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HdBe-Mobiliteit

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-Mobility	Mobiliteit beschrijft mogelijkheden en eventuele beperkingen t.a.v. alle aspecten van mobiliteit, zoals het veranderen van lichaamshouding, lopen en voortbewegen, eventueel met behulp van hulpmiddelen. Purpose Het vastleggen van de mogelijkheden en eventuele beperkingen van mobiliteit wordt gedaan om: hiermee rekening te kunnen houden in het contact met en de verpleging van de patiënt; ontwikkelingen in mobiliteit te kunnen monitoren, indien beperking in mobiliteit het onderwerp van behandeling is; bij overdracht de continuïteit van zorg te kunnen borgen. Evidence Base De definities van de concepten zijn (deels) ontleend aan de Nederlandse vertaling van de ICF en ICNP begrippen. References International Classification of Functioning Disability and Health (ICF) [Online] Beschikbaar op: http:/www.rivm.nl/who-fic/icf.htm [Geraadpleegd: 13 februari 2015]	active

CBB

Concept

Status

HdBe-Mobility

Mobiliteit beschrijft mogelijkheden en eventuele beperkingen t.a.v. alle aspecten van mobiliteit, zoals het veranderen van lichaamshouding, lopen en voortbewegen, eventueel met behulp van hulpmiddelen.

Purpose

Het vastleggen van de mogelijkheden en eventuele beperkingen van mobiliteit wordt gedaan om:

hiermee rekening te kunnen houden in het contact met en de verpleging van de patiënt;
ontwikkelingen in mobiliteit te kunnen monitoren, indien beperking in mobiliteit het onderwerp van behandeling is;
bij overdracht de continuïteit van zorg te kunnen borgen.

Evidence Base

De definities van de concepten zijn (deels) ontleend aan de Nederlandse vertaling van de ICF en ICNP begrippen.

References

International Classification of Functioning Disability and Health (ICF) [Online] Beschikbaar op: http:/www.rivm.nl/who-fic/icf.htm [Geraadpleegd: 13 februari 2015]

active

Mobility			Mobility	Element id Mobility Short description Mobiliteit Definition Rootconcept van de bouwsteen Mobiliteit. Dit concept bevat alle gegevenselementen van de bouwsteen Mobiliteit. Data type Mobility 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 Mobility.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 Mobility.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
Walking		0..1	CodeableConceptBinding	Element id Mobility.Walking Short description Lopen Definition Lopen is het zelf bewegen van het lichaam van de ene plaats naar de andere door het stapsgewijs bewegen van de benen, het vermogen om het gewicht te dragen van het lichaam en het kunnen lopen in langzaam, gematigd tot snel tempo. 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 Walking codes Walking (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
ClimbingStairs		0..1	CodeableConceptBinding	Element id Mobility.ClimbingStairs Short description Traplopen Definition TrappenLopen geeft een indicatie van de mate waarin de patiënt in staat is zelfstandig de trap op en af 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 ClimbingStairs codes ClimbingStairs (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
ChangingPosition		0..1	CodeableConceptBinding	Element id Mobility.ChangingPosition Short description HoudingVeranderen Definition Het veranderen van houding is het van de ene lichaamshouding in de andere komen en van de ene locatie naar de andere gaan, zoals van een stoel opstaan en op bed gaan liggen, en gaan knielen of hurken en weer opstaan. 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 ChangingPosition codes ChangingPosition (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
MaintainingPosition		0..1	CodeableConceptBinding	Element id Mobility.MaintainingPosition Short description HoudingHandhaven Definition Het handhaven van houding is het, waar nodig, de zelfde lichaamshouding bewaren, zoals blijven zitten of staan. 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 MaintainingPosition codes MaintainingPosition (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
Transfer		0..1	CodeableConceptBinding	Element id Mobility.Transfer Short description UitvoerenTransfer Definition Het uitvoeren van een transfer is het zich verplaatsen van het ene naar het andere oppervlak, zonder de lichaamshouding te veranderen, zoals bij het glijden over een bank of bij het zich verplaatsen van een bed naar een stoel. 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 Transfer codes Transfer (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
MedicalDevice	I	0..*	Reference(HdBe-MedicalDevice)	Element id Mobility.MedicalDevice Short description MedischHulpmiddel Definition De beschrijving van hulpmiddelen die bij beperkingen in mobilliteit gebruikt kunnen worden. 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)
Comment		0..1	string	Element id Mobility.Comment Short description Toelichting Definition Toelichting op de mobiliteit. 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

Mobility		0..*
Mobility.Walking	CodeableConcept	0..1
Mobility.ClimbingStairs	CodeableConcept	0..1
Mobility.ChangingPosition	CodeableConcept	0..1
Mobility.MaintainingPosition	CodeableConcept	0..1
Mobility.Transfer	CodeableConcept	0..1
Mobility.MedicalDevice	Reference(HdBe-MedicalDevice)	0..*
Mobility.Comment	string	0..1

Mobility
Definition	Root concept of the Mobility information model. This concept contains all data elements of the Mobility 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
Mobility.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
Mobility.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
Mobility.Walking
Definition	Walking is moving body from one place to another by moving legs stepwise by self, capacity to bear weight of body and walk with effective gait within the range of speed from slow, moderate and fast pace.
Cardinality	0...1
Type	CodeableConcept
Binding	Walking codes Walking (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
Mobility.ClimbingStairs
Definition	ClimbingStairs indicates the extent to which a patient is capable of going up and down stairs independently.
Cardinality	0...1
Type	CodeableConcept
Binding	ClimbingStairs codes ClimbingStairs (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
Mobility.ChangingPosition
Definition	Changing position entails the body going from one position to another and going from one location to the next, such as getting out of a chair and into bed, or kneeling or crouching and getting back up.
Cardinality	0...1
Type	CodeableConcept
Binding	ChangingPosition codes ChangingPosition (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
Mobility.MaintainingPosition
Definition	Maintaining position is staying in the same position, such as sitting in a chair or standing, when required.
Cardinality	0...1
Type	CodeableConcept
Binding	MaintainingPosition codes MaintainingPosition (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
Mobility.Transfer
Definition	A transfer is moving from one surface to another without changing the body’s position, such as sliding across a couch or moving from the bed to a chair.
Cardinality	0...1
Type	CodeableConcept
Binding	Transfer codes Transfer (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
Mobility.MedicalDevice
Definition	Description of medical aids that can be used for limitations in mobility.
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)
Mobility.Comment
Definition	A comment on the patient’s mobility.
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

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
Walking	Walking	required	https://fhir.healthdata.be/ValueSet/Walking
ClimbingStairs	ClimbingStairs	required	https://fhir.healthdata.be/ValueSet/ClimbingStairs
ChangingPosition	ChangingPosition	required	https://fhir.healthdata.be/ValueSet/ChangingPosition
MaintainingPosition	MaintainingPosition	required	https://fhir.healthdata.be/ValueSet/MaintainingPosition
Transfer	Transfer	required	https://fhir.healthdata.be/ValueSet/Transfer