Update bot op 27 mrt 2024 om 10:25

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	</ul>		</ul>
	Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>		Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
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Update bot op 27 mrt 2024 om 08:44

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	</ul>		</ul>
	Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>		Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png\|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
	This page is generated on 26/03/2024 11:42:46 with ZibExtraction v. 9.3.8851.20230<!--ftDate--> <BR>		This page is generated on 27/03/2024 09:33:49 with ZibExtraction v. 9.3.8851.20230<!--ftDate--> <BR>
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Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.0.1(EN)|1|Patient-v4.2(2022EN)}} ==General information== Name: '''nl.zorg.Patient''' link=Zib of versie niet gevonden-v4.2(2022NL)
Version: '''4.2'''
HCIM Status:Final
Release: '''2022'''
...'

2024-03-26T10:47:18Z

Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.0.1(EN)|1|Patient-v4.2(2022EN)}}  ==General information== Name: '''nl.zorg.Patient''' link=Zib of versie niet gevonden-v4.2(2022NL) Version: '''4.2''' HCIM Status:Final Release: '''2022''' ...'

Nieuwe pagina

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.0.1(EN)|1|Patient-v4.2(2022EN)}}

==General information==
Name: '''nl.zorg.Patient''' [[Bestand:NL.png|link=Zib of versie niet gevonden-v4.2(2022NL)]] 
Version: '''4.2''' 
HCIM Status:Final 
Release: '''2022''' 
Release status: Prepublished 
Release date: 15-10-2023

{{ErrataEN|2022|{{PAGENAME}}}}

-----
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==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::CreationDate||14-6-2012
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.0.1
|-
|style="width:250px; "|DCM::KeywordList||Patient, zorgverlener, contact
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::Name||nl.zorg.Patient
|-
|style="width:250px; "|DCM::PublicationDate||15-10-2023
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||11-09-2023
|-
|style="width:250px; "|DCM::Supersedes||nl.zorg.Patient-v4.1
|-
|style="width:250px; "|DCM::Version||4.2
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
'' Only available in Dutch''

Publicatieversie 1.0 (15-02-2013)
-

Publicatieversie 1.1 (01-07-2013)
{|
Issue summaries niet beschikbaar 
Bevat: ZIB-33.
|}

Publicatieversie 2.0 (01-04-2015)
Bevat: ZIB-62, ZIB-67, ZIB-96, ZIB-97, ZIB-98, ZIB-99, ZIB-100, ZIB-102, ZIB-121, ZIB-257, ZIB-258, ZIB-259, ZIB-260, ZIB-261, ZIB-262, ZIB-303, ZIB-308, ZIB-349, ZIB-350, ZIB-351, ZIB-353.

Incl. algemene wijzigingsverzoeken:
ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326.

Publicatieversie 2.0.1 (22-05-2015)
Bevat: ZIB-385, ZIB-374.

Publicatieversie 3.0 (01-05-2016)
Bevat: ZIB-453.

Publicatieversie 3.1 (04-09-2017)
Bevat: ZIB-429, ZIB-430, ZIB-442, ZIB-471, ZIB-491, ZIB-564.

Publicatieversie 3.1.1 (01-10-2018)
Bevat: ZIB-647.

Publicatieversie 3.2 (01-09-2020)
Bevat: ZIB-961, ZIB-1029, ZIB-1189.

Publicatieversie 4.0 (01-12-2021)
Bevat:ZIB-1239, ZIB-1465.

Publicatieversie 4.1 (10-06-2022)
Bevat: ZIB-1650.

Publicatieversie 4.2 (15-10-2023)
Bevat: ZIB-1693.
</div>

==Concept==
A person who receives medical, psychological, paramedical or nursing care. In some care settings, the term client or participant is used instead of the term patient.

==Purpose==
Recording relevant information to identify the patient for administrative purposes and process support.

==Evidence Base==
Although the term Patient is not used in all care settings, it has been decided not to change the name of the zib to Person as the overall name for Patient, Client, Participant, etc. because the concept Person is broader than the concept referred to here. Healthprofessionals and contact persons are ultimately also Persons. 
The name and address information is based on the information set of the Municipal Personal Records Database (GBA) and on the Dutch Implementation Guide: HL7v3 Basic Components. 
 
The information for the legally required verification of a social security number provided by the SBV-Z also follows GBA specifications. 
 
Furthermore, the AZR (AWBZ-wide healthcare registration) data set used in AWBZ healthcare served as a base in determining the set. 
 
Use of patient and personal details must follow the Personal Data Protection Act. This law prohibits processing non-essential personal data and mandates decent and reasonable processing of obtained personal data (Kohnstamm, 2006). Patient data recorded in (electronic) patient records or in digital messages must be handled in the context of the Personal Data Protection Act. Furthermore, healthcare centers must meet the Information Security NEN 7510 standard. Observance of the PDPA is monitored by the Dutch Data Protection Authority (CBP). The CBP and the Healthcare Inspectorate (IGZ) are jointly responsible for monitoring information security in healthcare (CBP, IGZ, 2008). 
For those reasons, some personal data, seen in some countries as administrative data, are not included in this information model but in the information models for the Social Anamnesis. 

==Information Model==
 
<imagemap> Bestand:Patient-v4.2Model(2022EN).png | center
rect 496 202 605 272 [[#490]]
rect 496 306 605 376 [[#491]]
rect 327 409 436 479 [[#488]]
rect 158 202 267 272 [[#493]]
rect 158 502 267 552 [[#GenderCodelist]]
rect 158 306 267 376 [[#494]]
rect 158 410 267 480 [[#489]]
rect 332 249 432 329 [[#492]]
rect 158 98 267 168 [[NameInformation-v1.1(2022EN)]]
rect 327 98 436 169 [[AddressInformation-v1.1(2022EN)]]
rect 496 98 605 168 [[ContactInformation-v1.3(2022EN)]]
rect 496 410 605 480 [[#4415]]
rect 478 502 605 552 [[#GenderIdentityCodelist]]
desc none
</imagemap>
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:0.1.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px | link=]]Patient
|
|Root concept of the Patient information model. This root concept contains all data elements of the Patient information model.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=116154003 116154003] Patient
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:0.1.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]NameInformation
|1
|Patient's full name.
|
|
{|
|-
|[[Bestand: block.png | link=NameInformation-v1.1(2022EN)]]||[[NameInformation-v1.1(2022EN) |NameInformation]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:0.1.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]AddressInformation
|0..*
|Patient's address information.
|
|
{|
|-
|[[Bestand: block.png | link=AddressInformation-v1.1(2022EN)]]||[[AddressInformation-v1.1(2022EN) |AddressInformation]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:0.1.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]ContactInformation
|0..1
|Patient’s telephone number(s) or e-mail address(es).
|
|
{|
|-
|[[Bestand: block.png | link=ContactInformation-v1.3(2022EN)]]||[[ContactInformation-v1.3(2022EN) |ContactInformation]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: II.png| 16px | link=]]
||NL-CM:0.1.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]PatientIdentificationNumber
|0..*
|The patient’s identification number. In transfer situations, use of the social security number (BSN) must comply with the Use of Social Security Numbers in Healthcare Act (Wbsn-z). In other situations, other number systems can be used, such as internal hospital patient numbers for example.
|
|
{|
|-
|[[Bestand: AA2.png | link=#Burgerservicenummer]]||[[#Burgerservicenummer|Burgerservicenummer]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:0.1.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]DateOfBirth
|1
|Patient’s date of birth. The date of birth is mandatory for a patient. A vague date (such as only the year) is permitted.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=21112-8 21112-8] Birth date
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:0.1.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]Gender
|1
|Patient’s administrative gender.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=46098-0 46098-0] Sex
|}
|
{|
|-
|[[Bestand: List2.png | link=#GenderCodelist]]||[[#GenderCodelist|GenderCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:0.1.34
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]GenderIdentity
|0..1
|The gender with which the person identifies.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=33821000087103 33821000087103] Gender identity
|}
|
{|
|-
|[[Bestand: List2.png | link=#GenderIdentityCodelist]]||[[#GenderIdentityCodelist|GenderIdentityCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: BL.png| 16px | link=]]
||NL-CM:0.1.31
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]MultipleBirthIndicator
|1
|An indication stating whether the patient is of a multiple birth.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: BL.png| 16px | link=]]
||NL-CM:0.1.32
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]DeathIndicator
|1
|An indication stating whether the patient has died.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=419099009 419099009] Dead
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:0.1.33
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px | link=]]DateOfDeath
|0..1
|The date on which the patient died. A ‘vague’ date, such as only the year, is permitted.
|
{|
|-
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=81954-0 81954-0] Date of death [Date]
|}
|
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

Voorbeeld file fout: Unable to find the specified file. : nl.zorg.Zib of versie niet gevonden-v4.2(NL)_Voorbeeld.docx
==Instructions==
If both a name and an identification number are given, the name must match the name registered under that identification number, for verification purposes.

==References==
1. DCM Patientgegevens V0.91. [Online] Beschikbaar op: http://www.nictiz.nl/uploaded/FILES/htmlcontent/dcm/Nictiz/DCMPatientgegevens_V_0.91loNL.pdf [Geraadpleegd: 23 februari 2015].

2. Implementatiehandleiding HL7v3 Basiscomponenten, Stichting HL7 Nederland [Online] Beschikbaar op:http://www.hl7.nl/images/downloads/Implementatiehandleiding%20HL7v3%20Basiscomponenten%20%202.3NL_secure.pdf [Geraadpleegd: 23 februari 2015].

==Assigning authorities==
The identifying numbers are issued by the following authorities 
=== Burgerservicenummer===
{| class="wikitable" width="60%"
|-style="background-color: #1F497D; color: white; font-weight: bold;"
|style="width: 50%;"|Identifying number||ID system OID
|-style="vertical-align:top;"
|Burgerservicenummer||OID: 2.16.840.1.113883.2.4.6.3
|}

== Valuesets ==
=== GenderCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.1
|Binding: Required
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Undifferentiated
|UN
|AdministrativeGender
|2.16.840.1.113883.5.1
|Ongedifferentieerd
|-style="vertical-align:top; "
|Male
|M
|AdministrativeGender
|2.16.840.1.113883.5.1
|Man
|-style="vertical-align:top; "
|Female
|F
|AdministrativeGender
|2.16.840.1.113883.5.1
|Vrouw, V
|-style="vertical-align:top; "
|Unknown
|UNK
|NullFlavor
|2.16.840.1.113883.5.1008
|Onbekend, Genderneutraal, X
|}
=== GenderIdentityCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.2
|Binding: Extensible
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Identifies as male gender
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=446151000124109 446151000124109]
|SNOMED CT
|2.16.840.1.113883.6.96
|Identificeert zich als man
|-style="vertical-align:top; "
|Identifies as female gender
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=446141000124107 446141000124107]
|SNOMED CT
|2.16.840.1.113883.6.96
|Identificeert zich als vrouw
|-style="vertical-align:top; "
|Identifies as nonbinary gender
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=33791000087105 33791000087105]
|SNOMED CT
|2.16.840.1.113883.6.96
|Identificeert zich als non-binair
|-style="vertical-align:top; "
|Other
|OTH
|NullFlavor
|2.16.840.1.113883.5.1008
|Anders
|}

==This information model in other releases==

{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.0.1(EN)|2|2022}}

==Information model references==
====This information model refers to====
*[[AddressInformation-v1.1(2022EN)|AddressInformation-v1.1]]
*[[ContactInformation-v1.3(2022EN)|ContactInformation-v1.3]]
*[[NameInformation-v1.1(2022EN)|NameInformation-v1.1]]
====This information model is used in====
*[[CareAgreement-v1.0.1(2022EN)|CareAgreement-v1.0.1]]
*[[CareTeam-v1.0.1(2022EN)|CareTeam-v1.0.1]]
*[[ComplaintPerception-v1.0(2022EN)|ComplaintPerception-v1.0]]
*[[MedicationAdministration2-v2.0(2022EN)|MedicationAdministration2-v2.0]]
*[[MultidisciplinaryTeamMeeting-v1.1.1(2022EN)|MultidisciplinaryTeamMeeting-v1.1.1]]
*[[NursingIntervention-v4.0(2022EN)|NursingIntervention-v4.0]]
*[[RegistrationData-v1.0(2022EN)|RegistrationData-v1.0]]
*[[TreatmentDirective2-v2.0(2022EN)|TreatmentDirective2-v2.0]]
==Technical specifications in HL7v3 CDA and HL7 FHIR==
To exchange information based on health and care information models, additional, more technical specifications are required. 
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment {{ArtDecorLinks|2022|0.1}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2022|Patient}}</li>
</ul>
==Downloads==
This information model is also available as [[Media:nl.zorg.Patient-v4.2(2022EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Patient-v4.2(2022EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Pre-release 2022-1 
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)</li>
<li>LOINC version 2.76</li>
</ul>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 26/03/2024 11:42:46 with ZibExtraction v. 9.3.8851.20230 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2022(EN)]] [[HCIM_Release_2022(EN) |Back to HCIM list ]]</div>

Patient-v4.2(2022EN) - Bewerkingsoverzicht

Update bot op 27 mrt 2024 om 10:25

Update bot op 27 mrt 2024 om 08:44

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.0.1(EN)|1|Patient-v4.2(2022EN)}} ==General information== Name: '''nl.zorg.Patient''' link=Zib of versie niet gevonden-v4.2(2022NL) Version: '''4.2''' HCIM Status:Final Release: '''2022''' ...'

Update bot: Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.0.1(EN)|1|Patient-v4.2(2022EN)}} ==General information== Name: '''nl.zorg.Patient''' link=Zib of versie niet gevonden-v4.2(2022NL)
Version: '''4.2'''
HCIM Status:Final
Release: '''2022'''
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