HdBe-Patient
CBB | Concept | Status |
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HdBe-Patient | Een persoon die medische, psychische, paramedische of verpleegkundige zorg ontvangt. In sommige zorgsectoren wordt in plaats van de term patient de term client of deelnemer gebruikt. PurposeHet vastleggen van de relevante gegevens ten behoeve van identificatie van de patiënt, voor administratieve doeleinden en procesondersteuning. Evidence BaseHoewel de term Patiënt niet in alle zorgsectoren gebruikt wordt, is er niet voor gekozen de naam te wijzigen in Persoon als overkoepelende aanduiding voor patiënt, cliënt, deelnemer, etc. omdat het begrip Persoon breder is dan het hier bedoelde concept. Zorgverleners en Contactpersonen zijn uiteindelijk ook personen. | active |
Patient | Patient | ||
id | 0..1 | string | |
extension | I | 0..* | Extension |
NameInformation | 0..1 | HdBe-NameInformation | |
AddressInformation | 0..* | HdBe-AddressInformation | |
ContactInformation | 0..* | HdBe-ContactInformation | |
PatientIdentificationNumber | 0..* | Identifier | |
DateOfBirth | 0..1 | dateTime | |
Gender | 0..1 | CodeableConceptBinding | |
MultipleBirthIndicator | 0..1 | CodeableConceptBinding | |
MultipleBirthOrder | 0..1 | integer | |
DeathIndicator | 0..1 | CodeableConceptBinding | |
DateOfDeath | 0..1 | dateTime |
Patient | 0..* | |
Patient.NameInformation | HdBe-NameInformation | 0..1 |
Patient.AddressInformation | HdBe-AddressInformation | 0..* |
Patient.ContactInformation | HdBe-ContactInformation | 0..* |
Patient.PatientIdentificationNumber | Identifier | 0..* |
Patient.DateOfBirth | dateTime | 0..1 |
Patient.Gender | CodeableConcept | 0..1 |
Patient.MultipleBirthIndicator | CodeableConcept | 0..1 |
Patient.MultipleBirthOrder | integer | 0..1 |
Patient.DeathIndicator | CodeableConcept | 0..1 |
Patient.DateOfDeath | dateTime | 0..1 |
Patient | |
Definition | Root concept of the Patient information model. This root concept contains all data elements of the Patient information model. |
Cardinality | 0...* |
Invariants |
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Mappings |
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Patient.id | |
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. |
Cardinality | 0...1 |
Type | string |
Mappings |
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Patient.extension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Cardinality | 0...* |
Type | Extension |
Alias | extensions, user content |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Slicing | Unordered, Open, by url(Value) |
Invariants |
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Mappings |
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Patient.NameInformation | |
Definition | Patient's full name. |
Cardinality | 0...1 |
Type | HdBe-NameInformation |
Invariants |
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Mappings |
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Patient.AddressInformation | |
Definition | Patient's address information. |
Cardinality | 0...* |
Type | HdBe-AddressInformation |
Invariants |
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Mappings |
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Patient.ContactInformation | |
Definition | Patient’s telephone number(s) or e-mail address(es). |
Cardinality | 0...* |
Type | HdBe-ContactInformation |
Invariants |
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Mappings |
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Patient.PatientIdentificationNumber | |
Definition | The patient’s identification number. Typically, when an social security identification number (NISS-INSZ) is available it is used. A local identifier may be provided when this is desired. |
Cardinality | 0...* |
Type | Identifier |
Invariants |
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Mappings |
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Patient.DateOfBirth | |
Definition | Patient’s date of birth. A vague date (such as only the year) is permitted. |
Cardinality | 0...1 |
Type | dateTime |
Invariants |
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Mappings |
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Patient.Gender | |
Definition | Patient’s administrative gender - the gender that the patient is considered to have for administration and record keeping purposes. Note that the gender might not match the biological sex as determined by genetics or the individual's preferred identification. If needed, the observation resource can be used to capture specific sex or gender aspect of interest. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | Gender codes |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
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Mappings |
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Patient.MultipleBirthIndicator | |
Definition | An indication stating whether the patient is of a multiple birth. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | MultipleBirthIndicator codes |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
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Mappings |
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Patient.MultipleBirthOrder | |
Definition | An indication of the birth order in case the patient is of a multiple birth. |
Cardinality | 0...1 |
Type | integer |
Comments | 32 bit number; for values larger than this, use decimal |
Invariants |
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Mappings |
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Patient.DeathIndicator | |
Definition | An indication stating whether the patient has died. |
Cardinality | 0...1 |
Type | CodeableConcept |
Binding | DeathIndicator codes |
Comments | Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. |
Invariants |
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Mappings |
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Patient.DateOfDeath | |
Definition | The date on which the patient died. A ‘vague’ date, such as only the year, is permitted. |
Cardinality | 0...1 |
Type | dateTime |
Invariants |
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Mappings |
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Example instances
patient | |
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NameInformation | reference to NameInformation (Belle Ulijn) |
AddressInformation | reference to AddressInformation (Rue de Boneffe 422) |
ContactInformation | reference to ContactInformation (+3247458497; BelleUlijn@mail.Be) |
PatientIdentificationNumber | 41.07.21.00.284 (SSIN) |
DateOfBirth | 1941-07-21 |
Gender | 248152002 - Female (code by SNOMED CT) |
MultipleBirthIndicator | 0 (code by healthdata.be (Sciensano)) |
MultipleBirthOrder | |
DeathIndicator | 438949009 - Alive (code by SNOMED CT) |
DateOfDeath |
zib Patient-v3.2 difference
Concept | Category | Description |
---|---|---|
Evidence Base | textual | Removed Dutch specific context from the Evidence Base section in StructureDefinition.Description . |
ContactInformation |
cardinality | Loosened cardinality from 0..1 to 0..* based on the changes made to the CBB ConctactInformation. Widening the cardinality here allows for capturing all contact information necessary. |
PatientIdentificationNumber |
textual | Replaced the Dutch context (BSN) with the Belgian equivalent (NISS-INSZ). |
DateOfBirth |
textual | Removed text regarding mandatory date of birth. |
Gender |
textual | Extended definition to clarify that the concept is about administrative gender rather then the patient's identified sex. |
MultipleBirthOrder |
element | Added element which defines the order of birth. Although reported for inclusion in the zibs ZIB-1670, it has been deemed to specific. It does however apply for the use cases within Sciensano and is therefore added to the CBB. |
MultipleBirthIndicator |
type | Changed type from boolean to CodeableConcept to bind a ValueSet that contains appropriate Snomed code for yes/true and the '0' code as defined by healthdata.be (Sciensano) codesystem as this is what is currently in use. |
DeathIndicator |
type | Changed type from boolean to CodeableConcept to bind a ValueSet that contains appropriate Snomed codes for yes/true and no/false because this is what is currently in use. |
Terminology Bindings
Path | Name | Strength | URL |
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Gender | Gender | required | https://fhir.healthdata.be/ValueSet/Gender |
MultipleBirthIndicator | MultipleBirthIndicator | required | https://fhir.healthdata.be/ValueSet/MultipleBirthIndicator |
DeathIndicator | DeathIndicator | required | https://fhir.healthdata.be/ValueSet/DeathIndicator |