Dutch National Database for Physiotherapy

Overview

The Dutch National Database for Physiotherapy (LDF) is an initiative of the Royal Dutch Society for Physical Therapy (KNGF). The LDF collects quality data on physiotherapy care and practice information. This data helps physiotherapists monitor, compare, and improve the care they provide.

With the integration between Flux and the LDF, you can submit treatment data automatically or manually. This helps you meet submission requirements and gives you more insight into your practice's performance and treatment outcomes.

Configuration

In Flux, go to Settings → Apps → LDF to configure the Dutch National Database for Physiotherapy (LDF) integration and submit treatment data.

Requirements

To activate the LDF integration, you need the following:

1. A user in Flux with the Owner role
2. Active EPD-LDF integration credentials (username and password) from the LDF pre-portal. Do not use your LDF portal or dashboard login for this.

Flux setup

Open the LDF app in Flux. Use the EPD-LDF integration credentials from the LDF pre-portal.

• Enter your EPD-LDF username and password
• Click Activate

The integration is then active. From that point on, you can submit treatment data to the LDF automatically or manually.

Dutch National Database for Physiotherapy

With the LDF, you gain insight into treatment outcomes at practice level and, where applicable, at the level of individual physiotherapists. This helps you monitor, compare, and improve the quality of care.

Mandatory participation

For practices included in the public Practice Register of the Kwaliteitshuis Fysiotherapie, submitting data to the LDF is mandatory. For other practices, participation is voluntary, but it still provides valuable insights for quality improvement.

Patient consent

Sharing data with the LDF requires the patient's explicit consent. You record this informed consent via an opt-in. You can register this consent during intake or later in the treatment process.

• Without consent, Flux does not share any data with the LDF
• A patient can withdraw consent at any time
• After consent is withdrawn, Flux automatically stops submitting data from that treatment episode

Submitting

You can submit treatment data in two ways, depending on how you want to work:

1. Automatic submission: Flux submits LDF data automatically at the start of each month. Once this option is enabled, no further manual action is required.
2. Manual upload: if you want to submit LDF data manually, open the LDF app and click Submit to start a submission immediately.

Review results

If the entire upload file is rejected or not processed correctly, contact customer support. In many other cases, you can investigate errors yourself by looking up the patient by ZIS number.

Data submission

Flux submits treatment data according to message specification version 11. Data that could lead to identification is encrypted by Mediquest to protect patient privacy. By submitting complete and accurate data, you increase the value of reports and benchmarks. The processing report helps you review and improve the quality of your submission.

Data exchange

Flux sends the following data to the LDF according to message specification version 11:

• File data
  • Practice AGB code
  • Chamber of Commerce number
  • EPD supplier
  • EPD software version number
  • Practice postal code
  • Practice house number
  • Number of treatment episodes without consent
  • Specification number (LDF)
  • Creation date of the submission file
• Patient data
  • Patient ID *
  • Postal code *
  • Date of birth *
  • Gender
• Treatment activity data
  • Practitioner's AGB code
  • Practitioner's BIG number
  • Treatment date
  • Performance code
  • CSI code (type of indication code, Ministry of Health list)
  • NZa/DBCDOT code (for care in secondary or tertiary care)
• Treatment episode data
  • Treatment episode ID
  • BIG number of the lead practitioner
  • DCSPH code
  • Care request recorded (yes/no)
  • Expected recovery recorded (yes/no)
  • Diagnosis recorded (yes/no)
  • Primary goal recorded (yes/no)
  • Final evaluation date
  • Final outcome (treatment goal achieved)
  • Comorbidity present (yes/no)
  • Recurrence (yes/no)
  • Reason care ended
  • Direct access/referral
  • Referrer type
  • Screening conclusion: normal/abnormal
  • Physiotherapy indication
  • Treatment plan recorded (yes/no)
• Measurement instrument data
  • Practitioner's AGB code
  • Practitioner's BIG number
  • Assessment date
  • Measurement instrument code
  • Version number of the measurement instrument
  • Response scores
  • Item sequence (question number)
  • Completed online (yes/no)

* Data that can identify a patient, such as patient ID and the combination of date of birth, gender, and postal code, is encrypted by Mediquest into an irreversible pseudonym.

Frequently asked questions

Frequently asked questions about the Dutch National Database for Physiotherapy (LDF).