Uit informatiestandaarden
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')
|
