BgZ:V1.0 BgZ 2017 Technical IG: verschil tussen versies

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Regel 56: Regel 56:
 
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| colspan="2" | 3. Behandelrestricties
 
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| Treatment Directives
 
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Regel 68: Regel 68:
 
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| colspan="2" | 4. Contactpersonen
 
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| Contact persons
 
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Regel 76: Regel 76:
 
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| colspan="2" | 5. Functionele status
 
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| Functional Status
 
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Regel 84: Regel 84:
 
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| colspan="2" | 6. Klachten en diagnoses
 
| colspan="2" | 6. Klachten en diagnoses
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| Complaints and diagnoses
 
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Regel 92: Regel 92:
 
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| colspan="2" | 7. Sociale anamnese
 
| colspan="2" | 7. Sociale anamnese
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| Social anamnesis
 
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Regel 116: Regel 116:
 
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| colspan="2" | 8. Waarschuwingen
 
| colspan="2" | 8. Waarschuwingen
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| Alerts
 
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Regel 124: Regel 124:
 
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| colspan="2" | 9. Allergieën
 
| colspan="2" | 9. Allergieën
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| Allergies
 
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Regel 132: Regel 132:
 
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| colspan="2" | 10. Medicatie
 
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| Medication
 
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Regel 148: Regel 148:
 
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| colspan="2" | 11. Medische hulpmiddelen
 
| colspan="2" | 11. Medische hulpmiddelen
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| Medical devices
 
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Regel 156: Regel 156:
 
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| colspan="2" | 12. Vaccinaties
 
| colspan="2" | 12. Vaccinaties
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| Immunizations
 
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Regel 164: Regel 164:
 
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| colspan="2" | 13. Vitale functies
 
| colspan="2" | 13. Vitale functies
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| Vital signs
 
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Regel 180: Regel 180:
 
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| colspan="2" | 14. Uitslagen
 
| colspan="2" | 14. Uitslagen
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| Results
 
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Regel 190: Regel 190:
 
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| colspan="2" | 15. Verrichtingen
 
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| Procedures
 
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| colspan="2" | 16. Contacten
 
| colspan="2" | 16. Contacten
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| Encounters
 
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Regel 206: Regel 206:
 
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| colspan="2" | 17. Zorgplan
 
| colspan="2" | 17. Zorgplan
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| Care plan
 
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Regel 220: Regel 220:
 
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| colspan="2" | 18. Zorgverleners
 
| colspan="2" | 18. Zorgverleners
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| Health professionals
 
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Versie van 2 dec 2021 14:22


1 Introduction

TODO

2 Actors involved

Persons Systems
Name Description Name Description
Referring medical specialist Medical specialist who sends a BgZ along with a referral EHR Electronic health record
Receiving medical specialist Medical specialist receives a BgZ along with a referral EHR Electronic health record

3 Use cases

4 Metadata

5 CDA templates

Section Titel Title CDA Template
0 BgZ Template CDA Basisgegevensset Zorg 2017 (BgZ)
1. Demografie en identificatie Demographics and identification
Patient Patient
2. Financiële informatie Financial information
Betaler Payer
3. Behandelrestricties Treatment Directives
BehandelAanwijzing TreatmentDirective http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective
Wilsverklaring AdvanceDirective http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective
4. Contactpersonen Contact persons
Contactpersoon ContactPerson http://fhir.nl/fhir/StructureDefinition/nl-core-patient
5. Functionele status Functional Status
Funct. OfMentaleStatus FunctionalOrMentalStatus http://nictiz.nl/fhir/StructureDefinition/zib-FunctionalOrMentalStatus
6. Klachten en diagnoses Complaints and diagnoses
Probleem Problem http://nictiz.nl/fhir/StructureDefinition/zib-Problem
7. Sociale anamnese Social anamnesis
Woonsituatie LivingSituation http://nictiz.nl/fhir/StructureDefinition/zib-LivingSituation
DrugsGebruik DrugUse http://nictiz.nl/fhir/StructureDefinition/zib-DrugUse
AlcoholGebruik AlcoholUse http://nictiz.nl/fhir/StructureDefinition/zib-AlcoholUse
TabakGebruik TobaccoUse http://nictiz.nl/fhir/StructureDefinition/zib-TobaccoUse
Voedingsadvies NutritionAdvice http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice
8. Waarschuwingen Alerts
Alert Alert http://nictiz.nl/fhir/StructureDefinition/zib-Alert
9. Allergieën Allergies
AllergieIntolerantie AllergyIntolerance http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance
10. Medicatie Medication
MedicatieGebruik2 MedicationUse2 http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse
Medicatieafspraak MedicationAgreement http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement
Toedieningsafspraak AdministrationAgreement http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement
11. Medische hulpmiddelen Medical devices
MedischHulpmiddel MedicalDevice http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct
12. Vaccinaties Immunizations
Vaccinatie Vaccination http://nictiz.nl/fhir/StructureDefinition/zib-Vaccination
13. Vitale functies Vital signs
Bloeddruk BloodPressure http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure
LichaamsGewicht BodyWeight http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight
LichaamsLengte BodyHeight http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight
14. Uitslagen Results
LaboratoriumUitslag LaboratoryTestResult http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation
http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen
15. Verrichtingen Procedures
Verrichting Procedure http://nictiz.nl/fhir/StructureDefinition/zib-Procedure
16. Contacten Encounters
Contact Encounter http://nictiz.nl/fhir/StructureDefinition/zib-Encounter
17. Zorgplan Care plan
OverdrachtGeplandeZorgActiviteit PlannedCareActivityForTransfer http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest
http://nictiz.nl/fhir/StructureDefinition/zib-VaccinationRecommendation
http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceRequest
http://nictiz.nl/fhir/StructureDefinition/eAfspraak-Appointment
18. Zorgverleners Health professionals
Zorgverlener HealthProfessional http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner
Zorgaanbieder HealthcareProvider http://fhir.nl/fhir/StructureDefinition/nl-core-organization

6 Release notes