BgZ:V1.0 AddendaInhoudelijkeGegevensBgZ2017

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Naar nictiz.nl

Addenda voor inhoudelijke gegevens

Advance directive (bgz-patA-advdir)

Advance directive (bgz-patA-advdir)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Living will type			8
Living will date			2012-09-16
Disorder
	Problem		zib-2017-bgz-patA-problem3
Representative
	Contact		zib-2017-bgz-patA-contactperson1
Living will document			ZHVtbXktd2lsc3ZlcmtsYXJpbmcgRGVubmlzIEphbnNlLnBkZg==
Comment			gescand document

Alcohol use (bgz-patA-alcohol)

Alcohol use (bgz-patA-alcohol)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Comment			flesje bier
Alcohol use status			Current drinker of alcohol (finding) (code = '219006' in codeSystem 'SNOMED CT')
Observation of use
	Start date		1984
	Amount		1 /d

Alert (bgz-patA-alert1)

Alert (bgz-patA-alert1)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Alert name		6
Start date time		2016
Alert type		2

Alert (bgz-patA-alert2)

Alert (bgz-patA-alert2)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Alert name		2
Alert type		2

Allergy intolerance (bgz-patA-allergy1)

Allergy intolerance (bgz-patA-allergy1)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Causative agent
Allergy category			1
Allergy status			1
Start date time			1976-05-29
Criticality			3
Last reaction date time			2012-08-18
Comment			Niet allergisch voor cashewnoten
Reaction
	Symptom		1
	Specific substance
	Reaction description		Bewusteloos wegens wegvallen bloeddruk.
	Severity		3
	Route of exposure
	Reaction time		2012-08-18

Allergy intolerance (bgz-patA-allergy2)

Allergy intolerance (bgz-patA-allergy2)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Causative agent
Allergy category			2
Allergy status			1
Start date time			2009
Criticality			1
Last reaction date time			2011
Comment			Alleen voor amoxicilline
Reaction
	Symptom		12
	Specific substance
	Severity		1
	Route of exposure

Allergy intolerance (bgz-patA-allergy3)

Allergy intolerance (bgz-patA-allergy3)
Gegevenselement			Waarde
Patient (reference)			BSN 999999151 (in identificerend systeem: BSN)
Causative agent
Allergy category			4
Allergy status			2
Start date time			2006
Criticality			2
Last reaction date time			2012
Reaction
	Symptom		8
	Reaction description		Huidproblemen
	Severity		1
	Route of exposure

Blood pressure (bgz-patA-bloodpressure1)

Blood pressure (bgz-patA-bloodpressure1)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Measuring method		1
Cuff type		2
Measuring location		2
Diastolic endpoint		1
Systolic blood pressure		140
Diastolic blood pressure		85
Blood pressure date time		T+1D{11:05}
Position		3

Blood pressure (bgz-patA-bloodpressure2)

Blood pressure (bgz-patA-bloodpressure2)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Measuring method		1
Cuff type		1
Measuring location		2
Diastolic endpoint		1
Systolic blood pressure		120
Diastolic blood pressure		71
Blood pressure date time		T+2D{09:00}
Position		3

Body height (bgz-patA-bodyheight)

Body height (bgz-patA-bodyheight)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Height value		183
Height date time		2018-11-01
Position		1

Body weight (bgz-patA-bodyweight1)

Body weight (bgz-patA-bodyweight1)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Weight value		79
Weight date time		T+1D
Clothing		3

Body weight (bgz-patA-bodyweight2)

Body weight (bgz-patA-bodyweight2)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Weight value		78
Weight date time		T+2D
Clothing		3

Contact (bgz-patA-contactperson1)

Contact (bgz-patA-contactperson1)
Gegevenselement					Waarde
Patient (reference)					999999151 (in identificerend systeem: BSN)
Name information
	Name information
		First names			Dirk
		Initials			D
		Given name			Dirk
		Last name
			Last name		Janse
Contact information
	Contact information
		Telephone numbers
			Telephone number		+316-22668899
			Telecom type		3
			Number type		1
		Email addresses
			Email address		dirk.janse@test.nl
			Email address type		1
Address information
	Address information
		Street			Huweelstraat
		House number			15
		House number indication			1
		Postcode			1248 CC
		Place of residence			Barendrecht
		Country
		Address type			2
Role					1
Relationship					29

Contact (bgz-patA-contactperson2)

Contact (bgz-patA-contactperson2)
Gegevenselement					Waarde
Patient (reference)					999999151 (in identificerend systeem: BSN)
Name information
	Name information
		First names			Els
		Initials			E
		Given name			Els
		Name usage			1
		Last name
			Prefix		de
			Last name		Groot
Contact information
	Contact information
		Telephone numbers
			Telephone number		06-12345678
			Telecom type		3
			Number type		1
		Email addresses
			Email address		Els.degroot@test.nl
			Email address type		1
Address information
	Address information
		Street			Gaaspelwede
		House number			16
		Postcode			1247 BB
		Place of residence			Hellevoetsluis
		Country
		Address type			2
Role					8
Relationship					8

Drug use (bgz-patA-druguse)

Drug use (bgz-patA-druguse)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Observation of use
	Start date		1986
	Stop date		1988
	Amount		1/mo
Comment			Op feesten
Drug or medication type			7
Drug use status			4
Route of administration			1

Encounter (bgz-patA-encounter1)

Encounter (bgz-patA-encounter1)
Gegevenselement				Waarde
Patient (reference)				999999151 (in identificerend systeem: BSN)
Contact type				2
Contact with
	Health professional			zib-2017-bgz-patA-healthProf2
Location
	Healthcare provider			naam eigen ziekenhuis
Start date time				T+1D{11:00}
End date time				T+1D{13:30}
Contact reason
	Problem
		Problem		zib-2017-bgz-patA-problem5
Origin				1

Encounter (bgz-patA-encounter2)

Encounter (bgz-patA-encounter2)
Gegevenselement				Waarde
Patient (reference)				999999151 (in identificerend systeem: BSN)
Contact type				5
Contact with
	Health professional			zib-2017-bgz-patA-healthProf3
Location
	Healthcare provider			naam eigen ziekenhuis
Start date time				T+1D{13:30}
End date time				T+2D{12:00}
Contact reason
	Procedure
		Procedure		zib-2017-bgz-patA-procedure1
Destination				3

Encounter (bgz-patA-encounter3)

Encounter (bgz-patA-encounter3)
Gegevenselement				Waarde
Patient (reference)				999999151 (in identificerend systeem: BSN)
Contact type				1
Contact with
	Health professional			zib-2017-bgz-patA-healthProf2
Location
	Healthcare provider			naam eigen ziekenhuis
Start date time				T+44D{09:00}
Contact reason
	Procedure
		Procedure		zib-2017-bgz-patA-procedure1

Functional or mental status (bgz-patA-funcment1)

Functional or mental status (bgz-patA-funcment1)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Status name
Status value
Status date			2012-02-01
Comment			Licht beperkend
Medical device
	Medical device		zib-2017-bgz-patA-medDevice1

Functional or mental status (bgz-patA-funcment2)

Functional or mental status (bgz-patA-funcment2)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Status name
Status value
Status date		T+1D
Comment		Mag nog niet op loopgips steunen

Health professional (bgz-patA-healthProf1)

Health professional (bgz-patA-healthProf1)
Gegevenselement					Waarde
Patient (reference)					999999151 (in identificerend systeem: BSN)
Health professional identification number					88776655
Name information
	Name information
		First names			Ria Alexandra
		Initials			R.A.
		Given name			Ria
		Name usage			1
		Last name
			Last name		Slot
		Last name partner
			Partner prefix		de
			Partner last name		Beer
Specialty					12
Address information
	Address information
		Street			Talmastraat
		House number			84
		House number letter			B
		Postcode			3071 AS
		Place of residence			Rotterdam
		Municipality			Rotterdam
		Country
		Address type			5
Contact information
	Contact information
		Telephone numbers
			Telephone number		06-12345767
			Telecom type		3
			Number type		3
		Email addresses
			Email address		r.a.slot@huisarts.nl
			Email address type		2
Healthcare provider
	Healthcare provider				Huisartsenpraktijk Rotterdam

Health professional (bgz-patA-healthProf2)

Health professional (bgz-patA-healthProf2)
Gegevenselement					Waarde
Patient (reference)					999999151 (in identificerend systeem: BSN)
Health professional identification number					45678912
Name information
	Name information
		First names			Jeroen Hendrik Robert
		Initials			J.H.R.
		Given name			Jeroen
		Name usage			1
		Last name
			Last name		Peters
		Last name partner
			Partner prefix		van
			Partner last name		Beek
Specialty					25
Address information
	Address information
		Street			Dr. Molewaterplein
		House number			40
		Postcode			3015 GD
		Place of residence			Rotterdam
		Municipality			Rotterdam
		Country
		Address type			5
Contact information
	Contact information
		Telephone numbers
			Telephone number		06-23412345
			Telecom type		3
			Number type		3
		Email addresses
			Email address		j.peters@hospital.nl
			Email address type		2
Healthcare provider
	Healthcare provider				naam eigen ziekenhuis
Health professional role					1

Health professional (bgz-patA-healthProf3)

Health professional (bgz-patA-healthProf3)
Gegevenselement					Waarde
Patient (reference)					999999151 (in identificerend systeem: BSN)
Health professional identification number					12345678
Name information
	Name information
		First names			Alfred Bart
		Initials			A.B.
		Given name			Alfred
		Name usage			1
		Last name
			Last name		Bakker
Specialty					41
Address information
	Address information
		Street			Dr. Molewaterplein
		House number			40
		Postcode			3015 GD
		Place of residence			Rotterdam
		Municipality			Rotterdam
		Country
		Address type			5
Contact information
	Contact information
		Telephone numbers
			Telephone number		06-33334444
			Telecom type		3
			Number type		3
		Email addresses
			Email address		a.b.bakker@hospital.nl
			Email address type		2
Healthcare provider
	Healthcare provider				naam eigen ziekenhuis
Health professional role					6

Laboratory test result (bgz-patA-labresult1)

Laboratory test result (bgz-patA-labresult1)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Laboratory test
	Test code
	Test date time		T+1D{13:00}
	Test result		8.1 mmol/l
	Test result status		3
	Reference range upper limit		9.9 mmol/l
	Reference range lower limit		7.4 mmol/l
Laboratory test
	Test code
	Test date time		T+1D{13:00}
	Test result		0.39 l/l
	Test result status		3
	Reference range upper limit		0.46 l/l
	Reference range lower limit		0.36 l/l
Laboratory test
	Test code
	Test date time		T+1D{13:00}
	Test result		6.6E+9 /l
	Test result status		3
	Reference range upper limit		4.0E+9 /l
	Reference range lower limit		11.0E+9 /l
Specimen
	Specimen id		9876
	Specimen number extension		2
	Container type
	Specimen material
	Collection date time		T+1D{12:00}
	Anatomical location
	Laterality		1
Panel or battery
Result status			3
Result type			2
Requester
	Health professional		zib-2017-bgz-patA-healthProf3

Laboratory test result (bgz-patA-labresult2)

Laboratory test result (bgz-patA-labresult2)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Laboratory test
	Test code
	Test date time		T+2D{09:00}
	Test result		8.9 mmol/l
	Test result status		3
	Reference range upper limit		9.9 mmol/l
	Reference range lower limit		7.4 mmol/l
Specimen
	Specimen id		9877
	Specimen number extension		2
	Container type
	Specimen material
	Collection date time		T+2D{08:00}
	Anatomical location
	Laterality		2
Result type			2

Living situation (bgz-patA-living)

Living situation (bgz-patA-living)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Comment		Geen lift
House type		4

Marital status rc (bgz-patA-marital)

Marital status rc (bgz-patA-marital)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Marital status		2

Medical device (bgz-patA-medDevice1)

Medical device (bgz-patA-medDevice1)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Product
	Product id
	Product type
Product description			Inwendig gehoorapparaat
Start date			2012-03-08
Indication
	Problem		zib-2017-bgz-patA-problem4
Comment			Apparaat niet zichtbaar
Anatomical location
Laterality			2
Location
	Healthcare provider		Huisartsenpraktijk Rotterdam
Health professional
	Health professional		zib-2017-bgz-patA-healthProf1

Medical device (bgz-patA-medDevice2)

Medical device (bgz-patA-medDevice2)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Product
	Product id
	Product type
Product description			Niet-gemotoriseerde rolstoel
Start date			T+2D
Indication
	Problem		zib-2017-bgz-patA-problem5
Location
	Healthcare provider		naam eigen ziekenhuis
Health professional
	Health professional		zib-2017-bgz-patA-healthProf2

Payer (bgz-patA-payer)

Payer (bgz-patA-payer)
Gegevenselement					Waarde
Patient (reference)					999999151 (in identificerend systeem: BSN)
Insurance company
	Insurance
		Start date time			T-182D
		End date time			T+183D
		Insurance type			2
	Identification number				3343
	Organization name				ONVZ Zorgverzekeraar
	Insurant number				88664422
Address information
	Address information
		Street			De Molen
		House number			66
		House number indication			1
		Postcode			3990 GD
		Place of residence			Houten
		Municipality			Houten
		Country
		Address type			5
Contact information
	Contact information
		Telephone numbers
			Telephone number		030-6396222
			Telecom type		1
			Number type		3
		Email addresses
			Email address		vd@onvz.nl
			Email address type		2

Problem (bgz-patA-problem1)

Problem (bgz-patA-problem1)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Problem type		2
Problem name
Problem start date		1999
Problem status		1
Verification status		3

Problem (bgz-patA-problem2)

Problem (bgz-patA-problem2)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Problem type		1
Problem name
Problem start date		1999
Problem end date		2000
Problem status		2
Verification status		4
Comment		Patiënt meende dat kortademigheid optrad als reactie op noten.

Problem (bgz-patA-problem3)

Problem (bgz-patA-problem3)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Problem anatomical location
Problem type		1
Problem name
Problem start date		2000
Problem status		1
Verification status		3
Comment		Kortademig

Problem (bgz-patA-problem4)

Problem (bgz-patA-problem4)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Problem anatomical location
Problem laterality		2
Problem type		4
Problem name
Problem start date		2012-03-08
Problem status		1
Verification status		3
Comment		Slechthorend door harde muziek

Problem (bgz-patA-problem5)

Problem (bgz-patA-problem5)
Gegevenselement		Waarde
Patient (reference)		999999151 (in identificerend systeem: BSN)
Problem anatomical location
Problem laterality		1
Problem type		1
Problem name
Problem start date		T+1D
Problem status		1
Verification status		3
Comment		Op een bal gaan staan tijdens het voetballen.

Procedure (bgz-patA-procedure1)

Procedure (bgz-patA-procedure1)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Procedure start date			T+1D{14:00}
Procedure end date			T+1D{15:00}
Procedure anatomical location
Procedure laterality			1
Indication
	Problem		zib-2017-bgz-patA-problem5
Procedure type
Location
	Healthcare provider		naam eigen ziekenhuis
Performer
	Health professional		zib-2017-bgz-patA-healthProf2
Requester
	Health professional		zib-2017-bgz-patA-healthProf3

Procedure (bgz-patA-procedure2)

Procedure (bgz-patA-procedure2)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Procedure start date			T+2D{09:30}
Procedure anatomical location
Procedure laterality			1
Indication
	Problem		zib-2017-bgz-patA-problem5
Procedure type
Location
	Healthcare provider		naam eigen ziekenhuis
Requester
	Health professional		zib-2017-bgz-patA-healthProf2

Tobacco use (bgz-patA-tobacco)

Tobacco use (bgz-patA-tobacco)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Comment			Havana
Type of tobacco used			2
Tobacco use status			2
Observation of use
	Start date		2001
	Amount		1
	Pack years		6

Treatment directive (bgz-patA-treatmentdir)

Treatment directive (bgz-patA-treatmentdir)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Verification
	Verified		true
	Verified with		1
	Verification date		T+1D
Treatment			5
Treatment permitted			2
Restrictions			eerst overleg met de partner
Comment			voor behandeling "MRI"; beperking geldt tot aan ontslag uit het ziekenhuis
Advance directive
	Advance directive		zib-2017-bgz-patA-advdir

Vaccination (bgz-patA-vaccin1)

Vaccination (bgz-patA-vaccin1)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Product code
Dose			2
Vaccination date			2019-04-03
Prefered date for revaccination			2020-04-03
Administrator
	Health professional		zib-2017-bgz-patA-healthProf1
Comment			Gebeten door een hond

Vaccination (bgz-patA-vaccin2)

Vaccination (bgz-patA-vaccin2)
Gegevenselement			Waarde
Patient (reference)			999999151 (in identificerend systeem: BSN)
Product code
Dose			1
Vaccination date			2015-03-02
Prefered date for revaccination			2015-04-02
Administrator
	Health professional		zib-2017-bgz-patA-healthProf1
Comment			Reis door Indonesië

Patient (bgz-patA)

Patient (bgz-patA)
Gegevenselement					Waarde
Name information
	Name information
		First names			Dennis
		Initials			D
		Given name			Dennis
		Name usage			1
		Last name
			Last name		Janse
		Last name partner
			Partner last name		Erelies
Address information
	Address information
		Street			Huweelstraat
		House number			15
		House number indication			1
		Postcode			1248 CC
		Place of residence			Barendrecht
		Country
		Additional information			Tijdelijk adres
		Address type			4
Contact information
	Contact information
		Telephone numbers
			Telephone number		+316-11122233
			Telecom type		3
			Number type		1
		Email addresses
			Email address		djanse@test.nl
			Email address type		1
Patient identification number					999999151
Date of birth					1950-02-02
Gender					2
Multiple birth indicator					false
Death indicator					false

Advance directive (bgz-patB-advdir)

Advance directive (bgz-patB-advdir)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Living will type		1
Living will date		2007-07-07
Living will document		ZHVtbXktd2lsc3ZlcmtsYXJpbmcgTWFyaWEgdmFuICd0IEhvZW4ucGRm

Alcohol use (bgz-patB-alcohol)

Alcohol use (bgz-patB-alcohol)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Comment			Mevrouw drinkt niet meer sinds ze weet dat ze drager BRCA1-genmutatie is.
Alcohol use status			Ex-drinker (finding) (code = '82581004' in codeSystem 'SNOMED CT')
Observation of use
	Start date		1971
	Stop date		2005
	Amount		14 {glasses}/wk

Alert (bgz-patB-alert1)

Alert (bgz-patB-alert1)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Alert name		6
Start date time		2010-07-03
Alert type		1

Alert (bgz-patB-alert2)

Alert (bgz-patB-alert2)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Condition
	Problem		zib-2017-bgz-patB-problem4
Start date time			2010-03-04

Allergy intolerance (bgz-patB-allergy)

Allergy intolerance (bgz-patB-allergy)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Causative agent
Allergy category			4
Allergy status			2
Start date time			1980-08
Criticality			3
Last reaction date time			2015-08-02
Comment			Patiënt heeft succesvolle desensitisatie ondergaan.
Reaction
	Symptom		1
	Reaction description		Sterk verlaagde bloeddruk en ademfrequentie.
	Severity		3

Blood pressure (bgz-patB-bloodpressure1)

Blood pressure (bgz-patB-bloodpressure1)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Measuring method		1
Cuff type		1
Measuring location		3
Systolic blood pressure		120
Diastolic blood pressure		78
Blood pressure date time		T+1D{07:15}

Blood pressure (bgz-patB-bloodpressure2)

Blood pressure (bgz-patB-bloodpressure2)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Measuring method		1
Cuff type		1
Measuring location		3
Systolic blood pressure		130
Diastolic blood pressure		80
Blood pressure date time		T+2D{07:45}

Blood pressure (bgz-patB-bloodpressure3)

Blood pressure (bgz-patB-bloodpressure3)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Measuring method		1
Cuff type		1
Measuring location		3
Systolic blood pressure		150
Diastolic blood pressure		94
Blood pressure date time		T+2D{16:15}

Body height (bgz-patB-bodyheight)

Body height (bgz-patB-bodyheight)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Height value		176
Height date time		2019-03-04
Position		1

Body weight (bgz-patB-bodyweight1)

Body weight (bgz-patB-bodyweight1)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Weight value		68
Weight date time		2019-03-04
Clothing		2

Body weight (bgz-patB-bodyweight2)

Body weight (bgz-patB-bodyweight2)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Weight value		54
Weight date time		T+1D{07:30}
Clothing		2

Contact (bgz-patB-contactperson1)

Contact (bgz-patB-contactperson1)
Gegevenselement					Waarde
Patient (reference)					999999072 (in identificerend systeem: BSN)
Name information
	Name information
		First names			Peter
		Initials			P.
		Given name			Peer
		Name usage			4
		Last name
			Last name		Verheul
		Last name partner
			Partner prefix		van 't
			Partner last name		Hoen
Contact information
	Contact information
		Telephone numbers
			Telephone number		0611119999
			Telecom type		3
			Number type		1
		Email addresses
			Email address		peer@verheul.org
			Email address type		1
Address information
	Address information
		Street			Steenstraat
		House number			143
		House number letter			A
		House number addition			II
		Postcode			6584 YZ
		Place of residence			Molenhoek
		Municipality			Mook en Middelaar
		Country
		Address type			2
Role					1
Relationship					9

Contact (bgz-patB-contactperson2)

Contact (bgz-patB-contactperson2)
Gegevenselement					Waarde
Patient (reference)					999999072 (in identificerend systeem: BSN)
Name information
	Name information
		First names			Puck
		Initials			P.
		Last name
			Prefix		van 't
			Last name		Hoen
Address information
	Address information
		Street			Straatweg
		House number			11
		Postcode			1256 DC
		Place of residence			Venlo
		Address type			2
Role					2
Relationship					7

Drug use (bgz-patB-druguse)

Drug use (bgz-patB-druguse)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Drug use status		5

Encounter (bgz-patB-encounter1)

Encounter (bgz-patB-encounter1)
Gegevenselement				Waarde
Patient (reference)				999999072 (in identificerend systeem: BSN)
Contact type				5
Contact with
	Health professional			behandelend arts
Location
	Healthcare provider			eigen ziekenhuis
Start date time				T+1D{07:00}
End date time				T+2D{09:00}
Contact reason
	Procedure
		Procedure		zib-2017-bgz-patB-procedure3
Origin				1
Destination				1

Encounter (bgz-patB-encounter2)

Encounter (bgz-patB-encounter2)
Gegevenselement				Waarde
Patient (reference)				999999072 (in identificerend systeem: BSN)
Contact type				2
Location
	Healthcare provider			naam eigen ziekenhuis
Start date time				T+2D{16:00}
End date time				T+2D{17:00}
Contact reason
	Problem
		Problem		zib-2017-bgz-patB-problem7
Origin				1

Encounter (bgz-patB-encounter3)

Encounter (bgz-patB-encounter3)
Gegevenselement				Waarde
Patient (reference)				999999072 (in identificerend systeem: BSN)
Contact type				5
Contact with
	Health professional			zib-2017-bgz-patB-healthProf3
Location
	Healthcare provider			naam eigen ziekenhuis
Start date time				T+2D{17:00}
End date time				T+3D{10:00}
Contact reason
	Procedure
		Procedure		zib-2017-bgz-patB-procedure4
Destination				1

Functional or mental status (bgz-patB-funcment)

Functional or mental status (bgz-patB-funcment)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Status name
Status value
Status date			2010
Comment			krachtsvermindering rechterarm na CVA
Medical device
	Medical device		zib-2017-bgz-patB-medDevice

Health professional (bgz-patB-healthProf1)

Health professional (bgz-patB-healthProf1)
Gegevenselement					Waarde
Patient (reference)					999999072 (in identificerend systeem: BSN)
Health professional identification number					00131313
Name information
	Name information
		First names			Anna
		Initials			A.
		Given name			Anna
		Name usage			3
		Last name
			Prefix		de
			Last name		Vries
		Last name partner
			Partner last name		Bijns
Specialty					12
Address information
	Address information
		Street			Dorpsstraat
		House number			1
		Postcode			6585 XY
		Place of residence			Molenhoek
		Municipality			Mook en Middelaar
		Country
		Address type			5
Contact information
	Contact information
		Telephone numbers
			Telephone number		077-1234567
			Telecom type		1
			Number type		3
		Email addresses
			Email address		Bijns.DeVries@HPMolenhoek.nl
			Email address type		2
Healthcare provider
	Healthcare provider				Huisartsenpraktijk Molenhoek

Health professional (bgz-patB-healthProf2)

Health professional (bgz-patB-healthProf2)
Gegevenselement					Waarde
Patient (reference)					999999072 (in identificerend systeem: BSN)
Health professional identification number					00141414
Name information
	Name information
		First names			Johanna
		Initials			J.
		Given name			Joke
		Name usage			5
		Last name
			Prefix		de
			Last name		Bruin
Specialty					13
Address information
	Address information
		Country
		Address type			5
Contact information
	Contact information
		Telephone numbers
			Telephone number		2768
			Telecom type		4
Healthcare provider
	Healthcare provider				naam eigen ziekenhuis
Health professional role					1

Health professional (bgz-patB-healthProf3)

Health professional (bgz-patB-healthProf3)
Gegevenselement					Waarde
Patient (reference)					999999072 (in identificerend systeem: BSN)
Health professional identification number					00151515
Name information
	Name information
		First names			Antonius Franciscus
		Initials			A.F.
		Given name			Ton
		Name usage			1
		Last name
			Last name		Zoomers
Specialty					11
Contact information
	Contact information
		Telephone numbers
			Telephone number		2769
			Telecom type		4
Healthcare provider
	Healthcare provider				naam eigen ziekenhuis
Health professional role					3

Health professional (bgz-patB-healthProf4)

Health professional (bgz-patB-healthProf4)
Gegevenselement					Waarde
Patient (reference)					999999072 (in identificerend systeem: BSN)
Health professional identification number					00161616
Name information
	Name information
		First names			Horst
		Initials			H.
		Given name			Horst
		Name usage			1
		Last name
			Last name		Bontrager
Specialty					21
Address information
	Address information
		Street			Nimweger Strasse
		House number			285
		Postcode			47560
		Municipality			Kranenburg
		Country
		Address type			2
Contact information
	Contact information
		Telephone numbers
			Telephone number		024-1234567
			Telecom type		1
			Number type		3
Healthcare provider
	Healthcare provider				naam eigen ziekenhuis
Health professional role					3

Laboratory test result (bgz-patB-labresult1)

Laboratory test result (bgz-patB-labresult1)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Laboratory test
	Test code
	Test date time		T+1D{09:00}
	Test result		0.43E+9 /l
	Test result status		3
	Reference range upper limit		1.00E+9 /l
	Reference range lower limit		0.3E+9 /l
Laboratory test
	Test code
	Test date time		T+1D{09:00}
	Test result		0.86E+9 /l
	Test result status		3
	Reference range upper limit		3.50E+9 /l
	Reference range lower limit		1.00E+9 /l
	Result flags		2
Laboratory test
	Test code
	Test date time		T+1D{09:00}
	Test result		+
	Test result status		3
Specimen
	Specimen material
	Collection date time		T+1D{08:00}
	Collection method
Result status			3
Result type			1
Requester
	Health professional		zib-2017-bgz-patB-healthProf2

Laboratory test result (bgz-patB-labresult2)

Laboratory test result (bgz-patB-labresult2)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Laboratory test
	Test code
	Test date time		T+2D{09:00}
	Test result		13 E/ml
	Test result status		2
Specimen
	Specimen material
	Collection date time		T+2D{08:00}
Result status			2
Result type			2
Requester
	Health professional		zib-2017-bgz-patB-healthProf2

Living situation (bgz-patB-living)

Living situation (bgz-patB-living)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
House type		3

Marital status rc (bgz-patB-marital)

Marital status rc (bgz-patB-marital)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Marital status		4

Medical device (bgz-patB-medDevice)

Medical device (bgz-patB-medDevice)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Product
	Product id
	Product type
Product description			armondersteuning bij eten en drinken en computerwerk
Start date			2016-02-03
Comment			Vanwege spierzwakte rechterarm
Anatomical location
Laterality			2
Location
	Healthcare provider		Huisartsenpraktijk Molenhoek
Health professional
	Health professional		zib-2017-bgz-patB-healthProf1

Nutrition advice (bgz-patB-nutrition)

Nutrition advice (bgz-patB-nutrition)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Diet type		eiwitrijk
Comment		In verband met lage spiermassa

Payer (bgz-patB-payer)

Payer (bgz-patB-payer)
Gegevenselement					Waarde
Patient (reference)					999999072 (in identificerend systeem: BSN)
Insurance company
	Insurance
		Start date time			T-182D
		End date time			T+183D
		Insurance type			1
	Identification number				3313
	Organization name				Interpolis Zorgverzekeringen N.V.
	Insurant number				98765432
Address information
	Address information
		Street			Spoorlaan
		House number			298
		Postcode			5017 JZ
		Place of residence			Tilburg
		Country
		Address type			5
Contact information
	Contact information
		Telephone numbers
			Telephone number		0134622025
			Telecom type		1
			Number type		3
		Email addresses
			Email address		info@interpolis.nl
			Email address type		2

Problem (bgz-patB-problem1)

Problem (bgz-patB-problem1)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Problem type		1
Problem name
Problem start date		2004
Problem status		1
Verification status		3

Problem (bgz-patB-problem2)

Problem (bgz-patB-problem2)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Problem type		1
Problem name
Problem start date		2005
Problem status		1
Verification status		3

Problem (bgz-patB-problem3)

Problem (bgz-patB-problem3)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Problem type		3
Problem name
Problem start date		2009
Problem status		1

Problem (bgz-patB-problem4)

Problem (bgz-patB-problem4)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Problem laterality		1
Problem type		1
Problem name
Problem start date		2010-07-01
Problem status		1
Verification status		3

Problem (bgz-patB-problem5)

Problem (bgz-patB-problem5)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Problem anatomical location
Problem laterality		2
Problem type		2
Problem name
Problem start date		2019-03-04
Problem status		1
Verification status		1

Problem (bgz-patB-problem6)

Problem (bgz-patB-problem6)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Problem laterality		2
Problem type		1
Problem name
Problem start date		2019-03-28
Problem status		1
Verification status		3

Problem (bgz-patB-problem7)

Problem (bgz-patB-problem7)
Gegevenselement		Waarde
Patient (reference)		999999072 (in identificerend systeem: BSN)
Problem anatomical location
Problem laterality		2
Problem type		5
Problem name
Problem start date		T+2D
Problem end date		T+3D
Problem status		2

Procedure (bgz-patB-procedure1)

Procedure (bgz-patB-procedure1)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Procedure start date			2010-07-01
Procedure end date			2020-07-01
Indication
	Problem		zib-2017-bgz-patB-problem4
Procedure type
Location
	Healthcare provider		VieCuri
Performer
	Health professional
Requester
	Health professional		zib-2017-bgz-patB-healthProf1

Procedure (bgz-patB-procedure2)

Procedure (bgz-patB-procedure2)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Procedure start date			2010-07-02
Procedure end date			2020-07-02
Procedure anatomical location
Indication
	Problem		zib-2017-bgz-patB-problem4
Procedure type
Procedure method
Location
	Healthcare provider		naam eigen ziekenhuis
Performer
	Health professional		zib-2017-bgz-patB-healthProf4

Procedure (bgz-patB-procedure3)

Procedure (bgz-patB-procedure3)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Procedure start date			T+1D{10:00}
Procedure end date			T+1D{12:00}
Procedure anatomical location
Procedure laterality			2
Indication
	Problem		zib-2017-bgz-patB-problem6
Procedure type
Location
	Healthcare provider		naam eigen ziekenhuis
Performer
	Health professional		zib-2017-bgz-patB-healthProf3
Requester
	Health professional		zib-2017-bgz-patB-healthProf2

Procedure (bgz-patB-procedure4)

Procedure (bgz-patB-procedure4)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Procedure start date			T+2D{17:45}
Procedure anatomical location
Procedure laterality			2
Indication
	Problem		zib-2017-bgz-patB-problem7
Procedure type
Location
	Healthcare provider		naam eigen ziekenhuis

Tobacco use (bgz-patB-tobacco)

Tobacco use (bgz-patB-tobacco)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Tobacco use status			4
Observation of use
	Start date		1970
	Stop date		1980

Treatment directive (bgz-patB-treatmentdir)

Treatment directive (bgz-patB-treatmentdir)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Verification
	Verified		true
	Verified with		1
	Verification date		2017-07-07
Treatment			2
Treatment permitted			3
Start date			2007-07-07
Advance directive
	Advance directive		zib-2017-bgz-patB-advdir

Vaccination (bgz-patB-vaccin)

Vaccination (bgz-patB-vaccin)
Gegevenselement			Waarde
Patient (reference)			999999072 (in identificerend systeem: BSN)
Product code
Dose			1
Vaccination date			2017-01-03
Administrator
	Health professional		zib-2017-bgz-patB-healthProf1
Comment			fietsreis naar Vietnam

Patient (bgz-patB)

Patient (bgz-patB)
Gegevenselement					Waarde
Name information
	Name information
		First names			Maria Francisca
		Initials			M.F.
		Given name			Maria
		Name usage			4
		Last name
			Prefix		van 't
			Last name		Hoen
		Last name partner
			Partner last name		Verheul
Address information
	Address information
		Street			Steenstraat
		House number			143
		House number letter			A
		House number addition			II
		Postcode			6584 YZ
		Place of residence			Molenhoek
		Municipality			Mook en Middelaar
		Country
		Address type			2
Contact information
	Contact information
		Telephone numbers
			Telephone number		+316-10101010
			Telecom type		3
			Number type		1
		Email addresses
			Email address		francisca@maria.org
			Email address type		1
Patient identification number					999999072
Date of birth					1956-04-16
Gender					3
Multiple birth indicator					true
Death indicator					false