mp:Vdraft Sandbox: verschil tussen versies

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<noinclude>
+
{{anchor|tabel1}}
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{{DISPLAYTITLE:Kernset Neonatologie 3.0 - inhoud kwalificatie}}
+
{| 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
  
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=Addenda voor inhoudelijke gegevens Kernset Neonatologie 3.0=</noinclude>
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|-
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==Scenario Testscenario 1: uitgebreide problematiek ==
 
−
       
 
−
=== Documentgegevens ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Identificatie
 
−
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Document datum
 
−
|style="background-color: white;"|T - 1 dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Set identificatie
 
−
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Versienummer
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Software naam
 
−
|style="background-color: white;"|InformatieSysteemX
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Verificatie zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geverifieerd door zorgverlener?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verificatie datum
 
−
|style="background-color: white;"|T - 0 dagen
 
−
|}
 
−
=== Zorgaanbieder ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|0000 (in identificerend systeem: AGB-Z)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|0000 (in identificerend systeem: URA)
 
−
|}
 
−
=== Zorgverlener ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zorgverlener
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.528.1.1007.5.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="12"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Voornamen
 
−
|style="background-color: white;"|Hans Peter
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Initialen
 
−
|style="background-color: white;"|HP
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Roepnaam
 
−
|style="background-color: white;"|Hans
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Naamgebruik
 
−
|style="background-color: white;"|Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' 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="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voorvoegsels
 
−
|style="background-color: white;"|van den
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Achternaam
 
−
|style="background-color: white;"|Akker
 
−
|-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;"|Pieterse
 
−
|}
 
−
=== Vrouw ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Demografische gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Patient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Identificatienummer
 
−
|style="background-color: white;"|000000000 (in identificerend systeem: BSN)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geboortedatum
 
−
|style="background-color: white;"|T - 27 jaar
 
−
|}
 
−
=== 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="4"|Graviditeit
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|0
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Complicaties tijdens zwangerschap
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Complicaties zwangerschap?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Probleem naam
 
−
|style="background-color: white;"|koorts (code = '386661006' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Magnesiumsulfaat
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Antenatale steroiden gegeven?
 
−
|style="background-color: white;"|Nee
 
−
|}
 
−
=== 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="14"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Patient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="12"|
 
−
|-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="4"|Adresgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Postcode
 
−
|style="background-color: white;"|1234 AB
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|T - 90 dagen om 12:13 uur
 
−
|-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;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Rangnummer kind
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Overlijdens indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Bevallingsgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Zwangerschapsduur
 
−
|style="background-color: white;"|179 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aantal geboren kinderen
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Type partus
 
−
|style="background-color: white;"|Primair (code = '177141003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Locatie partus
 
−
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|UMC Papendorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ondersteuning opvang
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Verrichting type
 
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Verrichting type
 
−
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Opname gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="37"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Opname
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname datum
 
−
|style="background-color: white;"|T - 90 dagen om 13:30 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ic opname?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Heropname?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Herkomst kind
 
−
|style="background-color: white;"|In-hospital admission from obstetrical ward (procedure) (code = '59151000146103' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname indicatie
 
−
|style="background-color: white;"|Finding of length of gestation (finding) (code = '366323009' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ontslag datum
 
−
|style="background-color: white;"|T - 31 dagen om 12 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Onderzoek
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="27"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamslengte
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Lengte waarde
 
−
|style="background-color: white;"|31 cm
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Lengte datum tijd
 
−
|style="background-color: white;"|T - 90 dagen om 13:20 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamsgewicht
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht waarde
 
−
|style="background-color: white;"|710 g
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht datum tijd
 
−
|style="background-color: white;"|T - 90 dagen om 13:21 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamstemperatuur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur waarde
 
−
|style="background-color: white;"|37.4 graden celsius
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur datum tijd
 
−
|style="background-color: white;"|T - 90 dagen om 13:22 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Toelichting
 
−
|style="background-color: white;"|abc
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur type
 
−
|style="background-color: white;"|Rectale temperatuur (code = '307047009' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Schedelomvang
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schedelomvang waarde
 
−
|style="background-color: white;"|22.5 cm
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schedelomvang datum tijd
 
−
|style="background-color: white;"|T - 90 dagen om 13:23 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Apgar score na 1 min
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Apgar score totaal
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Apgar score na 5 min
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Apgar score totaal
 
−
|style="background-color: white;"|5
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Nsp h arterieel
 
−
|style="background-color: white;"|7.05 ph
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Be
 
−
|style="background-color: white;"|-12.0 mmol/l
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Problematiek kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="100"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Geboortetrauma
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Ademhalingsondersteuning
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="13"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ademhalingsondersteuning?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting start datum
 
−
|style="background-color: white;"|T - 90 dagen om 13:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting eind datum
 
−
|style="background-color: white;"|T - 33 dagen om 12 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Oxygen therapy using high flow oxygen nasal cannula (procedure) (code = '57485005:424226004=426854004' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting start datum
 
−
|style="background-color: white;"|T - 33 dagen om 12 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting eind datum
 
−
|style="background-color: white;"|T - 31 dagen om 10 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|O2 op dag 28?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Respiratoir
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="14"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Respiratory distress syndrome in the newborn (disorder) (code = '46775006' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Aanvang
 
−
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Medicatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Stimulatie ademhaling
 
−
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Surfactant
 
−
|style="background-color: white;"|NATUURLIJKE FOSFOLIPIDEN - LONGSURFACTANTS (code = 'R07AA02' in codeSystem 'ATC-NL')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Medicatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Stimulatie ademhaling
 
−
|style="background-color: white;"|DOXAPRAM (code = 'R07AB01' in codeSystem 'ATC-NL')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Circulatoir
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Patent ductus arteriosus (disorder) (code = '83330001' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Drug therapy for patent ductus arteriosus (procedure) (code = '58801000146104' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Infectieus
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="13"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Suspected sepsis (situation) (code = '9331000146100' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem begin datum
 
−
|style="background-color: white;"|T - 89 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem eind datum
 
−
|style="background-color: white;"|T - 86 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Werk (code = '415684004' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Aanvang
 
−
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Microorganisme sepsis meningitis
 
−
|style="background-color: white;"|Other, specify (code = 'OTH' in codeSystem 'HL7 NullFlavor'): abc
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Lijnsepsis?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Onset
 
−
|style="background-color: white;"|vroege neonatale periode (kwalificatiewaarde) (code = '303114002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Antibiotica eerste 3 dagen?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gastrointestinaal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Hematologisch
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Transfusion for anemia (procedure) (code = '59071000146107' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Metabool en endocrien
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="12"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|<span id="hyperbilirubemie" title="Intern ID = hyperbilirubemie">Probleem hyperbilirubemie</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;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-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
 
−
|style="background-color: white;"|Zie [[#hyperbilirubemie|Probleem: hyperbilirubemie]]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Neurologisch
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zintuigen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Retinopathy of prematurity stage 2 - intraretinal ridge (disorder) (code = '408848001' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Rop screening verricht?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Rop screening afgesloten?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aabr verricht?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aabr afwijkend?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Bera verricht?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Congenitale aandoeningen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ontslagoverplaatsing
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="15"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Nog opgenomen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Bestemming kind
 
−
|style="background-color: white;"|Discharge to other hospital (procedure) (code = '115851000146108' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Lichamelijk onderzoek
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamsgewicht
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht waarde
 
−
|style="background-color: white;"|1740 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht datum tijd
 
−
|style="background-color: white;"|T - 31 dagen om 09 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Schedelomvang
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schedelomvang meetmethode
 
−
|style="background-color: white;"|Meten van schedelomvang m.b.v. meetlint (code = '31551000146109' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schedelomvang waarde
 
−
|style="background-color: white;"|30 cm
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schedelomvang datum tijd
 
−
|style="background-color: white;"|T - 31 dagen om 09:01 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Voeding kind
 
−
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Mortaliteit
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Overlijden lt12 uur na opname nicu?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Overleden op verloskamer?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Staken icbehandeling?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Follow up
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Na ontslag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|O2 op dag 28?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gradatie bpd
 
−
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zintuigen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Problemen aanwezig?
 
−
|style="background-color: white;"|NullFlavor: UNK
 
−
|}
 
−
==Scenario Testscenario 2: geb.trauma + neurologisch + anat afw  + overlijden ==
 
−
       
 
−
=== Documentgegevens ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Identificatie
 
−
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Document datum
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Set identificatie
 
−
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Versienummer
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Software naam
 
−
|style="background-color: white;"|XIS
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Verificatie zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geverifieerd door zorgverlener?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verificatie datum
 
−
|style="background-color: white;"|
 
−
|}
 
−
=== Zorgaanbieder ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 
−
|}
 
−
=== Zorgverlener ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zorgverlener
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|0000 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Naamgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Voornamen
 
−
|style="background-color: white;"|Hans Paul
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Initialen
 
−
|style="background-color: white;"|H.P.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Roepnaam
 
−
|style="background-color: white;"|Hans
 
−
|-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;"|Pieterse
 
−
|}
 
−
=== Vrouw ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Demografische gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Patient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Identificatienummer
 
−
|style="background-color: white;"|(in identificerend systeem: BSN)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geboortedatum
 
−
|style="background-color: white;"|T - 26 jaar
 
−
|}
 
−
=== 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="4"|Graviditeit
 
−
|style="background-color: white;"|3
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Complicaties tijdens zwangerschap
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Complicaties zwangerschap?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Probleem naam
 
−
|style="background-color: white;"|hypertensieve aandoening (aandoening) (code = '38341003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Magnesiumsulfaat
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Antenatale steroiden gegeven?
 
−
|style="background-color: white;"|NullFlavor: NA
 
−
|}
 
−
=== 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="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Patient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|T - 10 dagen om 10:44 uur
 
−
|-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;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Overlijdens indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Datum overlijden
 
−
|style="background-color: white;"|T - 10 dagen om 21 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Bevallingsgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Zwangerschapsduur
 
−
|style="background-color: white;"|254 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aantal geboren kinderen
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Type partus
 
−
|style="background-color: white;"|Primair (code = '177141003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Locatie partus
 
−
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|234 (in identificerend systeem: AGB-Z)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|UMC Papendorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ondersteuning opvang
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Verrichting type
 
−
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Opname gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="28"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Opname
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname datum
 
−
|style="background-color: white;"|T - 10 dagen om 11:15 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ic opname?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Heropname?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Herkomst kind
 
−
|style="background-color: white;"|In-hospital admission from obstetrical ward (procedure) (code = '59151000146103' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname indicatie
 
−
|style="background-color: white;"|Perinatal asphyxia (disorder) (code = '281578009' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname indicatie
 
−
|style="background-color: white;"|Infant in poor condition at birth (finding) (code = '276707008' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname indicatie
 
−
|style="background-color: white;"|Congenital disease (disorder) (code = '66091009' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ontslag datum
 
−
|style="background-color: white;"|T - 10 dagen om 21 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Onderzoek
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="16"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamsgewicht
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht waarde
 
−
|style="background-color: white;"|3870 g
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht datum tijd
 
−
|style="background-color: white;"|T - 10 dagen om 11:01 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamstemperatuur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur waarde
 
−
|style="background-color: white;"|36.1 graden celsius
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur datum tijd
 
−
|style="background-color: white;"|T - 10 dagen om 11:02 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur type
 
−
|style="background-color: white;"|Rectale temperatuur (code = '307047009' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Apgar score na 1 min
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Apgar score totaal
 
−
|style="background-color: white;"|0
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Apgar score na 5 min
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Apgar score totaal
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Problematiek kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="71"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Geboortetrauma
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Spinal cord injury due to birth trauma (disorder) (code = '698500002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Ademhalingsondersteuning
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ademhalingsondersteuning?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-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 - 10 dagen om 11:16 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|O2 op dag 28?
 
−
|style="background-color: white;"|NullFlavor: NA
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Respiratoir
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Circulatoir
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Neonatal hypotension (disorder) (code = '276519002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Infectieus
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gastrointestinaal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Hematologisch
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Metabool en endocrien
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Neurologisch
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="20"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|<span id="neonatal_encephalopathy" title="Intern ID = neonatal_encephalopathy">Probleem neonatal_encephalopathy</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;"|Neonatal encephalopathy (disorder) (code = '95628005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Ernst encefalopathie
 
−
|style="background-color: white;"|Ernstig (code = '24484000' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|asfyxie bij geboorte (code = '413654009' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Intraventricular (nontraumatic) hemorrhage, grade 2, of fetus and newborn (disorder) (code = '206396002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-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
 
−
|style="background-color: white;"|Zie [[#neonatal_encephalopathy|Probleem: neonatal_encephalopathy]]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|echografische beeldvorming van hoofd (verrichting) (code = '241449005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zintuigen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|NullFlavor: UNK
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Congenitale aandoeningen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Aangeboren anatomische afwijkingen majorsyndromen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Probleem naam
 
−
|style="background-color: white;"|Overige congenitale afwijkingen zenuwstelsel (code = '09' in codeSystem '2.16.840.1.113883.2.4.4.13.8')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ontslagoverplaatsing
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Nog opgenomen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Voeding kind
 
−
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Mortaliteit
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Overlijden lt12 uur na opname nicu?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Overleden op verloskamer?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Oorzaak overlijden
 
−
|style="background-color: white;"|multiorgaanfalen (aandoening) (code = '57653000' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Staken icbehandeling?
 
−
|style="background-color: white;"|Ja
 
−
|}
 
−
==Scenario Testscenario 3: stofwisselingsziekte  ==
 
−
       
 
−
=== Documentgegevens ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Identificatie
 
−
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Document datum
 
−
|style="background-color: white;"|T - 0 dagen om 17 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Set identificatie
 
−
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Versienummer
 
−
|style="background-color: white;"|3
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Software naam
 
−
|style="background-color: white;"|XIS
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Verificatie zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geverifieerd door zorgverlener?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verificatie datum
 
−
|style="background-color: white;"|
 
−
|}
 
−
=== Zorgaanbieder ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|0000 (in identificerend systeem: AGB-Z)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|(in identificerend systeem: URA)
 
−
|}
 
−
=== Zorgverlener ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zorgverlener
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|0000 (in identificerend systeem: AGB-Z)
 
−
|-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;"|Hans Peter
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Initialen
 
−
|style="background-color: white;"|HP
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Roepnaam
 
−
|style="background-color: white;"|Hans
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Naamgebruik
 
−
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voorvoegsels
 
−
|style="background-color: white;"|van de
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Achternaam
 
−
|style="background-color: white;"|Velde
 
−
|}
 
−
=== Zwangerschapsgegevens ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschapsgegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Graviditeit
 
−
|style="background-color: white;"|4
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Complicaties tijdens zwangerschap
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Complicaties zwangerschap?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Antenatale steroiden gegeven?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Antenatale steroiden
 
−
|style="background-color: white;"|Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')
 
−
|}
 
−
=== 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="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Patient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|T - 76 dagen om 06:55 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Ongedifferentieerd (code = 'UN' in codeSystem 'HL7 AdministrativeGender')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Overlijdens indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Bevallingsgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Zwangerschapsduur
 
−
|style="background-color: white;"|215 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aantal geboren kinderen
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Type partus
 
−
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Locatie partus
 
−
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Opname gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="29"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Opname
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname datum
 
−
|style="background-color: white;"|T - 0 dagen om 09:15 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ic opname?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Heropname?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Herkomst kind
 
−
|style="background-color: white;"|Hospital admission from home or birth center (procedure) (code = '59141000146101' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname indicatie
 
−
|style="background-color: white;"|Other (code = 'OTH' in codeSystem 'HL7 NullFlavor'): vaccinatie onder observatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ontslag datum
 
−
|style="background-color: white;"|T - 0 dagen om 16 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Onderzoek
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="19"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamslengte
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Lengte waarde
 
−
|style="background-color: white;"|43 cm
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Lengte datum tijd
 
−
|style="background-color: white;"|T - 0 dagen om 09:30 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamsgewicht
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht waarde
 
−
|style="background-color: white;"|1800 g
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht datum tijd
 
−
|style="background-color: white;"|T - 0 dagen om 09:30 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamstemperatuur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur waarde
 
−
|style="background-color: white;"|37.1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur datum tijd
 
−
|style="background-color: white;"|T - 0 dagen om 09:30 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Schedelomvang
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schedelomvang waarde
 
−
|style="background-color: white;"|31 centimeter
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schedelomvang datum tijd
 
−
|style="background-color: white;"|T - 0 dagen om 09:32 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Nsp h arterieel
 
−
|style="background-color: white;"|7.35 ph
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Be
 
−
|style="background-color: white;"|0.0 mmol/l
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Problematiek kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Congenitale aandoeningen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Stofwisselingsziekten
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Probleem naam
 
−
|style="background-color: white;"|stoornis van mineraalstofwisseling (aandoening) (code = '45744005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verificatie status
 
−
|style="background-color: white;"|Differentiaal (code = '410590009' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ontslagoverplaatsing
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Nog opgenomen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Bestemming kind
 
−
|style="background-color: white;"|Discharge to home (procedure) (code = '306689006' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Voeding kind
 
−
|style="background-color: white;"|moedermelk (substantie) (code = '226789007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ondersteuning bij ontslag naar huis
 
−
|style="background-color: white;"|monitoren met cardiotachometer (regime/therapie) (code = '63818009' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Mortaliteit
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Overlijden lt12 uur na opname nicu?
 
−
|style="background-color: white;"|NullFlavor: NA
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Overleden op verloskamer?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Staken icbehandeling?
 
−
|style="background-color: white;"|NullFlavor: NA
 
−
|}
 
−
==Scenario Testscenario 4: gastro + chirurgie ==
 
−
       
 
−
=== Documentgegevens ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Identificatie
 
−
|style="background-color: white;"|0000
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Document datum
 
−
|style="background-color: white;"|T - 10 dagen om 10 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Set identificatie
 
−
|style="background-color: white;"|0000
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Versienummer
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Software naam
 
−
|style="background-color: white;"|InformatieSysteemX
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Verificatie zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geverifieerd door zorgverlener?
 
−
|style="background-color: white;"|NullFlavor: NI
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verificatie datum
 
−
|style="background-color: white;"|
 
−
|}
 
−
=== Zorgaanbieder ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 
−
|}
 
−
=== Vrouw ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Demografische gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Patient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Identificatienummer
 
−
|style="background-color: white;"|(in identificerend systeem: BSN)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geboortedatum
 
−
|style="background-color: white;"|
 
−
|}
 
−
=== Zwangerschapsgegevens ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zwangerschapsgegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Graviditeit
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|0
 
−
|}
 
−
=== 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="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Patient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|T - 87 dagen om 13 uur
 
−
|-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;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Rangnummer kind
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Overlijdens indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Bevallingsgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Zwangerschapsduur
 
−
|style="background-color: white;"|236 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aantal geboren kinderen
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Type partus
 
−
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Locatie partus
 
−
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ondersteuning opvang
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Verrichting type
 
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Opname gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="23"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Opname
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname datum
 
−
|style="background-color: white;"|T - 80 dagen om 09 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ic opname?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Heropname?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Herkomst kind
 
−
|style="background-color: white;"|Hospital admission, transfer from other hospital or health care facility (procedure) (code = '4563007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Organisatie naam
 
−
|style="background-color: white;"|AZ Papendorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname indicatie
 
−
|style="background-color: white;"|Other (code = 'OTH' in codeSystem 'HL7 NullFlavor'): abc
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ontslag datum
 
−
|style="background-color: white;"|T - 11 dagen om 16 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Onderzoek
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamslengte
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Lengte waarde
 
−
|style="background-color: white;"|43 cm
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Lengte datum tijd
 
−
|style="background-color: white;"|T - 80 dagen om 09:30 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamsgewicht
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht waarde
 
−
|style="background-color: white;"|1530 g
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht datum tijd
 
−
|style="background-color: white;"|T - 80 dagen om 09:30 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Problematiek kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="104"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Geboortetrauma
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Ademhalingsondersteuning
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ademhalingsondersteuning?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|O2 op dag 28?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Respiratoir
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Bronchopulmonary dysplasia of newborn (disorder) (code = '67569000' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Medicatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Stimulatie ademhaling
 
−
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Circulatoir
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Neonatal hypotension (disorder) (code = '276519002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Infectieus
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|neonatale sepsis (aandoening) (code = '206376005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Microorganisme sepsis meningitis
 
−
|style="background-color: white;"|Listeria monocytogenes (organism) (code = '36094007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Lijnsepsis?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Onset
 
−
|style="background-color: white;"|late neonatale periode (kwalificatiewaarde) (code = '303115001' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Antibiotica eerste 3 dagen?
 
−
|style="background-color: white;"|NullFlavor: NA
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Infuus
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Infuuskatheter
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Medisch hulpmiddel
 
−
|-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 - 80 dagen om 10 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Einddatum
 
−
|style="background-color: white;"|T - 17 dagen om 09 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gastrointestinaal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="18"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|<span id="enterocolitis" title="Intern ID = enterocolitis">Probleem enterocolitis</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;"|Necrotizing enterocolitis in fetus OR newborn - Bell stage IIIA (disorder) (code = '21941000146103' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-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
 
−
|style="background-color: white;"|Zie [[#enterocolitis|Probleem: enterocolitis]]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Laparotomy (procedure) (code = '86481000' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-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
 
−
|style="background-color: white;"|Zie [[#enterocolitis|Probleem: enterocolitis]]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Hematologisch
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Transfusion for anemia (procedure) (code = '59071000146107' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Metabool en endocrien
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="22"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|<span id="hyperbilirubinemie" title="Intern ID = hyperbilirubinemie">Probleem hyperbilirubinemie</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;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|<span id="hypoglycemia" title="Intern ID = hypoglycemia">Probleem hypoglycemia</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;"|Hypoglycemia (disorder) (code = '302866003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Differentiaal (code = '410590009' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-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
 
−
|style="background-color: white;"|Zie [[#hyperbilirubinemie|Probleem: hyperbilirubinemie]]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-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
 
−
|style="background-color: white;"|Zie [[#hypoglycemia|Probleem: hypoglycemia]]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Intravenous infusion of glucose in hypoglycemia (procedure) (code = '109091000146105' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zintuigen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|NullFlavor: NI
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Congenitale aandoeningen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Chirurgische ingrepen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verrichting type
 
−
|style="background-color: white;"|Endoscopie van oesofagus (verrichting) (code = '49230008' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ontslagoverplaatsing
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Nog opgenomen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Bestemming kind
 
−
|style="background-color: white;"|Discharge to other location within hospital premises (procedure) (code = '115841000146105' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Lichamelijk onderzoek
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamsgewicht
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht waarde
 
−
|style="background-color: white;"|2800 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht datum tijd
 
−
|style="background-color: white;"|T - 11 dagen om 15 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Voeding kind
 
−
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Mortaliteit
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Overlijden lt12 uur na opname nicu?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Overleden op verloskamer?
 
−
|style="background-color: white;"|Nee
 
−
|}
 
−
==Scenario Testscenario 5: zintuigen + FU ==
 
−
       
 
−
=== Documentgegevens ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Identificatie
 
−
|style="background-color: white;"|0000
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Document datum
 
−
|style="background-color: white;"|T - 14 dagen om 10 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Set identificatie
 
−
|style="background-color: white;"|0000
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Versienummer
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Software naam
 
−
|style="background-color: white;"|InformatieSysteemX
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Verificatie zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geverifieerd door zorgverlener?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verificatie datum
 
−
|style="background-color: white;"|T - 14 dagen om 11 uur
 
−
|}
 
−
=== Zorgaanbieder ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|
 
−
|}
 
−
=== 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="4"|Graviditeit
 
−
|style="background-color: white;"|5
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|4
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Complicaties tijdens zwangerschap
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Complicaties zwangerschap?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Probleem naam
 
−
|style="background-color: white;"|preterm en prematuur gebroken vliezen (aandoening) (code = '312974005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Magnesiumsulfaat
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Antenatale steroiden gegeven?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Antenatale steroiden
 
−
|style="background-color: white;"|Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')
 
−
|}
 
−
=== 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="13"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Patient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-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="4"|Adresgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Postcode
 
−
|style="background-color: white;"|1234 AB
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|T - 179 dagen om 14 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Meerling indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Overlijdens indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Bevallingsgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Zwangerschapsduur
 
−
|style="background-color: white;"|177 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Type partus
 
−
|style="background-color: white;"|Sectio Caesarea (code = '11466000' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Locatie partus
 
−
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ondersteuning opvang
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Verrichting type
 
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Verrichting type
 
−
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Opname gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="33"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Opname
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname datum
 
−
|style="background-color: white;"|T - 179 dagen om 14:30 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ic opname?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Heropname?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Herkomst kind
 
−
|style="background-color: white;"|Hospital admission, transfer from other hospital or health care facility (procedure) (code = '4563007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Opname indicatie
 
−
|style="background-color: white;"|Finding of length of gestation (finding) (code = '366323009' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ontslag datum
 
−
|style="background-color: white;"|T - 44 dagen om 12 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Onderzoek
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="23"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamsgewicht
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht waarde
 
−
|style="background-color: white;"|710 g
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht datum tijd
 
−
|style="background-color: white;"|T - 179 dagen om 14:30 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamstemperatuur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur waarde
 
−
|style="background-color: white;"|36.7
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur datum tijd
 
−
|style="background-color: white;"|T - 179 dagen om 14:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Toelichting
 
−
|style="background-color: white;"|geen bijzonderheden
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Temperatuur type
 
−
|style="background-color: white;"|Orale temperatuur (onder de tong) (code = '415945006' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Schedelomvang
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schedelomvang waarde
 
−
|style="background-color: white;"|25.5
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schedelomvang datum tijd
 
−
|style="background-color: white;"|T - 179 dagen om 14:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Apgar score na 1 min
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Apgar score totaal
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Apgar score na 5 min
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Apgar score totaal
 
−
|style="background-color: white;"|4
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Nsp h arterieel
 
−
|style="background-color: white;"|7.21 ph
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Be
 
−
|style="background-color: white;"|-11 mmol/l
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Problematiek kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="127"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Geboortetrauma
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Ademhalingsondersteuning
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="15"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ademhalingsondersteuning?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|toedienen van zuurstof via neusbril (verrichting) (code = '371907003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Oxygen therapy using high flow oxygen nasal cannula (procedure) (code = '57485005:424226004=426854004' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Continuous positive airway pressure ventilation treatment (procedure) (code = '47545007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Noninvasive ventilation (procedure) (code = '428311008' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|O2 op dag 28?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Respiratoir
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="21"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Respiratory distress syndrome in the newborn (disorder) (code = '46775006' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem begin datum
 
−
|style="background-color: white;"|T - 152 dagen om 08 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Aanvang
 
−
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Bronchopulmonary dysplasia of newborn - grade 3 (disorder) (code = '22041000146108' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Extracorporeal membrane oxygenation (procedure) (code = '233573008' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Medicatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Stimulatie ademhaling
 
−
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Surfactant
 
−
|style="background-color: white;"|NATUURLIJKE FOSFOLIPIDEN - LONGSURFACTANTS (code = 'R07AA02' in codeSystem 'ATC-NL')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Systemische steroiden
 
−
|style="background-color: white;"|CORTICOSTEROIDEN VOOR SYSTEMISCH GEBRUIK - SYSTEMISCHE HORMOONPREPARATEN, EXCL GESLACHTSHORMONEN (code = 'H02' in codeSystem 'ATC-NL')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Medicatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Stimulatie ademhaling
 
−
|style="background-color: white;"|DOXAPRAM (code = 'R07AB01' in codeSystem 'ATC-NL')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Circulatoir
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Low blood pressure (disorder) (code = '45007003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Infectieus
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="15"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|neonatale sepsis (aandoening) (code = '206376005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Lijnsepsis?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Onset
 
−
|style="background-color: white;"|vroege neonatale periode (kwalificatiewaarde) (code = '303114002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|urineweginfectie (aandoening) (code = '68566005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Neonatal pneumonia (disorder) (code = '233619008' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Antibiotica eerste 3 dagen?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Infuus
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Infuuskatheter
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Medisch hulpmiddel
 
−
|-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 - 179 dagen om 17 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Einddatum
 
−
|style="background-color: white;"|T - 148 dagen om 08 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gastrointestinaal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-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
 
−
|style="background-color: white;"|Zie [[#|: ]]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Hematologisch
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Treatment for trombocytopenia (procedure) (code = '59091000146106' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Metabool en endocrien
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="14"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Hypoglycemia (disorder) (code = '302866003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Intravenous infusion of glucose in hypoglycemia (procedure) (code = '109091000146105' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Neurologisch
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|echografische beeldvorming van hoofd (verrichting) (code = '241449005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|'magnetic resonance imaging' van hoofd (verrichting) (code = '241601008' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zintuigen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="15"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Probleem naam
 
−
|style="background-color: white;"|Plus disease (disorder) (code = '56341000146109' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Rop screening verricht?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Rop screening afgesloten?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aabr verricht?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aabr afwijkend?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Bera verricht?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Bera
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Bera afwijkend?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Bera lateraliteit
 
−
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ontslagoverplaatsing
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="15"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Nog opgenomen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Bestemming kind
 
−
|style="background-color: white;"|Discharge to other hospital (procedure) (code = '115851000146108' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Lichamelijk onderzoek
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichaamsgewicht
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht waarde
 
−
|style="background-color: white;"|4 kg
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht datum tijd
 
−
|style="background-color: white;"|T - 44 dagen om 09 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Schedelomvang
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schedelomvang meetmethode
 
−
|style="background-color: white;"|Meten van schedelomvang m.b.v. echografisch onderzoek (code = '31561000146107' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schedelomvang waarde
 
−
|style="background-color: white;"|34.6
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schedelomvang datum tijd
 
−
|style="background-color: white;"|T - 45 dagen om 10:20 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Voeding kind
 
−
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Mortaliteit
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Overlijden lt12 uur na opname nicu?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Overleden op verloskamer?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Follow up
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="21"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Na ontslag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="19"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|O2 op dag 28?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gradatie bpd
 
−
|style="background-color: white;"|Bronchopulmonary dysplasia of newborn - grade 1 (disorder) (code = '22021000146102' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zintuigen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="15"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Problemen aanwezig?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Probleem
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Probleem naam
 
−
|style="background-color: white;"|Plus disease (disorder) (code = '56341000146109' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verificatie status
 
−
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Rop screening verricht?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Rop screening afgesloten?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Aabr verricht?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Aabr afwijkend?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Bera verricht?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Bera
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Bera afwijkend?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Bera lateraliteit
 
−
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 
−
|}
 
−
==Scenario Testscenario 6: overleden op verloskamer ==
 
−
       
 
−
=== Documentgegevens ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Verificatie zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geverifieerd door zorgverlener?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verificatie datum
 
−
|style="background-color: white;"|
 
−
|}
 
−
=== Zorgaanbieder ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|
 
−
|}
 
−
=== Vrouw ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Demografische gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Patient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Identificatienummer
 
−
|style="background-color: white;"|000000000 (in identificerend systeem: BSN)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geboortedatum
 
−
|style="background-color: white;"|T - 29 jaar
 
−
|}
 
−
=== Zwangerschapsgegevens ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschapsgegevens
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Graviditeit
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Complicaties tijdens zwangerschap
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Complicaties zwangerschap?
 
−
|style="background-color: white;"|Nee
 
−
|}
 
−
=== Kind ===
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Kind
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Demografische gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Patient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Identificatienummer
 
−
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Geboortedatum
 
−
|style="background-color: white;"|T - 18 dagen om 13:20 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Geslacht
 
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Meerling indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Overlijdens indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Datum overlijden
 
−
|style="background-color: white;"|T - 18 dagen om 19 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Bevallingsgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zwangerschapsduur
 
−
|style="background-color: white;"|266 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aantal geboren kinderen
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Type partus
 
−
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Locatie partus
 
−
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Ondersteuning opvang
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|mechanische thoraxcompressies (verrichting) (code = '33631000146101' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verrichting
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verrichting type
 
−
|style="background-color: white;"|injectie van adrenaline (verrichting) (code = '313191000' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Opname gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="21"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Opname
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Opname datum
 
−
|style="background-color: white;"|T - 18 dagen om 13:30 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Ic opname?
 
−
|style="background-color: white;"|NullFlavor: NA
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Heropname?
 
−
|style="background-color: white;"|NullFlavor: NA
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Ontslag datum
 
−
|style="background-color: white;"|T - 18 dagen om 19 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Onderzoek
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="13"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Lichaamsgewicht
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Gewicht waarde
 
−
|style="background-color: white;"|3100 g
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Gewicht datum tijd
 
−
|style="background-color: white;"|T - 18 dagen om 13:30 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Apgar score na 1 min
 
−
|-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;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Apgar score na 5 min
 
−
|-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;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Nsp h arterieel
 
−
|style="background-color: white;"|7.13 ph
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Be
 
−
|style="background-color: white;"|-6.9 mmol/l
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Problematiek kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="19"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Ademhalingsondersteuning
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Ademhalingsondersteuning?
 
−
|style="background-color: white;"|NullFlavor: NI
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Circulatoir
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Infectieus
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Hematologisch
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zintuigen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Congenitale aandoeningen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Problemen aanwezig?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Mortaliteit
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Overlijden lt12 uur na opname nicu?
 
−
|style="background-color: white;"|NullFlavor: NA
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Overleden op verloskamer?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Oorzaak overlijden
 
−
|style="background-color: white;"|ernstige asfyxie bij geboorte (aandoening) (code = '57284007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Staken icbehandeling?
 
−
|style="background-color: white;"|NullFlavor: NA
 
 
|}
 
|}
−
[[Categorie:Kwalificatie]]
 

Huidige versie van 30 sep 2022 om 13:40

Tabel 1. Overzicht situaties specifieke en generieke MBH-id voor EVS en AIS
Situatie EVS AIS ETDR
Migreren van actuele en recent gestopte medicatie Specifieke MBH-id Generieke MBH-id Generieke MBH-id
Migreren van historische medicatie Generieke MBH-id Generieke MBH-id Generieke MBH-id
Starten van nieuwe MBH Specieke MBH-id Generieke MBH-id[1] Generieke MBH-id
  1. ↑ 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).
Overgenomen van "https://informatiestandaarden.test-nictiz.nl/index.php?title=mp:Vdraft_Sandbox&oldid=137150"