ZorgDomein users can generate clinical documents to inform other healthcare organizations or professonials about the medical condition of a patient or to request a specific healthcare serivice or product. These documents can be divided into different document types. Read more about documents.
The logical uri for thiscoding system is:
http://zorgdomein.nl/terminology/code-system/document-typeZorgDomein Integrator currentlysupports the following document types:
| Code | Display (NL) | Definition |
|---|---|---|
appointment-request | Afspraakbericht | Logistic message that announces the referral and contains the logistic data of the referral, i.e. details of the patient, referrer, referring organization, recipient and selected healthcare request. This message does not contain the referral letter or any medical dossier data from the referrer. |
referral-letter | Verwijsbrief | Document containing all the relevant medical patient data for a referral. This document should be considered as an attachment to the appointment request. |
request-form | Aanvraagformulier | Document that lists the requested services or products. Additionally this document provides relevant medical patient data for the requested serives or products. |
teleconsult-request-form | Teleconsultatie aanvraagformulier | Document containing a request for advice. Additionally this document provides relevant medical data about the condition of the patient. |
questionnaire | Vragenlijst | Document containing theresponse toa questionnaire that is linked to a transaction. |
supplement | Nazending | After sending the referral letter, the referrer may sooner or later decide to send one or more supplemental documents. The referrer may optionally add one or more attachments to the supplemental letter. These attachments will be delivered in a separate document. |
cancellation | Annuleringsbericht | The initiator of a referral or healthcare request may decide to cancel a sent referral or request by sending a cancellation request. This document contains the cancellation request and the reason for cancellation. |
report | Medisch verslag | This document is sent by a healthcare professional to inform another healthcare professional or organization about the condition of a patient. The report document type has several document sub types (see below). |
admission-report | In behandelingsverslag | Document to inform about the admission of a patient or start of a treatment(subtype ofreport). |
direct-entry-message | Bericht directe toegang | Document to inform about the fact that a patient has approached a healthcare supplier directly, without a referral (subtype ofreport). |
intermediate-report | Tussentijds verslag | Document to inform about the progress of a patient treatment (subtype ofreport). |
progress-report | Update | Document to inform about the progress of a patient treatment (subtype ofreport). |
treatment-progress-report | Update voortgang behandeling | Document to inform about the progress of a patient treatment (subtype ofreport). |
consult-report | Consultatieverslag | Document to inform about the progress of a patient treatment (subtype ofreport). |
discharge-report | Ontslagbericht | Document to inform about the discharge of a patient or end of a treatment(subtype ofreport). |
final-report | Eindverslag | Document toinformabout the results and end of aparamedic treatment(subtype ofreport). |
procedure-report | Verslag over handeling | Document to inform about the progress of a requested service or procedure (subtype ofreport). |
request-for-product | Verzoek om zorgproduct | Document to request a referral or serivce request(subtype ofreport). |
copy-report | Doorstuurrapportage | Copy of a referral or request that is sent by the sending party to inform a third party about the referral or request(subtype ofreport). |
response | Antwoord | This document is always a response to a previous referral or request sent by the initiator of the transaction and is typically within the same transaction scope as the initial request. |
transfer-dossier | Overdrachtsdocument | Dossier containing all relevant medical details for a patient that is being transferred. The transfer dossier document type has several document sub types (see below). |
medical-transfer | Medische overdracht | Medical transfer dossier(subtype oftransfer-dossier). |
medication-transfer | Medicatieoverdracht | Medication transfer dossier(subtype oftransfer-dossier). |
nursing-transfer | Verpleegkundige overdracht | Nursing transfer dossier(subtype oftransfer-dossier). |
palliative-transfer | Palliatieve overdracht | Palliative transfer dossier(subtype oftransfer-dossier). |
combined-transfer | Gecombineerde overdracht | Combinedtransfer dossier (subtype oftransfer-dossier). |
ggz-transfer | GGZ overdracht | GGZ (mental health care)transfer dossier (subtype oftransfer-dossier). |
treatment-directives | Behandelgrenzen | Transfer document containig treatment directives (subtype oftransfer-dossier). |
announcement | Melding | Document to notify the recipient about a specific health condition of a person. |
