Value Set Wijzigingen RIVMSP

Transcriptie

1 Value Set Wijzigingen RIVMSP Legenda gewijzigd nieuw vs_primaire_afwijking vs_primaire_afwijking draft " " (rivm-codesystem-13) 0-L No pathologic diagnosis (finding) 0-S MUCPOL Mucosale poliep 1-L Tubular adenoma - category (morphologic 1-L Tubulovillous adenoma (morphologic 1-L Hyperplastic polyp (morphologic 1-L Villous adenoma (morphologic 1-L L Traditional serrated adenoma (morphologic Sessile serrated adenoma (morphologic 1-L Inflammatory polyp (morphologic 1-L Juvenile polyp (morphologic 1-L Peutz Jehgers polyp (morphologic 0-S MESPOL Mesenchymale poliep

2 1-L L Lipoma, no International Classification of Diseases for Oncology subtype (morphologic Leiomyoma, no International Classification of Diseases for Oncology subtype (morphologic 1-L Lymphoid polyp (morphologic 1-L Ganglioneuroma (morphologic 1-L Neurofibroma, no International Classification of Diseases for Oncology subtype (morphologic 1-L Granular cell tumor (morphologic 1-L Perineurioma (morphologic 1-L Fibrinous polyp (morphologic 0-L Tumor invasion finding (finding) 0-L : = L Colitis (disorder) 0-L OTH other Carcinoma of colon (disorder) : Finding status (attribute) = Suspected (qualifier value)

3 vs_lokalisatie vs_lokalisatie draft 0-D Entire cecum (body structure) 0-L Cecum structure (body structure) 0-L Ascending colon structure (body structure) 0-D Entire right colic flexure (body structure) 0-L Structure of right colic flexure (body structure) 0-L Transverse colon structure (body structure) 0-D Entire left colic flexure (body structure) 0-L Structure of left colic flexure (body structure) 0-L Descending colon structure (body structure) 0-D Entire sigmoid colon (body structure) 0-L Sigmoid colon structure (body structure) 0-D Entire rectosigmoid junction (body structure) 0-L Structure of rectosigmoid junction (body structure) 0-D Entire rectum (body structure) 0-L Rectum structure (body structure) 0-L Anal structure (body structure) 0-L Structure of distal portion of ileum (body structure) 0-L Ileocecal valve structure (body structure) 0-L Anastomosis (morphologic 0-L Intestinal pouch (morphologic 0-L Stoma (morphologic

4 0-L OTH Anders vs_klindiag_coloscopie vs_klindiag_coloscopie draft 0-L Hyperplastic polyp of intestine (disorder) 0-L Adenomateus polyp of colon (disorder) 0-L : = Colonic lesion (disorder) : Associated morphology (attribute) = Colonic submucosa (body structure) 0-L Serrated polyp of colon (disorder) 0-L Adenocarcinoma of large intestine (disorder) 0-L OTH Overig vs_vervolgbeleid vs_vervolgbeleid draft

5 0-L Referral to clinic (procedure) 0-L Coloscopie voor poliepectomie 0-L Screening surveillance (regime/therapy) 0-L Screening call (procedure) 0-L Colonoscopy (procedure) 0-L : = Colonoscopy (procedure) : Priority (attribute) = Repeat elective (qualifier value) 0-L Virtual computed tomography colonoscopy (procedure) 0-L : = Procedure not indicated (situation) : Associated procedure (attribute) = Colonoscopy (procedure)

6 vs_pa_bevinding vs_pa_bevinding draft 0-L No evidence of malignant neoplasm (finding) 0-L Tumor invasion finding (finding) 0-D L : = ptis: Carcinoma in situ, intraepithelial (colon/rectum) (finding) Carcinoma of colon (disorder) : Finding status (attribute) = Suspected (qualifier value) 0-L OTH Anders vs_procedureindication

7 vs_procedureindication draft 0-L : = L : = Screening colonoscopy (procedure) - Revision status (attribute) = First revision (qualifier value) Screening colonoscopy (procedure) - Revision status (attribute) = Subsequent revision (qualifier value) vs_procedureindication_longlist vs_procedureindication_longlist draft

8 0-L : = L : = Screening colonoscopy (procedure) - Revision status (attribute) = First revision (qualifier value) Screening colonoscopy (procedure) - Revision status (attribute) = Subsequent revision (qualifier value) 0-L Abdominal discomfort (finding) 0-L Rectal hemorrhage (disorder) 0-L Iron deficiency (disorder) 0-L Fecal occult blood: positive (finding) 0-L Chronic diarrhea (disorder) 0-L Altered bowel function (finding) 0-L : = L : = L : = L : = Surveillance - Procedure context (attribute) = History of adenomatous polyp of colon (situation) Surveillance - Procedure context (attribute) = History of malignant neoplasm of colon (situation) Surveillance - Procedure context (attribute) = History of inflammatory bowel disease (situation) Surveillance - History of (contextual qualifier) (qualifier value) = Excision of lesion of colon (procedure) 0-L Inflammatory bowel disease (disorder) 0-L Family history of polyp of colon (situation) 0-L Family history of colorectal cancer (situation) 0-L : = Family history: Gastrointestinal disease (situation) - Associated finding (attribute) = Hereditary nonpolyposis colon cancer (disorder) 0-L Family history: Gastrointestinal disease (situation) 0-L Disorder of large intestine (disorder) 0-L Therapeutic colonoscopy (procedure)

9 vs_reden_coecum_niet_bereikt vs_reden_coecum_niet_bereikt draft Bron codesysteem " " (rivm-codesystem-37) " " (rivm-codesystem-250) 0-L Darm voorbereiding onvoldoende 0-L Patient niet voorbereid / gemotiveerd voor het onderzoek 0-L Lusvorming van de scoop 0-L Pijn 0-L Strictuur/stenose 0-D Materiaal probleem 0-D Technisch probleem 0-L Complicatie 0-L Klinische toestand van de patient 0-L Patient wil de procedure beëindigd hebben 0-L Tijdsslot verstreken 0-L Materiaal en/of technisch probleem 0-L Therapeutische scopie/poliepectomie 0-L OTH Anders