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TNO insurance form demo #132

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60 changes: 60 additions & 0 deletions TNO/Issues/doctorSignature/description.xml
Original file line number Diff line number Diff line change
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<IssueSpecification version="4">
<Name>
<en>Demo Doctor signature</en>
<nl>Demo Handtekening arts</nl>
</Name>
<ShortName>
<en>Demo Doctor signature</en>
<nl>Demo Handtekening arts</nl>
</ShortName>
<SchemeManager>irma-demo</SchemeManager>
<IssuerID>TNO</IssuerID>
<CredentialID>doctorSignature</CredentialID>
<Description>
<en>The doctor's or dietician's signature approving the dietary preparation</en>
<nl>De handtekening van de arts of diëtist ter goedkeuring van het dieetpreparaat</nl>
</Description>

<Attributes>
<Attribute id="name">
<Name>
<en>Name</en>
<nl>Naam</nl>
</Name>
<Description>
<en>The doctor's name</en>
<nl>De naam van de arts</nl>
</Description>
</Attribute>
<Attribute id="practiceAddress">
<Name>
<en>Practice address</en>
<nl>Praktijkadres</nl>
</Name>
<Description>
<en>The doctor's practice address</en>
<nl>Het praktijkadres van de arts</nl>
</Description>
</Attribute>
<Attribute id="phoneNumber">
<Name>
<en>Phone number</en>
<nl>Telefoonnummer</nl>
</Name>
<Description>
<en>The doctor's phone number</en>
<nl>Het telefoonnummer van de arts</nl>
</Description>
</Attribute>
<Attribute id="date">
<Name>
<en>Date</en>
<nl>Datum</nl>
</Name>
<Description>
<en>The signature's date</en>
<nl>De datum van de handtekening</nl>
</Description>
</Attribute>
</Attributes>
</IssueSpecification>
Binary file added TNO/Issues/doctorSignature/logo.png
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60 changes: 60 additions & 0 deletions TNO/Issues/pharmacistSignature/description.xml
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<IssueSpecification version="4">
<Name>
<en>Demo Pharmacist signature</en>
<nl>Demo Handtekening apotheker</nl>
</Name>
<ShortName>
<en>Demo Pharmacist signature</en>
<nl>Demo Handtekening apotheker</nl>
</ShortName>
<SchemeManager>irma-demo</SchemeManager>
<IssuerID>TNO</IssuerID>
<CredentialID>pharmacistSignature</CredentialID>
<Description>
<en>The pharmacist's signature confirming the dietary preparation was delivered</en>
<nl>De handtekening van de apotheker ter bevestiging van de aflevering van het dieetpreparaat</nl>
</Description>

<Attributes>
<Attribute id="deliveryStatus">
<Name>
<en>Delivery status</en>
<nl>Afgeleverstatus</nl>
</Name>
<Description>
<en>Whether the dietary preparation was delivered, and whether it is delivered at the expense of the insurer</en>
<nl>Of het dieetpreparaat is afgeleverd, en of het ten laste van de verzekeraar is afgelevered</nl>
</Description>
</Attribute>
<Attribute id="agb">
<Name>
<en>AGB code</en>
<nl>AGB-code</nl>
</Name>
<Description>
<en>The pharmacy's AGB code (General Data Management Healthcare Providers)</en>
<nl>De AGB-code (Algemeen Gegevensbeheer Zorgverleners) van de apotheek</nl>
</Description>
</Attribute>
<Attribute id="date">
<Name>
<en>Date</en>
<nl>Datum</nl>
</Name>
<Description>
<en>The delivery's date</en>
<nl>De datum van de aflevering</nl>
</Description>
</Attribute>
<Attribute id="name">
<Name>
<en>Name</en>
<nl>Naam</nl>
</Name>
<Description>
<en>The pharmacist's or supplier's name</en>
<nl>De naam van de apotheker of leverancier</nl>
</Description>
</Attribute>
</Attributes>
</IssueSpecification>
Binary file added TNO/Issues/pharmacistSignature/logo.png
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90 changes: 90 additions & 0 deletions TNO/Issues/policyholderDetails/description.xml
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<IssueSpecification version="4">
<Name>
<en>Demo Policyholder Details</en>
<nl>Demo Verzekerdegegevens</nl>
</Name>
<ShortName>
<en>Demo Insured Data</en>
<nl>Demo Verzekerdegegevens</nl>
</ShortName>
<SchemeManager>irma-demo</SchemeManager>
<IssuerID>TNO</IssuerID>
<CredentialID>policyholderDetails</CredentialID>
<Description>
<en>Your policyholder details</en>
<nl>Uw verzekerdegegevens</nl>
</Description>

<Attributes>
<Attribute id="name">
<Name>
<en>Name</en>
<nl>Naam</nl>
</Name>
<Description>
<en>Your full name</en>
<nl>Uw volledige naam</nl>
</Description>
</Attribute>
<Attribute id="birthDate">
<Name>
<en>Date of birth</en>
<nl>Geboortedatum</nl>
</Name>
<Description>
<en>Your date of birth</en>
<nl>Uw geboortedatum</nl>
</Description>
</Attribute>
<Attribute id="bsn">
<Name>
<en>Citizen Service Number</en>
<nl>Burgerservicenummer</nl>
</Name>
<Description>
<en>Your Dutch Citizen Service Number, similar to a Social Security Number</en>
<nl>Uw Burgerservicenummer</nl>
</Description>
</Attribute>
<Attribute id="insuranceNumber">
<Name>
<en>Insurance number</en>
<nl>Verzekerdennummer</nl>
</Name>
<Description>
<en>The client number for your health insurance</en>
<nl>Het klantennummer voor uw zorgverzekering</nl>
</Description>
</Attribute>
<Attribute id="street">
<Name>
<en>Street</en>
<nl>Straat</nl>
</Name>
<Description>
<en>Your street</en>
<nl>Uw straat</nl>
</Description>
</Attribute>
<Attribute id="zipcode">
<Name>
<en>Zip code</en>
<nl>Postcode</nl>
</Name>
<Description>
<en>Your zip code</en>
<nl>Uw postcode</nl>
</Description>
</Attribute>
<Attribute id="city">
<Name>
<en>City</en>
<nl>Woonplaats</nl>
</Name>
<Description>
<en>Your city of residence</en>
<nl>Uw woonplaats</nl>
</Description>
</Attribute>
</Attributes>
</IssueSpecification>
Binary file added TNO/Issues/policyholderDetails/logo.png
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