MedMij:Vissue-MM-3963/BgZ3.1 AddendaInhoudelijkeGegevens: verschil tussen versies

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(Initial commit)
 
Regel 981: Regel 981:
 
|style="background-color: white;"|Na gebruik maagzuurremmers zijn de klachten verdwenen
 
|style="background-color: white;"|Na gebruik maagzuurremmers zijn de klachten verdwenen
 
|}<section end=mm-bgz-patA-problem3 />
 
|}<section end=mm-bgz-patA-problem3 />
 +
==Zorgverlener (HealthProfessional) [mm-bgz-PatA-HealtcareProf1] ==
 +
<section begin=mm-bgz-PatA-HealtcareProf1 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zorgverlener (HealthProfessional) [mm-bgz-PatA-HealtcareProf1]
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
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|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|referentie:Patient (reference:Patient)
 +
|style="background-color: white;"|999901382
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens (NameInformation)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|referentie:Naamgegevens (reference:NameInformation)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
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|rowspan="8"|
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen (FirstNames)
 +
|style="background-color: white;"|Franciscus Dominicus Antonius
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|-style="vertical-align:top; background-color: #E3E3E3;;"
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|colspan="3"|Initialen (Initials)
 +
|style="background-color: white;"|F.D.A.
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|-style="vertical-align:top; background-color: #E3E3E3;;"
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|colspan="3"|Roepnaam (GivenName)
 +
|style="background-color: white;"|Frans
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|-style="vertical-align:top; background-color: #E3E3E3;;"
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|colspan="3"|Naamgebruik (NameUsage)
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam (LastName)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam (LastName)
 +
|style="background-color: white;"|Pleijster
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Specialisme (Specialty)
 +
|style="background-color: white;"|Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
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|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Adresgegevens (AddressInformation)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
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|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|referentie:Adresgegevens (reference:AddressInformation)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Straat (Street)
 +
|style="background-color: white;"|Knolweg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer (HouseNumber)
 +
|style="background-color: white;"|10
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummerletter (HouseNumberLetter)
 +
|style="background-color: white;"|A
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Postcode (Postcode)
 +
|style="background-color: white;"|9999ZA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Woonplaats (PlaceOfResidence)
 +
|style="background-color: white;"|Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Gemeente (Municipality)
 +
|style="background-color: white;"|Het Hogeland
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Land (Country)
 +
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem '1.0.3166.1.2.2')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|AdresSoort (AddressType)
 +
|style="background-color: white;"|Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Contactgegevens (ContactInformation)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|referentie:Contactgegevens (reference:ContactInformation)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers (TelephoneNumbers)
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|-style="vertical-align:top; background-color: #E3E3E3;;"
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|rowspan="4"|
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer (TelephoneNumber)
 +
|style="background-color: white;"|0595-123456
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|TelecomType (TelecomType)
 +
|style="background-color: white;"|Land Line (code = 'LL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.22.1')
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|NummerSoort (NumberType)
 +
|style="background-color: white;"|Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|EmailAdressen (EmailAddresses)
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|EmailAdres (EmailAddress)
 +
|style="background-color: white;"|Fictieve.Huisarts@HetHogeland.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|EmailSoort (EmailAddressType)
 +
|style="background-color: white;"|Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder (HealthcareProvider)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
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|colspan="4"|referentie:Zorgaanbieder (reference:HealthcareProvider)
 +
|style="background-color: white;"|Huisartsenpraktijk het Hogeland
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|ZorgverlenersRol (HealthProfessionalRole)
 +
|style="background-color: white;"|Referrer (code = 'REF' in codeSystem 'HL7 ParticipationType')
 +
|}<section end=mm-bgz-PatA-HealtcareProf1 />
 +
==Zorgverlener (HealthProfessional) [mm-bgz-PatA-HealtcareProf2] ==
 +
<section begin=mm-bgz-PatA-HealtcareProf2 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zorgverlener (HealthProfessional) [mm-bgz-PatA-HealtcareProf2]
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|referentie:Patient (reference:Patient)
 +
|style="background-color: white;"|999901382
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens (NameInformation)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|referentie:Naamgegevens (reference:NameInformation)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen (FirstNames)
 +
|style="background-color: white;"|Olivier Ruben
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen (Initials)
 +
|style="background-color: white;"|O.R.
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|-style="vertical-align:top; background-color: #E3E3E3;;"
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|colspan="3"|Roepnaam (GivenName)
 +
|style="background-color: white;"|Olivier
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik (NameUsage)
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam (LastName)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorvoegsels (Prefix)
 +
|style="background-color: white;"|de
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
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|colspan="2"|Achternaam (LastName)
 +
|style="background-color: white;"|Rijcke
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Specialisme (Specialty)
 +
|style="background-color: white;"|Orthopedisch chirurg (code = '01.032' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Adresgegevens (AddressInformation)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|referentie:Adresgegevens (reference:AddressInformation)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Straat (Street)
 +
|style="background-color: white;"|Knolweg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer (HouseNumber)
 +
|style="background-color: white;"|12
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|AanduidingBijNummer (HouseNumberIndication)
 +
|style="background-color: white;"|Tegenover (code = 'to' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Postcode (Postcode)
 +
|style="background-color: white;"|9999ZA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Woonplaats (PlaceOfResidence)
 +
|style="background-color: white;"|Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Gemeente (Municipality)
 +
|style="background-color: white;"|Het Hogeland
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Land (Country)
 +
|style="background-color: white;"|Nederland (code = 'NL' in codeSystem '1.0.3166.1.2.2')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|AdresSoort (AddressType)
 +
|style="background-color: white;"|Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Contactgegevens (ContactInformation)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|referentie:Contactgegevens (reference:ContactInformation)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers (TelephoneNumbers)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer (TelephoneNumber)
 +
|style="background-color: white;"|012-3456789
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|TelecomType (TelecomType)
 +
|style="background-color: white;"|Land Line (code = 'LL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.22.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|NummerSoort (NumberType)
 +
|style="background-color: white;"|Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|EmailAdressen (EmailAddresses)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|EmailAdres (EmailAddress)
 +
|style="background-color: white;"|Fictieve.Chirurg@HetHogeland.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|EmailSoort (EmailAddressType)
 +
|style="background-color: white;"|Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder (HealthcareProvider)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|referentie:Zorgaanbieder (reference:HealthcareProvider)
 +
|style="background-color: white;"|Huisartsenpraktijk het Hogeland
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|ZorgverlenersRol (HealthProfessionalRole)
 +
|style="background-color: white;"|Performer (code = 'PRF' in codeSystem 'HL7 ParticipationType')
 +
|}<section end=mm-bgz-PatA-HealtcareProf2 />
 +
==GeplandeZorgActiviteit (PlannedCareActivity) [mm-bgz-PatA-PlannedCare] ==
 +
<section begin=mm-bgz-PatA-PlannedCare />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | GeplandeZorgActiviteit (PlannedCareActivity) [mm-bgz-PatA-PlannedCare]
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|referentie:Patient (reference:Patient)
 +
|style="background-color: white;"|999901382
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|OrderStatus (OrderStatus)
 +
|style="background-color: white;"|Ordered (code = 'new' in codeSystem 'HL7 ActStatus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|OrderType (OrderType)
 +
|style="background-color: white;"|Encounter (code = '308335008' in codeSystem 'SNOMED CT')
 +
|}<section end=mm-bgz-PatA-PlannedCare />
 
==LaboratoriumUitslag (LaboratoryTestResult) [mm-bgz-patA-labResult1] ==
 
==LaboratoriumUitslag (LaboratoryTestResult) [mm-bgz-patA-labResult1] ==
 
<section begin=mm-bgz-patA-labResult1 />
 
<section begin=mm-bgz-patA-labResult1 />
Regel 1.093: Regel 1.344:
 
|style="background-color: white;"|mm-bgz-PatA-HealtcareProf1
 
|style="background-color: white;"|mm-bgz-PatA-HealtcareProf1
 
|}<section end=mm-bgz-patA-labResult1 />
 
|}<section end=mm-bgz-patA-labResult1 />
 +
==Wilsverklaring (AdvanceDirective) [mm-bgz-patA-advdir1] ==
 +
<section begin=mm-bgz-patA-advdir1 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Wilsverklaring (AdvanceDirective) [mm-bgz-patA-advdir1]
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|referentie:Patient (reference:Patient)
 +
|style="background-color: white;"|999901382
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|WilsverklaringType (LivingWillType)
 +
|style="background-color: white;"|Niet reanimeren verklaring (code = 'NR' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.14.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|WilsverklaringDatum (LivingWillDate)
 +
|style="background-color: white;"|28 nov 2022
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Aandoening (Disorder)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|referentie:Probleem (reference:Problem)
 +
|style="background-color: white;"|
 +
|}<section end=mm-bgz-patA-advdir1 />
 +
==Alert (Alert) [mm-bgz-patA-alert1] ==
 +
<section begin=mm-bgz-patA-alert1 />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Alert (Alert) [mm-bgz-patA-alert1]
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|referentie:Patient (reference:Patient)
 +
|style="background-color: white;"|999901382
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|AlertNaam (AlertName)
 +
|style="background-color: white;"|Methicillin resistant staphylococcus aureus carrier (code = '432415000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|BeginDatumTijd (StartDateTime)
 +
|style="background-color: white;"|2007
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|AlertType (AlertType)
 +
|style="background-color: white;"|alert (code = '74018-3' in codeSystem 'LOINC')
 +
|}<section end=mm-bgz-patA-alert1 />
 
=Scenario 1: Patiënt B=
 
=Scenario 1: Patiënt B=
 
==Patient (Patient) [mm-bgz-patB] ==
 
==Patient (Patient) [mm-bgz-patB] ==

Versie van 19 jan 2023 om 13:33


Inhoud

1 Addenda voor inhoudelijke gegevens

Deze pagina bevat de gegevens voor de kwalificatiescenario's van de BgZ

2 Scenario 1: Patiënt A

2.1 BurgerlijkeStaatRC (MaritalStatusRC) [mm-bgz-patA-maritalstat]

BurgerlijkeStaatRC (MaritalStatusRC) [mm-bgz-patA-maritalstat]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
BurgerlijkeStaat (MaritalStatus) Never Married (code = 'S' in codeSystem '2.16.840.1.113883.5.2')

2.2 Probleem (Problem) [mm-bgz-patA-problem2]

Probleem (Problem) [mm-bgz-patA-problem2]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
ProbleemLateraliteit (ProblemLaterality) Right (code = '24028007' in codeSystem 'SNOMED CT')
ProbleemType (ProblemType) Diagnosis (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam (ProblemName) Artrose van rechter kniegewricht (code = '323321000119100' in codeSystem 'SNOMED CT')
ProbleemBeginDatum (ProblemStartDate)
ProbleemEindDatum (ProblemEndDate) 12 dec 2022
ProbleemStatus (ProblemStatus) Active (code = '55561003' in codeSystem 'SNOMED CT')
VerificatieStatus (VerificationStatus) Known possible (code = '410590009' in codeSystem 'SNOMED CT')
Toelichting (Comment) Pijn bij normale belasting

2.3 Probleem (Problem) [mm-bgz-patA-problem1]

Probleem (Problem) [mm-bgz-patA-problem1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
ProbleemAnatomischeLocatie (ProblemAnatomicalLocation) Gehele lever (code = '181268008' in codeSystem 'SNOMED CT')
ProbleemType (ProblemType) Diagnosis (code = '282291009' in codeSystem 'SNOMED CT')
ProbleemNaam (ProblemName) Alcoholische levercirrose (code = '420054005' in codeSystem 'problem')
ProbleemBeginDatum (ProblemStartDate) 11 nov 2012
ProbleemStatus (ProblemStatus) Active (code = '55561003' in codeSystem 'SNOMED CT')
VerificatieStatus (VerificationStatus) Confirmed present (code = '410605003' in codeSystem 'SNOMED CT')
Toelichting (Comment) Heeft vroeger alcohol misbruikt, nu geheelonthouder

2.4 BehandelAanwijzing (TreatmentDirective) [mm-bgz-patA-treatmentdirective]

BehandelAanwijzing (TreatmentDirective) [mm-bgz-patA-treatmentdirective]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
Verificatie (Verification)
Geverifieerd (Verified) Ja
GeverifieerdBij (VerifiedWith) Patient (code = '116154003' in codeSystem 'SNOMED CT')
VerificatieDatum (VerificationDate) 28 nov 2022
Behandeling (Treatment) Artificial respiration (procedure) (code = '40617009' in codeSystem 'SNOMED CT')
BehandelingToegestaan (TreatmentPermitted) Ja, maar met beperkingen (code = 'JA_MAAR' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4')
Beperkingen (Restrictions) Enkel met zicht op volledig herstel
BeginDatum (StartDate) 28 nov 2022
EindDatum (EndDate) 12 dec 2022
Toelichting (Comment) Geverifieerd voorafgaand aan plaatsing kunstknie

2.5 TabakGebruik (TobaccoUse) [mm-bgz-patA-TobaccoUse]

TabakGebruik (TobaccoUse) [mm-bgz-patA-TobaccoUse]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
Toelichting (Comment) Partner rookt
SoortTabakGebruik (TypeOfTobaccoUsed) Other (code = 'OTH' in codeSystem 'HL7 NullFlavor')
TabakGebruikStatus (TobaccoUseStatus) Passive smoker (finding) (code = '43381005' in codeSystem 'SNOMED CT')
WaarnemingGebruik (ObservationOfUse)
StartDatum (StartDate) 2015
Hoeveelheid (Amount) 20 sigaretten per dag
PackYears (PackYears) 8

2.6 DrugsGebruik (DrugUse) [mm-bgz-patA-DrugUse]

DrugsGebruik (DrugUse) [mm-bgz-patA-DrugUse]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
WaarnemingGebruik (ObservationOfUse)
StartDatum (StartDate) 2005
StopDatum (StopDate) 2009
Hoeveelheid (Amount) 1 á 2 keer per maand
Toelichting (Comment) Op feestjes en tijdens uitgaan
DrugsOfGeneesmiddelSoort (DrugOrMedicationType) Cocaine (substance) (code = '387085005' in codeSystem 'SNOMED CT')
DrugsGebruikStatus (DrugUseStatus) Misused drugs in past (finding) (code = '44870007' in codeSystem 'SNOMED CT')
Toedieningsweg (RouteOfAdministration) NASAAL (code = '6' in codeSystem 'G-Standaard TH007 Toedieningswegen')

2.7 AllergieIntolerantie (AllergyIntolerance) [mm-bgz-patA-AllergyIntolerance1]

AllergieIntolerantie (AllergyIntolerance) [mm-bgz-patA-AllergyIntolerance1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
VeroorzakendeStof (CausativeAgent) Pinda (code = '762952008' in codeSystem 'SNOMED CT')
AllergieCategorie (AllergyCategory) Allergy to substance (code = '419199007' in codeSystem 'SNOMED CT')
AllergieStatus (AllergyStatus) Active (code = 'active' in codeSystem 'HL7 ActStatus')
BeginDatumTijd (StartDateTime) 14 maa 1997
MateVanKritiekZijn (Criticality) Fatal (code = '399166001' in codeSystem 'SNOMED CT')
LaatsteReactieDatumTijd (LastReactionDateTime) 3 mei 2017
Reactie (Reaction)
Symptoom (Symptom) Anaphylaxis (code = '39579001' in codeSystem 'SNOMED CT')
SpecifiekeStof (SpecificSubstance) Pinda (code = '762952008' in codeSystem 'SNOMED CT')
ReactieBeschrijving (ReactionDescription) Zwellen van de luchtweg en aangezicht
Ernst (Severity) Severe (code = '24484000' in codeSystem 'SNOMED CT')
WijzeVanBlootstelling (RouteOfExposure) Oraal (code = '26643006' in codeSystem 'SNOMED CT')
ReactieTijdstip (ReactionTime) 3 mei 2017

2.8 Voedingsadvies (NutritionAdvice) [mm-bgz-patA-NutritionAdvise]

Voedingsadvies (NutritionAdvice) [mm-bgz-patA-NutritionAdvise]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
DieetType (DietType) Natriumarm dieet
Consistentie (Consistency) Vast
Toelichting (Comment) Wegens verhoogde bloeddruk

2.9 AlcoholGebruik (AlcoholUse) [mm-bgz-patA-AlcoholUse]

AlcoholGebruik (AlcoholUse) [mm-bgz-patA-AlcoholUse]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
Toelichting (Comment) Sinds mei 2013 nuchter
AlcoholGebruikStatus (AlcoholUseStatus) Ex-drinker (finding) (code = '82581004' in codeSystem 'SNOMED CT')
WaarnemingGebruik (ObservationOfUse)
StartDatum (StartDate) 2003
StopDatum (StopDate) 12 mei 2013
Hoeveelheid (Amount) 8 eenheden per dag

2.10 Woonsituatie (LivingSituation) [mm-bgz-patA-livingSit]

Woonsituatie (LivingSituation) [mm-bgz-patA-livingSit]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
Toelichting (Comment) Woning bereikbaar met trap
WoningType (HouseType) Woonboot (code = 'WOONB' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.13.1')

2.11 Patient (Patient) [mm-bgz-patA]

Patient (Patient) [mm-bgz-patA]
Gegevenselement Waarde
Naamgegevens (NameInformation)
referentie:Naamgegevens (reference:NameInformation)
Voornamen (FirstNames) Anouk
Initialen (Initials) A.
Roepnaam (GivenName) Anouk
Naamgebruik (NameUsage) Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam (LastName)
Voorvoegsels (Prefix) van
Achternaam (LastName) XXX_Rijn
GeslachtsnaamPartner (LastNamePartner)
VoorvoegselsPartner (PartnerPrefix) de
AchternaamPartner (PartnerLastName) XXX_Vries
Adresgegevens (AddressInformation)
referentie:Adresgegevens (reference:AddressInformation)
Straat (Street) Knolweg
Huisnummer (HouseNumber) 1002
Postcode (Postcode) 9999ZZ
Woonplaats (PlaceOfResidence) Stitswerd
Gemeente (Municipality) Het Hogeland
Land (Country) (code = 'NLD' in codeSystem '1.0.3166.1.2.2')
AdresSoort (AddressType) Primary Home (code = 'HP' in codeSystem 'HL7 AddressUse')
Contactgegevens (ContactInformation)
referentie:Contactgegevens (reference:ContactInformation)
Telefoonnummers (TelephoneNumbers)
Telefoonnummer (TelephoneNumber) 0612345678
TelecomType (TelecomType) Mobile Phone (code = 'MC' in codeSystem 'HL7 AddressUse')
NummerSoort (NumberType) Primary Home (code = 'HP' in codeSystem 'HL7 AddressUse')
EmailAdressen (EmailAddresses)
EmailAdres (EmailAddress) A.van.XXX_Rijn@gmail.com
EmailSoort (EmailAddressType) Primary Home (code = 'HP' in codeSystem 'HL7 AddressUse')
Identificatienummer (PatientIdentificationNumber) 999901382 (in identificerend systeem: BSN)
Geboortedatum (DateOfBirth) 17 dec 1985
Geslacht (Gender) Female (code = 'F' in codeSystem 'HL7 AdministrativeGender')
MeerlingIndicator (MultipleBirthIndicator) Nee
OverlijdensIndicator (DeathIndicator) Nee

2.12 Contact (Encounter) [mm-bgz-patA-encounter1]

Contact (Encounter) [mm-bgz-patA-encounter1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
ContactType (ContactType) Ambulatory (code = 'AMB' in codeSystem 'HL7 ActCode')
BeginDatumTijd (StartDateTime) 28 nov 2022
RedenContact (ContactReason)
Probleem (Problem)
referentie:Probleem (reference:Problem) mm-bgz-patA-problem2
Verrichting (Procedure)
referentie:Verrichting (reference:Procedure) 392238003
Herkomst (Origin) Home (code = '264362003' in codeSystem 'SNOMED CT')
Bestemming (Destination) Home (code = '264362003' in codeSystem 'SNOMED CT')

2.13 Betaler (Payer) [mm-bgz-patA-payer]

Betaler (Payer) [mm-bgz-patA-payer]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
BetalerPersoon (PayerPerson)
BetalerNaam (PayerName) A. van XXX_Rijn
Bankgegevens (BankInformation)
BankNaam (BankName) ABN Bank
Bankcode (BankCode) ABNANL2A
Rekeningnummer (AccountNumber) NL64ABNC0417164300
Verzekeraar (InsuranceCompany)
Verzekering (Insurance)
BeginDatumTijd (StartDateTime) 1 jan 2022
EindDatumTijd (EndDateTime) 31 dec 2022
Verzekeringssoort (InsuranceType) Aanvullend verzekerd (code = 'A' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
IdentificatieNummer (IdentificationNumber) 7095 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
OrganisatieNaam (OrganizationName) VGZ Zorgverzekeraar N.V.
VerzekerdeNummer (InsurantNumber) 12345678
Adresgegevens (AddressInformation)
referentie:Adresgegevens (reference:AddressInformation)
Straat (Street) Nieuwe Stationstraat
Huisnummer (HouseNumber) 12
Postcode (Postcode) 6811 KS
Woonplaats (PlaceOfResidence) Arnhem
Gemeente (Municipality) Arnhem
Land (Country) (code = 'NLD' in codeSystem '1.0.3166.1.2.2')
AdresSoort (AddressType) Postal Addres (code = 'PST' in codeSystem 'HL7 AddressUse')
Contactgegevens (ContactInformation)
referentie:Contactgegevens (reference:ContactInformation)
Telefoonnummers (TelephoneNumbers)
Telefoonnummer (TelephoneNumber) 098-7654321
TelecomType (TelecomType) Land Line (code = 'LL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.22.1')
NummerSoort (NumberType) Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')

2.14 Contactpersoon (Contact) [mm-bgz-patA-contactperson1]

Contactpersoon (Contact) [mm-bgz-patA-contactperson1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
Naamgegevens (NameInformation)
referentie:Naamgegevens (reference:NameInformation)
Voornamen (FirstNames) Benedictus
Initialen (Initials) B.
Roepnaam (GivenName) Ben
Naamgebruik (NameUsage) Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam (LastName)
Voorvoegsels (Prefix) de
Achternaam (LastName) XXX_Vries
Contactgegevens (ContactInformation)
referentie:Contactgegevens (reference:ContactInformation)
Telefoonnummers (TelephoneNumbers)
Telefoonnummer (TelephoneNumber) 06-12345678
TelecomType (TelecomType) Mobile Phone (code = 'MC' in codeSystem 'HL7 AddressUse')
NummerSoort (NumberType) Primary Home (code = 'HP' in codeSystem 'HL7 AddressUse')
EmailAdressen (EmailAddresses)
EmailAdres (EmailAddress) Ben.de.XXX_Vries@gmail.com
EmailSoort (EmailAddressType) Primary Home (code = 'HP' in codeSystem 'HL7 AddressUse')
Adresgegevens (AddressInformation)
referentie:Adresgegevens (reference:AddressInformation)
Straat (Street) Knolweg
Huisnummer (HouseNumber) 1002
AanduidingBijNummer (HouseNumberIndication) Tegenover (code = 'to' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')
Postcode (Postcode) 9999ZZ
Woonplaats (PlaceOfResidence) Stitswerd
Gemeente (Municipality) Het Hogeland
Land (Country) (code = 'NLD' in codeSystem '1.0.3166.1.2.2')
AdresSoort (AddressType) Primary Home (code = 'HP' in codeSystem 'HL7 AddressUse')
Rol (Role) Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
Relatie (Relationship) Domestic partner (code = 'DOMPART' in codeSystem 'HL7 RoleCode')

2.15 Vaccinatie (Vaccination) [mm-bgz-patA-vaccin1]

Vaccinatie (Vaccination) [mm-bgz-patA-vaccin1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
ProductCode (ProductCode) Hepatitis B vaccin (code = '92975' in codeSystem 'G-Standaard PRK')
Dosis (Dose) 1 ml, 20 mcg hbsag/ml
VaccinatieDatum (VaccinationDate) 26 apr 2022
GewensteDatumHervaccinatie (PreferedDateForRevaccination) 26 okt 2022
Toelichting (Comment) Rondreis door Afrika

2.16 MedischHulpmiddel (MedicalDevice) [mm-bgz-patA-medDevice1]

MedischHulpmiddel (MedicalDevice) [mm-bgz-patA-medDevice1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
Product (Product)
ProductID (ProductID) (code = '8720663634511' in codeSystem '1.3.160')
ProductType (ProductType) Krukken (code = '363753007' in codeSystem 'SNOMED CT')
ProductOmschrijving (ProductDescription) Verstelbare elleboogkrukken met gesloten manchet
BeginDatum (StartDate) 28 nov 2022
Indicatie (Indication)
referentie:Probleem (reference:Problem) zib-2017-mm-bgz-patA-problem2
Toelichting (Comment) Ter ondersteuning na plaatsing kunstknie
AnatomischeLocatie (AnatomicalLocation) Knie (code = '49076000' in codeSystem 'SNOMED CT')
Lateraliteit (Laterality) Right and left (code = '51440002' in codeSystem 'SNOMED CT')

2.17 Bloeddruk (BloodPressure) [mm-bgz-patA-bloodpressure1]

Bloeddruk (BloodPressure) [mm-bgz-patA-bloodpressure1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
Meetmethode (MeasuringMethod) Non-invasive (code = '22762002' in codeSystem 'SNOMED CT')
ManchetType (CuffType) Standaard (code = 'STD' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.15.1')
MeetLocatie (MeasuringLocation) Left upper arm structure (code = '368208006' in codeSystem 'SNOMED CT')
DiastolischEindpunt (DiastolicEndpoint) Phase 5 (code = '255272007' in codeSystem 'SNOMED CT')
SystolischeBloeddruk (SystolicBloodPressure) 123 mmhg
DiastolischeBloeddruk (DiastolicBloodPressure) 82 mmhg
GemiddeldeBloeddruk (AverageBloodPressure) 93 mmhg
BloeddrukDatumTijd (BloodPressureDateTime) 15 okt 2022
Toelichting (Comment) In rust
Houding (Position) Sitting position (code = '33586001' in codeSystem 'SNOMED CT')

2.18 Lichaamslengte (BodyHeight) [mm-bgz-patA-bodyheight]

Lichaamslengte (BodyHeight) [mm-bgz-patA-bodyheight]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
LengteWaarde (HeightValue) 178 cm
LengteDatumTijd (HeightDateTime) 15 okt 2022
Toelichting (Comment) Zonder schoenen, met sokken
Positie (Position) Orthostatic body position (code = '10904000' in codeSystem 'SNOMED CT')

2.19 Lichaamsgewicht (BodyWeight) [mm-bgz-patA-bodyweight1]

Lichaamsgewicht (BodyWeight) [mm-bgz-patA-bodyweight1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
GewichtWaarde (WeightValue) 80 kg
GewichtDatumTijd (WeightDateTime) 15 okt 2022
Kleding (Clothing) Undressed (code = 'UNDRESSED' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')

2.20 FunctioneleOfMentaleStatus (FunctionalOrMentalStatus) [mm-bgz-patA-funcstat1]

FunctioneleOfMentaleStatus (FunctionalOrMentalStatus) [mm-bgz-patA-funcstat1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
StatusNaam (StatusName) Verminderde mobiliteit (code = '8510008' in codeSystem 'SNOMED CT')
StatusWaarde (StatusValue) Intermediair (code = '11896004' in codeSystem '2.16.840.1.113883.6.96 (ordinal = )
StatusDatum (StatusDate) 5 aug 2018
Toelichting (Comment) Pijn bij normale belasting van rechterknie

2.21 Verrichting (Procedure) [mm-bgz-patA-procedure1]

Verrichting (Procedure) [mm-bgz-patA-procedure1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
VerrichtingStartDatum (ProcedureStartDate) 28 nov 2022
VerrichtingEindDatum (ProcedureEndDate) 28 nov 2022
VerrichtingAnatomischeLocatie (ProcedureAnatomicalLocation) Knie (code = '49076000' in codeSystem 'SNOMED CT')
VerrichtingLateraliteit (ProcedureLaterality) Right (code = '24028007' in codeSystem 'SNOMED CT')
VerrichtingType (ProcedureType) Implantatie van gewrichtsprothese (code = '61557004' in codeSystem 'SNOMED CT')
VerrichtingMethode (ProcedureMethod) Chirurgische handeling (code = '129284003' in codeSystem 'SNOMED CT')

2.22 Vaccinatie (Vaccination) [mm-bgz-patA-vaccin2]

Vaccinatie (Vaccination) [mm-bgz-patA-vaccin2]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
ProductCode (ProductCode) Hepatitis B vaccin (code = '92975' in codeSystem 'G-Standaard PRK')
Dosis (Dose) 1 ml, 20 mcg hbsag/ml
VaccinatieDatum (VaccinationDate) 26 okt 2022
Toelichting (Comment) 2e prik, eerste is gegeven op 2022-04-26

2.23 Probleem (Problem) [mm-bgz-patA-problem3]

Probleem (Problem) [mm-bgz-patA-problem3]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
ProbleemLateraliteit (ProblemLaterality) Left (code = '7771000' in codeSystem 'SNOMED CT')
ProbleemType (ProblemType) Complaint (code = '409586006' in codeSystem 'SNOMED CT')
ProbleemNaam (ProblemName) Maagpijn (code = '271681002' in codeSystem 'SNOMED CT')
ProbleemBeginDatum (ProblemStartDate) 25 maa 2021
ProbleemEindDatum (ProblemEndDate) 2 mei 2021
ProbleemStatus (ProblemStatus) Inactive (code = '73425007' in codeSystem 'SNOMED CT')
VerificatieStatus (VerificationStatus) Suspected (code = '415684004' in codeSystem 'SNOMED CT')
Toelichting (Comment) Na gebruik maagzuurremmers zijn de klachten verdwenen

2.24 Zorgverlener (HealthProfessional) [mm-bgz-PatA-HealtcareProf1]

Zorgverlener (HealthProfessional) [mm-bgz-PatA-HealtcareProf1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
Naamgegevens (NameInformation)
referentie:Naamgegevens (reference:NameInformation)
Voornamen (FirstNames) Franciscus Dominicus Antonius
Initialen (Initials) F.D.A.
Roepnaam (GivenName) Frans
Naamgebruik (NameUsage) Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam (LastName)
Achternaam (LastName) Pleijster
Specialisme (Specialty) Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Adresgegevens (AddressInformation)
referentie:Adresgegevens (reference:AddressInformation)
Straat (Street) Knolweg
Huisnummer (HouseNumber) 10
Huisnummerletter (HouseNumberLetter) A
Postcode (Postcode) 9999ZA
Woonplaats (PlaceOfResidence) Stitswerd
Gemeente (Municipality) Het Hogeland
Land (Country) Nederland (code = 'NL' in codeSystem '1.0.3166.1.2.2')
AdresSoort (AddressType) Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
Contactgegevens (ContactInformation)
referentie:Contactgegevens (reference:ContactInformation)
Telefoonnummers (TelephoneNumbers)
Telefoonnummer (TelephoneNumber) 0595-123456
TelecomType (TelecomType) Land Line (code = 'LL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.22.1')
NummerSoort (NumberType) Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
EmailAdressen (EmailAddresses)
EmailAdres (EmailAddress) Fictieve.Huisarts@HetHogeland.nl
EmailSoort (EmailAddressType) Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
Zorgaanbieder (HealthcareProvider)
referentie:Zorgaanbieder (reference:HealthcareProvider) Huisartsenpraktijk het Hogeland
ZorgverlenersRol (HealthProfessionalRole) Referrer (code = 'REF' in codeSystem 'HL7 ParticipationType')

2.25 Zorgverlener (HealthProfessional) [mm-bgz-PatA-HealtcareProf2]

Zorgverlener (HealthProfessional) [mm-bgz-PatA-HealtcareProf2]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
Naamgegevens (NameInformation)
referentie:Naamgegevens (reference:NameInformation)
Voornamen (FirstNames) Olivier Ruben
Initialen (Initials) O.R.
Roepnaam (GivenName) Olivier
Naamgebruik (NameUsage) Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam (LastName)
Voorvoegsels (Prefix) de
Achternaam (LastName) Rijcke
Specialisme (Specialty) Orthopedisch chirurg (code = '01.032' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Adresgegevens (AddressInformation)
referentie:Adresgegevens (reference:AddressInformation)
Straat (Street) Knolweg
Huisnummer (HouseNumber) 12
AanduidingBijNummer (HouseNumberIndication) Tegenover (code = 'to' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.3')
Postcode (Postcode) 9999ZA
Woonplaats (PlaceOfResidence) Stitswerd
Gemeente (Municipality) Het Hogeland
Land (Country) Nederland (code = 'NL' in codeSystem '1.0.3166.1.2.2')
AdresSoort (AddressType) Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
Contactgegevens (ContactInformation)
referentie:Contactgegevens (reference:ContactInformation)
Telefoonnummers (TelephoneNumbers)
Telefoonnummer (TelephoneNumber) 012-3456789
TelecomType (TelecomType) Land Line (code = 'LL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.22.1')
NummerSoort (NumberType) Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
EmailAdressen (EmailAddresses)
EmailAdres (EmailAddress) Fictieve.Chirurg@HetHogeland.nl
EmailSoort (EmailAddressType) Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
Zorgaanbieder (HealthcareProvider)
referentie:Zorgaanbieder (reference:HealthcareProvider) Huisartsenpraktijk het Hogeland
ZorgverlenersRol (HealthProfessionalRole) Performer (code = 'PRF' in codeSystem 'HL7 ParticipationType')

2.26 GeplandeZorgActiviteit (PlannedCareActivity) [mm-bgz-PatA-PlannedCare]

GeplandeZorgActiviteit (PlannedCareActivity) [mm-bgz-PatA-PlannedCare]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
OrderStatus (OrderStatus) Ordered (code = 'new' in codeSystem 'HL7 ActStatus')
OrderType (OrderType) Encounter (code = '308335008' in codeSystem 'SNOMED CT')

2.27 LaboratoriumUitslag (LaboratoryTestResult) [mm-bgz-patA-labResult1]

LaboratoriumUitslag (LaboratoryTestResult) [mm-bgz-patA-labResult1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
LaboratoriumTest (LaboratoryTest)
TestCode (TestCode) Hemoglobine [mol/volume] in bloed (code = '10346-5' in codeSystem 'LOINC')
TestDatumTijd (TestDateTime)
TestUitslag (TestResult) 7.2 mmol/L
TestUitslagStatus (TestResultStatus) Final (code = 'final' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.16.1')
ReferentieBovengrens (ReferenceRangeUpperLimit) 9.9 mmol/L
ReferentieOndergrens (ReferenceRangeLowerLimit) 7.4 mmol/L
InterpretatieVlaggen (ResultFlags) Below reference range (code = '281300000' in codeSystem 'SNOMED CT')
UitslagInterpretatie (ResultInterpretation) Onder referentiewaarden
LaboratoriumTest (LaboratoryTest)
TestCode (TestCode) Ferritine [massa/volume] in bloed (code = '24373-3' in codeSystem 'LOINC')
Testmethode (TestMethod) Turbidimetrie (code = '83611000052104' in codeSystem 'SNOMED CT')
TestDatumTijd (TestDateTime)
TestUitslag (TestResult) 73 ng/ml
TestUitslagStatus (TestResultStatus) Final (code = 'final' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.16.1')
ReferentieBovengrens (ReferenceRangeUpperLimit) 100 ng/ml
ReferentieOndergrens (ReferenceRangeLowerLimit) 20 ng/ml
InterpretatieVlaggen (ResultFlags) Intermediate (code = '11896004' in codeSystem 'SNOMED CT')
UitslagInterpretatie (ResultInterpretation) Binnen referentiewaarden
Monster (Specimen)
Containertype (ContainerType) Container voor bloed- of weefselopslag of -kweek (code = '700957004' in codeSystem 'SNOMED CT')
Monstermateriaal (SpecimenMaterial) Bloed (code = '87612001' in codeSystem 'SNOMED CT')
Verzamelvolume (CollectedVolume) 10 ml
AfnameDatumTijd (CollectionDateTime)
AannameDatumTijd (ReceivedDateTime)
AnatomischeLocatie (AnatomicalLocation) Gehele regio cubiti (code = '76248009' in codeSystem 'SNOMED CT')
Lateraliteit (Laterality) Right (code = '24028007' in codeSystem 'SNOMED CT')
Morfologie (Morphology) Afwijkende vasculaire verbinding (afwijkende morfologie) (code = '399881009' in codeSystem 'SNOMED CT')
ResultaatStatus (ResultStatus) Final (code = 'final' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.16.1')
ResultaatType (ResultType) Hematology (code = '252275004' in codeSystem 'SNOMED CT')
Aanvrager (Requester)
referentie:Zorgverlener (reference:HealthProfessional) mm-bgz-PatA-HealtcareProf1

2.28 Wilsverklaring (AdvanceDirective) [mm-bgz-patA-advdir1]

Wilsverklaring (AdvanceDirective) [mm-bgz-patA-advdir1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
WilsverklaringType (LivingWillType) Niet reanimeren verklaring (code = 'NR' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.14.1')
WilsverklaringDatum (LivingWillDate) 28 nov 2022
Aandoening (Disorder)
referentie:Probleem (reference:Problem)

2.29 Alert (Alert) [mm-bgz-patA-alert1]

Alert (Alert) [mm-bgz-patA-alert1]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901382
AlertNaam (AlertName) Methicillin resistant staphylococcus aureus carrier (code = '432415000' in codeSystem 'SNOMED CT')
BeginDatumTijd (StartDateTime) 2007
AlertType (AlertType) alert (code = '74018-3' in codeSystem 'LOINC')

3 Scenario 1: Patiënt B

3.1 Patient (Patient) [mm-bgz-patB]

Patient (Patient) [mm-bgz-patB]
Gegevenselement Waarde
Naamgegevens (NameInformation)
referentie:Naamgegevens (reference:NameInformation)
Voornamen (FirstNames) Joeri
Initialen (Initials) J.
Roepnaam (GivenName) Joeri
Naamgebruik (NameUsage) Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam (LastName)
Achternaam (LastName) XXX_Hoff
Adresgegevens (AddressInformation)
referentie:Adresgegevens (reference:AddressInformation)
Straat (Street) Knolweg
Huisnummer (HouseNumber) 1003
Postcode (Postcode) 9999ZA
Woonplaats (PlaceOfResidence) Stitswerd
Gemeente (Municipality) Het Hogeland
Land (Country) (code = 'NLD' in codeSystem '1.0.3166.1.2.2')
AdresSoort (AddressType) Primary Home (code = 'HP' in codeSystem 'HL7 AddressUse')
Contactgegevens (ContactInformation)
referentie:Contactgegevens (reference:ContactInformation)
Telefoonnummers (TelephoneNumbers)
Telefoonnummer (TelephoneNumber) 0687654321
TelecomType (TelecomType) Mobile Phone (code = 'MC' in codeSystem 'HL7 AddressUse')
NummerSoort (NumberType) Primary Home (code = 'HP' in codeSystem 'HL7 AddressUse')
EmailAdressen (EmailAddresses)
EmailAdres (EmailAddress) J_XXX_Hoff@hotmail.com
EmailSoort (EmailAddressType) Primary Home (code = 'HP' in codeSystem 'HL7 AddressUse')
Identificatienummer (PatientIdentificationNumber) 999901394 (in identificerend systeem: BSN)
Geboortedatum (DateOfBirth) 18 dec 1958
Geslacht (Gender) Male (code = 'M' in codeSystem 'HL7 AdministrativeGender')
MeerlingIndicator (MultipleBirthIndicator) Nee
OverlijdensIndicator (DeathIndicator) Nee

3.2 Betaler (Payer) [mm-bgz-patB-payer]

Betaler (Payer) [mm-bgz-patB-payer]
Gegevenselement Waarde
referentie:Patient (reference:Patient) 999901394
BetalerPersoon (PayerPerson)
BetalerNaam (PayerName) J. XXX_Hoff
Verzekeraar (InsuranceCompany)
Verzekering (Insurance)
BeginDatumTijd (StartDateTime) 1 jan 2022
EindDatumTijd (EndDateTime) 31 dec 2022
Verzekeringssoort (InsuranceType) Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
IdentificatieNummer (IdentificationNumber) 3332 (in identificerend systeem: 2.16.840.1.113883.2.4.6.4)
OrganisatieNaam (OrganizationName) Menzis Zorgverzekeraar N.V.
VerzekerdeNummer (InsurantNumber) 12345678
Adresgegevens (AddressInformation)
referentie:Adresgegevens (reference:AddressInformation)
Straat (Street) Postbus
Huisnummer (HouseNumber) 34000
Postcode (Postcode) 7500KC
Woonplaats (PlaceOfResidence) Enschede
Gemeente (Municipality) Enschede
Land (Country) (code = 'NLD' in codeSystem '1.0.3166.1.2.2')
AdresSoort (AddressType) Postal Addres (code = 'PST' in codeSystem 'HL7 AddressUse')
Contactgegevens (ContactInformation)
referentie:Contactgegevens (reference:ContactInformation)
Telefoonnummers (TelephoneNumbers)
Telefoonnummer (TelephoneNumber) +31 5 0523 3333
TelecomType (TelecomType) Land Line (code = 'LL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.22.1')
NummerSoort (NumberType) Work Place (code = 'WP' in codeSystem 'HL7 AddressUse')
Overgenomen van "https://informatiestandaarden.nictiz.nl/index.php?title=MedMij:Vissue-MM-3963/BgZ3.1_AddendaInhoudelijkeGegevens&oldid=152120"