6.2. Scenario 1
6.2.1. Patient data
| NameInformation.FirstNames | Fiona |
| NameInformation.Initials | F. |
| NameInformation.GivenName | |
| NameInformation.NameUsage | Eigen geslachtsnaam (code 'NL1' from code system 'NaamGebruik') |
| NameInformation.LastName.Prefix | |
| NameInformation.LastName.LastName | XXX_Mutter |
| NameInformation.LastNamePartner.PartnerPrefix | |
| NameInformation.LastNamePartner.PartnerLastName | |
| AddressInformation.Street | Knolweg |
| AddressInformation.HouseNumber | 1001 |
| AddressInformation.HouseNumberLetter | |
| AddressInformation.HouseNumberAddition | |
| AddressInformation.HouseNumberIndication | |
| AddressInformation.Postcode | 9999XX |
| AddressInformation.PlaceOfResidence | Stitswerd |
| AddressInformation.Municipality | |
| AddressInformation.Country | Nederland (code '6030' from code system 'GBA Tabel 34 (Landentabel)') |
| AddressInformation.AdditionalInformation | |
| AddressInformation.AddressType | Postadres (code 'PST' from code system 'AddressUse') |
| ContactInformation.TelephoneNumbers.TelephoneNumber | +31634567891 |
| ContactInformation.TelephoneNumbers.TelecomType | Mobiel telefoonnummer (code 'MC' from code system 'AddressUse') |
| ContactInformation.TelephoneNumbers.NumberType | Telefoonnummer thuis (code 'HP' from code system 'AddressUse') |
| ContactInformation.EmailAddresses.EmailAddress | fmutter@hotmail.com |
| ContactInformation.EmailAddresses.EmailAddressType | Privé e-mailadres (code 'HP' from code system 'AddressUse') |
| DateOfBirth | 08-02-1964 |
| Gender | Vrouw (code 'F' from code system 'AdministrativeGender') |
| MultipleBirthIndicator | Nee |
| DeathIndicator | |
| DateOfDeath |
6.2.2. Health Professional data
| HealthProfessionalIdentificationNumber | 88131313 (in identifier system 'Vektis AGB-zorgverlener tabel') |
| NameInformation.FirstNames | |
| NameInformation.Initials | W. |
| NameInformation.GivenName | |
| NameInformation.NameUsage | Eigen geslachtsnaam (code 'NL1' from code system 'NaamGebruik') |
| NameInformation.LastName.Prefix | |
| NameInformation.LastName.LastName | Bloem |
| NameInformation.LastNamePartner.PartnerPrefix | |
| NameInformation.LastNamePartner.PartnerLastName | |
| Speciality | Ergotherapeuten (code '8800' from code system 'Vektis AGB-medische specialismen') |
| AddressInformation.Street | |
| AddressInformation.HouseNumber | |
| AddressInformation.HouseNumberLetter | |
| AddressInformation.HouseNumberAddition | |
| AddressInformation.HouseNumberIndication | |
| AddressInformation.Postcode | |
| AddressInformation.PlaceOfResidence | |
| AddressInformation.Municipality | |
| AddressInformation.Country | |
| AddressInformation.AdditionalInformation | |
| AddressInformation.AddressType | |
| ContactInformation.TelephoneNumbers.TelephoneNumber | |
| ContactInformation.TelephoneNumbers.TelecomType | |
| ContactInformation.TelephoneNumbers.NumberType | |
| ContactInformation.EmailAddresses.EmailAddress | bloem@ergotherapie.nl |
| ContactInformation.EmailAddresses.EmailAddressType | Zakelijk e-mailadres (code 'WP' from code system 'AddressUse') |
| HealthcareProvider | |
| HealthProfessionalRole |
6.2.3. Healthcare Provider data
| HealthProviderIdentificationNumber | 75131313 (in identifier system 'Vektis AGB-zorgverlener tabel') |
| OrganizationName | ThuiszorgOrg Noord |
| OrganizationLocation | |
| DepartmentSpeciality | Thuiszorg, kruiswerk en gezinsverzorging (code '7500' from code system 'Vektis AGB-medische specialismen') |
| ContactInformation.TelephoneNumbers.TelephoneNumber | |
| ContactInformation.TelephoneNumbers.TelecomType | |
| ContactInformation.TelephoneNumbers.NumberType | |
| 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 | |
| OrganizationType | Thuiszorg (code 'T2' from code system 'RoleCodeNL') |
6.2.4. Contact Person data
| NameInformation.FirstNames | Robert |
| NameInformation.Initials | R. |
| NameInformation.GivenName | |
| NameInformation.NameUsage | Eigen geslachtsnaam (code 'NL1' from code system 'NaamGebruik') |
| NameInformation.LastName.Prefix | |
| NameInformation.LastName.LastName | Prins |
| NameInformation.LastNamePartner.PartnerPrefix | |
| NameInformation.LastNamePartner.PartnerLastName | |
| ContactInformation.TelephoneNumbers.TelephoneNumber | 06-34567891 |
| ContactInformation.TelephoneNumbers.TelecomType | Mobiel telefoonnummer (code 'MC' from code system 'AddressUse') |
| ContactInformation.TelephoneNumbers.NumberType | Telefoonnummer thuis (code 'HP' from code system 'AddressUse') |
| ContactInformation.EmailAddresses.EmailAddress | bprins@123net.nl |
| ContactInformation.EmailAddresses.EmailAddressType | Privé e-mailadres (code 'HP' from code system 'AddressUse') |
| 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 '1' from code system 'COD472-VEKT') |
| Relationship | Zoon (code 'SONC' from code system 'RoleCode') |
6.2.5. Alert data
| Condition | |
| AlertName | Drager MRSA (code '432415000' from code system 'SNOMED CT') |
| StartDateTime | 30-04-2025 |
| AlertType | waarschuwing (code '74018-3' from code system 'LOINC') |
6.2.6. Blood Pressure data
| MeasuringMethod | Niet-invasief (code '22762002' from code system 'SNOMED CT') |
| CuffType | Standaard (code 'STD' from code system 'ManchetType') |
| MeasuringLocation | Rechter bovenarm (code '368209003' from code system 'SNOMED CT') |
| DiastolicEndpoint | Fase V (code '255272007' from code system 'SNOMED CT') |
| SystolicBloodPressure | 170 mmHg |
| DiastolicBloodPressure | 90 mmHg |
| AverageBloodPressure | 110 mmHg |
| BloodPressureDateTime | 26-04-2025 13:45 |
| Comment | mevrouw gebruikt medicatie |
| Position | Liggende positie (code '102538003' from code system 'SNOMED CT') |
6.2.7. Body Height data
| HeightValue | 170 cm |
| HeightDateTime | 15-05-2025 13:30 |
| Comment | zonder schoenen aan |
| Position |
6.2.8. Body Temperature data
| TemperatureValue | 40 °C |
| TemperatureDateTime | 16-05-2025 06:00 |
| Comment | hoofd voelt heel warm aan |
| TemperatureType | Tympanische temperatuur (code '415974002' from code system 'SNOMED CT') |
6.2.9. Body Weight data
| WeightValue | 74 kg |
| Comment | meneer volgt afvaldieet |
| WeightDateTime | 15-05-2025 13:30 |
| Clothing | Volledig gekleed, inclusief schoenen (code 'FULL' from code system 'ContextKleding') |
6.2.10. Encounter data
| ContactType | Home (code 'HH' from code system 'ActCode') |
| ContactWith | W. Bloem |
| Location | |
| StartDateTime | 01-06-2025 14:15 |
| EndDateTime | |
| ContactReason.Problem | |
| ContactReason.Procedure | |
| ContactReason.DeviatingResult | Controle voortgang revalidatie |
| Origin | |
| Destination |
6.2.11. Fluid Balance data
| Comment | |
| FluidTotalIn | 1300 mL |
| FluidTotalOut | 1010 mL |
| FluidBalanceStartTime | 14-05-2025 05:00 |
| FluidBalanceStopTime | 15-05-2025 05:00 |
6.2.12. Living Situation data
| Comment | woning is op derde verdieping, is gelijkvloers en er is een lift aanwezig |
| HouseType | Appartement of flatwoning (code 'FLATW' from code system 'WoningType') |
6.2.13. Nursing Report data
| ReportTitle | Dagrapportage |
| ReportDateTime | 17-05-2025 15:45 |
| Performer.HealthProfessional | |
| Performer.HealthcareProvider | ThuiszorgOrg Noord |
| ReportContent | Patiënt heeft moeite met het begrijpen en produceren van gesproken taal. Tijdens het ochtendcontact kon ze haar behoefte aan hulp bij het wassen niet verbaal aangeven, maar maakte gebruik van gebaren. Er is ondersteuning geboden bij ADL. Geadviseerd om pictogrammen te gebruiken en overleg met logopedie is aangevraagd. |
6.2.14. Nutrition Advice data
| DietType | suikervrij, diabetes dieet |
| Consistency | dik vloeibaar |
| Comment | eet naar eigen keuze minder vlees |
| DateTime | 20-05-2025 |
6.2.15. Payer data
| PayerPerson.PayerName | |
| PayerPerson.BankInformation.BankName | |
| PayerPerson.BankInformation.BankCode | |
| PayerPerson.BankInformation.AccountNumber | |
| InsuranceCompany.Insurance.StartDateTime | |
| InsuranceCompany.Insurance.EndDateTime | 20-05-2026 |
| InsuranceCompany.Insurance.InsuranceType | Basis verzekerd (code 'B' from code system 'Verzekeringssoort') |
| InsuranceCompany.IdentificationNumber | 9664 (in identifier system 'UZOVI') |
| InsuranceCompany.OrganizationName | Trias |
| InsuranceCompany.InsurantNumber | 12345678 |
| AddressInformation.Street | |
| AddressInformation.HouseNumber | |
| AddressInformation.HouseNumberLetter | |
| AddressInformation.HouseNumberAddition | |
| AddressInformation.HouseNumberIndication | |
| AddressInformation.Postcode | |
| AddressInformation.PlaceOfResidence | |
| AddressInformation.Municipality | |
| AddressInformation.Country | |
| AddressInformation.AdditionalInformation | |
| AddressInformation.AddressType | |
| ContactInformation.TelephoneNumbers.TelephoneNumber | |
| ContactInformation.TelephoneNumbers.TelecomType | |
| ContactInformation.TelephoneNumbers.NumberType | |
| ContactInformation.EmailAddresses.EmailAddress | |
| ContactInformation.EmailAddresses.EmailAddressType |
6.2.16. Pulse Rate data
| PulseRateValue | 72 /min |
| PulseRateDateTime | 28-03-2023 22:00 |
| Comment | |
| PulseRegularity | Polsslag onregelmatig (code '61086009' from code system 'SNOMED CT') |
6.2.17. Respiration data
| BreathingFrequency | 18 /min |
| BreathingDateTime | 17-05-2025 13:45 |
| Rhythm | Abnormaal ademhalingsritme (code '85617008' from code system 'SNOMED CT') |
| Depth | Normale ademhalingsdiepte (code '301284009' from code system 'SNOMED CT') |
| DeviatingBreathingPattern | Apneu (code '1023001' from code system 'SNOMED CT') |
| ExtraOxygenAdministration | Ja |
| Comment | meneer lijkt angstig |
| AdministeredOxygen.FlowRate | 2 l/min |
| AdministeredOxygen.FiO2 | 0.29 |
| AdministeredOxygen.AdministrationDevice.Product.ProductID | |
| AdministeredOxygen.AdministrationDevice.Product.ProductType | |
| AdministeredOxygen.AdministrationDevice.ProductDescription | |
| AdministeredOxygen.AdministrationDevice.StartDate | |
| AdministeredOxygen.AdministrationDevice.Indication | |
| AdministeredOxygen.AdministrationDevice.Comment | |
| AdministeredOxygen.AdministrationDevice.AnatomicalLocation | |
| AdministeredOxygen.AdministrationDevice.Laterality | |
| AdministeredOxygen.AdministrationDevice.Location | |
| AdministeredOxygen.AdministrationDevice.HealthProfessional |