Patient-v3.1(2017EN)
Inhoud
[verbergen]- 1 General information
- 2 Metadata
- 3 Revision History
- 4 Concept
- 5 Purpose
- 6 Evidence Base
- 7 Information Model
- 8 Example Instances
- 9 Instructions
- 10 References
- 11 Assigning authorities
- 12 Valuesets
- 13 This information model in other releases
- 14 Information model references
- 15 Technical specifications in HL7v3 CDA and HL7 FHIR
- 16 Downloads
- 17 About this information
General information
Name: nl.zorg.Patient
Version: 3.1
HCIM Status:Final
Release: 2017
Release status: Published
Release date: 31-12-2017
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
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. |
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NL-CM:0.1.4 | AddressInformation | 0..* | Patient's address information. |
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NL-CM:0.1.5 | ContactInformation | 0..1 | Patient’s telephone number(s) or e-mail address(es). |
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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. |
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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. |
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NL-CM:0.1.9 | Gender | 1 | Patient’s administrative gender. |
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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. |
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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. |
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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
- Release 2015, (Version 2.0.1)
- Release 2016, (Version 3.0)
- Prerelease 2018-2, (Version 3.1.1)
- Prerelease 2019-2, (Version 3.1.1)
- Release 2020, (Version 3.2)
- Prerelease 2021-2, (Version 4.0)
- Prerelease 2022-1, (Version 4.1)
- Prerelease 2023-1, (Version 4.2)
- Prerelease 2024-1, (Version 4.3)
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 21/12/2018 14:11:10 with ZibExtraction v. 3.0.6929.24609