6.3. Scenario 2

6.3.1. Patient data

NameInformation.FirstNames Gea
NameInformation.Initials G.
NameInformation.GivenName
NameInformation.NameUsage Eigen geslachtsnaam (code 'NL1' from code system 'NaamGebruik')
NameInformation.LastName.Prefix
NameInformation.LastName.LastName XXX_Valk
NameInformation.LastNamePartner.PartnerPrefix
NameInformation.LastNamePartner.PartnerLastName
AddressInformation.Street Knolweg
AddressInformation.HouseNumber 1003
AddressInformation.HouseNumberLetter
AddressInformation.HouseNumberAddition
AddressInformation.HouseNumberIndication
AddressInformation.Postcode 9999ZA
AddressInformation.PlaceOfResidence Stitswerd
AddressInformation.Municipality
AddressInformation.Country Nederland (code '6030' from code system 'GBA Tabel 34 (Landentabel)')
AddressInformation.AdditionalInformation
AddressInformation.AddressType Woon-/verblijfadres (code 'PHYS' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.TelephoneNumber +31645678912
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 gvalk@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 Ja
DeathIndicator
DateOfDeath

6.3.2. Health Professional data

HealthProfessionalIdentificationNumber
NameInformation.FirstNames Nicolaas
NameInformation.Initials N.
NameInformation.GivenName Klaas
NameInformation.NameUsage Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code 'NL3' from code system 'NaamGebruik')
NameInformation.LastName.Prefix van
NameInformation.LastName.LastName Pinxteren
NameInformation.LastNamePartner.PartnerPrefix de
NameInformation.LastNamePartner.PartnerLastName Mol
Speciality Huisartsen, niet nader gespecificeerd (code '0100' 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 +31689898989
ContactInformation.TelephoneNumbers.TelecomType Mobiel telefoonnummer (code 'MC' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.NumberType
ContactInformation.TelephoneNumbers.TelephoneNumber +31203232323
ContactInformation.TelephoneNumbers.TelecomType Vast telefoonnummer (code 'LL' from code system 'TelecomDeviceTypes')
ContactInformation.TelephoneNumbers.NumberType Zakelijk telefoonnummer (code 'WP' from code system 'AddressUse')
ContactInformation.EmailAddresses.EmailAddress klaas@huisartspraktijk.nl
ContactInformation.EmailAddresses.EmailAddressType Zakelijk e-mailadres (code 'WP' from code system 'AddressUse')
HealthcareProvider Huisarts de Huisarts
HealthProfessionalRole

6.3.3. Healthcare Provider data

6.3.3.1. Healthcare Provider - Huisarts de Huisarts

HealthProviderIdentificationNumber 01565656 (in identifier system 'Vektis AGB-zorgverlener tabel')
OrganizationName Huisarts de Huisarts
OrganizationLocation
DepartmentSpeciality Huisartsen, niet nader gespecificeerd (code '0100' from code system 'Vektis AGB-medische specialismen')
ContactInformation.TelephoneNumbers.TelephoneNumber +31203232323
ContactInformation.TelephoneNumbers.TelecomType Vast telefoonnummer (code 'LL' from code system 'TelecomDeviceTypes')
ContactInformation.TelephoneNumbers.NumberType Zakelijk telefoonnummer (code 'WP' from code system 'AddressUse')
ContactInformation.TelephoneNumbers.TelephoneNumber +31203232000
ContactInformation.TelephoneNumbers.TelecomType Vast telefoonnummer (code 'LL' from code system 'TelecomDeviceTypes')
ContactInformation.TelephoneNumbers.NumberType Zakelijk telefoonnummer (code 'WP' from code system 'AddressUse')
ContactInformation.EmailAddresses.EmailAddress info@huisartspraktijk.nl
ContactInformation.EmailAddresses.EmailAddressType Zakelijk e-mailadres (code 'WP' from code system 'AddressUse')
ContactInformation.EmailAddresses.EmailAddress assistente@huisartspraktijk.nl
ContactInformation.EmailAddresses.EmailAddressType Zakelijk e-mailadres (code 'WP' from code system 'AddressUse')
AddressInformation.Street Kastanjelaan
AddressInformation.HouseNumber 100
AddressInformation.HouseNumberLetter a
AddressInformation.HouseNumberAddition III
AddressInformation.HouseNumberIndication Bij (code 'by' from code system 'AanduidingBijHuisnummer')
AddressInformation.Postcode 4000KK
AddressInformation.PlaceOfResidence Stitswerd
AddressInformation.Municipality
AddressInformation.Country Nederland (code 'NL' from code system 'ISO 3166-1 (alpha-2)')
AddressInformation.AdditionalInformation bedrijfsgebouw 'De Stits'
AddressInformation.AddressType Werkadres (code 'WP' from code system 'AddressUse')
OrganizationType Huisartspraktijk (zelfstandig of groepspraktijk) (code 'Z3' from code system 'RoleCodeNL')

6.3.3.2. Healthcare Provider - WijkverplegingOrg Zuid

HealthProviderIdentificationNumber 75565656 (in identifier system 'Vektis AGB-zorgverlener tabel')
OrganizationName WijkverplegingOrg Zuid
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')

6.3.4. Alert data

Condition
AlertName Anders (code 'OTH' from code system 'NullFlavor'): ernstige claustrofobie
StartDateTime 02-02-2025
AlertType waarschuwing (code '74018-3' from code system 'LOINC')

6.3.5. 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 123 mmHg
DiastolicBloodPressure 81 mmHg
AverageBloodPressure 100 mmHg
BloodPressureDateTime 26-04-2025 13:45
Comment mevrouw gebruikt medicatie
Position Trendelenburgligging (code '34106002' from code system 'SNOMED CT')

6.3.6. Body Height data

HeightValue 165 cm
HeightDateTime 14-04-2025 15:30
Comment in de ochtend gemeten
Position

6.3.7. Body Temperature data

TemperatureValue 37.2 °C
TemperatureDateTime 07-05-2025 10:00
Comment een koude dag
TemperatureType Orale temperatuur (onder de tong) (code '415945006' from code system 'SNOMED CT')

6.3.8. Body Weight data

WeightValue 75 kg
Comment gemeten op nuchtere maag
WeightDateTime 14-04-2025 15:30
Clothing Lichte kleding/ondergoed (code 'MINIMAL' from code system 'ContextKleding')

6.3.9. Encounter data

ContactType Poliklinisch (code 'AMB' from code system 'ActCode')
ContactWith N. van Pinxteren-de Mol
Location Huisarts de Huisarts
StartDateTime 26-05-2025
EndDateTime
ContactReason.Problem
ContactReason.Procedure
ContactReason.DeviatingResult
Origin
Destination

6.3.10. Fluid Balance data

Comment
FluidTotalIn 2000 mL
FluidTotalOut 900 mL
FluidBalanceStartTime 14-05-2025 05:00
FluidBalanceStopTime 15-05-2025 05:00

6.3.11. Living Situation data

Comment woont tijdelijk in hotel
HouseType Anders (code 'OTH' from code system 'NullFlavor'): hotel

6.3.12. Nursing Report data

ReportTitle Dagrapportage
ReportDateTime 17-05-2025 15:45
Performer.HealthProfessional
Performer.HealthcareProvider WijkverplegingOrg Zuid
ReportContent Bij inspectie van de huid tijdens de ochtend is een decubituswond stadium 2 vastgesteld op de linkerhiel. De huid is open met oppervlakkige beschadiging, roodheid en vochtige wondranden. Wond is gereinigd met NaCl 0.9%, bedekt met schuimverband. Patiënt ervaart lichte pijn bij aanraking. Extra kussens geplaatst om druk te verminderen. Wondverpleegkundige is geconsulteerd.

6.3.13. Nutrition Advice data

DietType geen varkensvlees
Consistency
Comment
DateTime 11-01-2025

6.3.14. Payer data

PayerPerson.PayerName
PayerPerson.BankInformation.BankName
PayerPerson.BankInformation.BankCode
PayerPerson.BankInformation.AccountNumber
InsuranceCompany.Insurance.StartDateTime 01-01-2025
InsuranceCompany.Insurance.EndDateTime 15-06-2026
InsuranceCompany.Insurance.InsuranceType Aanvullend verzekerd (code 'A' from code system 'Verzekeringssoort')
InsuranceCompany.IdentificationNumber 9664 (in identifier system 'UZOVI')
InsuranceCompany.OrganizationName Trias
InsuranceCompany.InsurantNumber 12345888
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

6.3.15. Pulse Rate data

PulseRateValue 96 /min
PulseRateDateTime 30-01-2020 22:00
Comment
PulseRegularity Polsslag regelmatig (code '271636001' from code system 'SNOMED CT')

6.3.16. Respiration data

BreathingFrequency 22 /min
BreathingDateTime 19-05-2025
Rhythm Normaal ademhalingsritme (code '5467003' from code system 'SNOMED CT')
Depth Oppervlakkige ademhaling (code '386616007' from code system 'SNOMED CT')
DeviatingBreathingPattern
ExtraOxygenAdministration Ja
Comment na het traplopen
AdministeredOxygen.FlowRate
AdministeredOxygen.FiO2 0.3
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