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

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Regel 57: Regel 57:
 
| colspan="2" | 3. Behandelrestricties
 
| colspan="2" | 3. Behandelrestricties
 
| Treatment Directives
 
| Treatment Directives
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.4-2017-10-24T000000.html BgZ2017TreatmentDirectives]
 
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Regel 77: Regel 78:
 
| colspan="2" | 5. Functionele status
 
| colspan="2" | 5. Functionele status
 
| Functional Status
 
| Functional Status
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.5-2017-10-24T000000.html BgZ2017FunctionalStatus]
 
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Regel 85: Regel 87:
 
| colspan="2" | 6. Klachten en diagnoses
 
| colspan="2" | 6. Klachten en diagnoses
 
| Complaints and diagnoses
 
| Complaints and diagnoses
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.6-2017-10-24T000000.html BgZ2017ComplaintsAndDiagnoses]
 
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Regel 93: Regel 96:
 
| colspan="2" | 7. Sociale anamnese
 
| colspan="2" | 7. Sociale anamnese
 
| Social anamnesis
 
| Social anamnesis
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.7-2017-10-24T000000.html BgZ2017SocialAnamesis]
 
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Regel 117: Regel 121:
 
| colspan="2" | 8. Waarschuwingen
 
| colspan="2" | 8. Waarschuwingen
 
| Alerts
 
| Alerts
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.8-2017-10-24T000000.html BgZ2017Alerts]
 
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Regel 125: Regel 130:
 
| colspan="2" | 9. Allergieën
 
| colspan="2" | 9. Allergieën
 
| Allergies
 
| Allergies
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.9-2017-10-24T000000.html BgZ2017Allergies]
 
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Regel 133: Regel 139:
 
| colspan="2" | 10. Medicatie
 
| colspan="2" | 10. Medicatie
 
| Medication
 
| Medication
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.10-2017-10-24T000000.html BgZ2017Medication]
 
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Regel 149: Regel 156:
 
| colspan="2" | 11. Medische hulpmiddelen
 
| colspan="2" | 11. Medische hulpmiddelen
 
| Medical devices
 
| Medical devices
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.11-2017-10-24T000000.html BgZ2017MedicalDevices]
 
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Regel 157: Regel 165:
 
| colspan="2" | 12. Vaccinaties
 
| colspan="2" | 12. Vaccinaties
 
| Immunizations
 
| Immunizations
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.12-2021-10-28T000000.html BgZ2017Immunizations]
 
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Regel 165: Regel 174:
 
| colspan="2" | 13. Vitale functies
 
| colspan="2" | 13. Vitale functies
 
| Vital signs
 
| Vital signs
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.13-2017-10-24T000000.html BgZ2017VitalSigns]
 
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| rowspan="3" |  
 
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Regel 181: Regel 191:
 
| colspan="2" | 14. Uitslagen
 
| colspan="2" | 14. Uitslagen
 
| Results
 
| Results
 +
| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.25.10.52-2021-10-27T000000.html Laboratoryspecialtysection]
 
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| rowspan="2" |
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| rowspan="2" | [https://zibs.nl/wiki/LaboratoriumUitslag-v4.1(2017NL) LaboratoriumUitslag]
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| [https://zibs.nl/wiki/LaboratoriumUitslag-v4.1(2017NL) LaboratoriumUitslag]
| rowspan="2" | [https://zibs.nl/wiki/LaboratoryTestResult-v4.1(2017EN) LaboratoryTestResult]
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| [https://zibs.nl/wiki/LaboratoryTestResult-v4.1(2017EN) LaboratoryTestResult]
 
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Regel 191: Regel 202:
 
| colspan="2" | 15. Verrichtingen
 
| colspan="2" | 15. Verrichtingen
 
| Procedures
 
| Procedures
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.15-2017-10-24T000000.html BgZ2017Procedures]
 
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Regel 199: Regel 211:
 
| colspan="2" | 16. Contacten
 
| colspan="2" | 16. Contacten
 
| Encounters
 
| Encounters
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.16-2017-10-24T000000.html BgZ2017Encounters]
 
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Regel 207: Regel 220:
 
| colspan="2" | 17. Zorgplan
 
| colspan="2" | 17. Zorgplan
 
| Care plan
 
| Care plan
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| [http://decor.nictiz.nl/pub/bgz2017/bgz2017-html-20211029T132923/tmp-2.16.840.1.113883.2.4.3.11.60.42.10.17-2021-07-09T172550.html BgZ2017CarePlan]
 
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| rowspan="4" | [https://zibs.nl/wiki/OverdrachtGeplandeZorgActiviteit-v3.1(2017NL) OverdrachtGeplandeZorgActiviteit]
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| [https://zibs.nl/wiki/OverdrachtGeplandeZorgActiviteit-v3.1(2017NL) OverdrachtGeplandeZorgActiviteit]
| rowspan="4" | [https://zibs.nl/wiki/PlannedCareActivityForTransfer-v3.1(2017EN) PlannedCareActivityForTransfer]
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| [https://zibs.nl/wiki/PlannedCareActivityForTransfer-v3.1(2017EN) PlannedCareActivityForTransfer]
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| colspan="2" | 18. Zorgverleners
 
| colspan="2" | 18. Zorgverleners
 
| Health professionals
 
| Health professionals
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| [ ]
 
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| rowspan="2" |  
 
| rowspan="2" |  

Versie van 2 dec 2021 14:39


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 BgZ2017TreatmentDirectives
BehandelAanwijzing TreatmentDirective
Wilsverklaring AdvanceDirective
4. Contactpersonen Contact persons
Contactpersoon ContactPerson
5. Functionele status Functional Status BgZ2017FunctionalStatus
Funct. OfMentaleStatus FunctionalOrMentalStatus
6. Klachten en diagnoses Complaints and diagnoses BgZ2017ComplaintsAndDiagnoses
Probleem Problem
7. Sociale anamnese Social anamnesis BgZ2017SocialAnamesis
Woonsituatie LivingSituation
DrugsGebruik DrugUse
AlcoholGebruik AlcoholUse
TabakGebruik TobaccoUse
Voedingsadvies NutritionAdvice
8. Waarschuwingen Alerts BgZ2017Alerts
Alert Alert
9. Allergieën Allergies BgZ2017Allergies
AllergieIntolerantie AllergyIntolerance
10. Medicatie Medication BgZ2017Medication
MedicatieGebruik2 MedicationUse2
Medicatieafspraak MedicationAgreement
Toedieningsafspraak AdministrationAgreement
11. Medische hulpmiddelen Medical devices BgZ2017MedicalDevices
MedischHulpmiddel MedicalDevice
12. Vaccinaties Immunizations BgZ2017Immunizations
Vaccinatie Vaccination
13. Vitale functies Vital signs BgZ2017VitalSigns
Bloeddruk BloodPressure
LichaamsGewicht BodyWeight
LichaamsLengte BodyHeight
14. Uitslagen Results Laboratoryspecialtysection
LaboratoriumUitslag LaboratoryTestResult
15. Verrichtingen Procedures BgZ2017Procedures
Verrichting Procedure
16. Contacten Encounters BgZ2017Encounters
Contact Encounter
17. Zorgplan Care plan BgZ2017CarePlan
OverdrachtGeplandeZorgActiviteit PlannedCareActivityForTransfer
18. Zorgverleners Health professionals [ ]
Zorgverlener HealthProfessional
Zorgaanbieder HealthcareProvider

6 Release notes