BgZ:V1.0 AddendaInhoudelijkeGegevensBgZ2017
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1 Addenda voor inhoudelijke gegevens
1.1 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 |
1.2 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 |
1.3 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 |
1.4 Alert (bgz-patA-alert2)
Alert (bgz-patA-alert2) | ||
Gegevenselement | Waarde | |
Patient (reference) | 999999151 (in identificerend systeem: BSN) | |
Alert name | 2 | |
Alert type | 2 |
1.5 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 |
1.6 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 |
1.7 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 |
1.8 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 |
1.9 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 |
1.10 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 |
1.11 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 |
1.12 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 |
1.13 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 |
1.14 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 |
1.15 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 |
1.16 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 |
1.17 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 |
1.18 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 |
1.19 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 |
1.20 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 |
1.21 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 |
1.22 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 |
1.23 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 |
1.24 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 |
1.25 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 |
1.26 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 |
1.27 Marital status rc (bgz-patA-marital)
Marital status rc (bgz-patA-marital) | ||
Gegevenselement | Waarde | |
Patient (reference) | 999999151 (in identificerend systeem: BSN) | |
Marital status | 2 |
1.28 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 |
1.29 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 |
1.30 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 |
1.31 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 |
1.32 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. |
1.33 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 |
1.34 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 |
1.35 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. |
1.36 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 |
1.37 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 |
1.38 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 |
1.39 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 |
1.40 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 |
1.41 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 |
1.42 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 |
1.43 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 |
1.44 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 |
1.45 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 |
1.46 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 |
1.47 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 |
1.48 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} |
1.49 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} |
1.50 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} |
1.51 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 |
1.52 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 |
1.53 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 |
1.54 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 |
1.55 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 |
1.56 Drug use (bgz-patB-druguse)
Drug use (bgz-patB-druguse) | ||
Gegevenselement | Waarde | |
Patient (reference) | 999999072 (in identificerend systeem: BSN) | |
Drug use status | 5 |
1.57 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 |
1.58 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 |
1.59 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 |
1.60 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 |
1.61 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 |
1.62 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 |
1.63 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 |
1.64 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 |
1.65 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 |
1.66 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 |
1.67 Living situation (bgz-patB-living)
Living situation (bgz-patB-living) | ||
Gegevenselement | Waarde | |
Patient (reference) | 999999072 (in identificerend systeem: BSN) | |
House type | 3 |
1.68 Marital status rc (bgz-patB-marital)
Marital status rc (bgz-patB-marital) | ||
Gegevenselement | Waarde | |
Patient (reference) | 999999072 (in identificerend systeem: BSN) | |
Marital status | 4 |
1.69 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 |
1.70 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 |
1.71 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 |
1.72 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 |
1.73 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 |
1.74 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 |
1.75 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 |
1.76 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 |
1.77 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 |
1.78 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 |
1.79 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 |
1.80 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 |
1.81 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 |
1.82 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 |
1.83 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 |
1.84 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 |
1.85 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 |
1.86 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 |