6.2. Scenario 1

6.2.1. Patient data

NameInformation.FirstNames Erik
NameInformation.Initials
NameInformation.GivenName Erik
NameInformation.NameUsage Eigen geslachtsnaam (code 'NL1' from code system 'NaamGebruik')
NameInformation.LastName.Prefix van
NameInformation.LastName.LastName Oranje
NameInformation.LastNamePartner.PartnerPrefix
NameInformation.LastNamePartner.PartnerLastName
NameInformation.Titles
AddressInformation.Street De Doerak
AddressInformation.HouseNumber 57
AddressInformation.HouseNumberLetter A
AddressInformation.HouseNumberAddition
AddressInformation.HouseNumberIndication
AddressInformation.Postcode 6123 PP
AddressInformation.PlaceOfResidence Montferland
AddressInformation.Municipality
AddressInformation.Country Nederland (code 'NL' from code system 'ISO 3166-1 (alpha-2)')
AddressInformation.AdditionalInformation
AddressInformation.AddressType Officieel adres (code 'HP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.TelephoneNumber +31612345600
ContactInformation.TelephoneNumbers.TelecomType Mobiel telefoonnummer (code 'MC' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.NumberType Telefoonnummer thuis (code 'HP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.Comment
ContactInformation.EmailAddresses.EmailAddress erikvanoranje@test.com
ContactInformation.EmailAddresses.EmailAddressType Privé e-mailadres (code 'HP' from code system 'AddressUse')
PatientIdentificationNumber 999998286 (in identifier system 'Burgerservicenummer')
DateOfBirth 02-08-1991
Gender Man (code 'M' from code system 'AdministrativeGender')
MultipleBirthIndicator
DeathIndicator Nee
DateOfDeath

6.2.2. Health Professional data

6.2.2.1. Health Professional - A.B.D.O. de Koning

HealthProfessionalIdentificationNumber 12070100 (in identifier system 'BIG register inschrijvingsnummer')
NameInformation.FirstNames
NameInformation.Initials A.B.D.O.
NameInformation.GivenName
NameInformation.NameUsage
NameInformation.LastName.Prefix de
NameInformation.LastName.LastName Koning
NameInformation.LastNamePartner.PartnerPrefix
NameInformation.LastNamePartner.PartnerLastName
NameInformation.Titles
Speciality Tandartsen, algemeen practicus (code '1200' from code system 'Vektis AGB-medische specialismen')
Gender
AddressInformation.Street Simon Smitweg
AddressInformation.HouseNumber 1
AddressInformation.HouseNumberLetter
AddressInformation.HouseNumberAddition
AddressInformation.HouseNumberIndication
AddressInformation.Postcode 2353 GA
AddressInformation.PlaceOfResidence Leiderdorp
AddressInformation.Municipality
AddressInformation.Country Nederland (code 'NL' from code system 'ISO 3166-1 (alpha-2)')
AddressInformation.AdditionalInformation
AddressInformation.AddressType Werkadres (code 'WP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.TelephoneNumber +31612345601
ContactInformation.TelephoneNumbers.TelecomType
ContactInformation.TelephoneNumbers.NumberType Zakelijk telefoonnummer (code 'WP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.Comment
ContactInformation.EmailAddresses.EmailAddress dekoning@tandarts.nl
ContactInformation.EmailAddresses.EmailAddressType Zakelijk e-mailadres (code 'WP' from code system 'AddressUse')
HealthcareProvider Mondzorgcentrum Lindenhof
HealthProfessionalRole

6.2.2.2. Health Professional - S. Vermeer

HealthProfessionalIdentificationNumber 87001201 (in identifier system 'BIG register inschrijvingsnummer')
NameInformation.FirstNames
NameInformation.Initials S.
NameInformation.GivenName
NameInformation.NameUsage
NameInformation.LastName.Prefix
NameInformation.LastName.LastName Vermeer
NameInformation.LastNamePartner.PartnerPrefix
NameInformation.LastNamePartner.PartnerLastName
NameInformation.Titles
Speciality Mondhygiënisten (code '8700' from code system 'Vektis AGB-medische specialismen')
Gender Vrouw (code 'F' from code system 'AdministrativeGender')
AddressInformation.Street Simon Smitweg
AddressInformation.HouseNumber 1
AddressInformation.HouseNumberLetter
AddressInformation.HouseNumberAddition
AddressInformation.HouseNumberIndication
AddressInformation.Postcode 2353 GA
AddressInformation.PlaceOfResidence Leiderdorp
AddressInformation.Municipality
AddressInformation.Country Nederland (code 'NL' from code system 'ISO 3166-1 (alpha-2)')
AddressInformation.AdditionalInformation
AddressInformation.AddressType Werkadres (code 'WP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.TelephoneNumber +31612345603
ContactInformation.TelephoneNumbers.TelecomType
ContactInformation.TelephoneNumbers.NumberType Zakelijk telefoonnummer (code 'WP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.Comment
ContactInformation.EmailAddresses.EmailAddress vermeer@mondhygienist.nl
ContactInformation.EmailAddresses.EmailAddressType Zakelijk e-mailadres (code 'WP' from code system 'AddressUse')
HealthcareProvider Mondzorgcentrum Lindenhof
HealthProfessionalRole

6.2.3. Healthcare Provider data

6.2.3.1. Healthcare Provider - Mondzorgcentrum Lindenhof

HealthcareProviderIdentificationNumber 12999001 (in identifier system 'Vektis AGB-zorgverlener tabel')
OrganizationName Mondzorgcentrum Lindenhof
DepartmentSpeciality Tandartsen (code '1200' from code system 'Vektis AGB-medische specialismen')
ContactInformation.TelephoneNumbers.TelephoneNumber +31612345602
ContactInformation.TelephoneNumbers.TelecomType
ContactInformation.TelephoneNumbers.NumberType Zakelijk telefoonnummer (code 'WP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.Comment
ContactInformation.EmailAddresses.EmailAddress info@lindenhof-mondzorg.nl
ContactInformation.EmailAddresses.EmailAddressType Zakelijk e-mailadres (code 'WP' from code system 'AddressUse')
AddressInformation.Street Meidoornlaan
AddressInformation.HouseNumber 15
AddressInformation.HouseNumberLetter
AddressInformation.HouseNumberAddition
AddressInformation.HouseNumberIndication
AddressInformation.Postcode 9991 XX
AddressInformation.PlaceOfResidence Leiderdorp
AddressInformation.Municipality
AddressInformation.Country Nederland (code 'NL' from code system 'ISO 3166-1 (alpha-2)')
AddressInformation.AdditionalInformation
AddressInformation.AddressType Werkadres (code 'WP' from code system 'AddressUse')
OrganizationType
OrganizationLocation.LocationName
OrganizationLocation.LocationNumber

6.2.3.2. Healthcare Provider - Praktijklocatie Lindenhof

HealthcareProviderIdentificationNumber
OrganizationName Praktijklocatie Lindenhof
DepartmentSpeciality
ContactInformation.TelephoneNumbers.TelephoneNumber 0881234567
ContactInformation.TelephoneNumbers.TelecomType
ContactInformation.TelephoneNumbers.NumberType Zakelijk telefoonnummer (code 'WP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.Comment
ContactInformation.EmailAddresses.EmailAddress
ContactInformation.EmailAddresses.EmailAddressType
AddressInformation.Street Heideweg
AddressInformation.HouseNumber 3
AddressInformation.HouseNumberLetter
AddressInformation.HouseNumberAddition
AddressInformation.HouseNumberIndication
AddressInformation.Postcode 9992 XX
AddressInformation.PlaceOfResidence Leiderdorp
AddressInformation.Municipality
AddressInformation.Country Nederland (code 'NL' from code system 'ISO 3166-1 (alpha-2)')
AddressInformation.AdditionalInformation
AddressInformation.AddressType Werkadres (code 'WP' from code system 'AddressUse')
OrganizationType
OrganizationLocation.LocationName
OrganizationLocation.LocationNumber

6.2.4. Contact Person data

NameInformation.FirstNames Leo
NameInformation.Initials
NameInformation.GivenName
NameInformation.NameUsage Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code 'NL4' from code system 'NaamGebruik')
NameInformation.LastName.Prefix
NameInformation.LastName.LastName Jansen
NameInformation.LastNamePartner.PartnerPrefix van der
NameInformation.LastNamePartner.PartnerLastName Heide
NameInformation.Titles MSc
ContactInformation.TelephoneNumbers.TelephoneNumber +31612345611
ContactInformation.TelephoneNumbers.TelecomType Mobiel telefoonnummer (code 'MC' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.NumberType Telefoonnummer thuis (code 'HP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.Comment Bereikbaar op werkdagen tussen 9.00 en 17.00 uur
ContactInformation.EmailAddresses.EmailAddress leojansen@test.com
ContactInformation.EmailAddresses.EmailAddressType Privé e-mailadres (code 'HP' from code system 'AddressUse')
AddressInformation.Street Kerkstraat
AddressInformation.HouseNumber 12
AddressInformation.HouseNumberLetter B
AddressInformation.HouseNumberAddition
AddressInformation.HouseNumberIndication Bij (code 'by' from code system 'AanduidingBijHuisnummer')
AddressInformation.Postcode 6942 AB
AddressInformation.PlaceOfResidence Didam
AddressInformation.Municipality Montferland
AddressInformation.Country Nederland (code 'NL' from code system 'ISO 3166-1 (alpha-2)')
AddressInformation.AdditionalInformation boven de bakkerij
AddressInformation.AddressType Officieel adres (code 'HP' from code system 'AddressUse')
Role Eerste relatie/contactpersoon (code '01' from code system 'COD472-VEKT')
Role Mantelzorger (code '100001' from code system 'ExtraRolcodes')
Relationship

6.2.5. ASA Score data

IdentificationNumber bdabb6dc-a6be-4124-85c5-49bd385a9868 (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
HealthcareProvider Mondzorgcentrum Lindenhof
EffectiveDateTime 03-06-2025 09:05
CareType Tandartsen (code '1200' from code system 'Vektis AGB-medische specialismen')
ASAScoreValue ASA-score 1 (code '413495001' from code system 'SNOMED CT')
Performer A.B.D.O. de Koning, Tandarts
Comment Geen relevante gezondheidsveranderingen sinds vorige keuring; patiënt is inzetbaar, geen medicatie of allergieën.

6.2.6. Caries Risk data

IdentificationNumber 96a93ed3-7a65-4bf8-a656-ec975732f73e (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
HealthcareProvider Mondzorgcentrum Lindenhof
EffectiveDateTime 20-05-2025 10:30
CareType Tandartsen (code '1200' from code system 'Vektis AGB-medische specialismen')
CariesRiskValue verhoogd (code '35105006' from code system 'SNOMED CT')
Performer A.B.D.O. de Koning, Tandarts
Comment Advies: frequentie van suikerhoudende tussendoortjes beperken.

6.2.7. Dental Fitness data

IdentificationNumber 3fd0d3e1-960d-4a05-8ab5-76adbc1ecdce (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
HealthcareProvider Mondzorgcentrum Lindenhof
EffectiveDateTime 20-05-2025 10:15
CareType Tandartsen (code '1200' from code system 'Vektis AGB-medische specialismen')
DentalFitnessValue klasse 2 (code '258393007' from code system 'SNOMED CT')
Performer A.B.D.O. de Koning, Tandarts
Comment Actieve cariës en gingivitis; restauratieve behandeling gepland.

6.2.8. Encounter data

6.2.8.1. Encounter - 20-05-2026

IdentificationNumber 3fd0d3e1-960d-4a05-8ab5-76adbc1ecdce (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
HealthcareProvider Mondzorgcentrum Lindenhof
CareType Tandartsen (code '1200' from code system 'Vektis AGB-medische specialismen')
ContactType Anders (code 'OTH' from code system 'NullFlavor'): Tandarts Periodiek Preventief Onderzoek
ContactWith A.B.D.O. de Koning, Tandarts
Location Praktijklocatie Lindenhof
StartDateTime 20-05-2026 10:00
EndDateTime 20-05-2026 11:00
ContactReason.Problem
ContactReason.Procedure
ContactReason.DeviatingResult Vorige orthopantomogram (röntgenfoto) was in 2025
ContactReason.CommentContactReason Jaarlijkse periodiek preventief onderzoek
Origin
Destination

6.2.8.2. Encounter - 20-05-2025

IdentificationNumber 2ffbc4f2-95e8-4b98-a803-34386f4595e9 (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
HealthcareProvider Mondzorgcentrum Lindenhof
CareType Tandartsen (code '1200' from code system 'Vektis AGB-medische specialismen')
ContactType Anders (code 'OTH' from code system 'NullFlavor'): Tandarts Periodiek Preventief Onderzoek
ContactWith A.B.D.O. de Koning, Tandarts
Location Praktijklocatie Lindenhof
StartDateTime 20-05-2025 10:00
EndDateTime 20-05-2025 11:00
ContactReason.Problem Cariës rechterbovenkies
ContactReason.Procedure
ContactReason.DeviatingResult
ContactReason.CommentContactReason Periodiek preventief onderzoek: cariës rechterbovenkies vastgesteld; restauratie gepland. Tevens gingivitis bij slechte mondhygiëne.
Origin Eigen woonomgeving (code '264362003' from code system 'SNOMED CT')
Destination

6.2.9. Oral Hygiene data

IdentificationNumber cc98117d-988c-4d3a-990a-a831fe580d8a (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
HealthcareProvider Mondzorgcentrum Lindenhof
EffectiveDateTime 20-05-2025 10:45
CareType Mondhygiënisten (code '8700' from code system 'Vektis AGB-medische specialismen')
OralHygieneValue slecht (code '556001' from code system 'SNOMED CT')
Performer S. Vermeer, Mondhygiënist
Comment

6.2.10. Parafunctional Activity data

IdentificationNumber 525c56a1-d0b7-4ee2-8825-32db8f8148e4 (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
HealthcareProvider Mondzorgcentrum Lindenhof
EffectiveDateTime 20-05-2025 10:10
CareType Tandartsen (code '1200' from code system 'Vektis AGB-medische specialismen')
ParafunctionalActivityValue Overmatig knarsen bij stress
Performer A.B.D.O. de Koning, Tandarts
Comment

6.2.11. Payer data

6.2.11.1. Payer - Erik van Oranje

IdentificationNumber 95f5850e-1bfd-4aad-b6dc-45beee67f185 (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
CareType Tandartsen (code '1200' from code system 'Vektis AGB-medische specialismen')
PayerPerson.PayerName Erik van Oranje
PayerPerson.BankInformation.BankName ING
PayerPerson.BankInformation.BankCode INGBNL2A
PayerPerson.BankInformation.AccountNumber NL85INGB0001234567
InsuranceCompany.Insurance.StartDateTime
InsuranceCompany.Insurance.EndDateTime
InsuranceCompany.Insurance.InsuranceType
InsuranceCompany.IdentificationNumber
InsuranceCompany.OrganizationName
InsuranceCompany.InsurantNumber
AddressInformation.Street De Doerak
AddressInformation.HouseNumber 57
AddressInformation.HouseNumberLetter A
AddressInformation.HouseNumberAddition
AddressInformation.HouseNumberIndication
AddressInformation.Postcode 6123 PP
AddressInformation.PlaceOfResidence Montferland
AddressInformation.Municipality
AddressInformation.Country Nederland (code 'NL' from code system 'ISO 3166-1 (alpha-2)')
AddressInformation.AdditionalInformation
AddressInformation.AddressType Officieel adres (code 'HP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.TelephoneNumber +31612345600
ContactInformation.TelephoneNumbers.TelecomType Mobiel telefoonnummer (code 'MC' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.NumberType Telefoonnummer thuis (code 'HP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.Comment
ContactInformation.EmailAddresses.EmailAddress erikvanoranje@test.com
ContactInformation.EmailAddresses.EmailAddressType Privé e-mailadres (code 'HP' from code system 'AddressUse')

6.2.11.2. Payer - Zorgkantoor Noorderlicht

IdentificationNumber b60e42e2-e133-4528-873c-292f0bb29093 (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
CareType Tandartsen (code '1200' from code system 'Vektis AGB-medische specialismen')
PayerPerson.PayerName
PayerPerson.BankInformation.BankName
PayerPerson.BankInformation.BankCode
PayerPerson.BankInformation.AccountNumber
InsuranceCompany.Insurance.StartDateTime 01-01-2025
InsuranceCompany.Insurance.EndDateTime 01-01-2026
InsuranceCompany.Insurance.InsuranceType Basis (code 'B' from code system 'Verzekeringssoort')
InsuranceCompany.IdentificationNumber 9901 (in identifier system 'UZOVI')
InsuranceCompany.OrganizationName Zorgkantoor Noorderlicht
InsuranceCompany.InsurantNumber 12345678
AddressInformation.Street Kadeweg
AddressInformation.HouseNumber 22
AddressInformation.HouseNumberLetter
AddressInformation.HouseNumberAddition
AddressInformation.HouseNumberIndication
AddressInformation.Postcode 9994 XX
AddressInformation.PlaceOfResidence Harlingen
AddressInformation.Municipality
AddressInformation.Country Nederland (code 'NL' from code system 'ISO 3166-1 (alpha-2)')
AddressInformation.AdditionalInformation
AddressInformation.AddressType Werkadres (code 'WP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.TelephoneNumber 0501234567
ContactInformation.TelephoneNumbers.TelecomType
ContactInformation.TelephoneNumbers.NumberType Zakelijk telefoonnummer (code 'WP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.Comment
ContactInformation.EmailAddresses.EmailAddress
ContactInformation.EmailAddresses.EmailAddressType

6.2.12. Periodic Periodontal Screening Score data

IdentificationNumber 8fed8eb5-5353-4ae6-88dc-ab283ad0afb3 (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
HealthcareProvider Mondzorgcentrum Lindenhof
EffectiveDateTime 20-05-2025 10:05
CareType Mondhygiënisten (code '8700' from code system 'Vektis AGB-medische specialismen')
PeriodicPeriodontalScreeningScoreValue Pockets 0-3 millimeter = in orde (code 'ppsscore1' from code system 'PeriodicPeriodontalScreeningScore')
Performer S. Vermeer, Mondhygiënist
Comment Geen parodontale vervolgbehandeling; wel gingivitis bij slechte mondhygiëne

6.2.13. Procedure data

IdentificationNumber 1c2c7df9-8a1f-4ef9-9bfd-3640f8e39ec1 (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
HealthcareProvider Mondzorgcentrum Lindenhof
StartDateTime 03-06-2025 09:00
EndDateTime 03-06-2025 09:45
CareType Tandartsen (code '1200' from code system 'Vektis AGB-medische specialismen')
ProcedureType Eénvlaksvulling composiet (code 'V91' from code system 'Vektis Prestatiecodelijst Mondzorg')
ProcedureMethod inbrengen (code '257867005' from code system 'SNOMED CT')
ProcedureAnatomicalLocation.Location tand en/of kies (code '38199008' from code system 'SNOMED CT')
ProcedureAnatomicalLocation.Laterality Rechts (code '24028007' from code system 'SNOMED CT')
Indication.ProblemType Diagnose (code '282291009' from code system 'SNOMED CT')
Indication.ProblemName gaatje in je tand of kies (code '80967001' from code system 'SNOMED CT')
Indication.FurtherSpecificationProblemName Cariës rechterbovenkies
Indication.ProblemAnatomicalLocation.Location tand en/of kies (code '38199008' from code system 'SNOMED CT')
Indication.ProblemAnatomicalLocation.Laterality Rechts (code '24028007' from code system 'SNOMED CT')
Indication.ProblemStartDate 20-05-2025 10:00
Indication.ProblemEndDate
Indication.ProblemStatus Actueel (code '55561003' from code system 'SNOMED CT')
Indication.VerificationStatus Bevestigd (code '410605003' from code system 'SNOMED CT')
Indication.Comment Actieve cariës vastgesteld tijdens periodiek preventief onderzoek. Restauratieve behandeling (éénvlaksvulling) en preventief advies besproken.
Location Praktijklocatie Lindenhof
Performer A.B.D.O. de Koning, Tandarts

6.2.14. Treatment Objective data

6.2.14.1. Treatment Objective - Gingivitis/tandvleesontsteking behandelen

IdentificationNumber b9239217-7b5b-465b-a550-c3cabceb7983 (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
HealthcareProvider Mondzorgcentrum Lindenhof
EffectiveDateTime 20-05-2025
CareType Tandartsen (code '1200' from code system 'Vektis AGB-medische specialismen'), Mondhygiënisten (code '8700' from code system 'Vektis AGB-medische specialismen')
DesiredHealthcareResult Gingivitis/tandvleesontsteking behandelen
DesiredHealthCondition.StatusName
DesiredHealthCondition.StatusValue
DesiredHealthCondition.StatusDate
DesiredHealthCondition.Comment
DesiredHealthCondition.MedicalDevice
Problem
Priority Hoge prioriteit (code 'high-priority' from code system 'GoalPriority')

6.2.14.2. Treatment Objective - Cariës rechterbovenkies restaureren

IdentificationNumber ff0bf74b-fb91-4054-acdc-4359df96036f (in identifier system 'https://mondzorgcentrum-lindenhof.nl/fhir/NamingSystem/resource-business-identifier')
HealthcareProvider Mondzorgcentrum Lindenhof
EffectiveDateTime 20-05-2025
CareType Tandartsen (code '1200' from code system 'Vektis AGB-medische specialismen')
DesiredHealthcareResult Cariës rechterbovenkies restaureren
DesiredHealthCondition.StatusName
DesiredHealthCondition.StatusValue
DesiredHealthCondition.StatusDate
DesiredHealthCondition.Comment
DesiredHealthCondition.MedicalDevice
Problem
Priority Hoge prioriteit (code 'high-priority' from code system 'GoalPriority')