In de klinische bouwsteen OverdrachtPatient DCM::ValueSet GBA Tabel 34 van concept Land aangepast naar tagged value DCM::CodeSystem GBA tabel 34 (Landentabel).
In de klinische bouwsteen OverdrachtPatient DCM::ValueSet Burger Service Nummer van concept PatientIdentificatienummer aangepast naar tagged value DMC::AssigningAuthority.
Example Instances bij zib Patient diverse elementen horen niet onder Naamgegevens subbouwsteen
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
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.
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.
An indication stating whether the patient is of a multiple birth.
NL-CM:0.1.35
MultipleBirthSequence
0..1
The birth number in the sequence of a multiple birth. The first birth is given value 1. The middle birth in a triplet birth would be given value 2 and the third birth would have value 3. If multiple birth order is filled then the value of the MultipleIndicator must be "True".
NL-CM:0.1.32
DeathIndicator
1
An indication stating whether the patient has died.
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
Geslacht
Vrouw
Genderidentiteit
Identificeert zich als non-binair
Geboortedatum
28-04-1994
MeerlingIndicator
Ja
OverlijdensIndicator
Nee
DatumOverlijden
Naamgegevens
PatiëntIdentificatienummer
111222333
Achternaam
Putten
Voorvoegsels
van
AchternaamPartner
Giessen
VoorvoegselsPartner
van der
Voornamen
Johanna Petronella Maria
Initialen
J.P.M.
Roepnaam
Jo
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.
Technical specifications in HL7v3 CDA and HL7 FHIR
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:
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
Patient
NameInformation
or as spreadsheet 