BgZ CDA Implementation Guide

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

4 CDA templates

Section	Zib NL	HCIM EN	FHIR Resource	FHIR Profile
0	CDA Document	N/A	N/A	Template CDA Basisgegevensset Zorg 2017 (BgZ)
1	Patient	Patient	Patient	http://fhir.nl/fhir/StructureDefinition/nl-core-patient
2	Betaler	Payer	Coverage	http://nictiz.nl/fhir/StructureDefinition/zib-Payer
			Organization	http://fhir.nl/fhir/StructureDefinition/nl-core-organization
			Patient	http://fhir.nl/fhir/StructureDefinition/nl-core-patient
3	BehandelAanwijzing	TreatmentDirective	Consent	http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective
	Wilsverklaring	AdvanceDirective	Consent	http://nictiz.nl/fhir/StructureDefinition/zib-AdvanceDirective
4	Contactpersoon	ContactPerson	Patient.contact	http://fhir.nl/fhir/StructureDefinition/nl-core-patient
5	Funct. OfMentaleStatus	FunctionalOrMentalStatus	Observation	http://nictiz.nl/fhir/StructureDefinition/zib-FunctionalOrMentalStatus
6	Probleem	Problem	Condition	http://nictiz.nl/fhir/StructureDefinition/zib-Problem
7	Woonsituatie	LivingSituation	Observation	http://nictiz.nl/fhir/StructureDefinition/zib-LivingSituation
	DrugsGebruik	DrugUse	Observation	http://nictiz.nl/fhir/StructureDefinition/zib-DrugUse
	AlcoholGebruik	AlcoholUse	Observation	http://nictiz.nl/fhir/StructureDefinition/zib-AlcoholUse
	TabakGebruik	TobaccoUse	Observation	http://nictiz.nl/fhir/StructureDefinition/zib-TobaccoUse
	Voedingsadvies	NutritionAdvice	NutritionOrder	http://nictiz.nl/fhir/StructureDefinition/zib-NutritionAdvice
8	Alert	Alert	Flag	http://nictiz.nl/fhir/StructureDefinition/zib-Alert
9	AllergieIntolerantie	AllergyIntolerance	AllergyIntolerance	http://nictiz.nl/fhir/StructureDefinition/zib-AllergyIntolerance
10	MedicatieGebruik2	MedicationUse2	MedicationStatement	http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse
	Medicatieafspraak	MedicationAgreement	MedicationRequest	http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement
	Toedieningsafspraak	AdministrationAgreement	MedicationDispense	http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement
11	MedischHulpmiddel	MedicalDevice	Device	http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct
			DeviceUseStatement	http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDevice
12	Vaccinatie	Vaccination	Immunization	http://nictiz.nl/fhir/StructureDefinition/zib-Vaccination
			ImmunizationRecommendation	http://nictiz.nl/fhir/StructureDefinition/zib-VaccinationRecommendation
13	Bloeddruk	BloodPressure	Observation	http://nictiz.nl/fhir/StructureDefinition/zib-BloodPressure
	LichaamsGewicht	BodyWeight	Observation	http://nictiz.nl/fhir/StructureDefinition/zib-BodyWeight
	LichaamsLengte	BodyHeight	Observation	http://nictiz.nl/fhir/StructureDefinition/zib-BodyHeight
14	LaboratoriumUitslag	LaboratoryTestResult	Observation	http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Observation
			Specimen	http://nictiz.nl/fhir/StructureDefinition/zib-LaboratoryTestResult-Specimen
15	Verrichting	Procedure	Procedure	http://nictiz.nl/fhir/StructureDefinition/zib-Procedure
16	Contact	Encounter	Encounter	http://nictiz.nl/fhir/StructureDefinition/zib-Encounter
17	OverdrachtGeplandeZorgActiviteit	PlannedCareActivityForTransfer	ProcedureRequest *	http://nictiz.nl/fhir/StructureDefinition/zib-ProcedureRequest
			MedicationDispense **	http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement
			ImmunizationRecommendation *	http://nictiz.nl/fhir/StructureDefinition/zib-VaccinationRecommendation
			DeviceRequest *	http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceRequest
			Appointment *	http://nictiz.nl/fhir/StructureDefinition/eAfspraak-Appointment
18	Zorgverlener	HealthProfessional	Practitioner	http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner
			PractitionerRole	http://fhir.nl/fhir/StructureDefinition/nl-core-practitionerrole
	Zorgaanbieder	HealthcareProvider	Organization	http://fhir.nl/fhir/StructureDefinition/nl-core-organization