6.4. Scenario 3
This test scenario contains test data of both the BgLZ and BgLZ+ (for completeness purposes). The following CIMs are part of the BgLZ:
- AdvanceDirective
- AllergyIntolerance
- LaboratoryTestResult
- NursingIntervention
- Problem
- Procedure
- TreatmentDirective
- TreatmentObjective
6.4.1. Patient data
| NameInformation.FirstNames | Maria |
| NameInformation.Initials | M. |
| NameInformation.GivenName | |
| NameInformation.NameUsage | Eigen geslachtsnaam (code 'NL1' from code system 'NaamGebruik') |
| NameInformation.LastName.Prefix | |
| NameInformation.LastName.LastName | XXX_Molog |
| 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 | Woon-/verblijfadres (code 'PHYS' from code system 'AddressUse') |
| ContactInformation.TelephoneNumbers.TelephoneNumber | +31620202020 |
| 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 | mariamolog@provider.nl |
| ContactInformation.EmailAddresses.EmailAddressType | Privé e-mailadres (code 'HP' from code system 'AddressUse') |
| DateOfBirth | 18-09-1963 |
| Gender | Vrouw (code 'F' from code system 'AdministrativeGender') |
| MultipleBirthIndicator | Nee |
| DeathIndicator | |
| DateOfDeath |
6.4.2. Health Professional data
| HealthProfessionalIdentificationNumber | |
| NameInformation.FirstNames | Julia |
| NameInformation.Initials | J. |
| NameInformation.GivenName | Lieke |
| NameInformation.NameUsage | Eigen geslachtsnaam (code 'NL1' from code system 'NaamGebruik') |
| NameInformation.LastName.Prefix | van den |
| NameInformation.LastName.LastName | Bos |
| NameInformation.LastNamePartner.PartnerPrefix | |
| NameInformation.LastNamePartner.PartnerLastName | |
| Speciality | Verpleegkundigen, niet nader gespecificeerd (code '9100' 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 | |
| ContactInformation.EmailAddresses.EmailAddressType | |
| HealthcareProvider | WijZorgen Honselerdijk |
| HealthProfessionalRole |
6.4.3. Healthcare Provider data
| HealthProviderIdentificationNumber | 75191919 (in identifier system 'UZI register abonneenummer (URA)') |
| OrganizationName | WijZorgen Honselerdijk |
| 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') |
6.4.4. Contact Person data
| NameInformation.FirstNames | Johan |
| NameInformation.Initials | J. |
| NameInformation.GivenName | Han |
| NameInformation.NameUsage | Eigen geslachtsnaam (code 'NL1' from code system 'NaamGebruik') |
| NameInformation.LastName.Prefix | |
| NameInformation.LastName.LastName | Timmerman |
| NameInformation.LastNamePartner.PartnerPrefix | |
| NameInformation.LastNamePartner.PartnerLastName | |
| 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 | jtimmerman@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') |
6.4.5. Advance Directive data
| LivingWillType | Niet reanimeren verklaring (code 'NR' from code system 'WilsverklaringType') |
| LivingWillDate | 20-01-2020 |
| Disorder | |
| Representative | Johan Timmerman |
| LivingWillDocument | |
| Comment |
6.4.6. Alert data
6.4.6.1. Alert - Drager VRE
| Condition | |
| AlertName | Drager VRE (code '431109006' from code system 'SNOMED CT') |
| StartDateTime | 18-02-2025 |
| AlertType | waarschuwing (code '74018-3' from code system 'LOINC') |
| Author |
6.4.6.2. Alert - verhoogd valrisico
| Condition | |
| AlertName | Anders (code 'OTH' from code system 'NullFlavor'): verhoogd valrisico |
| StartDateTime | 10-03-2015 |
| AlertType | waarschuwing (code '74018-3' from code system 'LOINC') |
| Author |
6.4.6.3. Alert - ziekte van Parkinson
| Condition | ziekte van Parkinson |
| AlertName | |
| StartDateTime | 15-05-2022 |
| AlertType | conditie (code '75323-6' from code system 'LOINC') |
| Author | Julia van den Bos |
6.4.7. Allergy Intolerance data
| CausativeAgent | selderij (code '256326004' from code system 'SNOMED CT') |
| AllergyCategory | Voeding (code '418471000' from code system 'SNOMED CT') |
| AllergyStatus | Actief (code 'active' from code system 'ActStatus') |
| StartDateTime | 15-05-2015 |
| Criticality | Matig (code '6736007' from code system 'SNOMED CT') |
| LastReactionDateTime | |
| Comment | betreft zowel gekookte als rauwe selderij |
| Reaction.Symptom | Misselijk en braken (code '16932000' from code system 'SNOMED CT') |
| Reaction.SpecificSubstance | |
| Reaction.ReactionDescription | Misselijkheid en braken |
| Reaction.Severity | |
| Reaction.RouteOfExposure | |
| Reaction.ReactionTime |
6.4.8. Blood Pressure data
| MeasuringMethod | Niet-invasief (code '22762002' from code system 'SNOMED CT') |
| CuffType | Klein (code 'S' from code system 'ManchetType') |
| MeasuringLocation | Linker bovenarm (code '368208006' from code system 'SNOMED CT') |
| DiastolicEndpoint | |
| SystolicBloodPressure | 160 mmHg |
| DiastolicBloodPressure | 92 mmHg |
| AverageBloodPressure | 109 mmHg |
| BloodPressureDateTime | 15-03-2025 13:45 |
| Comment | mevrouw gebruikt medicatie |
| Position | Zittende positie (code '33586001' from code system 'SNOMED CT') |
| Author | Julia van den Bos |
6.4.9. Body Height data
| HeightValue | 160 cm |
| HeightDateTime | 15-03-2025 12:30 |
| Comment | zonder schoenen aan |
| Position | Staande positie (code '10904000' from code system 'SNOMED CT') |
| Author | Julia van den Bos |
6.4.10. Body Temperature data
| TemperatureValue | 38.6 °C |
| TemperatureDateTime | 17-03-2025 06:00 |
| Comment | voeten voelen heel koud aan |
| TemperatureType | Tympanische temperatuur (code '415974002' from code system 'SNOMED CT') |
| Author | Julia van den Bos |
6.4.11. Body Weight data
| WeightValue | 58 kg |
| Comment | mevrouw is aan het aansterken |
| WeightDateTime | 12-03-2025 13:30 |
| Clothing | Lichte kleding/ondergoed (code 'MINIMAL' from code system 'ContextKleding') |
| Author | Julia van den Bos |
6.4.12. Encounter data
| ContactType | Anders (code 'OTH' from code system 'NullFlavor'): Opname in verpleeghuis |
| ContactWith | Julia van den Bos |
| ContactWith.HealthProfessionalRole | Uitvoerder (code 'PRF' from code system 'ParticipationType') |
| Location | |
| StartDateTime | 30-03-2025 10:20 |
| EndDateTime | |
| ContactReason.Problem | ziekte van Parkinson |
| ContactReason.Procedure | |
| ContactReason.DeviatingResult | |
| Origin | Eigen woonomgeving (code '264362003' from code system 'SNOMED CT') |
| Destination | Instelling voor verpleging/verzorging (code '42665001' from code system 'SNOMED CT') |
6.4.13. Fluid Balance data
| Comment | |
| FluidTotalIn | 1400 mL |
| FluidTotalOut | 1000 mL |
| FluidBalanceStartTime | 14-03-2025 05:00 |
| FluidBalanceStopTime | 15-03-2025 05:00 |
| Author | Julia van den Bos |
6.4.14. Laboratory Test Result data
| Specimen.SpecimenId | |
| Specimen.SpecimenNumberExtension | |
| Specimen.ContainerType | |
| Specimen.SpecimenMaterial | |
| Specimen.Microorganism | |
| Specimen.CollectedVolume | |
| Specimen.CollectionPeriod | |
| Specimen.CollectionDateTime | |
| Specimen.ReceivedDateTime | |
| Specimen.CollectionMethod | |
| Specimen.AnatomicalLocation | |
| Specimen.Laterality | |
| Specimen.Morphology | |
| Specimen.SpecimenSource | |
| Specimen.Comment | |
| LaboratoryTest.TestCode | Homocysteïne [mol/volume] in serum of plasma (code '13965-9' from code system 'LOINC') |
| LaboratoryTest.TestMethod | |
| LaboratoryTest.TestDateTime | 18-02-2025 14:00 |
| LaboratoryTest.TestResult | 18.2 mmol/L |
| LaboratoryTest.TestResultStatus | |
| LaboratoryTest.ReferenceRangeUpperLimit | 15 mmol/L |
| LaboratoryTest.ReferenceRangeLowerLimit | |
| LaboratoryTest.InterpretationMethod | |
| LaboratoryTest.ResultFlags | Boven referentiewaarde (code '281302008' from code system 'SNOMED CT') |
| LaboratoryTest.ResultInterpretation | |
| PanelOrBattery | |
| ResultStatus | |
| Comment | Verhoogde homocysteïne geassocieerd met langdurig levodopa-gebruik bij Parkinson. Overweeg suppletie met B-vitamines. |
| ResultType | Klinische chemie (code '275711006' from code system 'SNOMED CT') |
| RelatedResult | |
| Requester |
6.4.15. Living Situation data
| Comment | woning is op de begane grond |
| HouseType | Aanleunwoning (code 'AANLW' from code system 'WoningType') |
| Author | Julia van den Bos |
6.4.16. Nursing Intervention data
| Intervention | Ondersteunen bij aankleden (code '313332003' from code system 'SNOMED CT') |
| Indication | ziekte van Parkinson |
| TreatmentObjective | zelfstandig aankleden |
| NursingProcedure.Interval | 1 d |
| NursingProcedure.Frequency | 1 |
| NursingProcedure.Activity | |
| NursingProcedure.ProcedureStartDateTime | |
| NursingProcedure.ProcedureEndDateTime | |
| NursingProcedure.MedicalDevice | |
| NursingProcedure.Instruction | |
| NursingProcedure.Performer.HealthcareProvider | |
| NursingProcedure.Performer.Caregiver | |
| NursingProcedure.Performer.Patient | |
| Requester | |
| Comment | Het aankleden gaat nog moeilijk. |
6.4.17. Nursing Report data
6.4.17.1. Nursing Report - 17-05-2025
| ReportTitle | Dagrapportage |
| ReportDateTime | 17-05-2025 06:00 |
| Performer | WijZorgen Honselerdijk |
| ReportContent | Mevrouw vertoont toenemende stijfheid bij het opstaan en lopen. Er is sprake van fijne tremor in de rechterhand. Tijdens het ochtendcontact had zij moeite om zich verbaal uit te drukken; gebruikt korte zinnen met lange pauzes. Zelfstandig toiletbezoek is mogelijk, maar met risico op vallen. Advies: looprek binnen handbereik houden en logopedie betrekken voor spraakondersteuning. |
6.4.17.2. Nursing Report - 14-05-2025
| ReportTitle | Dagrapportage |
| ReportDateTime | 14-05-2025 12:45 |
| Performer | WijZorgen Honselerdijk |
| ReportContent | Tijdens de middagdienst werd opgemerkt dat mevrouw vertraagd reageerde op vragen en aanwijzingen. Er is sprake van wisselende alertheid. Mobiliteit was verminderd: traag gangpatroon en neiging tot 'bevriezen' bij het draaien. Mevrouw gaf aan meer last te hebben van stijfheid in de schouders. Er is hulp geboden bij aan- en uitkleden. Geadviseerd om bewegingsoefeningen te stimuleren en fysiotherapie te informeren voor beoordeling van valrisico. |
6.4.17.3. Nursing Report - 07-05-2025
| ReportTitle | Dagrapportage |
| ReportDateTime | 07-05-2025 20:00 |
| Performer | Julia van den Bos |
| ReportContent | Tijdens het avondmoment was mevrouw alert en aanspreekbaar, maar gaf aan toenemende vermoeidheid te ervaren na lichte inspanning. Lichte rigiditeit bij het opstaan vanuit stoel waargenomen. Geen tremoren zichtbaar. Gesprek verliep traag maar begrijpelijk. Zelfstandig gebruik van loophulpmiddel bij toiletgang zonder incidenten. Advies: rustmomenten inbouwen overdag en monitoren of vermoeidheid toeneemt. |
6.4.18. Nutrition Advice data
6.4.18.1. Nutrition Advice - lactosevrij
| DietType | lactosevrij |
| Consistency | solide |
| Comment | naar eigen zeggen lactose-intolerant |
| DateTime | 23-02-2025 |
| Author |
6.4.18.2. Nutrition Advice - geen selderij
| DietType | geen selderij |
| Consistency | |
| Comment | in verband met allergie |
| DateTime | 17-03-2015 |
| Author | Julia van den Bos |
6.4.18.3. Nutrition Advice - Energieverrijkt
| DietType | Energieverrijkt |
| Consistency | Fijngemalen noten |
| Comment | |
| DateTime | 17-02-2025 |
| Author | Julia van den Bos |
6.4.19. Payer data
6.4.19.1. Payer - Menzis
| PayerPerson.PayerName | |
| PayerPerson.BankInformation.BankName | |
| PayerPerson.BankInformation.BankCode | |
| PayerPerson.BankInformation.AccountNumber | |
| InsuranceCompany.Insurance.StartDateTime | |
| InsuranceCompany.Insurance.EndDateTime | 17-03-2026 |
| InsuranceCompany.Insurance.InsuranceType | Basis verzekerd (code 'B' from code system 'Verzekeringssoort') |
| InsuranceCompany.IdentificationNumber | 3332 (in identifier system 'UZOVI') |
| InsuranceCompany.OrganizationName | Menzis |
| InsuranceCompany.InsurantNumber | 6318708200 |
| 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 |
6.4.19.2. Payer - Johan Timmerman
| PayerPerson.PayerName | Johan Timmerman |
| PayerPerson.BankInformation.BankName | RABO |
| PayerPerson.BankInformation.BankCode | RABO21NL |
| PayerPerson.BankInformation.AccountNumber | NL21RABO0001234567 |
| InsuranceCompany.Insurance.StartDateTime | |
| InsuranceCompany.Insurance.EndDateTime | |
| InsuranceCompany.Insurance.InsuranceType | |
| InsuranceCompany.IdentificationNumber | |
| InsuranceCompany.OrganizationName | |
| InsuranceCompany.InsurantNumber | |
| 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 | +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 | jtimmerman@123net.nl |
| ContactInformation.EmailAddresses.EmailAddressType | Privé e-mailadres (code 'HP' from code system 'AddressUse') |
6.4.20. Problem data
6.4.20.1. Problem - ziekte van Parkinson
| ProblemAnatomicalLocation | |
| ProblemLaterality | |
| ProblemType | Diagnose (code '282291009' from code system 'SNOMED CT') |
| ProblemName | ziekte van Parkinson (code '49049000' from code system 'SNOMED CT') |
| ProblemStartDate | 14-05-2022 23:00 |
| ProblemEndDate | |
| ProblemStatus | Actueel (code '55561003' from code system 'SNOMED CT') |
| VerificationStatus | |
| Comment | naast beven ook somberheid en moeheid |
6.4.20.2. Problem - benauwdheid
| ProblemAnatomicalLocation | |
| ProblemLaterality | |
| ProblemType | Symptoom (code '418799008' from code system 'SNOMED CT') |
| ProblemName | benauwdheid (code '267036007' from code system 'SNOMED CT') |
| ProblemStartDate | 31-12-2014 23:00 |
| ProblemEndDate | |
| ProblemStatus | Actueel (code '55561003' from code system 'SNOMED CT') |
| VerificationStatus | |
| Comment |
6.4.21. Procedure data
| ProcedureStartDate | 17-02-2025 23:00 |
| ProcedureEndDate | 17-02-2025 23:00 |
| ProcedureAnatomicalLocation | |
| ProcedureLaterality | |
| Indication | ziekte van Parkinson |
| ProcedureType | ondersteunen bij wassen en/of persoonlijke hygiëne (code '386420003' from code system 'SNOMED CT') |
| ProcedureMethod | |
| MedicalDevice | |
| Location | |
| Performer | WijZorgen Honselerdijk |
| Requester |
6.4.22. Pulse Rate data
| PulseRateValue | 67 /min |
| PulseRateDateTime | 02-06-2024 22:00 |
| Comment | |
| PulseRegularity | Polsslag regelmatig (code '271636001' from code system 'SNOMED CT') |
| Author | Julia van den Bos |
6.4.23. Respiration data
| BreathingFrequency | 15 /min |
| BreathingDateTime | 11-03-2015 14:47 |
| Rhythm | Normaal ademhalingsritme (code '5467003' from code system 'SNOMED CT') |
| Depth | Normale ademhalingsdiepte (code '301284009' from code system 'SNOMED CT') |
| DeviatingBreathingPattern | |
| ExtraOxygenAdministration | Ja |
| Comment | |
| AdministeredOxygen.FlowRate | 2 l/min |
| AdministeredOxygen.FiO2 | 0.29 |
| AdministeredOxygen.AdministrationDevice.Product.ProductID | (01)4060139400092 (in identifier system 'GTIN') |
| AdministeredOxygen.AdministrationDevice.Product.ProductType | neusbril (code '336623009' from code system 'SNOMED CT') |
| AdministeredOxygen.AdministrationDevice.ProductDescription | Nuflow-neusbril, groot |
| AdministeredOxygen.AdministrationDevice.StartDate | 17-02-2015 |
| AdministeredOxygen.AdministrationDevice.Indication | benauwdheid |
| AdministeredOxygen.AdministrationDevice.Comment | Neusbril alleen in de ochtend en avond gebruiken |
| AdministeredOxygen.AdministrationDevice.AnatomicalLocation | structuur van neus (code '45206002' from code system 'SNOMED CT') |
| AdministeredOxygen.AdministrationDevice.Laterality | |
| AdministeredOxygen.AdministrationDevice.Location | WijZorgen Honselerdijk |
| AdministeredOxygen.AdministrationDevice.HealthProfessional | Julia van den Bos |
| Author | Julia van den Bos |
6.4.24. Treatment Directive data
| Verification.Verified | Ja |
| Verification.VerifiedWith | Patiënt (code '116154003' from code system 'SNOMED CT') |
| Verification.VerificationDate | 19-03-2024 23:00 |
| Treatment | Kunstmatige beademing (code '40617009' from code system 'SNOMED CT') |
| TreatmentPermitted | Behandeling niet toegestaan en/of wenselijk (code 'NEE' from code system 'NL-CM-CS') |
| Restrictions | |
| StartDate | 19-03-2024 23:00 |
| EndDate | |
| Comment | |
| AdvanceDirective | Niet reanimeren verklaring |
6.4.25. Treatment Objective data
| DesiredHealthcareResult | zelfstandig aankleden |
| TargetValue | |
| DesiredHealthCondition | |
| Problem |