Patient-v4.2(2023EN): verschil tussen versies

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Regel 26: Regel 26:
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|style="width:250px; "|DCM::ContactInformation.Telecom||*
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|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens &amp; Kerngroep Registratie aan de Bron
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
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|style="width:250px; "|DCM::CreationDate||14-6-2012
|style="width:250px; "|DCM::CreationDate||14-6-2012
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|style="width:250px; "|DCM::PublicationStatus||Prepublished
|style="width:250px; "|DCM::PublicationStatus||Prepublished
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|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens &amp; Kerngroep Registratie aan de Bron
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
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|style="width:250px; "|DCM::RevisionDate||11-09-2023
|style="width:250px; "|DCM::RevisionDate||11-09-2023
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|Aanpassen tekst van Disclaimer, Terms of Use &amp; Copyrights
|Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
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|Wijziging naamgeving ZIB&#39;s en logo&#39;s door andere opzet van beheer
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
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|Terminologiekoppeling Pati&#235;nt
|Terminologiekoppeling Patiënt
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|style="width:75px; "|[[ZIBIssues500_0#ZIB-491 | ZIB-491 ]]
|style="width:75px; "|[[ZIBIssues500_0#ZIB-491 | ZIB-491 ]]
|Bij telefoonnummer staat &quot;het telefoonnummer van de pati&#235;nt&quot;, ook als het om een zorgverlener of zorgaanbieder gaat
|Bij telefoonnummer staat "het telefoonnummer van de patiënt", ook als het om een zorgverlener of zorgaanbieder gaat
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Regel 303: Regel 303:
{|
{|
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|<span title = "Codesystem: SNOMED CT; Pati&#235;nt (person)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=116154003 116154003] Patient</span>
|<span title = "Codesystem: SNOMED CT; Patiënt (person)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=116154003 116154003] Patient</span>
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Regel 312: Regel 312:
|colspan ="5" style ="padding-left: 0px"|<span Id=1068 Title="NL: Naamgegevens">[[Bestand: arrowright.png | 10px | link=]]NameInformation</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=1068 Title="NL: Naamgegevens">[[Bestand: arrowright.png | 10px | link=]]NameInformation</span>
|1
|1
|Patient&#39;s full name.
|Patient's full name.
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Regel 325: Regel 325:
|colspan ="5" style ="padding-left: 0px"|<span Id=1069 Title="NL: Adresgegevens">[[Bestand: arrowright.png | 10px | link=]]AddressInformation</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=1069 Title="NL: Adresgegevens">[[Bestand: arrowright.png | 10px | link=]]AddressInformation</span>
|0..*
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|Patient&#39;s address information.
|Patient's address information.
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{|
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|<span title = "Codesystem: LOINC; Geboortedatum [tijdstempel] in ^pati&#235;nt (Qn)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=21112-8 21112-8] Birth date</span>
|<span title = "Codesystem: LOINC; Geboortedatum [tijdstempel] in ^patiënt (Qn)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=21112-8 21112-8] Birth date</span>
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|<span title = "Codesystem: LOINC; Geslacht [type] in ^pati&#235;nt (Nom)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=46098-0 46098-0] Sex</span>
|<span title = "Codesystem: LOINC; Geslacht [type] in ^patiënt (Nom)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=46098-0 46098-0] Sex</span>
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*[[TreatmentDirective2-v2.0.1(2023EN)|TreatmentDirective2-v2.0.1]]
*[[TreatmentDirective2-v2.0.1(2023EN)|TreatmentDirective2-v2.0.1]]
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
To exchange information based on health and care information models, additional, more technical specifications are required.&lt;BR&gt;
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<ul>
<li>HL7&#174; version 3 CDA compatible specifications, available through the Nictiz ART-DECOR&#174; environment<!--ftArtDecorReference--> {{ArtDecorLinks|2023|0.1}}</li>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2023|0.1}}</li>
<li>HL7&#174; FHIR&#174; compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2023|Patient}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2023|Patient}}</li>
</ul>
</ul>
==Downloads<!--ftDownloadTitle-->==
==Downloads<!--ftDownloadTitle-->==
Regel 693: Regel 693:
</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 26/10/2023 15:52:01 with ZibExtraction v. 9.0.8682.20490<!--ftDate--> <BR>
This page is generated on 31/10/2023 18:35:47 with ZibExtraction v. 9.3.8704.31782<!--ftDate--> <BR>
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2023(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2023(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
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Huidige versie van 31 okt 2023 om 21:00


Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.Patient
Version: 4.2
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023

Back to HCIM list

Metadata

DCM::CoderList Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate 14-6-2012
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.0.1
DCM::KeywordList Patient, zorgverlener, contact
DCM::LifecycleStatus Final
DCM::ModelerList Kerngroep Registratie aan de Bron
DCM::Name nl.zorg.Patient
DCM::PublicationDate 15-10-2023
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 11-09-2023
DCM::Supersedes nl.zorg.Patient-v4.1
DCM::Version 4.2
HCIM::PublicationLanguage EN

Revision History

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


#490#491#488#493#GenderCodelist#494#489#492NameInformation-v1.1.1(2023EN)AddressInformation-v1.1(2023EN)ContactInformation-v1.3.1(2023EN)#4415#GenderIdentityCodelist


Type Id Concept Card. Definition DefinitionCode Reference
NL-CM:0.1.1 Patient Root concept of the Patient information model. This root concept contains all data elements of the Patient information model.
116154003 Patient
NL-CM:0.1.6 NameInformation 1 Patient's full name.
NameInformation
NL-CM:0.1.4 AddressInformation 0..* Patient's address information.
AddressInformation
NL-CM:0.1.5 ContactInformation 0..1 Patient’s telephone number(s) or e-mail address(es).
ContactInformation
NL-CM:0.1.7 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.
Burgerservicenummer
NL-CM:0.1.10 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.
21112-8 Birth date
NL-CM:0.1.9 Gender 1 Patient’s administrative gender.
46098-0 Sex
GenderCodelist
NL-CM:0.1.34 GenderIdentity 0..1 The gender with which the person identifies.
33821000087103 Gender identity
GenderIdentityCodelist
NL-CM:0.1.31 MultipleBirthIndicator 1 An indication stating whether the patient is of a multiple birth.
NL-CM:0.1.32 DeathIndicator 1 An indication stating whether the patient has died.
419099009 Dead
NL-CM:0.1.33 DateOfDeath 0..1 The date on which the patient died. A ‘vague’ date, such as only the year, is permitted.
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

Example Instances

Only available in Dutch

Patiënt  
Naamgegevens  
PatiëntIdentificatienummer 111222333
Achternaam Putten
Voorvoegsels van
AchternaamPartner Giessen
VoorvoegselsPartner van der
Voornamen Johanna Petronella Maria
Initialen J.P.M.
Roepnaam Jo
Geslacht Vrouw
Genderidentiteit Identificeert zich als non-binair
Geboortedatum 28-04-1994
MeerlingIndicator Ja
OverlijdensIndicator Nee
DatumOverlijden
Adresgegevens*  
Straat 1e Jacob van Campenstr
Huisnummer 15
Woonplaats Hoogmade
Gemeente Kaag en Braassem
Postcode 1012 NX
AdresSoort Woon-/verblijfadres
Land Nederland
Adresgegevens*  
Straat Stationsstraat
Huisnummer 11
Woonplaats Alphen aan den Rijn
Gemeente
Postcode 2406 AB
AdresSoort Officieel adres
Land
Telefoonnummers*  
Telefoonnummer +31611234567
NummerSoort Mobiel telefoonnummer
EmailAdressen*  
EmailAdres giesput@myweb.nl
EmailSoort Privé e-mailadres

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

Identifying number ID system OID
Burgerservicenummer OID: 2.16.840.1.113883.2.4.6.3

Valuesets

GenderCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.1 Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Undifferentiated UN AdministrativeGender 2.16.840.1.113883.5.1 Ongedifferentieerd
Male M AdministrativeGender 2.16.840.1.113883.5.1 Man
Female F AdministrativeGender 2.16.840.1.113883.5.1 Vrouw, V
Unknown UNK NullFlavor 2.16.840.1.113883.5.1008 Onbekend, Genderneutraal, X

GenderIdentityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.2 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Identifies as male gender 446151000124109 SNOMED CT 2.16.840.1.113883.6.96 Identificeert zich als man
Identifies as female gender 446141000124107 SNOMED CT 2.16.840.1.113883.6.96 Identificeert zich als vrouw
Identifies as nonbinary gender 33791000087105 SNOMED CT 2.16.840.1.113883.6.96 Identificeert zich als non-binair
Other OTH NullFlavor 2.16.840.1.113883.5.1008 Anders

This information model in other releases

Information model references

This information model refers to

This information model is used in

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:

  • HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

Downloads

This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Prerelease 2023-1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
  • LOINC version 2.76

Conditions for use are located on the mainpage
This page is generated on 31/10/2023 18:35:47 with ZibExtraction v. 9.3.8704.31782

Back to HCIM list
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