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| (178 tussenliggende versies door 2 gebruikers niet weergegeven) |
| Regel 1: |
Regel 1: |
| <noinclude> | | {{anchor|tabel1}} |
| {{DISPLAYTITLE:MedMij Integrale zwangerschapskaart - inhoud }}
| | {| class="wikitable" "cellpadding="10" |
| __NUMBEREDHEADINGS__
| | |+Tabel 1. Overzicht situaties specifieke en generieke MBH-id voor EVS en AIS |
| | |- |
| | ! style="text-align:left;"|Situatie |
| | ! style="text-align:left;"|EVS |
| | ! style="text-align:left;"|AIS |
| | ! style="text-align:left;"|ETDR |
| | |- |
| | ! style="text-align:left;"|Migreren van actuele en recent gestopte medicatie |
| | | style="background-color: white;vertical-align:top;"|Specifieke MBH-id||Generieke MBH-id |
| | | style="background-color: white;vertical-align:top;"|Generieke MBH-id |
| | |- |
| | ! style="text-align:left;"|Migreren van historische medicatie |
| | | style="background-color: white;vertical-align:top;"|Generieke MBH-id||Generieke MBH-id |
| | | style="background-color: white;vertical-align:top;"|Generieke MBH-id |
| | |- |
| | ! style="text-align:left;"|Starten van nieuwe MBH |
| | | style="background-color: white;vertical-align:top;"|Specieke MBH-id||Generieke MBH-id<ref>AIS initieert in principe géén specifieke MBH-id. Alleen wanneer er geen PRK is, maakt het AIS een specifieke MBH-id aan (zie paragraaf [[#Bijzondere situaties|Bijzondere situaties]]).</ref> |
| | | style="background-color: white;vertical-align:top;"|Generieke MBH-id |
|
| |
|
| =Addenda voor inhoudelijke gegevens Integrale zwangerschapskaart 3.2=</noinclude>
| | |- |
| ==Scenario Vrouw 1, Kaart 1 - data 1e lijn (eerste zwangerschap) (voor vrouw met BSN: )==
| | |} |
| <section begin= />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Vrouw
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Demografische gegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Patient
| |
| |style="background-color: white;"|Zie [[#Vrouw1|: ]]
| |
| |}<section end= />
| |
| === Administratief ===
| |
| <section begin=administratief_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Administratief
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="Vrouw1" title="Intern ID = Vrouw1">Patient Vrouw1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="19"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|Hanna
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|H
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|XXX_Kooij
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|Knolweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|1002
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|9999ZZ
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Land
| |
| |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Adres soort
| |
| |style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geboortedatum
| |
| |style="background-color: white;"|18 okt 1985
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslacht
| |
| |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="Kind1" title="Intern ID = Kind1">Patient Kind1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="18"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|Helen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|H.I.
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|XXX_Kooij
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|Knolweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|1002
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|9999ZZ
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geboortedatum
| |
| |style="background-color: white;"|T - 587 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslacht
| |
| |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Meerling indicator
| |
| |style="background-color: white;"|Nee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="ZA1" title="Intern ID = ZA1">Zorgaanbieder ZA1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="12"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|08001234 (in identificerend systeem: AGB-Z)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Organisatie naam
| |
| |style="background-color: white;"|Verloskundigenpraktijk 't Groen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|Groeneweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|1000
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|1234ZZ
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Land
| |
| |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Adres soort
| |
| |style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Organisatie type
| |
| |style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="ZV1" title="Intern ID = ZV1">Zorgverlener ZV1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="14"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|12340001 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Roepnaam
| |
| |style="background-color: white;"|Gemma
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|XXX_Groeneboom
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam partner
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam partner
| |
| |style="background-color: white;"|XXX_Gras
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Specialisme
| |
| |style="background-color: white;"|Verloskundige (code = '03.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgverleners rol
| |
| |style="background-color: white;"|Case manager (code = '768832004' in codeSystem 'SNOMED CT')
| |
| |}<section end=administratief_ />
| |
| === Zorgverlening ===
| |
| <section begin=zorgverlening_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Zorgverlening
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorg episode
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Begin datum
| |
| |style="background-color: white;"|T - 841 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Eind datum
| |
| |style="background-color: white;"|T - 587 dagen
| |
| |}<section end=zorgverlening_ />
| |
| === Zwangerschapsgegevens ===
| |
| <section begin=zwangerschapsgegevens_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Zwangerschapsgegevens
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Casemanager
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener
| |
| |style="background-color: white;"|Zie [[#ZV1|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zwangerschap
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Pariteit
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Graviditeit
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aterme datum items
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Aterme datum
| |
| |style="background-color: white;"|T - 587 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Bepalings methode
| |
| |style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Datum bepaling
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Definitieve a terme datum observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Definitieve a terme datum tijd
| |
| |style="background-color: white;"|T - 587 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Definitieve a terme waarde
| |
| |style="background-color: white;"|T - 587 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Definitieve a terme methode
| |
| |style="background-color: white;"|observatie (regime/therapie) (code = '225308005' in codeSystem 'SNOMED CT')
| |
| |}<section end=zwangerschapsgegevens_ />
| |
| === Bevalling ===
| |
| <section begin=bevalling_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bevalling
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Partusnummer
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem maternaal Probleem1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Probleem naam
| |
| |style="background-color: white;"|niet vorderende uitdrijving (code = '249166003' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Probleem begin datum
| |
| |style="background-color: white;"|T - 587 dagen om 12:02 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Probleem eind datum
| |
| |style="background-color: white;"|T - 587 dagen om 12:04 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|<span id="Verrichting1" title="Intern ID = Verrichting1">Verrichting maternaal Verrichting1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting start datum
| |
| |style="background-color: white;"|T - 587 dagen om 02:19 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting type
| |
| |style="background-color: white;"|vaginaal toucher (verrichting) (code = '51597003' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|<span id="Verrichting2" title="Intern ID = Verrichting2">Verrichting maternaal Verrichting2</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting start datum
| |
| |style="background-color: white;"|T - 587 dagen om 12:04 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Indicatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Probleem maternaal
| |
| |style="background-color: white;"|Zie [[#Probleem1|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting type
| |
| |style="background-color: white;"|episiotomie mediolateraal rechts (verrichting) (code = '236992007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Ontsluitingsfase
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="12"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Actieve ontsluiting observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Observatie datum tijd
| |
| |style="background-color: white;"|T - 587 dagen om 02:19 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Begin actieve ontsluiting waarde
| |
| |style="background-color: white;"|T - 587 dagen om 02:19 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Observatie methode
| |
| |style="background-color: white;"|palpatie (verrichting) (code = '113011001' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Toelichting
| |
| |style="background-color: white;"|5 cm ontsluiting
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Wijze begin baring observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Observatie datum tijd
| |
| |style="background-color: white;"|T - 586 dagen om 23:50 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Begin baring waarde
| |
| |style="background-color: white;"|spontaan breken van vliezen (bevinding) (code = '169734005' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Observatie methode
| |
| |style="background-color: white;"|symptoom gerapporteerd door patiënt of andere bron van voorgeschiedenis (bevinding) (code = '418799008' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Uitdrijvingsfase
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="18"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Patient
| |
| |style="background-color: white;"|Zie [[#Kind1|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Type partus observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Observatie datum tijd
| |
| |style="background-color: white;"|T - 587 dagen om 12:04 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Type partus waarde
| |
| |style="background-color: white;"|begeleiding van normale bevalling (verrichting) (code = '177184002' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aantal geboren kinderen observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Observatie datum tijd
| |
| |style="background-color: white;"|T - 587 dagen om 12:04 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Aantal geboren kinderen waarde
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Werkelijke plaats baring type locatie observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Werkelijke plaats baring waarde
| |
| |style="background-color: white;"|thuisbevalling (bevinding) (code = '169813005' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="Probleem2" title="Intern ID = Probleem2">Probleem kindspecifieke maternale problemen Probleem2</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Probleem naam
| |
| |style="background-color: white;"|foetale nood durante partu (bevinding) (code = '288274003' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Probleem begin datum
| |
| |style="background-color: white;"|T - 587 dagen om 12:02 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Probleem eind datum
| |
| |style="background-color: white;"|T - 587 dagen om 12:04 uur
| |
| |}<section end=bevalling_ />
| |
| === Kind ===
| |
| <section begin=kind_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Kind
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="6" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Demografische gegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Patient
| |
| |style="background-color: white;"|Zie [[#Kind1|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Geboorteplaats
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|9999ZZ
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gemeente
| |
| |style="background-color: white;"|Het Hogeland
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Land
| |
| |style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landentabel')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Lichamelijk onderzoek kind
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="23"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Geboortegewicht lichaamsgewicht
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gewicht waarde
| |
| |style="background-color: white;"|3415 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Lichaamslengte
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Lengte waarde
| |
| |style="background-color: white;"|49.7 cm
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Schedelomvang
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Schedelomvang waarde
| |
| |style="background-color: white;"|33.6 cm
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Bevindingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="12"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Algemene indruk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Apgar score1min
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Apgar score totaal
| |
| |style="background-color: white;"|7
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Apgar score5min
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Apgar score totaal
| |
| |style="background-color: white;"|8
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Apgar score10min
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Apgar score totaal
| |
| |style="background-color: white;"|10
| |
| |}<section end=kind_ />
| |
| === Bouwstenen ===
| |
| <section begin=bouwstenen_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Metingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="BP1" title="Intern ID = BP1">Bloeddruk BP1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Systolische bloeddruk
| |
| |style="background-color: white;"|95
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Diastolische bloeddruk
| |
| |style="background-color: white;"|50
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="gew1" title="Intern ID = gew1">Lichaamsgewicht gew1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Gewicht waarde
| |
| |style="background-color: white;"|63 kg
| |
| |}<section end=bouwstenen_ />
| |
| ==Scenario Vrouw 1, Kaart 2 - data 1e lijn (actieve zwangerschap) (voor vrouw met BSN: )==
| |
| <section begin= />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Vrouw
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Demografische gegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Patient
| |
| |style="background-color: white;"|Zie [[#Vrouw1|: ]]
| |
| |}<section end= />
| |
| === Administratief ===
| |
| <section begin=administratief_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Administratief
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="Vrouw1" title="Intern ID = Vrouw1">Patient Vrouw1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="19"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|Hanna
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|H
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|XXX_Kooij
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|Knolweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|1002
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|9999ZZ
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Land
| |
| |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Adres soort
| |
| |style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geboortedatum
| |
| |style="background-color: white;"|18 okt 1985
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslacht
| |
| |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="ZA1" title="Intern ID = ZA1">Zorgaanbieder ZA1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="12"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|08001234 (in identificerend systeem: AGB-Z)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Organisatie naam
| |
| |style="background-color: white;"|Verloskundigenpraktijk 't Groen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|Groeneweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|1000
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|1234ZZ
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Land
| |
| |style="background-color: white;"|Nederland (code = 'NL' in codeSystem 'ISO 3166-1 (alpha-2)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Adres soort
| |
| |style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Organisatie type
| |
| |style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="ZV1" title="Intern ID = ZV1">Zorgverlener ZV1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|12340001 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|Gemma
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|XXX_Groeneboom
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam partner
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam partner
| |
| |style="background-color: white;"|XXX_Gras
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Specialisme
| |
| |style="background-color: white;"|eerstelijnsverloskundige (beroep) (code = '158999002' in codeSystem 'SNOMED CT')
| |
| |}<section end=administratief_ />
| |
| === Zorgverlening ===
| |
| <section begin=zorgverlening_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Zorgverlening
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorg episode
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Begin datum
| |
| |style="background-color: white;"|T - 139 dagen
| |
| |}<section end=zorgverlening_ />
| |
| === Zwangerschapsgegevens ===
| |
| <section begin=zwangerschapsgegevens_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Zwangerschapsgegevens
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Casemanager
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgverlener
| |
| |style="background-color: white;"|Zie [[#ZV1|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Zwangerschap
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Pariteit
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Graviditeit
| |
| |style="background-color: white;"|3
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Aterme datum items
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aterme datum
| |
| |style="background-color: white;"|T + 99 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Bepalings methode
| |
| |style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): zwangerschapstest clearlypink met zwangerschapsduur-indicator
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Datum bepaling
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Definitieve a terme datum observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Definitieve a terme datum tijd
| |
| |style="background-color: white;"|T - 125 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Definitieve a terme waarde
| |
| |style="background-color: white;"|T + 94 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Definitieve a terme methode
| |
| |style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Aantal levende kinderen observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aantal levende kinderen datum tijd
| |
| |style="background-color: white;"|T - 125 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aantal levende kinderen waarde
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Observatie methode
| |
| |style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Fetal loss observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Fetal loss datum tijd
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Fetal loss waarde
| |
| |style="background-color: white;"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Observatie methode
| |
| |style="background-color: white;"|symptoom gerapporteerd door patiënt of andere bron van voorgeschiedenis (bevinding) (code = '418799008' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toelichting
| |
| |style="background-color: white;"|mw. zegt vroege miskraam te hebben gehad enkele maanden na eerste kind, destijds geen verloskundige gezien
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Foliumzuurgebruik observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Foliumzuurgebruik datum tijd
| |
| |style="background-color: white;"|T - 139 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Foliumzuurgebruik waarde
| |
| |style="background-color: white;"|preconceptionele intake van foliumzuur via voeding (bevinding) (code = '29761000146100' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Prenatale controle
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="19"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Datum prenatale controle
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Begin datum tijd
| |
| |style="background-color: white;"|T - 139 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener
| |
| |style="background-color: white;"|Zie [[#ZV1|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Lichaamsgewicht
| |
| |style="background-color: white;"|Zie [[#Gewicht-139D|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Bloeddruk
| |
| |style="background-color: white;"|Zie [[#BP-139D|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Alcohol gebruik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toelichting
| |
| |style="background-color: white;"|tbv conceptie al gestopt met alcohol consumptie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Alcohol gebruik status
| |
| |style="background-color: white;"|drinkt geen alcohol tijdens de zwangerschap (code = '105542008' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Drugs gebruik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Drugs gebruik status
| |
| |style="background-color: white;"|heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Tabak gebruik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Tabak gebruik status
| |
| |style="background-color: white;"|heeft nooit gerookt (code = '266919005' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Prenatale controle
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="24"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Datum prenatale controle
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Begin datum tijd
| |
| |style="background-color: white;"|T - 6 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener
| |
| |style="background-color: white;"|Zie [[#ZV1|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Leven voelen observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Leven voelen datum tijd
| |
| |style="background-color: white;"|T - 10 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Leven voelen waarde
| |
| |style="background-color: white;"|zwakke foetale bewegingen (bevinding) (code = '276372004' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Observatie methode
| |
| |style="background-color: white;"|symptoom gerapporteerd door patiënt of andere bron van voorgeschiedenis (bevinding) (code = '418799008' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toelichting
| |
| |style="background-color: white;"|voelt sinds enkele dagen minder frequent bewegingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Lichaamsgewicht
| |
| |style="background-color: white;"|Zie [[#Gewicht-6D|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Bloeddruk
| |
| |style="background-color: white;"|Zie [[#BP-6D|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Uitwendig onderzoek
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Foetale hartslag hartfrequentie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hartfrequentie datum tijd
| |
| |style="background-color: white;"|T - 6 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hartfrequentie waarde
| |
| |style="background-color: white;"|187 bpm
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hartslag meet methode
| |
| |style="background-color: white;"|CTG (code = '63818009' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hartslag regelmatigheid
| |
| |style="background-color: white;"|regelmatig hartritme van foetus (bevinding) (code = '289443009' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Interpretatie frequentie
| |
| |style="background-color: white;"|normale basishartfrequentie van foetus (bevinding) (code = '278084002' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem zwangerschap Probleem1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Probleem type
| |
| |style="background-color: white;"|Symptoom gerapporteerd door patiënt of andere bron van voorgeschiedenis (code = '418799008' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Probleem naam
| |
| |style="background-color: white;"|zwakke foetale bewegingen (bevinding) (code = '276372004' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Probleem begin datum
| |
| |style="background-color: white;"|T - 10 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Probleem eind datum
| |
| |style="background-color: white;"|T - 6 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Verrichting zwangerschap
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting start datum
| |
| |style="background-color: white;"|T - 139 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting type
| |
| |style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Verrichting zwangerschap
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting start datum
| |
| |style="background-color: white;"|T - 139 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting type
| |
| |style="background-color: white;"|aanbieden van voorlichtingsmateriaal (verrichting) (code = '445283009' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Verrichting zwangerschap
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting start datum
| |
| |style="background-color: white;"|T - 6 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting type
| |
| |style="background-color: white;"|monitoren van foetale hart (regime/therapie) (code = '281568006' in codeSystem 'SNOMED CT')
| |
| |}<section end=zwangerschapsgegevens_ />
| |
| === Medisch onderzoek ===
| |
| <section begin=medisch_onderzoek_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medisch onderzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="6" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Verrichting onderzoek
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verrichting start datum
| |
| |style="background-color: white;"|T - 139 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Maternale onderzoeksgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="17"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Urine bloed en aanvullende onderzoeken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="15"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Psie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="ABO" title="Intern ID = ABO">Laboratorium test bloedgroep ABO</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test code
| |
| |style="background-color: white;"|ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test uitslag
| |
| |style="background-color: white;"|bloedgroep A (bevinding) (code = '112144000' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="RhD" title="Intern ID = RhD">Laboratorium test rhesus d RhD</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test code
| |
| |style="background-color: white;"|D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test uitslag
| |
| |style="background-color: white;"|Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="Rhc" title="Intern ID = Rhc">Laboratorium test rhesus c Rhc</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test code
| |
| |style="background-color: white;"|Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test uitslag
| |
| |style="background-color: white;"|Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT')
| |
| |}<section end=medisch_onderzoek_ />
| |
| === Bouwstenen ===
| |
| <section begin=bouwstenen_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Metingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="BP-139D" title="Intern ID = BP-139D">Bloeddruk BP-139D</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Systolische bloeddruk
| |
| |style="background-color: white;"|133
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Diastolische bloeddruk
| |
| |style="background-color: white;"|89
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="Gewicht-139D" title="Intern ID = Gewicht-139D">Lichaamsgewicht Gewicht-139D</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Gewicht waarde
| |
| |style="background-color: white;"|71 kg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Metingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="BP-6D" title="Intern ID = BP-6D">Bloeddruk BP-6D</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Systolische bloeddruk
| |
| |style="background-color: white;"|155
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Diastolische bloeddruk
| |
| |style="background-color: white;"|97
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="Gewicht-6D" title="Intern ID = Gewicht-6D">Lichaamsgewicht Gewicht-6D</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Gewicht waarde
| |
| |style="background-color: white;"|78 kg
| |
| |}<section end=bouwstenen_ />
| |
| ==Scenario Vrouw 2, Kaart 3 - data 1e lijn (meerling) (voor vrouw met BSN: )==
| |
| <section begin= />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Vrouw
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Demografische gegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Patient
| |
| |style="background-color: white;"|Zie [[#Vrouw2|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Bloedonderzoek
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Laboratorium test bloedgroep
| |
| |style="background-color: white;"|Zie [[#ABO|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Laboratorium test rhesus d
| |
| |style="background-color: white;"|Zie [[#RhD|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Laboratorium test rhesus c
| |
| |style="background-color: white;"|Zie [[#Rhc|: ]]
| |
| |}<section end= />
| |
| === Administratief ===
| |
| <section begin=administratief_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Administratief
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="Vrouw2" title="Intern ID = Vrouw2">Patient Vrouw2</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="18"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|Jamila
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|J
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|XXX_Kwee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|Knolweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|1000
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|9999XA
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geboortedatum
| |
| |style="background-color: white;"|20 okt 1985
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslacht
| |
| |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Meerling indicator
| |
| |style="background-color: white;"|Nee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="ZA1" title="Intern ID = ZA1">Zorgaanbieder ZA1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="12"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|08001234 (in identificerend systeem: AGB-Z)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Organisatie naam
| |
| |style="background-color: white;"|Verloskundigenpraktijk 't Groen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|Groeneweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|1000
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|9999XY
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Land
| |
| |style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landentabel')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Adres soort
| |
| |style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Organisatie type
| |
| |style="background-color: white;"|Verloskundigenpraktijk (code = 'G3' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="ZV1" title="Intern ID = ZV1">Zorgverlener ZV1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="15"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|12340001 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Roepnaam
| |
| |style="background-color: white;"|Gemma
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|XXX_Groeneboom
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam partner
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam partner
| |
| |style="background-color: white;"|XXX_Gras
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Specialisme
| |
| |style="background-color: white;"|eerstelijnsverloskundige (beroep) (code = '158999002' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |style="background-color: white;"|Zie [[#ZA1|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgverleners rol
| |
| |style="background-color: white;"|Case manager (code = '768832004' in codeSystem 'SNOMED CT')
| |
| |}<section end=administratief_ />
| |
| === Zorgverlening ===
| |
| <section begin=zorgverlening_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Zorgverlening
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorg episode
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Begin datum
| |
| |style="background-color: white;"|T - 205 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Eind datum
| |
| |style="background-color: white;"|T - 194 dagen
| |
| |}<section end=zorgverlening_ />
| |
| === Zwangerschapsgegevens ===
| |
| <section begin=zwangerschapsgegevens_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Zwangerschapsgegevens
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Casemanager
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgverlener
| |
| |style="background-color: white;"|Zie [[#ZV1|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Zwangerschap
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Pariteit
| |
| |style="background-color: white;"|0
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Graviditeit
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Aterme datum items
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aterme datum
| |
| |style="background-color: white;"|T - 205 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Bepalings methode
| |
| |style="background-color: white;"|aterme datum berekend door middel van diagnostische ultrasonografie (code = '31541000146106' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Datum bepaling
| |
| |style="background-color: white;"|T + 10 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="AantalFoetussen" title="Intern ID = AantalFoetussen">Aantal foetussen observatie AantalFoetussen</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aantal foetussen datum tijd
| |
| |style="background-color: white;"|T - 205 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aantal foetussen waarde
| |
| |style="background-color: white;"|2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Observatie methode
| |
| |style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Meerling zwangerschap observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Meerling zwangerschap datum tijd
| |
| |style="background-color: white;"|T - 205 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aantal foetussen observatie
| |
| |style="background-color: white;"|Zie [[#AantalFoetussen|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Observatie methode
| |
| |style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Foliumzuurgebruik observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Foliumzuurgebruik datum tijd
| |
| |style="background-color: white;"|T - 205 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Foliumzuurgebruik waarde
| |
| |style="background-color: white;"|geen preconceptionele intake van foliumzuur via voeding (bevinding) (code = '30391000146101' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Prenatale controle
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="23"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Datum prenatale controle
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Begin datum tijd
| |
| |style="background-color: white;"|T - 205 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener
| |
| |style="background-color: white;"|Zie [[#ZV1|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Lichaamsgewicht
| |
| |style="background-color: white;"|Zie [[#Gew-205D|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Bloeddruk
| |
| |style="background-color: white;"|Zie [[#BP-205D|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Alcohol gebruik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Alcohol gebruik status
| |
| |style="background-color: white;"|drinkt geen alcohol tijdens de zwangerschap (code = '105542008' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Drugs gebruik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Drugs gebruik status
| |
| |style="background-color: white;"|heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Tabak gebruik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Soort tabak gebruik
| |
| |style="background-color: white;"|gebruiker van elektronische sigaret (code = '722499006' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Tabak gebruik status
| |
| |style="background-color: white;"|rookt soms sigaretten tijdens de zwangerschap (code = '230059006' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Waarneming gebruik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Start datum
| |
| |style="background-color: white;"|1 jun 2019
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hoeveelheid
| |
| |style="background-color: white;"|6 keer per dag inhaleren
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem zwangerschap Probleem1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Probleem naam
| |
| |style="background-color: white;"|meerlingzwangerschap (aandoening) (code = '16356006' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Probleem begin datum
| |
| |style="background-color: white;"|T - 205 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toelichting
| |
| |style="background-color: white;"|mw.door verwijzen naar Sophia
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Verrichting zwangerschap
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting start datum
| |
| |style="background-color: white;"|T - 205 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting type
| |
| |style="background-color: white;"|bloedonderzoek (verrichting) (code = '396550006' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Verrichting zwangerschap
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting start datum
| |
| |style="background-color: white;"|T - 205 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting type
| |
| |style="background-color: white;"|dieetmanagement (verrichting) (code = '410175003' in codeSystem 'SNOMED CT')
| |
| |}<section end=zwangerschapsgegevens_ />
| |
| === Medisch onderzoek ===
| |
| <section begin=medisch_onderzoek_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medisch onderzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="6" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Verrichting onderzoek
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verrichting start datum
| |
| |style="background-color: white;"|T - 195 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Maternale onderzoeksgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="21"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Urine bloed en aanvullende onderzoeken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="19"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Psie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="ABO" title="Intern ID = ABO">Laboratorium test bloedgroep ABO</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test code
| |
| |style="background-color: white;"|ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test uitslag
| |
| |style="background-color: white;"|bloedgroep O (bevinding) (code = '58460004' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="RhD" title="Intern ID = RhD">Laboratorium test rhesus d RhD</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test code
| |
| |style="background-color: white;"|D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test uitslag
| |
| |style="background-color: white;"|Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="Rhc" title="Intern ID = Rhc">Laboratorium test rhesus c Rhc</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test code
| |
| |style="background-color: white;"|Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test uitslag
| |
| |style="background-color: white;"|Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Laboratorium test hb
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Test code
| |
| |style="background-color: white;"|Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Test uitslag
| |
| |style="background-color: white;"|7.3 g/dl
| |
| |}<section end=medisch_onderzoek_ />
| |
| === Bouwstenen ===
| |
| <section begin=bouwstenen_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Metingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="BP-205D" title="Intern ID = BP-205D">Bloeddruk BP-205D</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Systolische bloeddruk
| |
| |style="background-color: white;"|114
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Diastolische bloeddruk
| |
| |style="background-color: white;"|87
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Bloeddruk datum tijd
| |
| |style="background-color: white;"|T - 205 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="Gew-205D" title="Intern ID = Gew-205D">Lichaamsgewicht Gew-205D</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Gewicht waarde
| |
| |style="background-color: white;"|63 kg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Gewicht datum tijd
| |
| |style="background-color: white;"|T - 205 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Kleding
| |
| |style="background-color: white;"|Lichte kleding/ondergoed (code = 'MINIMAL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
| |
| |}<section end=bouwstenen_ />
| |
| ==Scenario Vrouw 2, Kaart 3 - data 2e lijn (meerling) (voor vrouw met BSN: )==
| |
| <section begin= />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Vrouw
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Demografische gegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Patient
| |
| |style="background-color: white;"|Zie [[#Vrouw2|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Bloedonderzoek
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Laboratorium test bloedgroep
| |
| |style="background-color: white;"|Zie [[#ABO|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Laboratorium test rhesus d
| |
| |style="background-color: white;"|Zie [[#RhD|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Laboratorium test rhesus c
| |
| |style="background-color: white;"|Zie [[#Rhc|: ]]
| |
| |}<section end= />
| |
| === Administratief ===
| |
| <section begin=administratief_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Administratief
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="Vrouw2" title="Intern ID = Vrouw2">Patient Vrouw2</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="18"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|Jamila
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|J
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|XXX_Kwee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|Knolweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|1000
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|9999XA
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geboortedatum
| |
| |style="background-color: white;"|20 okt 1985
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslacht
| |
| |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Meerling indicator
| |
| |style="background-color: white;"|Nee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="Kind2" title="Intern ID = Kind2">Patient Kind2</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="18"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|Jusef
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|J
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|XXX_Kwee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|Knolweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|1000
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|9999XA
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geboortedatum
| |
| |style="background-color: white;"|T - 5 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslacht
| |
| |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Meerling indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Rangnummer
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="Kind3" title="Intern ID = Kind3">Patient Kind3</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="18"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|Jamal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|J
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|XXX_Kwee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|Knolweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|1000
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|9999XA
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geboortedatum
| |
| |style="background-color: white;"|T - 5 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslacht
| |
| |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Meerling indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Rangnummer
| |
| |style="background-color: white;"|2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="ZA2" title="Intern ID = ZA2">Zorgaanbieder ZA2</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|06020806 (in identificerend systeem: AGB-Z)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Organisatie naam
| |
| |style="background-color: white;"|Erasmus MC, Sophia kinderziekenhuis
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|Dr. Molewaterplein
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|60
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|3015 GJ
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|ROTTERDAM
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Adres soort
| |
| |style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Organisatie type
| |
| |style="background-color: white;"|Universitair Medisch Centrum (code = 'V5' in codeSystem 'RoleCodeNL - zorgaanbiedertype (organisaties)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="ZV2" title="Intern ID = ZV2">Zorgverlener ZV2</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="15"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|98765432 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Roepnaam
| |
| |style="background-color: white;"|Eduard
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|Eigen geslachtsnaam gevolgd door geslachtsnaam partner (code = 'NL4' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|XXX_Egelinks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam partner
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam partner
| |
| |style="background-color: white;"|XXX_Gras
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Specialisme
| |
| |style="background-color: white;"|Gynaecoloog (code = '01.046' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |style="background-color: white;"|Zie [[#ZA2|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgverleners rol
| |
| |style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType')
| |
| |}<section end=administratief_ />
| |
| === Zorgverlening ===
| |
| <section begin=zorgverlening_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Zorgverlening
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorg episode
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Begin datum
| |
| |style="background-color: white;"|T - 193 dagen
| |
| |}<section end=zorgverlening_ />
| |
| === Zwangerschapsgegevens ===
| |
| <section begin=zwangerschapsgegevens_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Zwangerschapsgegevens
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Casemanager
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgverlener
| |
| |style="background-color: white;"|Zie [[#ZV2|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Zwangerschap
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Pariteit
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Graviditeit
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Aterme datum items
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aterme datum
| |
| |style="background-color: white;"|T + 10 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Bepalings methode
| |
| |style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): uit verwijzing verloskundigenpraktijk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Datum bepaling
| |
| |style="background-color: white;"|T - 205 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Definitieve a terme datum observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Definitieve a terme datum tijd
| |
| |style="background-color: white;"|T - 126 dagen om 13:45 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Definitieve a terme waarde
| |
| |style="background-color: white;"|T + 2 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Definitieve a terme methode
| |
| |style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="AantalFoetussen" title="Intern ID = AantalFoetussen">Aantal foetussen observatie AantalFoetussen</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aantal foetussen datum tijd
| |
| |style="background-color: white;"|T - 193 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aantal foetussen waarde
| |
| |style="background-color: white;"|2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Observatie methode
| |
| |style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Meerling zwangerschap observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Meerling zwangerschap datum tijd
| |
| |style="background-color: white;"|T - 193 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Typering gemellizwangerschap waarde
| |
| |style="background-color: white;"|monochoriale diamniotische tweelingzwangerschap (aandoening) (code = '459168005' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aantal foetussen observatie
| |
| |style="background-color: white;"|Zie [[#AantalFoetussen|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Observatie methode
| |
| |style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Aantal levende kinderen observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aantal levende kinderen datum tijd
| |
| |style="background-color: white;"|T - 76 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aantal levende kinderen waarde
| |
| |style="background-color: white;"|2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Observatie methode
| |
| |style="background-color: white;"|echografie van foetus (verrichting) (code = '241491007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Foliumzuurgebruik observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Foliumzuurgebruik datum tijd
| |
| |style="background-color: white;"|T - 193 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Foliumzuurgebruik waarde
| |
| |style="background-color: white;"|intake van foliumzuur via voeding vanaf vastgestelde zwangerschap (bevinding) (code = '29771000146106' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toelichting
| |
| |style="background-color: white;"|op advies verloskundigenpraktijk gestart
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Prenatale controle
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="45"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Datum prenatale controle
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Begin datum tijd
| |
| |style="background-color: white;"|T - 193 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener
| |
| |style="background-color: white;"|Zie [[#ZV2|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Leven voelen observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Leven voelen datum tijd
| |
| |style="background-color: white;"|T - 193 dagen om 13:40 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Leven voelen waarde
| |
| |style="background-color: white;"|foetale bewegingen aanwezig (bevinding) (code = '289431008' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Observatie methode
| |
| |style="background-color: white;"|palpatie (verrichting) (code = '113011001' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Lichaamsgewicht
| |
| |style="background-color: white;"|Zie [[#Gew-193D|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Bloeddruk
| |
| |style="background-color: white;"|Zie [[#BP-193D|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Alcohol gebruik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Alcohol gebruik status
| |
| |style="background-color: white;"|drinkt geen alcohol tijdens de zwangerschap (code = '105542008' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Drugs gebruik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Drugs gebruik status
| |
| |style="background-color: white;"|heeft nooit drugs gebruikt (code = '228368007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Tabak gebruik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toelichting
| |
| |style="background-color: white;"|gestopt op advies verloskundige
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Soort tabak gebruik
| |
| |style="background-color: white;"|gebruiker van elektronische sigaret (code = '722499006' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Tabak gebruik status
| |
| |style="background-color: white;"|rookte vroeger (code = '8517006' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Waarneming gebruik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Start datum
| |
| |style="background-color: white;"|1 jun 2019
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Stop datum
| |
| |style="background-color: white;"|T - 198 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Uitwendig onderzoek
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="15"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Foetale hartslag hartfrequentie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hartfrequentie datum tijd
| |
| |style="background-color: white;"|T - 193 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hartfrequentie waarde
| |
| |style="background-color: white;"|181 bpm
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hartslag meet methode
| |
| |style="background-color: white;"|Echo (code = '408808009' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hartslag regelmatigheid
| |
| |style="background-color: white;"|regelmatig hartritme van foetus (bevinding) (code = '289443009' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Interpretatie frequentie
| |
| |style="background-color: white;"|normale basishartfrequentie van foetus (bevinding) (code = '278084002' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Foetale hartslag hartfrequentie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hartfrequentie datum tijd
| |
| |style="background-color: white;"|T - 193 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hartfrequentie waarde
| |
| |style="background-color: white;"|169
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hartslag meet methode
| |
| |style="background-color: white;"|Echo (code = '408808009' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Hartslag regelmatigheid
| |
| |style="background-color: white;"|regelmatig hartritme van foetus (bevinding) (code = '289443009' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Interpretatie frequentie
| |
| |style="background-color: white;"|normale basishartfrequentie van foetus (bevinding) (code = '278084002' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Prenatale controle
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Datum prenatale controle
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Begin datum tijd
| |
| |style="background-color: white;"|T - 76 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener
| |
| |style="background-color: white;"|Zie [[#ZV2|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Bloeddruk
| |
| |style="background-color: white;"|Zie [[#BP-76D|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="Probleem1" title="Intern ID = Probleem1">Probleem zwangerschap Probleem1</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Probleem naam
| |
| |style="background-color: white;"|meerlingzwangerschap (aandoening) (code = '16356006' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Probleem begin datum
| |
| |style="background-color: white;"|T - 193 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="Probleem2" title="Intern ID = Probleem2">Probleem zwangerschap Probleem2</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Probleem type
| |
| |style="background-color: white;"|Klinische bevinding (code = '404684003' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Probleem naam
| |
| |style="background-color: white;"|small for gestational age (aandoening) (code = '267258002' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Probleem begin datum
| |
| |style="background-color: white;"|T - 76 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toelichting
| |
| |style="background-color: white;"|tweede kind blijft erg achter in ontwikkeling
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Verrichting zwangerschap
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting start datum
| |
| |style="background-color: white;"|T - 193 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting type
| |
| |style="background-color: white;"|bloedonderzoek (verrichting) (code = '396550006' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Verrichting zwangerschap
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting start datum
| |
| |style="background-color: white;"|T - 5 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting type
| |
| |style="background-color: white;"|opname in ziekenhuis (verrichting) (code = '32485007' in codeSystem 'SNOMED CT')
| |
| |}<section end=zwangerschapsgegevens_ />
| |
| === Bevalling ===
| |
| <section begin=bevalling_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Bevalling
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Partusnummer
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Uitdrijvingsfase
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="34"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Patient
| |
| |style="background-color: white;"|Zie [[#Kind2|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Type partus observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Observatie datum tijd
| |
| |style="background-color: white;"|T - 5 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Type partus waarde
| |
| |style="background-color: white;"|sectio caesarea (verrichting) (code = '11466000' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Aantal geboren kinderen observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Observatie datum tijd
| |
| |style="background-color: white;"|T - 5 dagen om 14:38 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aantal geboren kinderen waarde
| |
| |style="background-color: white;"|2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Werkelijke plaats baring type locatie observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Observatie datum tijd
| |
| |style="background-color: white;"|T - 5 dagen om 14:38 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Werkelijke plaats baring waarde
| |
| |style="background-color: white;"|geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toelichting
| |
| |style="background-color: white;"|geplande sectio
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Ziekenhuis baring
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgaanbieder
| |
| |style="background-color: white;"|Zie [[#ZA2|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|<span id="Probleem3" title="Intern ID = Probleem3">Probleem kindspecifieke maternale problemen Probleem3</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Probleem naam
| |
| |style="background-color: white;"|liggingsafwijking van foetus (bevinding) (code = '15028002' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Probleem begin datum
| |
| |style="background-color: white;"|T - 5 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verrichting kindspecifieke maternale verrichtingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting start datum
| |
| |style="background-color: white;"|T - 5 dagen om 14:03 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting eind datum
| |
| |style="background-color: white;"|T - 5 dagen om 14:52 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Indicatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Probleem kindspecifieke maternale problemen
| |
| |style="background-color: white;"|Zie [[#Probleem2|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting type
| |
| |style="background-color: white;"|primaire sectio caesarea (verrichting) (code = '80771000146107' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verrichting kindspecifieke maternale verrichtingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting start datum
| |
| |style="background-color: white;"|T - 5 dagen om 14:50 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting type
| |
| |style="background-color: white;"|vitamine K toediening aan neonaat (code = '698350008:370131001=133933007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Uitdrijvingsfase
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="34"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Patient
| |
| |style="background-color: white;"|Zie [[#Kind3|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Type partus observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Observatie datum tijd
| |
| |style="background-color: white;"|T - 5 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Type partus waarde
| |
| |style="background-color: white;"|sectio caesarea (verrichting) (code = '11466000' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Aantal geboren kinderen observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Observatie datum tijd
| |
| |style="background-color: white;"|T - 5 dagen om 14:38 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aantal geboren kinderen waarde
| |
| |style="background-color: white;"|2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Werkelijke plaats baring type locatie observatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Observatie datum tijd
| |
| |style="background-color: white;"|T - 5 dagen om 14:38 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Werkelijke plaats baring waarde
| |
| |style="background-color: white;"|geboorte in ziekenhuis (bevinding) (code = '56321000146103' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toelichting
| |
| |style="background-color: white;"|geplande sectio
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Ziekenhuis baring
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgaanbieder
| |
| |style="background-color: white;"|Zie [[#ZA2|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verrichting kindspecifieke maternale verrichtingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting start datum
| |
| |style="background-color: white;"|T - 5 dagen om 14:03 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting eind datum
| |
| |style="background-color: white;"|T - 5 dagen om 14:52 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Indicatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Probleem kindspecifieke maternale problemen
| |
| |style="background-color: white;"|Zie [[#Probleem2|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting type
| |
| |style="background-color: white;"|primaire sectio caesarea (verrichting) (code = '80771000146107' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verrichting kindspecifieke maternale verrichtingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting start datum
| |
| |style="background-color: white;"|T - 5 dagen om 14:52 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting type
| |
| |style="background-color: white;"|inflatie van long door intermitterende compressie van reservoirballon (code = '243140006' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verrichting kindspecifieke maternale verrichtingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting start datum
| |
| |style="background-color: white;"|T - 5 dagen om 14:55 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Verrichting type
| |
| |style="background-color: white;"|vitamine K toediening aan neonaat (code = '698350008:370131001=133933007' in codeSystem 'SNOMED CT')
| |
| |}<section end=bevalling_ />
| |
| === Kind ===
| |
| <section begin=kind_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Kind
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="6" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Demografische gegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="15"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Patient
| |
| |style="background-color: white;"|Zie [[#Kind2|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Geboorteplaats
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|3015CN
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|Rotterdam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Land
| |
| |style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landentabel')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Adresgegevens tbv hielprik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Straat
| |
| |style="background-color: white;"|Knolweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Huisnummer
| |
| |style="background-color: white;"|1000
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Postcode
| |
| |style="background-color: white;"|9999XA
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Lichamelijk onderzoek kind
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="25"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Geboortegewicht lichaamsgewicht
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gewicht waarde
| |
| |style="background-color: white;"|2605 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gewicht datum tijd
| |
| |style="background-color: white;"|T - 5 dagen om 15:10 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Kleding
| |
| |style="background-color: white;"|Luier (code = 'DIAPER' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Lichaamslengte
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Lengte waarde
| |
| |style="background-color: white;"|48
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Schedelomvang
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Schedelomvang waarde
| |
| |style="background-color: white;"|32.6 cm
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Bevindingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="12"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Algemene indruk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Apgar score1min
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Apgar score totaal
| |
| |style="background-color: white;"|7
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Apgar score5min
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Apgar score totaal
| |
| |style="background-color: white;"|10
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Apgar score10min
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Apgar score totaal
| |
| |style="background-color: white;"|10
| |
| |}<section end=kind_ />
| |
| === Kind ===
| |
| <section begin=kind_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Kind
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="6" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Demografische gegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="15"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Patient
| |
| |style="background-color: white;"|Zie [[#Kind3|: ]]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Geboorteplaats
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|3015CN
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|Rotterdam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Land
| |
| |style="background-color: white;"|Nederland (code = '6030' in codeSystem 'GBA Tabel 34 Landentabel')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Adresgegevens tbv hielprik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Straat
| |
| |style="background-color: white;"|Knolweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Huisnummer
| |
| |style="background-color: white;"|1000
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Postcode
| |
| |style="background-color: white;"|9999XA
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Lichamelijk onderzoek kind
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="25"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Geboortegewicht lichaamsgewicht
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gewicht waarde
| |
| |style="background-color: white;"|2089 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gewicht datum tijd
| |
| |style="background-color: white;"|T - 5 dagen om 15:05 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Kleding
| |
| |style="background-color: white;"|Zonder kleding. (code = 'UNDRESSED' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.8.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Lichaamslengte
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Lengte waarde
| |
| |style="background-color: white;"|46
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Schedelomvang
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Schedelomvang waarde
| |
| |style="background-color: white;"|31.8 cm
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Bevindingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="12"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Algemene indruk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Apgar score1min
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Apgar score totaal
| |
| |style="background-color: white;"|5
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Apgar score5min
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Apgar score totaal
| |
| |style="background-color: white;"|9
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Apgar score10min
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Apgar score totaal
| |
| |style="background-color: white;"|10
| |
| |}<section end=kind_ />
| |
| === Medisch onderzoek ===
| |
| <section begin=medisch_onderzoek_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Medisch onderzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="6" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Verrichting onderzoek
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verrichting start datum
| |
| |style="background-color: white;"|T - 193 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="7"|Maternale onderzoeksgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="27"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Urine bloed en aanvullende onderzoeken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="25"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Psie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="13"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="ABO" title="Intern ID = ABO">Laboratorium test bloedgroep ABO</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test code
| |
| |style="background-color: white;"|ABO group [Type] in Blood (code = '883-9' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test uitslag
| |
| |style="background-color: white;"|bloedgroep O (bevinding) (code = '58460004' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="RhD" title="Intern ID = RhD">Laboratorium test rhesus d RhD</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test code
| |
| |style="background-color: white;"|D Ag [Presence] in Blood (code = '1305-2' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test uitslag
| |
| |style="background-color: white;"|Rh D Positief (code = '165747007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="Rhc" title="Intern ID = Rhc">Laboratorium test rhesus c Rhc</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test code
| |
| |style="background-color: white;"|Kleine c Ag [aanwezigheid] in erytrocyten (code = '1159-3' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test uitslag
| |
| |style="background-color: white;"|Rh c Positief (code = '733120009' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Laboratorium test hb
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Test code
| |
| |style="background-color: white;"|Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Test uitslag
| |
| |style="background-color: white;"|7.0 g/dl
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Torch
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Laboratorium test torch
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test code
| |
| |style="background-color: white;"|Toxoplasma gondii IgG Ab [Units/volume] in Serum (code = '8039-0' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test uitslag
| |
| |style="background-color: white;"|9 k[arb'u]/l
| |
| |}<section end=medisch_onderzoek_ />
| |
| === Medisch onderzoek ===
| |
| <section begin=medisch_onderzoek_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medisch onderzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Verrichting onderzoek
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting start datum
| |
| |style="background-color: white;"|T - 76 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Maternale onderzoeksgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Urine bloed en aanvullende onderzoeken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Laboratorium test hb
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test code
| |
| |style="background-color: white;"|Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test uitslag
| |
| |style="background-color: white;"|6.7 g/dl
| |
| |}<section end=medisch_onderzoek_ />
| |
| === Medisch onderzoek ===
| |
| <section begin=medisch_onderzoek_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medisch onderzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Verrichting onderzoek
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verrichting start datum
| |
| |style="background-color: white;"|T - 5 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Maternale onderzoeksgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Urine bloed en aanvullende onderzoeken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Laboratorium test hb
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test code
| |
| |style="background-color: white;"|Hemoglobin [Moles/volume] in Venous blood (code = '93846-4' in codeSystem 'LOINC')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Test uitslag
| |
| |style="background-color: white;"|6.5 g/dl
| |
| |}<section end=medisch_onderzoek_ />
| |
| === Bouwstenen ===
| |
| <section begin=bouwstenen_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Metingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="BP-193D" title="Intern ID = BP-193D">Bloeddruk BP-193D</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Systolische bloeddruk
| |
| |style="background-color: white;"|123
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Diastolische bloeddruk
| |
| |style="background-color: white;"|81
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Bloeddruk datum tijd
| |
| |style="background-color: white;"|T - 193 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="Gew-193D" title="Intern ID = Gew-193D">Lichaamsgewicht Gew-193D</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Gewicht waarde
| |
| |style="background-color: white;"|65 kg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Gewicht datum tijd
| |
| |style="background-color: white;"|T - 193 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Metingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="BP-76D" title="Intern ID = BP-76D">Bloeddruk BP-76D</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Systolische bloeddruk
| |
| |style="background-color: white;"|108
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Diastolische bloeddruk
| |
| |style="background-color: white;"|79
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Bloeddruk datum tijd
| |
| |style="background-color: white;"|T - 76 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Metingen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|<span id="BP-5D" title="Intern ID = BP-5D">Bloeddruk BP-5D</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Systolische bloeddruk
| |
| |style="background-color: white;"|91
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Diastolische bloeddruk
| |
| |style="background-color: white;"|57
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Bloeddruk datum tijd
| |
| |style="background-color: white;"|T - 5 dagen
| |
| |}<section end=bouwstenen_ />
| |
| ==Scenario Vrouw 3, geen zwangerschapskaart beschikbaar (voor vrouw met BSN: )==
| |
| <section begin= /><section end= />
| |
| === Administratief ===
| |
| <section begin=administratief_ />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Administratief
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
| | |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|<span id="Vrouw3" title="Intern ID = Vrouw3">Patient Vrouw3</span>
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="18"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Naamgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Voornamen
| |
| |style="background-color: white;"|Julia
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Initialen
| |
| |style="background-color: white;"|J
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgebruik
| |
| |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslachtsnaam
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Achternaam
| |
| |style="background-color: white;"|XXX_Laarhoven
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Adresgegevens
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Straat
| |
| |style="background-color: white;"|Knolweg
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Huisnummer
| |
| |style="background-color: white;"|1002
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Postcode
| |
| |style="background-color: white;"|9999ZZ
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Woonplaats
| |
| |style="background-color: white;"|STITSWERD
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatienummer
| |
| |style="background-color: white;"|999900754 (in identificerend systeem: BSN)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geboortedatum
| |
| |style="background-color: white;"|22 okt 1985
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geslacht
| |
| |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|(in identificerend systeem: AGB-Z)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|(in identificerend systeem: AGB-Z)
| |
| |}<section end=administratief_ /> | |