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: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016
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 |
1-5-2016
|
| DCM::PublicationStatus |
Published
|
| DCM::ReviewerList |
Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|
| DCM::RevisionDate |
22-5-2015
|
| DCM::Superseeds |
nl.nfu.Patient-v2.0.1
|
| DCM::Version |
3.0
|
| HCIM::PublicationLanguage |
EN
|
Revision History
Only available in Dutch
Publicatieversie 1.0 (15-02-2013)
-
Publicatieversie 1.1 (01-07-2013)
| ZIB-33
|
Wijzigingsverzoek betreffende Generieke Overdrachtsgegevens
|
Publicatieversie 2.0 (01-04-2015)
| ZIB-62
|
commentaar op bouwsteen: nl.nfu.OverdrachtPatient?v1.1: dubbel id 0.1.33
|
| ZIB-67
|
Wijzigingsverzoek Klinische Bouwsteen Patient document
|
| ZIB-96
|
Cardinaliteit PatientIdentificatienummer in OverdrachtPatient anapassen naar 0..*
|
| ZIB-97
|
Concept Voornamen opsplitsen in Voornamen en Initialen in OverdrachtPatient
|
| ZIB-98
|
Achternaam en voorvoegsel als losse concepten uitwerken in OverdrachtPatient
|
| ZIB-99
|
Example of the Instrument in OverdrachtPatient aanpassen qua naam Soort adres
|
| ZIB-100
|
VIP indicator in OverdrachtPatient laten vervallen
|
| ZIB-102
|
DCM::ExampleValue toevoegne bij concept MeerlingIndicator in OverdrachtPatient
|
| ZIB-121
|
In de bouwsteen OverdrachtPatient het concept Aanhef laten vervallen.
|
| ZIB-257
|
In de klinische bouwsteen OverdrachtPatient DCM::ValueSet Postcodetabel van concept Postcode aangepast naar tagged value DCM::CodeSystem.
|
| ZIB-258
|
In de klinische bouwsteen OverdrachtPatient DCM::ValueSet GBA tabel 33 van concept Gemeente aangepast naar tagged value DCM::CodeSystem.
|
| ZIB-259
|
In de klinische bouwsteen OverdrachtPatient DCM::ValueSet GBA Tabel 34 van concept Land aangepast naar tagged value DCM::CodeSystem GBA tabel 34 (Landentabel).
|
| ZIB-260
|
In de klinische bouwsteen OverdrachtPatient DCM::ValueSet ISO 3166-2 van concept Land aangepast naar tagged value DCM::CodeSystem.
|
| ZIB-261
|
In de klinische bouwsteen OverdrachtPatient DCM::ValueSet Burger Service Nummer van concept PatientIdentificatienummer aangepast naar tagged value DMC::AssigningAuthority.
|
| ZIB-262
|
AdressoortCodelijst bevatte hoofdletter L, dit aangepast naar Codelijst.
|
| ZIB-303
|
foutje in bouwsteen patient
|
| ZIB-308
|
Prefix Overdracht weggehaald bij de generieke bouwstenen
|
| ZIB-349
|
VIPIndicator uit bouwsteen OverdrachtPatient verwijderd
|
| ZIB-350
|
Aanpassing concept namen in container Naamgegevens
|
| ZIB-351
|
NaamgebruikCodelijst aangevuld met descriptions
|
| ZIB-353
|
Tagged values DCM::CodeSystem aanpassen naar DCM::ValueSet incl. gekoppelde codelijst.
|
Incl. algemene wijzigingsverzoeken:
| ZIB-94
|
Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
|
| ZIB-154
|
Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
|
| ZIB-200
|
Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
|
| ZIB-201
|
Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
|
| ZIB-309
|
EOI aangepast
|
| ZIB-324
|
Codelijsten Name en Description beginnen met een Hoofdletter
|
| ZIB-326
|
Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015
|
Publicatieversie 2.0.1 (22-05-2015)
| ZIB-385
|
Inconsistent gebruik van de naam AdresSoortCodelijst.
|
| ZIB-374
|
Het concept AanduidingBijHuisnummer is afgeleid van ST, maar heeft een valueset; dit zou CD moeten zijn.
|
Publicatieversie 3.0 (01-05-2016)
| ZIB-453
|
Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
|
.
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
| 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:0.1.5
|
|
ContactInformation
|
0..1
|
Container of the ContactInformation concept. This container contains all data elements of the ContactInformation concept.
|
|
|
|
|
NL-CM:0.1.21
|
|
|
TelephoneNumbers
|
0..*
|
Container of the TelephoneNumbers concept. This container contains all data elements of the TelephoneNumbers concept.
|
|
|
|
NL-CM:0.1.23
|
|
|
|
 TelephoneNumber
|
1
|
The patient’s telephone number.
|
|
|
|
NL-CM:0.1.22
|
|
|
|
NumberType
|
1
|
NumberType indicates whether the number is a landline, temporary, work or mobile telephone number.
|
|
|
|
|
NL-CM:0.1.18
|
|
|
EmailAddresses
|
0..*
|
Container of the E-mailAddresses concept. This container contains all data elements of the E-mailAddresses concept.
|
|
|
|
|
NL-CM:0.1.20
|
|
|
|
EmailAddress
|
1
|
The patient’s e-mail address
|
|
|
|
|
NL-CM:0.1.19
|
|
|
|
EmailAddressType
|
1
|
E-mailAddressType indicates whether it is a private or business e-mail address.
|
|
|
|
|
NL-CM:0.1.4
|
|
AddressInformation
|
0..*
|
Container of the AddressInformation concept. This container contains all data elements of the AddressInformation concept.
|
|
|
|
|
NL-CM:0.1.12
|
|
|
Street
|
0..1
|
Street name of the address.
|
|
|
|
|
NL-CM:0.1.13
|
|
|
HouseNumber
|
0..1
|
House number of the address.
|
|
|
|
|
NL-CM:0.1.40
|
|
|
HouseNumberLetter
|
0..1
|
A letter following the house number as assigned by the municipal authorities.
|
|
|
|
|
NL-CM:0.1.41
|
|
|
HouseNumberAddition
|
0..1
|
The letters or signs needed to locate the mailbox, in addition to the house number and letter.
|
|
|
|
|
NL-CM:0.1.42
|
|
|
HouseNumberIndication
|
0..1
|
The indication used for addresses which do not consist of the usual street name and house number.
|
|
|
|
|
NL-CM:0.1.15
|
|
|
Postcode
|
0..1
|
Postcode of the address.
In Dutch addresses, preferably use the postcode from the Postcode table (OID: 2.16.840.1.113883.2.4.4.15).
|
|
|
|
|
NL-CM:0.1.14
|
|
|
PlaceOfResidence
|
0..1
|
A geographically determined area which forms part of the municipal area.
For Dutch places of residence, preferably use the name from the GBA, table 33 (OID: 2.16.840.1.113883.2.4.6.14).
|
|
|
|
|
NL-CM:0.1.16
|
|
|
Municipality
|
0..1
|
Municipality of residence.
For Dutch municipalities, preferably use the name from the GBA, table 33 (OID: 2.16.840.1.113883.2.4.6.14).
|
|
|
|
|
NL-CM:0.1.17
|
|
|
Country
|
0..1
|
Country in which the address is located.
|
|
|
|
|
NL-CM:0.1.28
|
|
|
AdditionalInformation
|
0..1
|
Extra information such as the building name, building number, entrance, route number.
|
|
|
|
|
NL-CM:0.1.11
|
|
|
AddressType
|
1
|
The type of address in question, such as a home address or mailing address.
|
|
|
|
|
NL-CM:0.1.6
|
|
NameInformation
|
1
|
Container of the NameInformation concept. This container contains all data elements of the NameInformation concept.
|
|
|
|
|
NL-CM:0.1.26
|
|
|
FirstNames
|
0..1
|
The person’s official first names.
|
|
|
|
|
NL-CM:0.1.35
|
|
|
Initials
|
0..1
|
The person’s initials.
|
|
|
|
|
NL-CM:0.1.27
|
|
|
GivenName
|
0..1
|
The name normally used to address the person.
|
|
|
|
|
NL-CM:0.1.34
|
|
|
NameUsage
|
0..1
|
This concept indicates the last name or order of last names with which the person is to be addressed.
|
|
|
|
|
NL-CM:0.1.36
|
|
|
LastName
|
0..1
|
Container of the LastName concept. This container contains all data elements of the LastName concept.
|
|
|
|
|
NL-CM:0.1.38
|
|
|
|
Prefix
|
0..1
|
Prefix to the person’s own last name.
|
|
|
|
|
NL-CM:0.1.24
|
|
|
|
LastName
|
1
|
Last name, given at birth.
|
|
|
|
|
NL-CM:0.1.37
|
|
|
LastNamePartner
|
0..1
|
Container of the LastNamePartner concept. This container contains all data elements of the LastNamePartner concept.
|
|
|
|
|
NL-CM:0.1.39
|
|
|
|
PartnerPrefix
|
0..1
|
Prefix to the partner’s last name.
|
|
|
|
|
NL-CM:0.1.25
|
|
|
|
PartnerLastName
|
1
|
Partner’s last name, given at birth.
|
|
|
|
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.
|
|
|
|
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.
|
|
|
|
|
NL-CM:0.1.9
|
|
Gender
|
1
|
Patient’s administrative gender.
|
|
|
|
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.
|
|
|
|
|
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.
|
|
|
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
AddressTypeCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.2
|
Binding:
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Postal Addres
|
PST
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Postadres
|
| Primary Home
|
HP
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Officieel adres
|
| Visit Address
|
PHYS
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Woon-/verblijfadres
|
| Tempory Address
|
TMP
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Tijdelijk adres
|
| Work Place
|
WP
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Werkadres
|
| Vacation Home
|
HV
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Vakantie adres
|
CountryGBACodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.9
|
Binding:
|
| Conceptname
|
Codesystem name |
Codesystem OID
|
| Alle waarden
|
GBA Tabel 34 (Landentabel)
|
2.16.840.1.113883.2.4.4.16.34
|
CountryISOCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.8
|
Binding:
|
| Conceptname
|
Codesystem name |
Codesystem OID
|
| Alle waarden
|
ISO 3166-1 (alpha-2)
|
1.0.3166.1.2.2
|
E-mailAddressTypeCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.4
|
Binding:
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Primary Home
|
HP
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Privé e-mailadres
|
| Work Place
|
WP
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Zakelijk e-mailadres
|
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
|
HouseNumberIndicationCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.7
|
Binding:
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Tegenover
|
to
|
AanduidingBijHuisnummer
|
2.16.840.1.113883.2.4.3.11.60.101.5.3
|
Tegenover
|
| Bij
|
by
|
AanduidingBijHuisnummer
|
2.16.840.1.113883.2.4.3.11.60.101.5.3
|
Bij
|
NameUsageCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.6
|
Binding:
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Eigen geslachtsnaam
|
NL1
|
NaamGebruik
|
2.16.840.1.113883.2.4.3.11.60.101.5.4
|
Eigen geslachtsnaam
|
| Geslachtsnaam partner
|
NL2
|
NaamGebruik
|
2.16.840.1.113883.2.4.3.11.60.101.5.4
|
Geslachtsnaam partner
|
| Geslachtsnaam partner gevolgd door eigen geslachtsnaam
|
NL3
|
NaamGebruik
|
2.16.840.1.113883.2.4.3.11.60.101.5.4
|
Geslachtsnaam partner gevolgd door eigen geslachtsnaam
|
| Eigen geslachtsnaam gevolgd door geslachtsnaam partner
|
NL4
|
NaamGebruik
|
2.16.840.1.113883.2.4.3.11.60.101.5.4
|
Eigen geslachtsnaam gevolgd door geslachtsnaam partner
|
| Unknown
|
UNK
|
NullFlavors
|
2.16.840.1.113883.5.1008
|
Onbekend
|
NumberTypeCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.0.1.3
|
Binding:
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Primary Home
|
HP
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Telefoonnummer thuis
|
| Tempory Address
|
TMP
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Tijdelijk telefoonnummer
|
| Work Place
|
WP
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Zakelijk telefoonnummer
|
| Mobile Contact
|
MC
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Mobiel telefoonnummer
|
| Pager
|
PG
|
AddressUse
|
2.16.840.1.113883.5.1119
|
Pieper
|
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 summer 2016
Conditions for use are located on the mainpage
This page is generated on 21/12/2018 15:41:06 with ZibExtraction v. 3.0.6929.24609
