition Toelichtende opmerking als omschrijving van de functionele of mentale status. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
MedicalDevice	I	0..*	Reference(HdBe-MedicalDevice)	Element id FunctionalOrMentalStatus.MedicalDevice Short description Hulpmiddel Definition Hulpmiddel dat de patiënt ter beschikking heeft om de impact van de beperking of stoornis te verminderen. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-MedicalDevice) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

FunctionalOrMentalStatus		0..*
FunctionalOrMentalStatus.StatusName	CodeableConcept	1..1
FunctionalOrMentalStatus.StatusValue	CodeableConcept	0..1
FunctionalOrMentalStatus.StatusDate	dateTime	0..1
FunctionalOrMentalStatus.Comment	string	0..1
FunctionalOrMentalStatus.MedicalDevice	Reference(HdBe-MedicalDevice)	0..*

FunctionalOrMentalStatus
Definition	Root concept of FunctionalOrMentalStatus. This concept contains all data elements of the FunctionalOrMentalStatus 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
FunctionalOrMentalStatus.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
FunctionalOrMentalStatus.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
FunctionalOrMentalStatus.StatusName
Definition	Coded description of the functional or mental status or limitation.
Cardinality	1...1
Type	CodeableConcept
Binding	Description of the StatusName StatusName (extensible)
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
FunctionalOrMentalStatus.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 device, the evaluation of the extent of the limitation will take place without this aid. The answer codes must be selected from the subselection of the code system corresponding with the request in accordance with the rules applicable to that system.
Cardinality	0...1
Type	CodeableConcept
Binding	Description of the StatusValue StatusValue (extensible)
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
FunctionalOrMentalStatus.StatusDate
Definition	Date on which the status was determined. A ‘vague’ date, such as only the year, is permitted.
Cardinality	0...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
FunctionalOrMentalStatus.Comment
Definition	Explanatory comments as a description of the functional or mental status.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
FunctionalOrMentalStatus.MedicalDevice
Definition	Medical aid the patient has to reduce the impact of the disability or disorder.
Cardinality	0...*
Type	Reference(HdBe-MedicalDevice)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

Example instances

FunctionalOrMentalStatus
StatusName	365181006 - Finding related to ability to wash self (code by SNOMED CT)
StatusValue	284790007 - Difficulty washing self (code by SNOMED CT)
StatusDate	2022-10-23
Comment	Due to functional disability in arms.
MedicalDevice	Reference to MedicalDevice (Assistive bathing washcloth)

zib FunctionalOrMentalStatus-v3.2 difference

Concept	Category	Description
`StatusName`	terminology	Removed all CodeSystems except SNOMED CT in ValueSet StatusName and loosened binding to extensible.
`StatusName`	textual	Improved description in correspondence with only using SNOMED CT.
`StatusValue`	terminology	Removed all CodeSystems except SNOMED CT in ValueSet StatusValue and loosened binding to extensible.

Terminology Bindings

Path	Name	Strength	URL
StatusName	StatusName	extensible	https://fhir.healthdata.be/ValueSet/StatusName
StatusValue	StatusValue	extensible	https://fhir.healthdata.be/ValueSet/StatusValue