Patient-v3.1(2017EN): verschil tussen versies

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Regel 1: Regel 1:
==General information==
<!-- Hieronder wordt een transclude page aangeroepen -->
Name: '''nl.zorg.Patient''' [[Bestand:NL.png|link=Patient-v3.1(2017NL)]]<BR>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.0.1(EN)|1|Patient-v3.1(2017EN)}}
Version: '''3.1''' <br>
<!-- Tot hier de transclude page -->
HCIM Status:Final<br>
==General information<!--hdGeneralInformation-->==
Release: '''2017''' <br>
Name<!--hdName-->: '''nl.zorg.Patient''' [[Bestand:NL.png|link=Patient-v3.1(2017NL)]]<BR>
Release status: Published<br>
Version<!--hdVersion-->: '''3.1''' <br>
Release date: 31-12-2017
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2017''' <br>
Release status<!--hdPublicationStatus-->: Published<br>
Release date<!--hdPublicationDate-->: 31-12-2017
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>


==Metadata==
==Metadata==
Regel 61: Regel 64:
==Revision History==
==Revision History==
<div class="mw-collapsible mw-collapsed">
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''
''Only available in Dutch<!--noTranslation-->''


<u>Publicatieversie 1.0</u> (15-02-2013)
<u>Publicatieversie 1.0</u> (15-02-2013)
Regel 225: Regel 228:
<BR>
<BR>
<imagemap> Bestand:Patient-v3.1Model(EN).png | center  
<imagemap> Bestand:Patient-v3.1Model(EN).png | center  
rect 183 105 292 175 [[NameInformation-v1.0.1(2017EN)]]
rect 193 113 302 183 [[NameInformation-v1.0.1(2017EN)]]
rect 348 103 457 174 [[AddressInformation-v1.0(2017EN)]]
rect 358 111 467 182 [[AddressInformation-v1.0(2017EN)]]
rect 522 105 631 175 [[ContactInformation-v1.0(2017EN)]]
rect 532 113 641 183 [[ContactInformation-v1.0(2017EN)]]
rect 521 210 631 280 [[#10759]]
rect 531 218 641 288 [[#10759]]
rect 521 315 631 385 [[#10760]]
rect 531 323 641 393 [[#10760]]
rect 358 417 456 487 [[#10756]]
rect 368 425 466 495 [[#10756]]
rect 141 209 291 279 [[#10762]]
rect 151 217 301 287 [[#10762]]
rect 179 521 305 571 [[#GenderCodelist]]
rect 189 529 315 579 [[#GenderCodelist]]
rect 193 313 291 383 [[#10764]]
rect 203 321 301 391 [[#10764]]
rect 193 417 291 487 [[#10758]]
rect 203 425 301 495 [[#10758]]
rect 357 237 457 317 [[#10761]]
rect 367 245 467 325 [[#10761]]
desc none
desc none
</imagemap>
</imagemap>
Regel 241: Regel 244:
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
{| 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="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="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference-->
|-style="vertical-align:top; background-color: #E3E3E3; "
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
Regel 312: Regel 315:
{|
{|
|-
|-
|<span Title="Codesystem: LOINC"> 21112-8 Birth date</span>
|<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=21112-8 21112-8] Birth date</span>
|}
|}
|
|
Regel 325: Regel 328:
{|
{|
|-
|-
|<span Title="Codesystem: LOINC"> 46098-0 Sex</span>
|<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=46098-0 46098-0] Sex</span>
|}
|}
|
|
Regel 351: Regel 354:
{|
{|
|-
|-
|<span Title="Codesystem: SNOMED CT"> 397709008 Patient died (finding)</span>
|<span title = "Codesystem: SNOMED CT>[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=397709008 397709008] Patient died (finding)</span>
|}
|}
|
|
Regel 364: Regel 367:
{|
{|
|-
|-
|<span Title="Codesystem: LOINC"> 81954-0 Date of death [Date]</span>
|<span title = "Codesystem: LOINC>[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=81954-0 81954-0] Date of death [Date]</span>
|}
|}
|
|
|}
|}
Columns Concept and DefinitionCode: hover over the values for more information<BR>
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR>
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]


==Example Instances==
==Example Instances==
''Only available in Dutch''
''Only available in Dutch<!--noTranslation-->''


{|class="wikitable" width="432px" style= "font-size: 9.5pt;"
{|class="wikitable" width="432px" style= "font-size: 9.5pt;"
Regel 496: Regel 499:
2. Implementatiehandleiding HL7v3 Basiscomponenten, Stichting HL7 Nederland [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.hl7.nl/images/downloads/Implementatiehandleiding%20HL7v3%20Basiscomponenten%20%202.3NL_secure.pdf</u></font> [Geraadpleegd: 23 februari 2015].
2. Implementatiehandleiding HL7v3 Basiscomponenten, Stichting HL7 Nederland [Online] Beschikbaar op:<font color="#0000ff"><u>http://www.hl7.nl/images/downloads/Implementatiehandleiding%20HL7v3%20Basiscomponenten%20%202.3NL_secure.pdf</u></font> [Geraadpleegd: 23 februari 2015].


==Assigning authorities==
==Assigning authorities<!--aaAssigningAuthorities-->==
The identifying numbers are issued by the following authorities <BR>
The identifying numbers are issued by the following authorities<!--aaHeader--> <BR>
=== Burgerservicenummer===
=== Burgerservicenummer===
{| class="wikitable" width="60%"
{| class="wikitable" width="60%"
|-style="background-color: #1F497D; color: white; font-weight: bold;"
|-style="background-color: #1F497D; color: white; font-weight: bold;"
|style="width: 50%;"|Identifying number||ID system OID
|style="width: 50%;"|Identifying number<!--caId-->||ID system OID<!--caSystemOID-->
|-style="vertical-align:top;"
|-style="vertical-align:top;"
|Burgerservicenummer||OID: 2.16.840.1.113883.2.4.6.3
|Burgerservicenummer||OID: 2.16.840.1.113883.2.4.6.3
Regel 510: Regel 513:
{| class="wikitable" width="60%"  
{| class="wikitable" width="60%"  
|-style='vertical-align:top; background-color: #E8D7BE;'
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.1
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.1
|Binding<!--vsBindingTag-->:
|}
|}
{| class="wikitable"  width="60% "
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptname<!--vsConceptName-->
|Conceptcode
|Conceptcode<!--vsConceptCode-->
|Codesystem name||Codesystem OID
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|Undifferentiated
|Undifferentiated
Regel 544: Regel 548:
|}
|}


 
==This information model in other releases<!--ftOtherReleases-->==
==This information model in other releases==
<!-- Hieronder wordt een transclude page aangeroepen -->
<ul>
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.0.1(EN)|2|2017}}
<li>[[Patient-v2.0.1(2015EN) | Release 2015, (Version 2.0.1)]]</li>
<!-- Tot hier de transclude page -->
<li>[[Patient-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
==Information model references<!--ftReferences-->==
</ul>
====This information model refers to<!--ftRefersTo-->====
==More on this information model==
*[[AddressInformation-v1.0(2017EN)|AddressInformation-v1.0]]
*[[ContactInformation-v1.0(2017EN)|ContactInformation-v1.0]]
*[[NameInformation-v1.0.1(2017EN)|NameInformation-v1.0.1]]
====This information model is used in<!--ftReferredBy-->====
*[[BasicElements-v1.0(2017EN)|BasicElements-v1.0]]
*[[MedicationAdministration2-v1.0.1(2017EN)|MedicationAdministration2-v1.0.1]]
*[[NursingIntervention-v3.1(2017EN)|NursingIntervention-v3.1]]
==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.<BR>
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:
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.0.1&effectiveDate=2017-12-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.0.1&effectiveDate=2017-12-31T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2017}}</li>
</ul>
</ul>
This information model is also available as [[Media:nl.zorg.Patient-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Patient-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==Downloads<!--ftDownloadTitle-->==
==About this information==
This information model is also available as [[Media:nl.zorg.Patient-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Patient-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
The information in this wikipage is based on Release 2017 <BR>
==About this information<!--ftHeader2-->==
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
The information in this wikipage is based on<!--ftInfoBase--> Release 2017 <BR>
This page is generated on 24/01/2018 15:58:37 <BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 19/12/2018 18:33:22 with ZibExtraction v. 3.0.6927.32850<!--ftDate--> <BR>
-----
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2017(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2017(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Versie van 20 dec 2018 14:31


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: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017

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 31-12-2017
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.Patient-v3.0
DCM::Version 3.1
HCIM::PublicationLanguage EN

Revision History

Concept

A person who receives medical care.

Purpose

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

Evidence Base

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


NameInformation-v1.0.1(2017EN)AddressInformation-v1.0(2017EN)ContactInformation-v1.0(2017EN)#10759#10760#10756#10762#GenderCodelist#10764#10758#10761


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.
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:0.1.31 MultipleBirthIndicator 0..1 An indication stating whether the patient is of a multiple birth.
NL-CM:0.1.32 DeathIndicator 0..1 An indication stating whether the patient has died.
397709008 Patient died (finding)
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
Geboortedatum 28-04-1934
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:
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
Unknown UNK NullFlavors 2.16.840.1.113883.5.1008 Onbekend

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 Release 2017
Conditions for use are located on the mainpage
This page is generated on 19/12/2018 18:33:22 with ZibExtraction v. 3.0.6927.32850

Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=Patient-v3.1(2017EN)&oldid=14440"