Data dictionary - National Basic Register of Hospital Care (LBZ)

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Medical Information[edit | edit source]

Source: Click here to learn more (To access the list, click on "Data model LBZ medical version 9.0" that is available in the section "Data models and source table" of the page).

Table 1: LBZ patient med (contains data from initial treatment of patients in the admission, ambulatory contact, and procedures).

Variable Description of the variable
AGB setting number AGB code of the institution
Patient ID Identification of the patient within the institution of care
BSN number Unique patient identification
Date of birth The date the patient was born
Sex The sex of the patient immediately prior to the moment of care
Postal Code The postal code of the Dutch place of residence where the patient is staying immediately prior to the moment of care
Country residence The country where the patient resides immediately prior to the moment of care
GP The patient's general practitioner who is responsible for regular primary care
Approved Patient level alerts are hospital approved
Permission to use data Indication of whether or not the patient agrees with the use of his data for scientific research
Patient_id_set Patient number as used in the institution

Table 2: LBZ recording (contains the recording data of patients for whom the treatment was performed in the clinic or daycare and ended with discharge of the patient. Concerns all care provided, regardless of whether the nursing day may be claimed).

Variable Description of the variable
Patient ID Identification of the patient within the care institution
Contact ID The unique number within the institution under which the moment of care is known
Location Location within the hospital where the admission or outpatient contact took place
Case number The numbers, unique within the institution, under which the patient's care questions are known
Type of care The type of care provided (Clinical, day admission, outpatient contact, observation, or rest)
Nature care The form of care of the care moment
Start date The date on which the relevant moment of care started or took place
Start time The time at which the relevant moment of care started or took place
Discharge date The date on which the recording in question ended
Discharge time The hour at which the recording in question ended
Admission specialism The professional group/specialty of the medical professional who admitted the patient
Origin The residence where the patient was staying immediately prior to the start of the recording
Destination The residence where the patient will stay immediately after the end of the recording
Urgency recording ndication of the urgency of the admission
Dismissal specialism The profession/specialty of the medical professional who discharged the patient
Main diagnosis in the moment of care (CvZ80) The diagnosis that is considered the main reason for admission at the end of the care moment
Main diagnosis in the moment of care (ICD-10) The diagnosis that is considered the main reason for admission at the end of the care moment
Main diagnosis in the moment of care diagnosis (thesaurus id) The diagnosis that is considered the main reason for admission at the end of the care moment
Main operation in the moment of care (CvV) The operation that is considered the most important operation within the admission at the end of the care moment, if any
Main operation in the moment of care (CBV) The operation that is considered the most important operation within the admission at the end of the care moment, if any
Main operation in the moment of care (ZA) The operation that is considered the most important operation within the admission at the end of the care moment, if any
Main operation The transaction that is considered the most important transaction within the recording at the end of the transaction thesaurus care moment, if any
Recording specialist Specialist who admitted the patient
Discharge specialist Specialist who discharged the patient
Approved Admission level alerts are hospital approved
Privacy Level of privacy based on statement signed by the patient on the invoice for the insurer
Status Status of the encoding of the recording
Start time incl min The time in hours and minutes when the relevant moment of care started or took place
Dismissal time incl The time in hours and minutes when the recording in question ended

Table 3: LBZ diagnosis recording (contains the data of diagnosis that (partly) determined the care provided during the patient's admission).

Variable Description of the variable
Patient ID Identification of the patient within the care institution
Contact ID The unique number within the institution under which the moment of care is known
Diagnostic ID Unique number of the diagnosis within the recording
Case number The numbers, unique within the institution, under which the patient's care questions are known
Specialty diagnosis The professional group/specialty of the medical professional to which the patient turns for the treatment of his care request
Primary diagnosis indication Indicates whether the associated diagnosis is the primary diagnosis of admission or ambulatory contact for the specialty in question
Diagnosis (CVZ) Diagnosis that (partly) determined the care provided
E/M/C code (CVZ) Indication of external cause, morphology or complication
Diagnosis (ICD-10) Diagnosis that (partly) determined the care provided
MC code (ICD-10) Indicates the condition that was not present at start of recording
Diagnosis (thesaurus id) Diagnosis that (partly) determined the care provided
SNOMED identification Identification corresponding to SNOMED code
Diagnosing specialist Specialist responsible for the treatment of the care demand
Indication of main diagnosis Indicates whether the relevant diagnosis/specialty combination is the main diagnosis
Indication of diagnosis set Indicates whether that certain diagnoses together form a set
Type of practitioner Indicates whether the diagnosis is linked to a main practitioner, co-practitioner or ICC
Approved Hospital-approved diagnostic-level alerts
Indication general secondary diagnosis Indicates whether the diagnosis applies to all specialisms within the admission as a secondary diagnosis
Source Source in which the diagnosis is recorded
AI_proposed_diag Most probable diagnosis code suggested by algorithm nose
AI_certainty_percentage_proposal Confidence percentage of the proposed diagnosis code by the algorithm
diagAI_checked Indicates whether the medical coder has read the code derived through a AI algorithm has controlled and taken over
AI_certainty_percentage_adopted_diagnosis Confidence percentage of the supplied diagnosis indicated by the algorithm used to derive the code if AI is involved
Complication Indicates if a diagnosis or condition is a complication

Table 4: LBZ outpatient contact (contains the contact details of patients treated on an outpatient basis that has taken place acutely or by appointment, including telephone contacts or teleconsultations).

Variable Description of the variable
Patient ID Identification of the patient within the care institution
Contact ID The unique number within the institution under which the moment of care is known
Start date The date on which the relevant moment of care started or took place
Executive specialty The specialty of the medical professional from the own institution who was responsible for this contact
Location Location within the hospital where the admission or outpatient contact has taken place
Case number The numbers, unique within the institution, under which the patient's care questions are known
Nature care The form of care of the care moment
Start time Time at which the relevant moment of care started or took place
CBV transaction Transaction indicating the type of contact involved
Operation ZA Transaction indicating the type of contact involved
Transactions thesaurus id Transaction indicating the type of contact involved
ER Indicates whether the contact has taken place at the emergency department
EAC indication Indicates whether there is a First Administrative Consultation or First Outpatient Clinic Visit
Outpatient clinic number Outpatient clinic number specified by the hospital
Referring specialty Specialty/profession/service that referred the patient to the hospital for this contact
Executive specialist Medical specialist from own institution who was responsible for this contact
Referring specialist Medical specialist who sees the patient for this contact to the hospital
Self referrer Code of the (self) referrer
SEH number Unique sequence number of ER visit
Entry triage code Triage code upon entry
Triage type Triage system used
Triage code Color code issued at triage
Shock room Indication that indicates whether the shock room has been used
Trauma room Indication that indicates whether the trauma room has been used
Date of accident Date that accident occurred
Accident time Time the accident occurred
Reason for visit Reason for visit to ER
Cause injury Cause of the injury
Reference SEH The person who referred the patient to the ER
AGB number referrer SEH AGB number of the referring institution
Transport Type of transport by which the patient travels to the SEH has arrived
Destination after emergency room Destination of the patient after emergency room visi
AGB number destination after ER AGB number of the institution to which the patient is referred from the emergency department, if not the own institution
Time recording ER Time the patient was admitted to the hospital ER
Date Triage Date that the triage started
Triage time Time that the triage started
Date of treatment start Date the treatment started in the ED
Time of treatment start Time that the treatment in the emergency department has started
Date of discharge from Emergency Department Date on which the treatment of the patient has expired in the emergency department or has died in the emergency department
Time discharge ER Time the patient was discharged from the ER or has died in the ER
Date of departure from ER Date on which the patient physically left the ER
Time Departure ER Time the patient physically leaves the ED
Approved Ambulatory contact level alerts are hospital approved
Privacy Level of privacy based on statement signed by the patient on the invoice for the insurer

Table 5: LBZ diagnosis outpatient (contains data about diagnosis that (partly) determined the care provided during outpatient care).

Variable Description of the variable
Patient ID Identification of the patient within the care institution
Contact ID The unique number within the institution under which the moment of care is known
Case number The numbers, unique within the institution, under which the patient's care questions are known
Diagnostic ID Within the contact unique number of the diagnosis
Specialty diagnosis The professional group/specialty of the medical professional to which the patient turns for the treatment of his care request
Diagnosis (CVZ) Diagnosis that (partly) determined the care provided
E/M/C code (CVZ) Indication of external cause, morphology or complication
Diagnosis (ICD-10) Diagnosis that (partly) determined the care provided
MC code (ICD-10) Indicates complication
Diagnosis (thesaurus) Diagnosis that (partly) determined the care provided
SNOMED identification Identification corresponding to SNOMED code
Diagnosing specialist Specialist responsible for the treatment of the care demand
Indication diagnosis set Indicates that certain diagnoses together form a set
Approved Alerts at the diagnostic ambulatory contact level are hospital-approved

Table 6: LBZ operation (contains the medical actions performed during or outside admissions and outpatient contacts).

Variable Description of the variable
Patient ID Identification of the patient within the care institution
Transaction ID Unique serial number within the institution of the transaction performed
Location Location within the hospital where the admission or outpatient contact took place
Case number The numbers, unique within the institution, under which the patient's care questions are known
Requesting specialty The professional group/speciality of the medical professional who applied
Requesting Institution Institution/practice that requested the transaction
Executive specialty The professional group/specialism of the medical professional who performed the procedure
Executing institution The institution where the transaction was performed if this did not take place in the care institution
CVV operation Operation performed during care
CBV transaction Operation performed during care
Operation ZA Operation performed during care
Transactions (thesaurus id) Operation performed during care
Start date Date on which the procedure started or the date on which the patient entered the OR room
Start time Time on which the procedure started or the date on which the patient entered the OR room
End date Date when the procedure ended or the date when the patient left the OR room
End time Time at which the procedure ended or the time at which the patient left the OR room
SNOMED identification Identification corresponding to SNOMED code
Number Number of times the transaction was executed on the same date
Sub trajectory number DIS Sub trajectory number to which the transaction belongs
Typical diagnosis code DBC typical diagnosis
Typical diagnosis (ICD-10) DBC typical diagnosis
Requesting specialist Medical specialist who requested the operation
Performing specialist Medical specialist who performed the procedure or under whose responsibility the procedure was performed
Approved Procedure level alerts are hospital approved
UDI code Unique identification of the implant according to the GS1 UDI (Barcode)
Time implant start time that implant was implanted or explanted

Table 7: LBZ medication medical (contains all data on dispensing of medicines carried out in the supplied month - for now only add-on medication and coagulation factors).

Variable Description of the variable
Number provision Unique identification of a medicinal product dispensed within a medicinal institution
Dispensing date The date on which the medicine has been supplied to the patient
Patient ID Identification of the patient within the care institution
Number of units used The number of units or fractions of units required to provide the prescribed amount to the patient
ZI number Healthcare identification number of a medicine
Indication Indication for which a drug has been provided to the patient (for add-on and coagulation factors)
Medicine code type Code indicating whether a drug is used as an add-on or coagulation factor
Executive specialty The professional group/specialism of the medical professional who has prescribed the medicine
Executive institution (AGB) Code of the institution where the medicine was prescribed
Location Location within the hospital where the medication was dispensed
Approved Medication level alerts are hospital approved
Privacy Level of privacy based on patient signed statement

Table 8: LBZ merges (contains information about patient merges to be performed).

Variable Description of the variable
Patient ID old Old patient id
Patient ID new New patient ID

Table 9: LBZ packing slip2 (contains metadata about the medical delivery).

Variables Description of variables
AGB number AGB code of the institution
Setting sequence numbe DIS Sequence number of the supplying organizational unit
LBZ version number Version number of the LBZ standard
Creation date Create Date ZIPfile
Serial number Tracking number of the delivery
Zip file name Full name of the ZIP file
Software supplier Name of the software supplier
Software package Name of the software package with which the delivery has been made
Software version Version of the software package
Delivery period Period (calendar month) on which delivery is concerned
Indication redelivery Indicates whether this delivery is a re-delivery
Number of Patient Number of records in file LBZ_patientmed.txt
Number of Recording Number of records in file LBZ_recording.txt
Number Diagnosis Number of records in file LBZ_diagnoseopn.txt
Number Outpatient contact Number of records in file LBZ_outpatient_contact.txt
Number Diagnosis outpatient Number of records in file LBZ_diagnoseamb.txt
Number of Operation Number of records in file LBZ_transaction.txt
Number of merges Number of records in file LBZ-merges.txt
Number of medication Number of records in file medication med.txt

Financial information[edit | edit source]

Source: Click here to learn more (To access the list, click on "Data model LBZ financial version 24.0" that is available in the section "Data models and source table" of the page).

Table 1: LBZ patientfin (contains all patient data of patients for which a trajectory or procedure or other procedure is submitted).

Variables Description of variables
AGB number AGB code of the institution
Setting sequence number DIS Sequence number of the supplying organizational unit
Couple number Unique identification intended to link patient data to a care process, subprocess, medication and/or other procedures
Name 1 The first part of the patient name. Depending on Name Code 1, this is the proper name or the name of the married partner
Name prefix 1 The prefix of first part of patient name
Name code 1 The code that indicates whether Name 1 is own name or partner's name
Name 2 The second part of the patient name. Depending on Name Code 2, this is the proper name or the name of the married partner
Name prefix 2 The prefix of second part of patient name
Initials The patient's initials
Postal Code The postal code of the Dutch place of residence where the patient is staying immediately prior to the start of the sub-route
House number The patient's house number
Add house number The addition of the house number of the patient
Country indwelling subtrack The country where the patient resides immediately prior to the start of the sub-path
Date of birth The date the patient was born
Sex The sex of the patient immediately prior to the start of the subtrack
BSN number Unique patient identification
Patient ID Permanently unique identification of the patient within the institution where the care is provided
GP The patient's general practitioner who is responsible for regular primary care
Permission to use data Indication of whether or not the patient agrees with the use of his data for scientific research
Approved Patient level alerts are hospital approved
Patient_id_set Patient number as used in the institution

Table 2: LBZ care trajectory (contains data about all care processes with a start date in the supplied month).

Variables Description
Care pathway number Unique identification of the care process within the institution where the care is provided
Care pathway number parent Reference to another Care Pathway, being the main Care Pathway
Start date of care process The date on which the care process started
End date care process The date on which the care process ended
Couple number Unique identification intended to link patient data to a care process, sub-process, medication and/or other procedures
Reference setting AGB Unique identification of the institution that referred the patient
Referring specialty Specialism/profession/service that has referred the patient for this care process
Code (self) referrer Code of the (self) referrer
Care pathway number Referring specialty The care trajectory where the treating specialism has referred to this care trajectory
Approved Admission level alerts are hospital approved

Table 3: LBZ declaration dataset (contains the data about declaration sets).

Variables Description
Declaration dataset number Unique identification of the set of associated data with regard to 1 declarable
Hashtotal DIS Hash as derived for DIS
Hashversion DIS Hash version used
Certificate version hash Certificate to decrypt hashtota
Tableset version Version of the tableset
Grouper version Version of the Grouper
Status set Status indicating whether the declaration dataset determined numerically in the grouper for the purpose of declaration whether it still has a provisional number

Table 4: LBZ sub trajectory (contains the data about the sub-trajectories opened in the supplied month).

Variables Description
Declaration dataset number Unique identification of the set of related data with regard to 1 declarable sub-process and related care processes
Care pathway number Unique identification of the care process within the institution where the care is provided
Subtrack number Unique identification of the sub-track for each institution and organizational unit
Main trajectory indication Indication that indicates whether this sub-route is a main route
Sub-project start date The date on which the relevant subjourney started
End date sub-project The date on which the relevant subjourney was terminated
Treatment specialty The professional group/specialism of the medical professional to which the patient turns for the treatment of his care request
Care type DBC care type
Care question DBC care question
Typical diagnosis code DBC typical diagnosis
DBC hospital costs Integral costs
Fee total Total fee that has been invoiced
Care product DBC Care product
Declaration Declaration code
Closing reason Reason for closing DBC
Age Age at the start date of sub-process
Claim_ZVW Reimbursement at the expense of ZVW
Entitlement_ZVWapplied Indication that indicates whether the ZVW entitlement code has been used
ZA authorization in profile Indication that indicates whether there is permission in the profile
Orange ZA Indication that indicates whether orange care activities are involved
Care activity translation applied Indication that indicates whether there is an undelivered activity for which a conversion table has been used
Setting reserved 1 Reserved position for Y/N indication. At this point, only a space is expected
Setting reserved 2 Reserved position for Y/N indication. At this point, only a space is expected
Setting reserved 3 Reserved position for Y/N indication. At this point, only a space is expected
UZOVI number Health insurer of the patient to whom the billable products have been or will be invoiced
Typical diagnosis ICD-10 DBC typical diagnosis in ICD-10 coding
1st supplement ICD-10 First additional ICD-10 diagnosis (set of typical diagnosis ICD10 and additions describe the diagnosis e.g. in case of dagger and asterisk combinations or in case of syndromes)
2nd supplement ICD-10 Second additional ICD-10 diagnosis (set of typical diagnosis ICD10 and additions describe the diagnosis e.g. in case of dagger and asterisk combinations or in case of syndromes)
3rd supplement ICD-10 Third additional ICD-10 diagnosis (set of typical diagnosis ICD10 and additions describe the diagnosis e.g. in case of dagger and asterisk combinations or in case of syndromes)
4th supplement ICD-10 Fourth additional ICD-10 diagnosis (set of typical diagnosis ICD10 and additions describe the diagnosis e.g. in case of dagger and asterisk combinations or in case of syndromes)
Declaration date Date on which the claim was submitted to the insurer or another body (or the patient).
Handling subspecialty code Specialism code supplemented with the subspecialty of the medical professional who is responsible for the subprocess
Treating subspecialty internal code Internal code for treating ecternal (sub)specialism
Last invoice date Last date on which an invoice for this sub-track was sent
Balance billed charges The net invoiced costs at the time of sending the last invoice
Balance invoiced fee The net invoiced fee at the time of sending the last invoice
Reason for failure Reason for failure in the grouper
Approved Admission level alerts are hospital approved
Couple number Unique identification intended to link patient data to a care process, subprocess, medication and/or other procedures
Diagnostic thesaurus id Id diagnosis thesaurus of DBC typical diagnosis
Privacy Level of privacy based on statement signed by the patient on the invoice for the insurer

Table 5: LBZ additional diagnosis (contains diagnoses that have influenced the treatment with regard to the relevant subpath).

Variable Description
Subtrack number Unique identification of the sub-track for each institution and organizational unit
Specialty diagnosis The specialty of the medical professional who made the diagnosis
Diagnosis code DBC Diagnosis in terms of DBC code
Diagnosis ICD-10 Diagnosis in terms of ICD-10
Diagnostic thesaurus id Id diagnosis thesaurus of DBC typical diagnosis
Approved Admission level alerts are hospital approved

Table 6: LBZ supplied care profile (contain all care activities performed in the context of diagnosis, treatment, consultations, nursing days and/or (expensive) medicines, which are linked to a sub-process).

Variables Description
Declaration dataset number Number of the dataset to which this care profile belongs
Care activity number Unique serial number of the care activity performed within the institution
Subtrack number Unique identification of the sub-track for each institution and organizational unit
Requesting specialty Specialism code of the requesting specialism
Applicant institution Institution/practice that requested the care activity
Executive specialty The specialty of the medical professional who performed the care activity
Executive setting The hospital where the care activity was performed if this did not take place in the hospital of care
Care activity code Care activity code of the performed care activity
Date of care activity The date on which the implementation of the care activity started
Declaration code Declaration code
Number Number of times the care activity within the subtrack was performed
Sales price hospital The declared sales price per unit/integral rate
Sales price fee The declared sales price fee per unit
UZOVI number Health insurer of the patient to whom the billable products have been or will be invoiced
Code CBV CBV code of the care activity performed
Addon Information Detail information about the transaction
Declaration date Date of submission of declaration
Recording number The unique number within the institution under which the clinical admission or day treatment is known
Internal registration code Internal code for care activity/transaction at hospital
AVtype Applicant type
Requesting subspecialty code Subspecialty code of the requesting specialism
Requesting subspecialty code intern Internal code for the requesting (sub) specialism
Executive subspecialty code Subspecialty code of the performing specialism
Executive subspecialty code internal Internal code for executive (sub) specialism
Producing Department Department where the transaction was performed
Approved Admission level alerts are hospital approved
Transactions Thesaurus ID Operation performed during care
Location Location within the hospital where the care activity took place

Table 7: LBZ fee (contains the fees of treating and supporting specialisms for DBC trajectories).

Variable Description
Subtrack number Unique identification of the sub-track for each institution and organizational unit
Specialism Code Code of the treating or supporting specialty
Cost category Cost type associated with fee
Fee Fee of the treating or supporting specialty
Approved Admission level alerts are hospital approved

Table 8: LBZ other transaction (contain transactions that cannot (yet) be linked to a sub-project).

Variable Description
Transaction number Unique serial number within the institution of the transaction performed
Couple number Unique identification intended to link patient data to a care process, subprocess, medication and/or other procedures
Requesting specialty Specialism code of the requesting specialism
Applicant institution Institution/practice that requested the transaction
Executive specialty The specialty of the medical professional from the own institution who performed the procedure
Executive setting The institution where the transaction was performed if this was not done in the institution of care
Care activity code Care activity code of the performed care activity
Declaration code Declaration code
Date transaction The date on which the execution of the transaction started
Sales price hospital The declared sales price per unit/integral amount
Sales price fee The declared sales price fee per unit
Number Number of times the transaction was

performed

UZOVI number Health insurer of the patient to whom the billable products have been or will be invoiced
Code CBV CBV code of the transaction performed
Addon information Additional information about the transaction
Declaration date submission date
Recording number The unique number within the institution under which the clinical admission or day treatment is known
Internal registration code Internal code for care activity/transaction at hospital
AVtype applicant type
Requesting subspecialty code Subspecialty code of the requesting specialism
Requesting subspecialty code intern Internal code for the requesting (sub) specialism
Executive subspecialty code Subspecialty code of the performing specialism
Executive subspecialty code internal Internal code for executive (sub) specialism
Producing Department Department where the transaction was performed
Approved Admission level alerts are hospital approved
Transactions thesaurus id Operation performed during care
Location Location within the hospital where the care activity took place

Table 9: LBZ medication financial (contains all data on dispensing of medicines per patient carried out in the supplied month - only addon medication and coagulation factors).

Variable Description
Medicine dispensing number Unique identification of a medicinal product dispensed within an institution
Issue date The date the drug was dispensed or na administered to the patient
Care pathway number Unique identification of the care process within the institution where the care is provided
Couple number Unique identification intended to link patient data to a care process, subprocess, medication and/or other procedures
Number of units used the number of units or fractions of units required to provide the prescribed amount to the patient
ZI number Z-index number of a drug Numeric
Indication Indication for which a drug has been provided to the patient (for add-on and coagulation factors)
Drug type code Code indicating whether a drug is used as an add-on or coagulation factor
Declared amount The declared amount of the add-on drug or coagulation factor
Executive specialty The professional group/specialty of the medical professional who has prescribed the medicine
Executive institution AGB code of the institution where the medicine is prescribed
Declaration date Submission date
Executive subspecialty code Subspecialty code of the performing specialty
Executive subspecialty code internal Internal code for executive (sub) specialty
Producing Department Department where the transaction was performed
Uzovi number Health insurer of the patient to whom the billable products have been or will be invoiced
Location Location within the hospital where the drug is prescribed
Approved Medication level alerts are hospital approved
Privacy Level of privacy based on statement signed by the patient on the invoice for the insurer

Table 10: LBZ packing slip1 (contains metadata about the delivery of the financial data stream).

Variable Description
Setting number AGB Unique identification of the institution that provided care to the patient according to AGB code list
Setting Sequence No. DIS Sequence number of the supplying organizational unit
LBZ version number Version number of the LBZ standard
Creation date Create Date ZIPfile
Serial number Tracking number of the delivery
zip file name Full name of the ZIP file
Software supplier Name of the software vendor
Software package Name of the software package with which the delivery was made
Software version Version of the software package
Delivery period Period (calendar month) to which the delivery relates
Re-delivery indication Indication indicating whether this delivery is a re-delivery
Number of Patient Number of records in file LBZ_patient_S1.txt
Number of care pathway Number of records in file care trajectory.txt
Number of declaration dataset Number of records in declarationdataset.txt file
Number of subtrack Number of records in file subtraject.txt Numeric
Number of fees Number of records in file fee.txt
Number of care profile Number of records in file supplied care profile.txt
Number of secondary diagnosis Number of records in file secondary diagnosis.txt
Number of other transactions Number of records in file other transaction.txt
Number of medication fin Number of records in the medicationfin.txt
User name User name
Chamber of Commerce number Chamber of Commerce numberunder which the institution is registered