6.2. Scenario 1
6.2.1. Patient data
| NameInformation.FirstNames | Erik |
| NameInformation.Initials | |
| NameInformation.GivenName | |
| NameInformation.NameUsage | |
| 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 | Netherlands (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@icloud.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 | |
| DateOfDeath |
6.2.2. Health Professional data
| 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 | Netherlands (code 'NL' from code system 'ISO 3166-1 (alpha-2)') |
| AddressInformation.AdditionalInformation | |
| AddressInformation.AddressType | |
| ContactInformation.TelephoneNumbers.TelephoneNumber | +31612345601 |
| ContactInformation.TelephoneNumbers.TelecomType | Mobiel telefoonnummer (code 'MC' from code system 'AddressUse') |
| 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 | Defensie Tandheelkundige Dienst |
| HealthProfessionalRole |
6.2.3. Healthcare Provider data
6.2.3.1. Healthcare Provider - Defensie Tandheelkundige Dienst
| HealthProviderIdentificationNumber | 12095095 (in identifier system 'Vektis AGB-zorgverlener tabel') |
| OrganizationName | Defensie Tandheelkundige Dienst |
| DepartmentSpeciality | |
| ContactInformation.TelephoneNumbers.TelephoneNumber | +31653603740 |
| ContactInformation.TelephoneNumbers.TelecomType | Mobiel telefoonnummer (code 'MC' from code system 'AddressUse') |
| ContactInformation.TelephoneNumbers.NumberType | Zakelijk telefoonnummer (code 'WP' from code system 'AddressUse') |
| ContactInformation.TelephoneNumbers.Comment | |
| ContactInformation.EmailAddresses.EmailAddress | PJ.Jumpertz.01@mindef.nl |
| ContactInformation.EmailAddresses.EmailAddressType | Zakelijk e-mailadres (code 'WP' from code system 'AddressUse') |
| AddressInformation.Street | Herculeslaan |
| AddressInformation.HouseNumber | 1 |
| AddressInformation.HouseNumberLetter | |
| AddressInformation.HouseNumberAddition | |
| AddressInformation.HouseNumberIndication | |
| AddressInformation.Postcode | 3584 AB |
| AddressInformation.PlaceOfResidence | Utrecht |
| AddressInformation.Municipality | |
| AddressInformation.Country | Netherlands (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 - Vliegbasis Gilze-Rijen
| HealthProviderIdentificationNumber | |
| OrganizationName | Vliegbasis Gilze-Rijen |
| DepartmentSpeciality | |
| ContactInformation.TelephoneNumbers.TelephoneNumber | 0889502753 |
| ContactInformation.TelephoneNumbers.TelecomType | Vast telefoonnummer (code 'LL' from code system 'TelecomDeviceTypes') |
| ContactInformation.TelephoneNumbers.NumberType | Zakelijk telefoonnummer (code 'WP' from code system 'AddressUse') |
| ContactInformation.TelephoneNumbers.Comment | |
| ContactInformation.EmailAddresses.EmailAddress | |
| ContactInformation.EmailAddresses.EmailAddressType | |
| AddressInformation.Street | Rijksweg |
| AddressInformation.HouseNumber | 121 |
| AddressInformation.HouseNumberLetter | |
| AddressInformation.HouseNumberAddition | |
| AddressInformation.HouseNumberIndication | |
| AddressInformation.Postcode | 5120 AA |
| AddressInformation.PlaceOfResidence | Rijen |
| AddressInformation.Municipality | |
| AddressInformation.Country | Netherlands (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 | |
| NameInformation.LastName.Prefix | |
| NameInformation.LastName.LastName | Jansen |
| NameInformation.LastNamePartner.PartnerPrefix | |
| NameInformation.LastNamePartner.PartnerLastName | |
| NameInformation.Titles | |
| ContactInformation.TelephoneNumbers.TelephoneNumber | |
| ContactInformation.TelephoneNumbers.TelecomType | |
| ContactInformation.TelephoneNumbers.NumberType | |
| ContactInformation.TelephoneNumbers.Comment | |
| ContactInformation.EmailAddresses.EmailAddress | |
| ContactInformation.EmailAddresses.EmailAddressType | |
| AddressInformation.Street | |
| AddressInformation.HouseNumber | |
| AddressInformation.HouseNumberLetter | |
| AddressInformation.HouseNumberAddition | |
| AddressInformation.HouseNumberIndication | |
| AddressInformation.Postcode | |
| AddressInformation.PlaceOfResidence | |
| AddressInformation.Municipality | |
| AddressInformation.Country | |
| AddressInformation.AdditionalInformation | |
| AddressInformation.AddressType | |
| Role | Eerste relatie/contactpersoon (code '01' from code system 'COD821-VEKT') |
| Role | Mantelzorger (code '100001' from code system 'ExtraRolcodes') |
| Relationship |
6.2.5. ASA Score data
| ASAScoreDateTime | 29-04-2024 06:43 |
| ASAScoreValue | ASA-score 1 (code '413495001' from code system 'SNOMED CT') |
| Performer | A.B.D.O. de Koning, Tandarts |
| Comment | Verandering gezondheid: enkel gebroken |
6.2.6. Caries Risk data
| CariesRiskDateTime | 29-04-2024 06:43 |
| CariesRiskValue | Laag (code '62482003' from code system 'SNOMED CT') |
| Performer | A.B.D.O. de Koning, Tandarts |
| Comment |
6.2.7. Dental Fitness data
| DentalFitnessDateTime | 02-02-2024 06:43 |
| DentalFitnessValue | Klasse 1 (code '258392002' from code system 'SNOMED CT') |
| Performer | A.B.D.O. de Koning, Tandarts |
| Comment |
6.2.8. Encounter data
6.2.8.1. Encounter - 22-07-2026
| ContactType | Anders (code 'OTH' from code system 'NullFlavor'): Tandarts Periodiek Preventief Onderzoek |
| ContactWith | A.B.D.O. de Koning, Tandarts |
| Location | Vliegbasis Gilze-Rijen |
| StartDateTime | 22-07-2026 10:00 |
| EndDateTime | 22-07-2026 11:00 |
| ContactReason.Problem | |
| ContactReason.Procedure | |
| ContactReason.DeviatingResult | |
| ContactReason.CommentContactReason | Laatste orthopantomogram (röntgenfoto) was in 2025 |
| Origin | |
| Destination |
6.2.8.2. Encounter - 20-05-2025
| ContactType | Anders (code 'OTH' from code system 'NullFlavor'): Tandarts Periodiek Preventief Onderzoek |
| ContactWith | A.B.D.O. de Koning, Tandarts |
| Location | Vliegbasis Gilze-Rijen |
| StartDateTime | 20-05-2025 10:00 |
| EndDateTime | 20-05-2025 11:00 |
| ContactReason.Problem | |
| ContactReason.Procedure | |
| ContactReason.DeviatingResult | |
| ContactReason.CommentContactReason | Extra controle vanwege bloedend tandvlees |
| Origin | |
| Destination |
6.2.9. Oral Hygiene data
| OralHygieneDateTime | 29-04-2024 06:43 |
| OralHygieneValue | Slecht (code '556001' from code system 'SNOMED CT') |
| Performer | A.B.D.O. de Koning, Tandarts |
| Comment |
6.2.10. Parafunctional Activity data
| ParafunctionalActivityDateTime | 29-04-2024 06:43 |
| 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
| 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 | Netherlands (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 | |
| ContactInformation.TelephoneNumbers.TelecomType | |
| ContactInformation.TelephoneNumbers.NumberType | |
| ContactInformation.TelephoneNumbers.Comment | |
| ContactInformation.EmailAddresses.EmailAddress | |
| ContactInformation.EmailAddresses.EmailAddressType |
6.2.11.2. Payer - Zorgkantoor Groningen
| 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 | |
| InsuranceCompany.OrganizationName | Zorgkantoor Groningen |
| InsuranceCompany.InsurantNumber | 12345678 |
| AddressInformation.Street | Winschoterdiep |
| AddressInformation.HouseNumber | 70 |
| AddressInformation.HouseNumberLetter | |
| AddressInformation.HouseNumberAddition | |
| AddressInformation.HouseNumberIndication | |
| AddressInformation.Postcode | 9723 AB |
| AddressInformation.PlaceOfResidence | Groningen |
| AddressInformation.Municipality | |
| AddressInformation.Country | Netherlands (code 'NL' from code system 'ISO 3166-1 (alpha-2)') |
| AddressInformation.AdditionalInformation | |
| AddressInformation.AddressType | Werkadres (code 'WP' from code system 'AddressUse') |
| ContactInformation.TelephoneNumbers.TelephoneNumber | |
| ContactInformation.TelephoneNumbers.TelecomType | |
| ContactInformation.TelephoneNumbers.NumberType | |
| ContactInformation.TelephoneNumbers.Comment | |
| ContactInformation.EmailAddresses.EmailAddress | |
| ContactInformation.EmailAddresses.EmailAddressType |
6.2.12. Periodic Periodontal Screening Score data
| PeriodicPeriodontalScreeningScoreDateTime | 29-04-2024 06:43 |
| PeriodicPeriodontalScreeningScoreValue | Pockets 0-3 millimeter = in orde (code 'ppsscore1' from code system 'PeriodicPeriodontalScreeningScore') |
| Performer | A.B.D.O. de Koning, Tandarts |
| Comment | Geen paradontale vervolgbehandeling |
6.2.13. Procedure data
| ProcedureStartDate | 29-04-2024 |
| ProcedureEndDate | |
| ProcedureType | Plaatsen opbouw ten behoeve van implantaatkroon (code 'R67' from code system 'Vektis Prestatiecodelijst Mondzorg') |
| ProcedureMethod | |
| ProcedureAnatomicalLocation.Location | |
| ProcedureAnatomicalLocation.Laterality | |
| Indication | |
| Indication.ProblemType | |
| Indication.ProblemName | |
| Indication.FurtherSpecificationProblemName | |
| Indication.ProblemAnatomicalLocation | |
| Indication.ProblemAnatomicalLocation.Location | |
| Indication.ProblemAnatomicalLocation.Laterality | |
| Indication.ProblemStartDate | |
| Indication.ProblemEndDate | |
| Indication.ProblemStatus | |
| Indication.VerificationStatus | |
| Indication.Comment | |
| Location | Vliegbasis Gilze-Rijen |
| Performer | A.B.D.O. de Koning, Tandarts |
6.2.14. Treatment Objective data
6.2.14.1. Treatment Objective - Tandvleesontsteking behandelen
| DesiredHealthcareResult | Tandvleesontsteking behandelen |
| DesiredHealthCondition | |
| Problem |
6.2.14.2. Treatment Objective - Brug monteren bij rechterbovenkies
| DesiredHealthcareResult | Brug monteren bij rechterbovenkies |
| DesiredHealthCondition | |
| Problem |