MedMij:V1.0 MP9.0.7-AddendaInhoudelijkeGegevens: verschil tussen versies

Uit informatiestandaarden
Naar navigatie springen Naar zoeken springen
Wetering (overleg | bijdragen)
Nieuwe pagina aangemaakt met ' __NUMBEREDHEADINGS__ {{IssueBox|Deze pagina is nog in bewerking}} link=https://www.nictiz.nl/|rechts|Naar nictiz.nl =Ad...'
 
MM-2845
 
(27 tussenliggende versies door 2 gebruikers niet weergegeven)
Regel 1: Regel 1:
__NUMBEREDHEADINGS__
__NUMBEREDHEADINGS__
{{IssueBox|Deze pagina is nog in bewerking}}
{{DISPLAYTITLE:Raadplegen medicatiegegevens 9.0.7: addendum inhoudelijke gegevens kwalificatie}}
[[Bestand:Nictiz_logo_PO_rechts_rgb.png |link=https://www.nictiz.nl/|rechts|Naar nictiz.nl]]


=Addenda voor inhoudelijke gegevens=
=Addenda voor inhoudelijke gegevens=
Regel 8: Regel 6:
<section begin=XXX_Amaya />
<section begin=XXX_Amaya />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Patiënt
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Patiënt
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Naamgegevens
|rowspan="6"|
|style="background-color: white;"|J. XXX_Amaya
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geboortedatum
|colspan="3"|Initialen
|style="background-color: white;"|6 aug 1964 
|style="background-color: white;"|J.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geslacht
|colspan="3"|Naamgebruik
|style="background-color: white;"|Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1')
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Geslachtsnaam
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
|style="background-color: white;"|XXX_Amaya
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
|style="background-color: white;"|999911764 [BSN]
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
|style="background-color: white;"|51107 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
|style="background-color: white;"|6 aug 1964
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|}<section end=XXX_Amaya />
|}<section end=XXX_Amaya />
===Medicatieafspraken XXX_Amaya ===
===Medicatieafspraken XXX_Amaya ===
<section begin=MA_XXX_Amaya />
<section begin=MA_XXX_Amaya />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_513_1_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_513_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_513_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 1 dag, om 11:25
|style="background-color: white;"|T - 1 dag om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 1 dag, gedurende 1 jaar''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 1 dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="4"|Gebruiksduur
|style="background-color: white;"|Vanaf T- 1 dag, gedurende 1 jaar
|style="background-color: white;"|1 jaar
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geannuleerd indicator
|colspan="5"|Geannuleerd indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="3"|Specialisme
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 1 dag, gedurende 1 jaar, 10 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T - 1 dag, gedurende 1 jaar, 10 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|10 maal per dag 1 stuk
|style="background-color: white;"|10 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_513_1
|style="background-color: white;"|MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_513_1_MA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_513_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_513_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T, om 09:00
|style="background-color: white;"|T om 09:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 1 jaar''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T, gedurende 1 jaar
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Gebruiksduur
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|1 jaar
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Bertine van  Doorn
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_513_1
|style="background-color: white;"|MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_513_2_MA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_513_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_513_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T, om 14:32
|style="background-color: white;"|T om 14:32 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Vanaf T, tot nader order
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar afspraak of gebruik: TA
|colspan="5"|Relatie naar afspraak of gebruik: TA
|style="background-color: white;"|MBH_513_2_TA_1
|style="background-color: white;"|MBH_513_2_TA_1
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="11"|
|style="background-color: white;"| - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Hans van  Doorn
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|99901111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Ziekenhuis Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Reden wijzigen of staken
|style="background-color: white;"|Opname (code = '305335007' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, tot nader order, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
|colspan="5"|Toelichting
|style="background-color: white;"|Toedieningsafspraak van apotheker ontvangen, geen medicatieafspraak van voorschrijver ontvangen. Deze nieuwe medicatieafspraak is gebaseerd op de toedieningsafspraak: MBH_513_2_TA_1
|style="background-color: white;"|Toedieningsafspraak van apotheker ontvangen, geen medicatieafspraak van voorschrijver ontvangen. Deze nieuwe medicatieafspraak is gebaseerd op de toedieningsafspraak: MBH_513_2_TA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_513_2
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_513_3_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_513_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_513_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T, om 14:32
|style="background-color: white;"|T om 14:32 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 28 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T, gedurende 28 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksduur
|style="background-color: white;"|28 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar afspraak of gebruik: MGB
|colspan="5"|Relatie naar afspraak of gebruik: MGB
|style="background-color: white;"|MBH_513_3_MGB_1
|style="background-color: white;"|MBH_513_3_MGB_1
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="11"|
|style="background-color: white;"| - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Hans van  Doorn
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|99901111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Ziekenhuis Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Reden van voorschrijven
|colspan="5"|Reden van voorschrijven
|style="background-color: white;"|Andere maligniteit bloed/lymfestelsel (code = 'B74' in codeSystem 'De Nederlandse editie van International Classification of Primary Care ICPC-1-NL')
|style="background-color: white;"|Andere maligniteit bloed/lymfestelsel (code = 'B74' in codeSystem 'De Nederlandse editie van International Classification of Primary Care ICPC-1-NL')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 28 dagen, 1 maal per week 5 stuks, oraal
|style="background-color: white;"|Vanaf T, gedurende 28 dagen, 1 maal per week 5 stuks, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per week 5 stuks
|style="background-color: white;"|1 maal per week 5 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_513_3
|style="background-color: white;"|MBH_513_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_513_4_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_513_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_513_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 5 dagen, om 09:35
|style="background-color: white;"|T - 5 dagen om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, gedurende 10 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 5 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Gebruiksduur
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|10 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="11"|
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Naamgegevens
|style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Specialisme
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|3 maal per dag 1 stuk
|style="background-color: white;"|3 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Lichaamslengte
|colspan="5"|Lichaamslengte
|style="background-color: white;"|155 cm. Gemeten: T- 5 dagen, om 09:35
|style="background-color: white;"|155 cm. Gemeten: T - 5 dagen om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Lichaamsgewicht
|colspan="5"|Lichaamsgewicht
|style="background-color: white;"|54 kg. Gemeten: T- 5 dagen, om 09:35
|style="background-color: white;"|54 kg. Gemeten: T - 5 dagen om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aanvullende informatie
|colspan="5"|Aanvullende informatie
|style="background-color: white;"|Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050')
|style="background-color: white;"|Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
|colspan="5"|Toelichting
|style="background-color: white;"|In overleg met specialist
|style="background-color: white;"|In overleg met specialist
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_513_4
|style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MA_XXX_Amaya />
|}<section end=MA_XXX_Amaya />
===Verstrekkingsverzoeken XXX_Amaya ===
===Verstrekkingsverzoeken XXX_Amaya ===
Regel 270: Regel 463:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="2"|Datum
|style="background-color: white;"|T, om 14:32
|style="background-color: white;"|T om 14:32 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Auteur
|colspan="2"|Auteur
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Ziekenhuis Stitswerd
|style="background-color: white;"|Hans van Doorn - Huisartsen, niet nader gespecificeerd. Ziekenhuis Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Te verstrekken hoeveelheid
|colspan="2"|Te verstrekken hoeveelheid
Regel 288: Regel 481:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toelichting
|colspan="2"|Toelichting
|style="background-color: white;"|nog in te vullen, zie word...
|style="background-color: white;"|Extra verstrekkingsverzoek omdat patiënt de medicatie is kwijt geraakt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar medicatieafspraak
|colspan="2"|Relatie naar medicatieafspraak
Regel 294: Regel 487:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="2"|MBH identificatie
|style="background-color: white;"|MBH_513_2
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
Regel 307: Regel 500:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="2"|Datum
|style="background-color: white;"|T- 5 dagen, om 09:35
|style="background-color: white;"|T - 5 dagen om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Auteur
|colspan="2"|Auteur
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Te verstrekken hoeveelheid
|colspan="2"|Te verstrekken hoeveelheid
Regel 334: Regel 527:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="2"|MBH identificatie
|style="background-color: white;"|MBH_513_4
|style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=VV_XXX_Amaya />
|}<section end=VV_XXX_Amaya />
===Toedieningsafspraken XXX_Amaya ===
===Toedieningsafspraken XXX_Amaya ===
<section begin=TA_XXX_Amaya />
<section begin=TA_XXX_Amaya />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_513_1_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_513_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_513_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T, om 12:25
|style="background-color: white;"|T om 12:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 1 jaar''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="3"|Gebruiksduur
|style="background-color: white;"|Vanaf T, gedurende 1 jaar
|style="background-color: white;"|1 jaar
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_513_1_MA_2
|style="background-color: white;"|MBH_513_1_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_513_1
|style="background-color: white;"|MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_513_2_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_513_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_513_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 7 dagen, om 14:52
|style="background-color: white;"|T - 7 dagen om 14:52 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 7 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order
|style="background-color: white;"|T - 7 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Reden afspraak
|colspan="4"|Reden afspraak
|style="background-color: white;"|Opname
|style="background-color: white;"|Opname
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T - 7 dagen, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_513_2_MA_1
|style="background-color: white;"|MBH_513_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_513_2
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_513_4_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_513_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_513_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 5 dagen, om 09:45
|style="background-color: white;"|T - 5 dagen om 09:45 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, gedurende 10 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|T - 5 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Gebruiksduur
|style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|10 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="5"|
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|AMOXICILLINE 500MG CAPSULE (code = '5223' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|AMOXICILLINE 500MG CAPSULE (code = '15423' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T - 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|3 maal per dag 1 stuk
|style="background-color: white;"|3 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aanvullende informatie
|colspan="4"|Aanvullende informatie
|style="background-color: white;"|Gebruiksinstructie gegeven (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2053')
|style="background-color: white;"|Gebruiksinstructie gegeven (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2053')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
|colspan="4"|Toelichting
|style="background-color: white;"|Wegens niet leverbaar zijn van Broxil
|style="background-color: white;"|Wegens niet leverbaar zijn van Broxil
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_513_4_MA_1
|style="background-color: white;"|MBH_513_4_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_513_4
|style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=TA_XXX_Amaya />
|}<section end=TA_XXX_Amaya />
===Verstrekkingen XXX_Amaya ===
===Verstrekkingen XXX_Amaya ===
<section begin=MVE_XXX_Amaya />
<section begin=MVE_XXX_Amaya />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekking
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekking
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_513_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|style="background-color: white;"|MBH_513_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanschrijfdatum
|colspan="4"|Aanschrijfdatum
|style="background-color: white;"|T, om 14:32
|style="background-color: white;"|T om 14:32 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekker
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek de Gulle Gaper
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekte hoeveelheid
|colspan="4"|Verstrekte hoeveelheid
|style="background-color: white;"|30 stuks
|style="background-color: white;"|30 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar verstrekkingsverzoek
|colspan="4"|Relatie naar verstrekkingsverzoek
|style="background-color: white;"|MBH_513_2_VV_2
|style="background-color: white;"|MBH_513_2_VV_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_513_2
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekking
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekking
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_513_4_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|style="background-color: white;"|MBH_513_4_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="4"|Datum
|style="background-color: white;"|T- 5 dagen, om 09:45
|style="background-color: white;"|T - 5 dagen om 09:45 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekker
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek de Gulle Gaper
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekte hoeveelheid
|colspan="4"|Verstrekte hoeveelheid
|style="background-color: white;"|30 stuks
|style="background-color: white;"|30 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|AMOXICILLINE 500MG CAPSULE (code = '5223' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|AMOXICILLINE 500MG CAPSULE (code = '15423' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Afleverlocatie
|colspan="4"|Afleverlocatie
|style="background-color: white;"|Huisadres patiënt
|style="background-color: white;"|Huisadres patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende informatie
|colspan="4"|Aanvullende informatie
|style="background-color: white;"|Aantal bewust gewijzigd (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2052')
|style="background-color: white;"|Aantal bewust gewijzigd (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2052')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toelichting
|colspan="4"|Toelichting
|style="background-color: white;"|Patiënt gaf aan nog wat op voorraad te hebben, wens patiënt om minder te verstrekken.
|style="background-color: white;"|Patiënt gaf aan nog wat op voorraad te hebben, wens patiënt om minder te verstrekken.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar verstrekkingsverzoek
|colspan="4"|Relatie naar verstrekkingsverzoek
|style="background-color: white;"|MBH_513_4_VV_1
|style="background-color: white;"|MBH_513_4_VV_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_513_4
|style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MVE_XXX_Amaya />
|}<section end=MVE_XXX_Amaya />
===Medicatiegebruik XXX_Amaya ===
===Medicatiegebruik XXX_Amaya ===
<section begin=MGB_XXX_Amaya />
<section begin=MGB_XXX_Amaya />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_513_2_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_513_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_513_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 2 dagen, om 15:39
|style="background-color: white;"|T - 2 dagen om 15:39 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 2 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 2 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="10"|
|style="background-color: white;"|Vanaf T- 2 dagen, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Hans van  Doorn
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|99901111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Ziekenhuis Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Informant
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Auteur
|style="background-color: white;"| - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
|style="background-color: white;"|Zorgverlener  :  Hans van Doorn  - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 2 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T - 2 dagen, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_513_2_MA_1
|style="background-color: white;"|MBH_513_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Informant
|colspan="5"|MBH identificatie
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="3"|Auteur
|style="background-color: white;"|Zorgverlener:  Hans van  Doorn  - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_513_2
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_513_2_MGB_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_513_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_513_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T, om 20:40
|style="background-color: white;"|T om 20:40 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 1 dag''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 1 dag
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Hans van  Doorn
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|99901111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Ziekenhuis Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Informant
|style="background-color: white;"|Vanaf T- 1 dag, tot nader order
|style="background-color: white;"|Persoon:  M. XXX_Amaya  - Mantelzorger. 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Auteur
|style="background-color: white;"| - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
|style="background-color: white;"|Zorgverlener  :  Hans van Doorn  - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 1 dag, tot nader order, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T - 1 dag, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_513_2_MA_1
|style="background-color: white;"|MBH_513_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Informant
|colspan="5"|MBH identificatie
|style="background-color: white;"|Persoon: M. XXX_Amaya  - Mantelzorger.
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|style="background-color: white;"|Zorgverlener:  Hans van  Doorn  - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_513_2
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik MBH_513_2_MGB_3
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="3" width="25%"| Gegevenselement
Regel 686: Regel 1.013:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="3"|Registratiedatum
|style="background-color: white;"|T, om 21:39
|style="background-color: white;"|T om 21:39 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="3"|Gebruik indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="3"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="2"|
|style="background-color: white;"|Vanaf T, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="2"|Ingangsdatum
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Informant
|style="background-color: white;"|Zorgverlener  :  Peter van Pulver  - Huisartsen, niet nader gespecificeerd.  Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|style="background-color: white;"|Zorgaanbieder  :  Ziekenhuis Stitswerd 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
Regel 705: Regel 1.043:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Omschrijving
|style="background-color: white;"|Vanaf T, tot nader order, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Toedieningsweg
Regel 715: Regel 1.053:
|colspan="3"|Gerelateerde afspraak : MA
|colspan="3"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_513_2_MA_1
|style="background-color: white;"|MBH_513_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Informant
|style="background-color: white;"|Zorgverlener:  Peter van  Pulver  - Huisartsen, niet nader gespecificeerd.  Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_513_2
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik MBH_5132_2_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="3" width="25%"| Gegevenselement
Regel 736: Regel 1.068:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="3"|Registratiedatum
|style="background-color: white;"|T, om 20:59
|style="background-color: white;"|T om 20:59 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="3"|Gebruik indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="3"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 1 dag''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Gebruiksduur
|style="background-color: white;"|Vanaf T, gedurende 1 dag
|style="background-color: white;"|1 dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Geneesmiddel - primaire code
Regel 761: Regel 1.104:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 1 dag, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T, gedurende 1 dag, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Toedieningsweg
Regel 771: Regel 1.114:
|colspan="3"|Gerelateerde verstrekking
|colspan="3"|Gerelateerde verstrekking
|style="background-color: white;"|MBH_5132_2_MVE_1
|style="background-color: white;"|MBH_5132_2_MVE_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_5132_2
|style="background-color: white;"|MBH_5132_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_513_3_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_513_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_513_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 3 dagen, om 20:59
|style="background-color: white;"|T - 3 dagen om 20:59 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 8 dagen, tot en met T - 3 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Ingangsdatum
|style="background-color: white;"| - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
|style="background-color: white;"|T - 8 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Einddatum
|style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|T - 3 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="10"|
|style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Naamgegevens
|style="background-color: white;"|Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59, 1 maal per week 5 stuks, oraal
|style="background-color: white;"|Hans van  Doorn
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Specialisme
|style="background-color: white;"|1 maal per week 5 stuks
|style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|rowspan="3"|
|style="background-color: white;"|MBH_513_3_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Patiënt
|style="background-color: white;"|99901111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Reden gebruik
|colspan="2"|Organisatie naam
|style="background-color: white;"|Lymfekanker
|style="background-color: white;"|Ziekenhuis Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|Auteur
|style="background-color: white;"|MBH_513_3
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 8 dagen, tot en met T - 3 dagen, 1 maal per week 5 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per week 5 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Reden gebruik
|style="background-color: white;"|Lymfekanker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Toelichting
|style="background-color: white;"|Tabletten wat lastig door te slikken, maar het lukt uiteindelijk wel.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_513_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik MBH_513_4_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="3" width="25%"| Gegevenselement
Regel 839: Regel 1.211:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="3"|Registratiedatum
|style="background-color: white;"|T- 4 dagen, om 22:35
|style="background-color: white;"|T - 4 dagen om 22:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="3"|Gebruik indicator
Regel 846: Regel 1.218:
|colspan="3"|Volgens afspraak indicator
|colspan="3"|Volgens afspraak indicator
|style="background-color: white;"|Nee
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="3"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, tot en met T - 4 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingangsdatum
|style="background-color: white;"|T - 5 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Einddatum
|style="background-color: white;"|Vanaf T- 5 dagen, tot en met T- 4 dagen, om 23:59
|style="background-color: white;"|T - 4 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Geneesmiddel - primaire code
Regel 861: Regel 1.244:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Omschrijving
|style="background-color: white;"|Vanaf T- 5 dagen, tot en met T- 4 dagen, om 23:59, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T - 5 dagen, tot en met T - 4 dagen, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Toedieningsweg
Regel 871: Regel 1.254:
|colspan="3"|Gerelateerde afspraak : MA
|colspan="3"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_513_4_MA_1
|style="background-color: white;"|MBH_513_4_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_513_4
|style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik MBH_513_4_MGB_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="3" width="25%"| Gegevenselement
Regel 889: Regel 1.269:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="3"|Registratiedatum
|style="background-color: white;"|T- 3 dagen, om 22:35
|style="background-color: white;"|T - 3 dagen om 22:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="3"|Gebruik indicator
Regel 896: Regel 1.276:
|colspan="3"|Volgens afspraak indicator
|colspan="3"|Volgens afspraak indicator
|style="background-color: white;"|Nee
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="3"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 3 dagen, gedurende 1 dag''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 3 dagen, gedurende 1 dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingangsdatum
|style="background-color: white;"|T - 3 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Gebruiksduur
|style="background-color: white;"|1 dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="3"|Stoptype
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Geneesmiddel - primaire code
Regel 914: Regel 1.305:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Omschrijving
|style="background-color: white;"|Vanaf T- 3 dagen, gedurende 1 dag, 0 stuks
|style="background-color: white;"|Vanaf T - 3 dagen, gedurende 1 dag, geneesmiddel niet in gebruik, tijdelijk gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="3"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_513_4_MA_1
|style="background-color: white;"|MBH_513_4_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_513_4
|style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MGB_XXX_Amaya />
|}<section end=MGB_XXX_Amaya />
==Patiënt Pauline P. XXX_Bourgonje==
==Patiënt Pauline P. XXX_Bourgonje==
<section begin=XXX_Bourgonje />
<section begin=XXX_Bourgonje />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Patiënt
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Patiënt
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
|style="background-color: white;"|Pauline
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Naamgegevens
|colspan="3"|Initialen
|style="background-color: white;"|Pauline P. XXX_Bourgonje
|style="background-color: white;"|P.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geboortedatum
|colspan="3"|Naamgebruik
|style="background-color: white;"|1 aug 1964  
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geslacht
|rowspan="2"|
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}<section end=XXX_Bourgonje />
|colspan="2"|Achternaam
===Medicatieafspraken XXX_Bourgonje ===
|style="background-color: white;"|XXX_Bourgonje
<section begin=MA_XXX_Bourgonje />
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
|style="background-color: white;"|999911296 [BSN]
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
|style="background-color: white;"|12102 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
|style="background-color: white;"|1 aug 1964
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
|}<section end=XXX_Bourgonje />
===Medicatieafspraken XXX_Bourgonje ===
<section begin=MA_XXX_Bourgonje />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_123_1_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_123_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_123_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 7 dagen
|style="background-color: white;"|T - 7 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 7 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 7 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Bertine van  Doorn
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|99001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Organisatie naam
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order
|style="background-color: white;"|Huisartsenpraktijk Stitswerd Oost
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="2"|Adresgegevens
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Stitswerd Oost
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid
|style="background-color: white;"|Vanaf T - 7 dagen, zo nodig 2 maal per dag, aanbrengen, Cutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|zo nodig 2 maal per dag
|style="background-color: white;"|zo nodig 2 maal per dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_123_1
|style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MA_XXX_Bourgonje />
|}<section end=MA_XXX_Bourgonje />
===Verstrekkingsverzoeken XXX_Bourgonje ===
===Verstrekkingsverzoeken XXX_Bourgonje ===
Regel 999: Regel 1.442:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="2"|Datum
|style="background-color: white;"|T- 7 dagen
|style="background-color: white;"|T - 7 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Auteur
|colspan="2"|Auteur
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Stitswerd Oost
|style="background-color: white;"|Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Stitswerd Oost
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Te verstrekken hoeveelheid
|colspan="2"|Te verstrekken hoeveelheid
Regel 1.008: Regel 1.451:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="2"|Geneesmiddel - primaire code
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Beoogd verstrekker
|colspan="2"|Beoogd verstrekker
Regel 1.017: Regel 1.460:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="2"|MBH identificatie
|style="background-color: white;"|MBH_123_1
|style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=VV_XXX_Bourgonje />
|}<section end=VV_XXX_Bourgonje />
===Toedieningsafspraken XXX_Bourgonje ===
===Toedieningsafspraken XXX_Bourgonje ===
<section begin=TA_XXX_Bourgonje />
<section begin=TA_XXX_Bourgonje />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_123_1_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_123_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_123_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 7 dagen
|style="background-color: white;"|T - 7 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 7 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="2"|
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|T - 7 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="5"|
|style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="3"|
|style="background-color: white;"|CETOMACROGOLCREME MET VASEL (code = '92789' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|Cetomacrogolcreme met 10% vaseline FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid
|style="background-color: white;"|Vanaf T - 7 dagen, zo nodig 2 maal per dag, aanbrengen, Cutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="3"|Aanvullende instructie
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|zo nodig 2 maal per dag
|style="background-color: white;"|zo nodig 2 maal per dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_123_1_MA_1
|style="background-color: white;"|MBH_123_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_123_1
|style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=TA_XXX_Bourgonje />
|}<section end=TA_XXX_Bourgonje />
===Verstrekkingen XXX_Bourgonje ===
===Verstrekkingen XXX_Bourgonje ===
<section begin=MVE_XXX_Bourgonje />
<section begin=MVE_XXX_Bourgonje />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekking
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekking
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_123_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|style="background-color: white;"|MBH_123_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="4"|Datum
|style="background-color: white;"|T- 7 dagen
|style="background-color: white;"|T - 7 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekker
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek de Gulle Gaper
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekte hoeveelheid
|colspan="4"|Verstrekte hoeveelheid
|style="background-color: white;"|100 gram
|style="background-color: white;"|100 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|Cetomacrogolcreme met 10% vaseline FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|CETOMACROGOLCREME MET VASEL (code = '92789' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar verstrekkingsverzoek
|colspan="4"|Relatie naar verstrekkingsverzoek
|style="background-color: white;"|MBH_123_1_VV_1
|style="background-color: white;"|MBH_123_1_VV_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_123_1
|style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MVE_XXX_Bourgonje />
|}<section end=MVE_XXX_Bourgonje />
===Medicatiegebruik XXX_Bourgonje ===
===Medicatiegebruik XXX_Bourgonje ===
<section begin=MGB_XXX_Bourgonje />
<section begin=MGB_XXX_Bourgonje />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_123_1_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_123_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_123_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 4 dagen, om 20:58
|style="background-color: white;"|T - 4 dagen om 20:58 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, gedurende 2 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 5 dagen, gedurende 2 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Stitswerd Oost
|style="background-color: white;"|T - 5 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Gebruiksduur
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-StandaardGPK')
|style="background-color: white;"|2 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Bertine van  Doorn
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|99001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Stitswerd Oost
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-StandaardGPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 5 dagen, gedurende 2 dagen, 2 maal per dag, aanbrengen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|2 maal per dag
|style="background-color: white;"|2 maal per dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_123_1_MA_1
|style="background-color: white;"|MBH_123_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="5"|MBH identificatie
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_123_1
|}<section end=MGB_XXX_Bourgonje />
|}<section end=MGB_XXX_Bourgonje />
==Patiënt J. XXX_Cnossen==
==Patiënt J. XXX_Cnossen==
<section begin=XXX_Cnossen />
<section begin=XXX_Cnossen />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Patiënt
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Patiënt
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Naamgegevens
|colspan="3"|Initialen
|style="background-color: white;"|J. XXX_Cnossen
|style="background-color: white;"|J.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geboortedatum
|colspan="3"|Naamgebruik
|style="background-color: white;"|4 aug 1964  
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geslacht
|rowspan="2"|
|style="background-color: white;"|Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
|style="background-color: white;"|XXX_Cnossen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
|style="background-color: white;"|999911740 [BSN]
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
|style="background-color: white;"|31105 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
|style="background-color: white;"|4 aug 1964
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|}<section end=XXX_Cnossen />
|}<section end=XXX_Cnossen />
===Medicatieafspraken XXX_Cnossen ===
===Medicatieafspraken XXX_Cnossen ===
<section begin=MA_XXX_Cnossen />
<section begin=MA_XXX_Cnossen />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_313_1_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_313_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_313_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 100 dagen, om 12:11
|style="background-color: white;"|T - 100 dagen om 12:11 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="2"|
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 100 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="11"|
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Naamgegevens
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Specialisme
|style="background-color: white;"|1 maal per dag 1 dosis
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|rowspan="4"|
|style="background-color: white;"|MBH_313_1
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|MBH_313_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="2"|Organisatie naam
|style="background-color: white;"|T- 60 dagen, om 13:54
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Adresgegevens
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 dosis, inhalatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 dosis
|style="background-color: white;"|1 maal per dag 1 dosis
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_313_1
|style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_313_1_MA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_313_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_313_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T - 60 dagen om 13:54 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 59 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|rowspan="3"|
|style="background-color: white;"|T- 500 dagen, om 10:19
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Vanaf T- 500 dagen, tot nader order
|style="background-color: white;"|T - 100 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Einddatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 59 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Stoptype
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="10"|
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Naamgegevens
|style="background-color: white;"|Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen
|style="background-color: white;"|John de  Vries
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Specialisme
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|rowspan="4"|
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|1 maal per dag 1 druppel
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_313_2
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Reden wijzigen of staken
|style="background-color: white;"|Toedieningsweg voldoet niet (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 59 dagen, 1 maal per dag 1 dosis, inhalatie, definitief gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 dosis
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_313_2_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_313_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_313_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T - 500 dagen om 10:19 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 500 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 500 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|rowspan="4"|
|style="background-color: white;"|T- 366 dagen, om 17:54
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="2"|Organisatie naam
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="2"|Adresgegevens
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, Vanaf 21 apr 2017 tot en met 2 sep 2017 17:00, 1x per dag 1 druppel, in beide ogen
|style="background-color: white;"|Vanaf T - 500 dagen, 1 maal per dag 1 druppel, in beide ogen, oculair
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 druppel
|style="background-color: white;"|1 maal per dag 1 druppel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_313_2
|style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_313_2_MA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_313_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_313_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 100 dagen, om 12:11
|style="background-color: white;"|T - 366 dagen om 17:54 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 500 dagen, tot en met T - 366 dagen om 17:00 uur''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 500 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Einddatum
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|T - 366 dagen om 17:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Stoptype
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|rowspan="8"|
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Naamgegevens
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|John de  Vries
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Specialisme
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|rowspan="4"|
|style="background-color: white;"|MBH_313_3
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|MBH_313_3_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="2"|Organisatie naam
|style="background-color: white;"|T- 4 dagen, om 13:54
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Adresgegevens
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="5"|Reden wijzigen of staken
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|Toedieningsweg voldoet niet (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="5"|
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 500 dagen, tot en met T - 366 dagen om 17:00 uur, 1 maal per dag 1 druppel, in beide ogen, oculair, definitief gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 druppel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_313_3
|style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_313_3_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_313_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_313_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T - 100 dagen om 12:11 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 100 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|T- 300 dagen, om 14:23
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Organisatie naam
|style="background-color: white;"|Vanaf T- 300 dagen, tot nader order
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="2"|Adresgegevens
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_313_4
|style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_313_3_MA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_313_4_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_313_3_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 222 dagen, om 08:54
|style="background-color: white;"|T - 4 dagen om 13:54 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 5 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|T - 100 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Einddatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 5 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Stoptype
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="10"|
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Naamgegevens
|style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken
|style="background-color: white;"|John de  Vries
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Specialisme
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|rowspan="4"|
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|MBH_313_4
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|}<section end=MA_XXX_Cnossen />
===Toedieningsafspraken XXX_Cnossen ===
<section begin=TA_XXX_Cnossen />
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_313_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="2"|Adresgegevens
|style="background-color: white;"|T- 100 dagen, om 12:11
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie
|style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 5 dagen, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 dosis
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_313_1_MA_1
|style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_313_1
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_313_4_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_313_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_313_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 60 dagen, om 13:54
|style="background-color: white;"|T - 300 dagen om 14:23 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 300 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="2"|
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|T - 300 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|rowspan="11"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Naamgegevens
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Omschrijving
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Vanaf T - 300 dagen, 1 maal per dag 1 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Toedieningsweg
|style="background-color: white;"|1 maal per dag 1 dosis
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Doseerinstructie
|style="background-color: white;"|MBH_313_1_MA_2
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_313_1
|style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_313_4_MA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_313_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_313_4_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 500 dagen, om 10:19
|style="background-color: white;"|T - 222 dagen om 08:54 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 300 dagen, tot en met T - 223 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 500 dagen, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|T - 300 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Einddatum
|style="background-color: white;"|LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|T - 223 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Stoptype
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="10"|
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Naamgegevens
|style="background-color: white;"|Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen
|style="background-color: white;"|John de  Vries
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Specialisme
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|rowspan="4"|
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 300 dagen, tot en met T - 223 dagen, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Toedieningsweg
|style="background-color: white;"|1 maal per dag 1 druppel
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Doseerinstructie
|style="background-color: white;"|MBH_313_2_MA_1
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_313_2
|style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}<section end=MA_XXX_Cnossen />
===Toedieningsafspraken XXX_Cnossen ===
<section begin=TA_XXX_Cnossen />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_313_1_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_313_2_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_313_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 366 dagen, om 17:54
|style="background-color: white;"|T - 100 dagen om 12:11 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="2"|
|style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|T - 100 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|rowspan="5"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="3"|
|style="background-color: white;"|LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="2"|Organisatie naam
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|rowspan="4"|
|style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, 1x per dag 1 druppel, in beide ogen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Omschrijving
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 dosis, inhalatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="3"|Toedieningsweg
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 druppel
|style="background-color: white;"|1 maal per dag 1 dosis
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_313_2_MA_2
|style="background-color: white;"|MBH_313_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_313_2
|style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_313_1_TA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_313_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_313_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 100 dagen, om 12:30
|style="background-color: white;"|T - 60 dagen om 13:54 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 59 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|T - 100 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Einddatum
|style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|T - 59 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Stoptype
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="5"|
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Organisatie naam
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_313_3_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_313_3
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|-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;"|MBH_313_3_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|style="background-color: white;"|T- 4 dagen, om 14:54
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken
|style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 59 dagen, 1 maal per dag 1 dosis, inhalatie, definitief gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 dosis
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_313_3_MA_2
|style="background-color: white;"|MBH_313_1_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_313_3
|style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_313_2_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_313_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_313_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T - 500 dagen om 10:19 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 500 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ingangsdatum
|style="background-color: white;"|T - 500 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|rowspan="3"|
|style="background-color: white;"|T- 300 dagen, om 15:23
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf T- 300 dagen, tot nader order
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T - 500 dagen, 1 maal per dag 1 druppel, in beide ogen, oculair
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Aanvullende instructie
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 druppel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_313_4_MA_1
|style="background-color: white;"|MBH_313_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_313_4
|style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_313_2_TA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_313_4_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_313_2_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T - 366 dagen om 17:54 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 500 dagen, tot en met T - 366 dagen om 17:00 uur''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ingangsdatum
|style="background-color: white;"|T - 500 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Einddatum
|style="background-color: white;"|T - 366 dagen om 17:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Stoptype
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|rowspan="5"|
|style="background-color: white;"|T- 222 dagen, om 09:54
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T - 500 dagen, tot en met T - 366 dagen om 17:00 uur, 1 maal per dag 1 druppel, in beide ogen, oculair, definitief gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal – tijdelijk onderbreken
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Aanvullende instructie
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 druppel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_313_4_MA_2
|style="background-color: white;"|MBH_313_2_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_313_4
|style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=TA_XXX_Cnossen />
|}
===Medicatiegebruik XXX_Cnossen ===
<section begin=MGB_XXX_Cnossen />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_313_3_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_313_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_313_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T - 100 dagen om 12:30 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ingangsdatum
|style="background-color: white;"|T - 100 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|rowspan="3"|
|style="background-color: white;"|T- 59 dagen, om 12:11
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Ja
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Organisatie naam
|style="background-color: white;"|Vanaf T- 59 dagen, tot nader order
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 59 dagen, tot nader order, 1 maal per dag 1 dosis
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 dosis
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_313_1_MA_1
|style="background-color: white;"|MBH_313_3_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|MBH identificatie
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_313_1
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_313_3_TA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_313_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_313_3_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T - 4 dagen om 14:54 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 5 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|rowspan="3"|
|style="background-color: white;"|7 jul 2018, om 15:25
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Nee
|style="background-color: white;"|T - 100 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="3"|Einddatum
|style="background-color: white;"|Ja
|style="background-color: white;"|T - 5 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="4"|Stoptype
|style="background-color: white;"|Vanaf 7 jul 2018, om 07:00, tot nader order
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|rowspan="5"|
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="3"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="2"|Organisatie naam
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Vanaf 7 jul 2018, om 07:00, tot nader order, Vanaf 7 juli, geen gebruik
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_313_1_MA_2
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|rowspan="4"|
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="3"|Omschrijving
|style="background-color: white;"|MBH_313_1
|style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 5 dagen, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="3"|Toedieningsweg
|style="background-color: white;"|MBH_313_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="3"|Doseerinstructie
|style="background-color: white;"|21 apr 2017, om 10:19
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|Ja
|style="background-color: white;"|MBH_313_3_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="4"|MBH identificatie
|style="background-color: white;"|Ja
|style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_313_4_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="4"|Identificatie
|style="background-color: white;"|Vanaf 21 apr 2017, tot nader order
|style="background-color: white;"|MBH_313_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Afspraakdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 300 dagen om 15:23 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 300 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="2"|
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Ingangsdatum
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|T - 300 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|rowspan="3"|
|style="background-color: white;"|Vanaf 21 apr 2017, tot nader order, 1x per dag 1 druppel, in beide ogen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="2"|Organisatie naam
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|1 maal per dag 1 druppel
|style="background-color: white;"|OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_313_2_MA_1
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Patiënt
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|rowspan="4"|
|style="background-color: white;"|MBH_313_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T - 300 dagen, 1 maal per dag 1 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_313_4_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_313_4_TA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_313_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_313_4_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 365 dagen, om 17:54
|style="background-color: white;"|T - 222 dagen om 09:54 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 300 dagen, tot en met T - 223 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|rowspan="3"|
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Ja
|style="background-color: white;"|T - 300 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="3"|Einddatum
|style="background-color: white;"|Vanaf T- 366 dagen, tot nader order
|style="background-color: white;"|T - 223 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="4"|Stoptype
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="5"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="3"|
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|Vanaf T- 366 dagen, tot nader order, geen gebruik
|style="background-color: white;"|OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_313_2_MA_2
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Patiënt
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|rowspan="4"|
|style="background-color: white;"|MBH_313_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T - 300 dagen, tot en met T - 223 dagen, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_313_4_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=TA_XXX_Cnossen />
===Medicatiegebruik XXX_Cnossen ===
<section begin=MGB_XXX_Cnossen />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_313_1_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_313_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_313_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|26 mei 2018, om 14:11
|style="background-color: white;"|T - 100 dagen om 12:11 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|rowspan="2"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 100 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="8"|
|style="background-color: white;"|Vanaf 26 mei 2018, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Naamgegevens
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf 26 mei 2018, tot nader order, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Organisatie naam
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="5"|Auteur
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_313_3_MA_1
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 dosis, inhalatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 dosis
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MBH_313_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_313_3
|style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_313_1_MGB_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_313_3_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_313_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|29 aug 2018, om 13:54
|style="background-color: white;"|T - 60 dagen om 15:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Nee
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 60 dagen om 07:00 uur''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 60 dagen om 07:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Stoptype
|style="background-color: white;"|Vanaf 29 aug 2018, tot nader order
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|rowspan="9"|
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="7"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Naamgegevens
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|John de  Vries
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf 29 aug 2018, tot nader order, gebruik onderbroken
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_313_3_MA_2
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_313_3
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
|}
|-style="vertical-align:top; background-color: #E3E3E3;;"
{| class="wikitable" width="85%"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 60 dagen om 07:00 uur, geneesmiddel niet in gebruik, definitief gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_313_1_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_313_2_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_313_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_313_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|7 nov 2017, om 17:23
|style="background-color: white;"|T - 500 dagen om 10:19 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Nee
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Vanaf 7 nov 2017, tot nader order
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 500 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="2"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|T - 500 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="10"|
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Specialisme
|style="background-color: white;"|Vanaf 7 nov 2017, tot nader order, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|rowspan="3"|
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_313_4_MA_1
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_313_4
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_313_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="4"|Omschrijving
|style="background-color: white;"|T- 222 dagen, om 19:35
|style="background-color: white;"|Vanaf T - 500 dagen, 1 maal per dag 1 druppel, in beide ogen, oculair
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="4"|Doseerinstructie
|style="background-color: white;"|Nee
|style="background-color: white;"|1 maal per dag 1 druppel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|Ja
|style="background-color: white;"|MBH_313_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|MBH identificatie
|style="background-color: white;"|Vanaf T- 222 dagen, tot nader order
|style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_313_2_MGB_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="5"|Identificatie
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|MBH_313_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Registratiedatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 365 dagen om 17:54 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 366 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Vanaf T- 222 dagen, tot nader order, gebruik onderbroken
|style="background-color: white;"|T - 366 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Stoptype
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|rowspan="9"|
|style="background-color: white;"|MBH_313_4_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|rowspan="7"|
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="3"|Naamgegevens
|style="background-color: white;"|MBH_313_4
|style="background-color: white;"|John de Vries
|}<section end=MGB_XXX_Cnossen />
==Patiënt R. XXX_Dirksz==
<section begin=XXX_Dirksz />
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Patiënt
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="2" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Naamgegevens
|colspan="3"|Specialisme
|style="background-color: white;"|R. XXX_Dirksz
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geboortedatum
|rowspan="3"|
|style="background-color: white;"|1 aug 1964 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geslacht
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1')
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|}<section end=XXX_Dirksz />
===Medicatieafspraken XXX_Dirksz ===
<section begin=MA_XXX_Dirksz />
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_113_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Auteur
|style="background-color: white;"|T- 50 dagen, om 11:25
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal
|style="background-color: white;"|Vanaf T - 366 dagen, geneesmiddel niet in gebruik, definitief gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|MBH_313_2_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="5"|MBH identificatie
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
|style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_113_1
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_313_3_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_113_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_313_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 30 dagen, om 14:55
|style="background-color: white;"|T - 100 dagen om 14:11 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="2"|
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Ingangsdatum
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|T - 100 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="10"|
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Naamgegevens
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Specialisme
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|rowspan="3"|
|style="background-color: white;"|MBH_113_2
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|MBH_113_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="2"|Organisatie naam
|style="background-color: white;"|T- 30 dagen, om 14:57
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Auteur
|style="background-color: white;"|Vanaf T- 30 dagen, tot nader order
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_113_3
|style="background-color: white;"|MBH_313_3_MA_1
|}<section end=MA_XXX_Dirksz />
|-style="vertical-align:top; background-color: #E3E3E3;;"
===Verstrekkingsverzoeken XXX_Dirksz ===
|colspan="5"|MBH identificatie
<section begin=VV_XXX_Dirksz />
|style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_313_3_MGB_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_113_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|style="background-color: white;"|MBH_313_3_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 50 dagen, om 11:25
|style="background-color: white;"|T - 4 dagen om 13:54 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Auteur
|colspan="5"|Gebruik indicator
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Te verstrekken hoeveelheid
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|30 stuks
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 4 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|rowspan="2"|
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 4 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Stoptype
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|rowspan="9"|
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Beoogd verstrekker
|rowspan="7"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar medicatieafspraak
|colspan="3"|Naamgegevens
|style="background-color: white;"|MBH_113_1_MA_1
|style="background-color: white;"|John de  Vries
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="3"|Specialisme
|style="background-color: white;"|MBH_113_1
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|}
|-style="vertical-align:top; background-color: #E3E3E3;;"
{| class="wikitable" width="85%"
|colspan="4"|Zorgaanbieder
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|rowspan="3"|
|style="background-color: white;"|MBH_113_2_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|T- 30 dagen, om 14:55
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Auteur
|colspan="2"|Organisatie naam
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Te verstrekken hoeveelheid
|colspan="5"|Auteur
|style="background-color: white;"|21 stuks
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|rowspan="2"|
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Beoogd verstrekker
|colspan="4"|Omschrijving
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|Vanaf T - 4 dagen, geneesmiddel niet in gebruik, tijdelijk gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar medicatieafspraak
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_113_2_MA_1
|style="background-color: white;"|MBH_313_3_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_113_2
|style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_313_4_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_113_3_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|style="background-color: white;"|MBH_313_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 30 dagen, om 14:57
|style="background-color: white;"|T - 300 dagen om 17:23 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Auteur
|colspan="5"|Gebruik indicator
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 300 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Te verstrekken hoeveelheid
|rowspan="2"|
|style="background-color: white;"|21 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="4"|Ingangsdatum
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|T - 300 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|rowspan="10"|
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Beoogd verstrekker
|rowspan="8"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar medicatieafspraak
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|MBH_113_3_MA_1
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="3"|Naamgegevens
|style="background-color: white;"|MBH_113_3
|style="background-color: white;"|Peter van Pulver
|}<section end=VV_XXX_Dirksz />
===Toedieningsafspraken XXX_Dirksz ===
<section begin=TA_XXX_Dirksz />
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Toedieningsafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="3"|Specialisme
|style="background-color: white;"|MBH_113_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|rowspan="3"|
|style="background-color: white;"|T- 50 dagen, om 11:25
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Auteur
|style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal
|style="background-color: white;"|Vanaf T - 300 dagen, 1 maal per dag 1 stuk, oraal, geneesmiddel niet in gebruik
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_113_1_MA_1
|style="background-color: white;"|MBH_313_4_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_113_1
|style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_313_4_MGB_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_113_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_313_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 30 dagen, om 14:55
|style="background-color: white;"|T - 222 dagen om 19:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 222 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="2"|
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Ingangsdatum
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|T - 222 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Stoptype
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|rowspan="7"|
|style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59, 1 maal per dag 1 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Naamgegevens
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|John de  Vries
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Specialisme
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|rowspan="3"|
|style="background-color: white;"|MBH_113_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|MBH_113_2
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_113_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Auteur
|style="background-color: white;"|T- 30 dagen, om 14:57
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Vanaf T- 30 dagen, tot nader order
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="2"|
|style="background-color: white;"|ROTER APC TABLET (code = '2185' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Omschrijving
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Vanaf T - 222 dagen, geneesmiddel niet in gebruik, tijdelijk gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MBH_313_4_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="5"|MBH identificatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|colspan="2"|Omschrijving
|}<section end=MGB_XXX_Cnossen />
|style="background-color: white;"|Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
==Patiënt R. XXX_Dirksz==
|-style="vertical-align:top; background-color: #E3E3E3;;"
<section begin=XXX_Dirksz />
|colspan="2"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_113_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_113_3
|}<section end=TA_XXX_Dirksz />
===Verstrekkingen XXX_Dirksz ===
<section begin=MVE_XXX_Dirksz />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekking
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Patiënt
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|rowspan="6"|
|style="background-color: white;"|MBH_113_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="3"|Initialen
|style="background-color: white;"|T- 50 dagen, om 12:25
|style="background-color: white;"|R.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekker
|colspan="3"|Naamgebruik
|style="background-color: white;"|Apotheek de Gulle Gaper
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekte hoeveelheid
|rowspan="2"|
|style="background-color: white;"|30 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="2"|Achternaam
|style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|XXX_Dirksz
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Identificatienummer
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|999911326 [BSN]
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Identificatienummer
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|11101 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar verstrekkingsverzoek
|colspan="4"|Geboortedatum
|style="background-color: white;"|MBH_113_1_VV_1
|style="background-color: white;"|1 aug 1964
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="4"|Geslacht
|style="background-color: white;"|MBH_113_1
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|}
|}<section end=XXX_Dirksz />
===Medicatieafspraken XXX_Dirksz ===
<section begin=MA_XXX_Dirksz />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekking
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_113_1_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_113_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|style="background-color: white;"|MBH_113_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T - 50 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, tot en met T - 20 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 50 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Einddatum
|style="background-color: white;"|T - 20 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="2"|Adresgegevens
|style="background-color: white;"|T- 30 dagen, om 15:55
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekker
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Apotheek de Gulle Gaper
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekte hoeveelheid
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|25 stuks
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|rowspan="4"|
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Omschrijving
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Vanaf T - 50 dagen, tot en met T - 20 dagen, zo nodig 1 maal per dag 1 stuk, Rectaal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Toedieningsweg
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar verstrekkingsverzoek
|colspan="4"|Doseerinstructie
|style="background-color: white;"|MBH_113_2_VV_1
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_113_2
|style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekking
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_113_2_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_113_3_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|style="background-color: white;"|MBH_113_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 30 dagen, om 15:56
|style="background-color: white;"|T - 30 dagen om 14:55 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen, tot en met T - 9 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekker
|rowspan="3"|
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekte hoeveelheid
|colspan="4"|Ingangsdatum
|style="background-color: white;"|21 stuks
|style="background-color: white;"|T - 30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="4"|Einddatum
|style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|T - 9 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|rowspan="9"|
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar verstrekkingsverzoek
|colspan="3"|Naamgegevens
|style="background-color: white;"|MBH_113_3_VV_1
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="3"|Specialisme
|style="background-color: white;"|MBH_113_3
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|}<section end=MVE_XXX_Dirksz />
|-style="vertical-align:top; background-color: #E3E3E3;;"
===Medicatiegebruik XXX_Dirksz ===
|colspan="4"|Zorgaanbieder
<section begin=MGB_XXX_Dirksz />
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|rowspan="4"|
|style="background-color: white;"|MBH_113_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|T- 48 dagen, om 11:25
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="2"|Organisatie naam
|style="background-color: white;"|Ja
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Adresgegevens
|style="background-color: white;"|Vanaf T- 48 dagen, gedurende 1 dag
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 48 dagen, gedurende 1 dag, zo nodig 1 maal per dag 1 stuk, rectaal
|style="background-color: white;"|Vanaf T - 30 dagen, tot en met T - 9 dagen, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_113_1_MA_1
|style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="3"|Auteur
{| class="wikitable" width="85%"
|style="background-color: white;"|Patiënt
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_113_3_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3"|MBH identificatie
|colspan="5" width="25%"| Gegevenselement
|style="background-color: white;"|MBH_113_1
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_113_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_113_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 13 dagen, om 14:55
|style="background-color: white;"|T - 30 dagen om 14:57 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|rowspan="2"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Ja
|style="background-color: white;"|T - 30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="11"|
|style="background-color: white;"|Vanaf T- 30 dagen, gedurende 3 weken
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="9"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Naamgegevens
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Vanaf T- 30 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|rowspan="4"|
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="4"|Omschrijving
|style="background-color: white;"|MBH_113_2_MA_1
|style="background-color: white;"|Vanaf T - 30 dagen, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Patiënt
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|MBH_113_2
|style="background-color: white;"|1 maal per dag 1 stuk
|}
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MA_XXX_Dirksz />
===Verstrekkingsverzoeken XXX_Dirksz ===
<section begin=VV_XXX_Dirksz />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="2" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Identificatie
|style="background-color: white;"|MBH_113_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_113_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="2"|Datum
|style="background-color: white;"|T- 29 dagen, om 14:57
|style="background-color: white;"|T - 50 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="2"|Auteur
|style="background-color: white;"|Ja
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Te verstrekken hoeveelheid
|style="background-color: white;"|Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59
|style="background-color: white;"|30 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="2"|Geneesmiddel - primaire code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="2"|Beoogd verstrekker
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_113_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|MBH identificatie
|style="background-color: white;"|Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59, 1 maal per dag 1 stuk, oraal
|style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="2" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Identificatie
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|MBH_113_2_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Datum
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|T - 30 dagen om 14:55 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Auteur
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Te verstrekken hoeveelheid
|style="background-color: white;"|21 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="2"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_113_3_MA_1
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|Patiënt
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_113_3
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
|}<section end=MGB_XXX_Dirksz />
==Patiënt R. XXX_Gobee==
<section begin=XXX_Gobee />
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Patiënt
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="2" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Naamgegevens
|colspan="2"|Beoogd verstrekker
|style="background-color: white;"|R. XXX_Gobee
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geboortedatum
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|1 aug 1964 
|style="background-color: white;"|MBH_113_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geslacht
|colspan="2"|MBH identificatie
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1')
|style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=XXX_Gobee />
|}
===Medicatieafspraken XXX_Gobee ===
<section begin=MA_XXX_Gobee />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="2" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Identificatie
|style="background-color: white;"|MBH_213_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_113_3_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="2"|Datum
|style="background-color: white;"|T- 50 dagen, om 11:25
|style="background-color: white;"|T - 30 dagen om 14:57 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Auteur
|style="background-color: white;"|Vanaf T- 50 dagen, tot nader order
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="2"|Te verstrekken hoeveelheid
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|21 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="2"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="2"|Beoogd verstrekker
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal
|style="background-color: white;"|MBH_113_3_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|MBH identificatie
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}<section end=VV_XXX_Dirksz />
|colspan="2"|Doseerinstructie
===Toedieningsafspraken XXX_Dirksz ===
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
<section begin=TA_XXX_Dirksz />
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_213_1
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_113_1_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_213_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_113_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 40 dagen, om 09:13
|style="background-color: white;"|T - 50 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, tot en met T - 20 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|T - 50 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar afspraak of gebruik: MA
|colspan="3"|Einddatum
|style="background-color: white;"|MBH_213_1_MA_1
|style="background-color: white;"|T - 20 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="5"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59, 1 à 2 maal per dag 1 tablet, oraal
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Organisatie naam
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
|style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_213_1_MA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|style="background-color: white;"|T- 40 dagen, om 09:13
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar afspraak of gebruik: MA
|style="background-color: white;"|MBH_213_1_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal
|style="background-color: white;"|Vanaf T - 50 dagen, tot en met T - 20 dagen, zo nodig 1 maal per dag 1 stuk, Rectaal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Doseerinstructie
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|2 maal per dag 1 stuk
|style="background-color: white;"|MBH_113_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_113_2_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_213_1_MA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_113_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T - 30 dagen om 14:55 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen, tot en met T - 9 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ingangsdatum
|style="background-color: white;"|T - 30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="3"|Einddatum
|style="background-color: white;"|T- 15 dagen, om 16:25
|style="background-color: white;"|T - 9 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="5"|
|style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar afspraak of gebruik: MA
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_213_1_MA_3
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal
|style="background-color: white;"|Vanaf T - 30 dagen, tot en met T - 9 dagen, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Doseerinstructie
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|2 maal per dag 1 stuk
|style="background-color: white;"|MBH_113_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_113_3_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_213_1_MA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_113_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 15 dagen, om 16:25
|style="background-color: white;"|T - 30 dagen om 14:57 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="2"|
|style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ingangsdatum
|style="background-color: white;"|T - 30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar afspraak of gebruik: MA
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_213_1_MA_4
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal
|style="background-color: white;"|Vanaf T - 30 dagen, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|MBH_113_3_MA_1
|}<section end=MA_XXX_Gobee />
|-style="vertical-align:top; background-color: #E3E3E3;;"
===Verstrekkingsverzoeken XXX_Gobee ===
|colspan="4"|MBH identificatie
<section begin=VV_XXX_Gobee />
|style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=TA_XXX_Dirksz />
===Verstrekkingen XXX_Dirksz ===
<section begin=MVE_XXX_Dirksz />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekking
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_213_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|style="background-color: white;"|MBH_113_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Datum
|style="background-color: white;"|T - 50 dagen om 12:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|rowspan="3"|
|style="background-color: white;"|T- 50 dagen, om 11:25
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Auteur
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Te verstrekken hoeveelheid
|colspan="2"|Organisatie naam
|style="background-color: white;"|40 stuks
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aantal herhalingen
|colspan="4"|Verstrekte hoeveelheid
|style="background-color: white;"|1
|style="background-color: white;"|30 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Beoogd verstrekker
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar verstrekkingsverzoek
|style="background-color: white;"|MBH_213_1_MA_1
|style="background-color: white;"|MBH_113_1_VV_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekking
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_213_1_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|style="background-color: white;"|MBH_113_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="4"|Datum
|style="background-color: white;"|T- 40 dagen, om 09:13
|style="background-color: white;"|T - 30 dagen om 15:55 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Auteur
|rowspan="5"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Te verstrekken hoeveelheid
|rowspan="3"|
|style="background-color: white;"|60 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aantal herhalingen
|colspan="4"|Verstrekte hoeveelheid
|style="background-color: white;"|1
|style="background-color: white;"|25 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Beoogd verstrekker
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar verstrekkingsverzoek
|style="background-color: white;"|MBH_213_1_MA_3
|style="background-color: white;"|MBH_113_2_VV_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekking
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_213_1_VV_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|style="background-color: white;"|MBH_113_3_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="4"|Datum
|style="background-color: white;"|T- 15 dagen, om 16:25
|style="background-color: white;"|T - 30 dagen om 15:56 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Auteur
|rowspan="5"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|rowspan="3"|
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verbruiksperiode
|colspan="2"|Organisatie naam
|style="background-color: white;"|tot nader order
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Beoogd verstrekker
|colspan="4"|Verstrekte hoeveelheid
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|21 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar medicatieafspraak
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_213_1_MA_5
|style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie naar verstrekkingsverzoek
|style="background-color: white;"|MBH_113_3_VV_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=VV_XXX_Gobee />
|}<section end=MVE_XXX_Dirksz />
===Toedieningsafspraken XXX_Gobee ===
===Medicatiegebruik XXX_Dirksz ===
<section begin=TA_XXX_Gobee />
<section begin=MGB_XXX_Dirksz />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_113_1_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_213_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_113_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 50 dagen, om 11:25
|style="background-color: white;"|T - 48 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Vanaf T- 50 dagen, tot nader order
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 48 dagen, gedurende 1 dag''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|rowspan="3"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Ingangsdatum
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|T - 48 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Gebruiksduur
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|1 dag
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="10"|
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Specialisme
|style="background-color: white;"|Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|rowspan="3"|
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_213_1_MA_1
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|Auteur
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|Patiënt
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_213_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|T- 40 dagen, om 09:13
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59, 1 à 2 maal per dag 1 tablet, oraal
|style="background-color: white;"|Vanaf T - 48 dagen, gedurende 1 dag, zo nodig 1 maal per dag 1 stuk, Rectaal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_213_1_MA_2
|style="background-color: white;"|MBH_113_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_113_2_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_213_1_TA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_113_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 40 dagen, om 09:13
|style="background-color: white;"|T - 13 dagen om 14:55 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen, gedurende 3 weken''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal
|style="background-color: white;"|T - 30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Gebruiksduur
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|3 weken
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|rowspan="8"|
|style="background-color: white;"|2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|MBH_213_1_MA_3
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="3"|Naamgegevens
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|Peter van Pulver
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Toedieningsafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="3"|Specialisme
|style="background-color: white;"|MBH_213_1_TA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|rowspan="3"|
|style="background-color: white;"|T- 15 dagen, om 16:25
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="2"|Organisatie naam
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="5"|Auteur
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal
|style="background-color: white;"|Vanaf T - 30 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|2 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_213_1_MA_4
|style="background-color: white;"|MBH_113_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_113_3_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_213_1_TA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_113_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 15 dagen, om 16:25
|style="background-color: white;"|T - 29 dagen om 14:57 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 29 dagen, tot en met T - 8 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|T - 29 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Einddatum
|style="background-color: white;"|T - 8 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Auteur
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal
|style="background-color: white;"|Vanaf T - 29 dagen, tot en met T - 8 dagen, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_213_1_MA_5
|style="background-color: white;"|MBH_113_3_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=TA_XXX_Gobee />
|}<section end=MGB_XXX_Dirksz />
===Verstrekkingen XXX_Gobee ===
==Patiënt R. XXX_Gobee==
<section begin=MVE_XXX_Gobee />
<section begin=XXX_Gobee />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekking
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Patiënt
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|rowspan="6"|
|style="background-color: white;"|MBH_213_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="3"|Initialen
|style="background-color: white;"|T- 50 dagen, om 13:25
|style="background-color: white;"|R.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekker
|colspan="3"|Naamgebruik
|style="background-color: white;"|Apotheek de Gulle Gaper
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekte hoeveelheid
|rowspan="2"|
|style="background-color: white;"|40 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="2"|Achternaam
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|XXX_Gobee
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Identificatienummer
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|999911314 [BSN]
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="4"|Identificatienummer
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|21104 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar verstrekkingsverzoek
|colspan="4"|Geboortedatum
|style="background-color: white;"|MBH_213_1_VV_1
|style="background-color: white;"|1 aug 1964
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="4"|Geslacht
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
|}
|}<section end=XXX_Gobee />
===Medicatieafspraken XXX_Gobee ===
<section begin=MA_XXX_Gobee />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekking
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_213_1_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_213_1_MVE_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|style="background-color: white;"|MBH_213_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 40 dagen, om 09:13
|style="background-color: white;"|T - 50 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekker
|rowspan="2"|
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekte hoeveelheid
|colspan="4"|Ingangsdatum
|style="background-color: white;"|60 stuks
|style="background-color: white;"|T - 50 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|rowspan="11"|
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|rowspan="9"|
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar verstrekkingsverzoek
|colspan="3"|Naamgegevens
|style="background-color: white;"|MBH_213_1_VV_2
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="3"|Specialisme
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|}
|-style="vertical-align:top; background-color: #E3E3E3;;"
{| class="wikitable" width="85%"
|colspan="4"|Zorgaanbieder
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekking
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|rowspan="4"|
|style="background-color: white;"|MBH_213_1_MVE_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|T- 15 dagen, om 17:25
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekker
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek de Gulle Gaper
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekte hoeveelheid
|colspan="2"|Adresgegevens
|style="background-color: white;"|30 stuks
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verbruiksduur
|rowspan="4"|
|style="background-color: white;"|30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 50 dagen, zo nodig 1 à 2 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar verstrekkingsverzoek
|colspan="4"|Doseerinstructie
|style="background-color: white;"|MBH_213_1_VV_2
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MVE_XXX_Gobee />
|}
===Medicatiegebruik XXX_Gobee ===
<section begin=MGB_XXX_Gobee />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_213_1_MA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_213_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_213_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T - 40 dagen om 09:13 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, tot en met T - 41 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 50 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Einddatum
|style="background-color: white;"|T - 41 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Stoptype
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Relatie naar afspraak of gebruik: MA
|style="background-color: white;"|MBH_213_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|John de  Vries
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|rowspan="4"|
|style="background-color: white;"|T- 47 dagen, om 11:25
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Ja
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Organisatie naam
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 3 dagen
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="2"|Adresgegevens
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 3 dagen, 1 maal per dag 1 tablet, oraal
|style="background-color: white;"|Vanaf T - 50 dagen, tot en met T - 41 dagen, zo nodig 1 à 2 maal per dag 1 stuk, Oraal, definitief gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_213_1_MA_1
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_213_1
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_213_1_MA_3
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_213_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_213_1_MA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T - 40 dagen om 09:13 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 40 dagen, gedurende 30 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 40 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksduur
|style="background-color: white;"|30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Relatie naar afspraak of gebruik: MA
|style="background-color: white;"|MBH_213_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|John de  Vries
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|T- 41 dagen, om 11:25
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="2"|Organisatie naam
|style="background-color: white;"|Ja
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Adresgegevens
|style="background-color: white;"|Vanaf T- 46 dagen, gedurende 6 dagen
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Reden wijzigen of staken
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Allergie of non-allergische overgevoeligheid of bijwerking (code = '16' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 46 dagen, gedurende 6 dagen, 2 maal per dag 1 tablet, oraal
|style="background-color: white;"|Vanaf T - 40 dagen, gedurende 30 dagen, 2 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|2 maal per dag 1 stuk
|style="background-color: white;"|2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_213_1_MA_1
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="3"|Auteur
{| class="wikitable" width="85%"
|style="background-color: white;"|Patiënt
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_213_1_MA_4
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3"|MBH identificatie
|colspan="5" width="25%"| Gegevenselement
|style="background-color: white;"|MBH_213_1
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_213_1_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_213_1_MA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T - 15 dagen om 16:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 40 dagen, tot en met T - 15 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 40 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Einddatum
|style="background-color: white;"|T - 15 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Stoptype
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Relatie naar afspraak of gebruik: MA
|style="background-color: white;"|MBH_213_1_MA_3
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|rowspan="4"|
|style="background-color: white;"|T- 35 dagen, om 19:25
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Ja
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Organisatie naam
|style="background-color: white;"|Vanaf T- 40 dagen, gedurende 6 dagen
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="2"|Adresgegevens
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 40 dagen, gedurende 6 dagen, 2 maal per dag 1 tablet, oraal
|style="background-color: white;"|Vanaf T - 40 dagen, tot en met T - 15 dagen, 2 maal per dag 1 stuk, Oraal, definitief gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|2 maal per dag 1 stuk
|style="background-color: white;"|2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : TA
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_213_1_TA_3
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="3"|Auteur
{| class="wikitable" width="85%"
|style="background-color: white;"|Patiënt
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_213_1_MA_5
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3"|MBH identificatie
|colspan="5" width="25%"| Gegevenselement
|style="background-color: white;"|MBH_213_1
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_213_1_MGB_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_213_1_MA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 16 dagen, om 11:25
|style="background-color: white;"|T - 15 dagen om 16:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 14 dagen, gedurende 30 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|rowspan="3"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Vanaf T- 34 dagen, gedurende 19 dagen
|style="background-color: white;"|T - 14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Gebruiksduur
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Relatie naar afspraak of gebruik: MA
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MBH_213_1_MA_3
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="11"|
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|Vanaf T- 34 dagen, gedurende 19 dagen, 2 maal per dag 1 tablet, oraal
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Naamgegevens
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Specialisme
|style="background-color: white;"|2 maal per dag 1 stuk
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|rowspan="4"|
|style="background-color: white;"|MBH_213_1_MA_3
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Patiënt
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_213_1
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Adresgegevens
|style="background-color: white;"|MBH_213_1_MGB_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Reden wijzigen of staken
|style="background-color: white;"|T- 10 dagen, om 11:25
|style="background-color: white;"|Opname (code = '305335007' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 14 dagen, gedurende 5 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 14 dagen, gedurende 5 dagen, 1 maal per dag 1 tablet, oraal
|style="background-color: white;"|Vanaf T - 14 dagen, gedurende 30 dagen, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_213_1_MA_5
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}<section end=MA_XXX_Gobee />
|colspan="3"|Auteur
===Verstrekkingsverzoeken XXX_Gobee ===
|style="background-color: white;"|Patiënt
<section begin=VV_XXX_Gobee />
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_213_1
|}<section end=MGB_XXX_Gobee />
==Patiënt I. XXX_Jangi==
<section begin=XXX_Jangi />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Patiënt
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="2" width="25%"| Gegevenselement
Regel 3.942: Regel 4.880:


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Naamgegevens
|colspan="2"|Identificatie
|style="background-color: white;"|I. XXX_Jangi
|style="background-color: white;"|MBH_213_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|colspan="2"|Datum
|style="background-color: white;"|Knolweg 1002 9999ZZ Stitswerd
|style="background-color: white;"|T - 50 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummers
|colspan="2"|Auteur
|style="background-color: white;"|
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geboortedatum
|colspan="2"|Te verstrekken hoeveelheid
|style="background-color: white;"|2 aug 1964 
|style="background-color: white;"|40 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geslacht
|colspan="2"|Aantal herhalingen
|style="background-color: white;"|Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1')
|style="background-color: white;"|1
|}<section end=XXX_Jangi />
===Documentgegevens XXX_Jangi ===
<section begin=DG_XXX_Jangi />
{| 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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Document datum
|colspan="2"|Geneesmiddel - primaire code
|style="background-color: white;"|16 aug 2018
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Auteur - zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|colspan="2"|Beoogd verstrekker
|style="background-color: white;"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verificatie patient
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|Nee
|style="background-color: white;"|MBH_213_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verificatie zorgverlener
|colspan="2"|MBH identificatie
|style="background-color: white;"|Nee
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=DG_XXX_Jangi />
|}
===Medicatieafspraken XXX_Jangi ===
<section begin=MA_XXX_Jangi />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="2" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Identificatie
|style="background-color: white;"|MBH_MO_123_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_213_1_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="2"|Datum
|style="background-color: white;"|T- 15 dagen, om 09:13
|style="background-color: white;"|T - 40 dagen om 09:13 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Auteur
|style="background-color: white;"|Vanaf T- 15 dagen, gedurende 4 weken
|style="background-color: white;"|John de Vries - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="2"|Te verstrekken hoeveelheid
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|60 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="2"|Aantal herhalingen
|style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '44458' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="2"|Geneesmiddel - primaire code
|style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '98345' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Beoogd verstrekker
|style="background-color: white;"|Vanaf T- 15 dagen, gedurende 4 weken, 1 maal per dag 2 tabletten, oraal
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|MBH_213_1_MA_3
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|MBH identificatie
|style="background-color: white;"|1 maal per dag 2 stuks
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
|style="background-color: white;"|Exact 4 weken
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_3
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekkingsverzoek
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="2" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Identificatie
|style="background-color: white;"|MBH_MO_123_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_213_1_VV_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="2"|Datum
|style="background-color: white;"|T- 60 dagen, om 09:13
|style="background-color: white;"|T - 15 dagen om 16:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Auteur
|style="background-color: white;"|Vanaf T- 60 dagen, tot nader order
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="2"|Geneesmiddel - primaire code
|style="background-color: white;"| - Medisch specialisten, inwendige geneeskunde. Antonius
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="2"|Geneesmiddel - generiekere code
|style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '121312' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="2"|Verbruiksperiode
|style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '128651' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Vanaf T - 14 dagen, gedurende 30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="2"|Beoogd verstrekker
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Relatie naar medicatieafspraak
|style="background-color: white;"|Vanaf T- 60 dagen, tot nader order, 1 maal per dag 10IE, SUBCUTAAN
|style="background-color: white;"|MBH_213_1_MA_5
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|MBH identificatie
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}<section end=VV_XXX_Gobee />
|colspan="2"|Doseerinstructie
===Toedieningsafspraken XXX_Gobee ===
|style="background-color: white;"|1 maal per dag 10 internationale eenheid
<section begin=TA_XXX_Gobee />
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_4
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_213_1_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_MO_123_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_213_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 728 dagen, om 09:13
|style="background-color: white;"|T - 50 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="2"|
|style="background-color: white;"|Vanaf T- 728 dagen, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="3"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 50 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="5"|
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf T- 728 dagen, tot nader order, 1 maal per dag 1 tablet ‘s avonds, oraal
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Organisatie naam
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_MO_123_6
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|-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;"|MBH_MO_123_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|style="background-color: white;"|T+ 3 dagen, om 09:27
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|style="background-color: white;"|Vanaf T+ 3 dagen, tot en met T+ 17 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|Flucloxacilline capsule 500mg (code = '5274' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|Flucloxacilline capsule 500mg (code = '15466' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T+ 3 dagen, tot en met T+ 17 dagen, om 23:59, Elke 8 uur 1 capsule, oraal
|style="background-color: white;"|Vanaf T - 50 dagen, zo nodig 1 à 2 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|
|style="background-color: white;"|MBH_213_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_7
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_213_1_TA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_MO_123_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_213_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 45 dagen, om 11:50
|style="background-color: white;"|T - 40 dagen om 09:13 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, tot en met T - 41 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 45 dagen, tot en met T- 31 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="3"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 50 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Einddatum
|style="background-color: white;"|FLUCLOXACILLINE CAPSULE 500MG (code = '5274' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|T - 41 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Stoptype
|style="background-color: white;"|FLUCLOXACILLINE CAPSULE 500MG (code = '15466' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 45 dagen, tot en met T- 31 dagen, om 23:59, 1 keer per exact 8 uur 1 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Organisatie naam
|style="background-color: white;"|exact iedere 8 uur 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_9
|}<section end=MA_XXX_Jangi />
===Toedieningsafspraken XXX_Jangi ===
<section begin=TA_XXX_Jangi />
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|-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;"|MBH_MO_123_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|style="background-color: white;"|T- 6 dagen, om 11:55
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 6 dagen, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|Emovate zalf 0,5 mg/g (code = '400629' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|CLOBETASON ZALF 0,5MG/G (code = '65617' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|CLOBETASON ZALF 0,5MG/G (code = '115606' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 6 dagen, tot nader order, eerst 2 maal per dag zalf gedurende 7 dagen, daarna 1 maal per dag zalf gedurende 7 dagen, daarna 3 maal per week zalf gedurende 7 dagen, cutaan
|style="background-color: white;"|Vanaf T - 50 dagen, tot en met T - 41 dagen, zo nodig 1 à 2 maal per dag 1 stuk, Oraal, definitief gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie 1
|colspan="3"|Doseerinstructie
|style="background-color: white;"|eerst gedurende 7 dagen 2 maal per dag
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie 2
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|dan gedurende 7 dagen 1 maal per dag
|style="background-color: white;"|MBH_213_1_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie 3
|colspan="4"|MBH identificatie
|style="background-color: white;"|dan gedurende 7 dagen 3 maal per week
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
|style="background-color: white;"|Eczeem oogleden
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_2
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_213_1_TA_3
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_MO_123_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_213_1_TA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 14 dagen, om 15:55
|style="background-color: white;"|T - 40 dagen om 09:13 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 40 dagen, gedurende 30 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 14 dagen, tot en met T+ 13 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="3"|Ingangsdatum
|style="background-color: white;"|T - 40 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksduur
|style="background-color: white;"|30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|Glimepiride activis tablet 3mg (code = '1753029' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '44458' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|GLIMEPIRIDE TABLET 3MG (code = '98345' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 14 dagen, tot en met T+ 13 dagen, om 23:59, 1 maal per dag 2 tabletten, oraal
|style="background-color: white;"|Vanaf T - 40 dagen, gedurende 30 dagen, 2 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 2 stuks
|style="background-color: white;"|2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_MO_123_3_MA_1
|style="background-color: white;"|MBH_213_1_MA_3
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_3
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_213_1_TA_4
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_MO_123_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_213_1_TA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 60 dagen, om 15:55
|style="background-color: white;"|T - 15 dagen om 16:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 40 dagen, tot en met T - 15 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 604 dagen, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Poliapotheek Antonius
|style="background-color: white;"|T - 40 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Einddatum
|style="background-color: white;"|LANTUS SOLOSTAR INJ 100E/ML PEN 3ML (code = '1859226' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|T - 15 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Stoptype
|style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '121312' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="5"|
|style="background-color: white;"|INSULINE GLARGINE INJVLST 100E/ML (code = '128651' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf T- 604 dagen, tot nader order, Elke dag om 9 uur 10IE, subcutaan
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Organisatie naam
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T - 40 dagen, tot en met T - 15 dagen, 2 maal per dag 1 stuk, Oraal, definitief gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Toedieningsweg
|style="background-color: white;"|elke dag om 10 internationale eenheid
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|colspan="3"|Doseerinstructie
|style="background-color: white;"|
|style="background-color: white;"|2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_MO_123_4_MA_1
|style="background-color: white;"|MBH_213_1_MA_4
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_4
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_213_1_TA_5
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_MO_123_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_213_1_TA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 36 dagen, om 15:55
|style="background-color: white;"|T - 15 dagen om 16:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 14 dagen, gedurende 30 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 36 dagen, gedurende 90 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Poliapotheek Antonius
|style="background-color: white;"|T - 14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Gebruiksduur
|style="background-color: white;"|PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 8MG (code = '2105594' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="5"|
|style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '69523' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '117722' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf T- 36 dagen, gedurende 90 dagen, 1 maal per dag 1 tablet, oraal
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Organisatie naam
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T - 14 dagen, gedurende 30 dagen, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|
|style="background-color: white;"|MBH_213_1_MA_5
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_5
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}<section end=TA_XXX_Gobee />
===Verstrekkingen XXX_Gobee ===
<section begin=MVE_XXX_Gobee />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekking
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_MO_123_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_213_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Datum
|style="background-color: white;"|T- 323 dagen, om 15:55
|style="background-color: white;"|T - 50 dagen om 13:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="5"|
|style="background-color: white;"|Vanaf T- 323 dagen, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|rowspan="3"|
|style="background-color: white;"|Poliapotheek Antonius
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="2"|Organisatie naam
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Verstrekte hoeveelheid
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|40 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Vanaf T- 323 dagen, tot nader order, 1 maal per dag 2 tabletten ‘s avonds, oraal
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Relatie naar verstrekkingsverzoek
|style="background-color: white;"|1 maal per dag 2 stuks 's avonds
|style="background-color: white;"|MBH_213_1_VV_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|colspan="4"|MBH identificatie
|style="background-color: white;"|
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_MO_123_6_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_6
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekking
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_MO_123_8_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_213_1_MVE_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Datum
|style="background-color: white;"|T- 28 dagen, om 11:50
|style="background-color: white;"|T - 40 dagen om 09:13 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="5"|
|style="background-color: white;"|Vanaf T- 45 dagen, tot en met T- 29 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|rowspan="3"|
|style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Poliapotheek Antonius
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Reden afspraak
|colspan="2"|Organisatie naam
|style="background-color: white;"|Beleidswijziging
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Verstrekte hoeveelheid
|style="background-color: white;"|Atorvastatine ranbaxy tablet filmomhuld 40 mg (code = '2230879' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|60 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|ATORVASTATINE TABLET 40MG (ALS CA-ZOUT-3-WATER) (code = '98620' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|ATORVASTATINE TABLET 40MG (ALS CA-ZOUT-3-WATER) (code = '137219' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Relatie naar verstrekkingsverzoek
|style="background-color: white;"|Vanaf T- 45 dagen, tot en met T- 29 dagen, om 23:59, 1 maal per dag 2 tabletten ‘s avonds, oraal
|style="background-color: white;"|MBH_213_1_VV_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|MBH identificatie
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 2 stuks 's avonds
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_MO_123_8_MA_3
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_8
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekking
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_MO_123_10_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_213_1_MVE_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Datum
|style="background-color: white;"|T- 36 dagen, om 15:50
|style="background-color: white;"|T - 15 dagen om 17:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="5"|
|style="background-color: white;"|Vanaf T- 56 dagen, tot en met T- 37 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|rowspan="3"|
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Poliapotheek Antonius
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Reden afspraak
|colspan="2"|Organisatie naam
|style="background-color: white;"|Geen of onvoldoende effect
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Verstrekte hoeveelheid
|style="background-color: white;"|PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 4MG (code = '2105586' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|30 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|PERINDOPRIL TABLET 4MG (ERBUMINE) (code = '29076' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|PERINDOPRIL TABLET 4MG (ERBUMINE) (code = '75434' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Verbruiksduur
|style="background-color: white;"|Vanaf T- 56 dagen, tot en met T- 37 dagen, om 23:59, 1 maal per dag 1 tablet ‘s morgens, oraal
|style="background-color: white;"|30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Relatie naar verstrekkingsverzoek
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|MBH_213_1_VV_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|MBH identificatie
|style="background-color: white;"|1 maal per dag 1 stuk 's ochtends
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}<section end=MVE_XXX_Gobee />
|colspan="3"|Kopie indicator
===Medicatiegebruik XXX_Gobee ===
|style="background-color: white;"|
<section begin=MGB_XXX_Gobee />
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_10
|}<section end=TA_XXX_Jangi />
===Medicatiegebruik XXX_Jangi ===
<section begin=MGB_XXX_Jangi />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_213_1_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_213_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T, om 10:57
|style="background-color: white;"|T - 47 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 3 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 3 dagen, gedurende 3 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Geneesmiddel - Product specificatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 50 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Product naam
|colspan="4"|Gebruiksduur
|style="background-color: white;"|Ibuprofen
|style="background-color: white;"|3 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|rowspan="8"|
|style="background-color: white;"|Vanaf T- 3 dagen, gedurende 3 dagen, 4 maal per dag 1 tablet, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Naamgegevens
|style="background-color: white;"|4 maal per dag 1 stuk
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="3"|Specialisme
|style="background-color: white;"|Patiënt
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|rowspan="3"|
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Pijn
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_MO_123_1
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Auteur
|style="background-color: white;"|MBH_MO_123_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|T, om 12:58
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Ja
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 10 dagen, tot en met T+ 1 dag, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Geneesmiddel - Product specificatie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Product naam
|colspan="4"|Omschrijving
|style="background-color: white;"|Glimepiride
|style="background-color: white;"|Vanaf T - 50 dagen, gedurende 3 dagen, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|colspan="4"|Toedieningsweg
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|colspan="2"|Omschrijving
|style="background-color: white;"|Vanaf T- 10 dagen, tot en met T+ 1 dag, om 23:59, 1 maal per dag 1 tablet
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MBH_213_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|colspan="5"|MBH identificatie
|style="background-color: white;"|
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_3
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_213_1_MGB_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_5_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_213_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 33 dagen, om 13:58
|style="background-color: white;"|T - 41 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Nee
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 46 dagen, gedurende 6 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|rowspan="3"|
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Vanaf T- 36 dagen, tot nader order
|style="background-color: white;"|T - 46 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|colspan="4"|Gebruiksduur
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|style="background-color: white;"|6 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="10"|
|style="background-color: white;"|PERINDOPRIL TERT-BUTYLAMINE GLENMARK TABLET 8MG (code = '2105594' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="8"|
|style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '69523' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|PERINDOPRIL TABLET 8MG (ERBUMINE) (code = '117722' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf T- 36 dagen, tot nader order, 1 maal per dag 1 tablet, oraal
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : TA
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_MO_123_5_TA_1
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Reden wijzigen of stoppen gebruik
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Te sterk effect (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 46 dagen, gedurende 6 dagen, 2 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|Gestopt vanwege bijwerkingen
|style="background-color: white;"|MBH_213_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_5
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik MBH_213_1_MGB_3
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="3" width="25%"| Gegevenselement
Regel 4.730: Regel 5.630:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="3"|Identificatie
|style="background-color: white;"|MBH_MO_123_6_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_213_1_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="3"|Registratiedatum
|style="background-color: white;"|T- 248 dagen, om 09:00
|style="background-color: white;"|T - 35 dagen om 19:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="3"|Gebruik indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="3"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 40 dagen, gedurende 6 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="2"|Ingangsdatum
|style="background-color: white;"|Nee
|style="background-color: white;"|T - 40 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Gebruiksduur
|style="background-color: white;"|6 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="3"|Auteur
|style="background-color: white;"|Vanaf T- 248 dagen, tot nader order
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Gebruiksinstructie
Regel 4.758: Regel 5.666:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Omschrijving
|style="background-color: white;"|Vanaf T- 248 dagen, tot nader order, 1 maal per dag 12 tablet ‘s avonds, oraal
|style="background-color: white;"|Vanaf T - 40 dagen, gedurende 6 dagen, 2 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
|style="background-color: white;"|2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="3"|Gerelateerde afspraak : TA
|style="background-color: white;"|Zorgverlener:  I. Ternist  - Medisch specialisten, inwendige geneeskunde.  Antonius
|style="background-color: white;"|MBH_213_1_TA_3
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Kopie indicator
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
|style="background-color: white;"|Patiënt gebruikt niet volgens voorschrift
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_MO_123_6
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_213_1_MGB_4
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_MO_123_6_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_213_1_MGB_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 172 dagen, om 15:37
|style="background-color: white;"|T - 16 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 34 dagen, gedurende 19 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Nee
|style="background-color: white;"|T - 34 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksduur
|style="background-color: white;"|19 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="8"|
|style="background-color: white;"|Vanaf T- 248 dagen, tot en met T- 173 dagen, om 23:59
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|SIMVASTATINE APOTEX TABLET FILMOMHULD 10MG (code = '1537792' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Naamgegevens
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '67814' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|Simvastine tablet fo 20 mg (code = '116580' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Organisatie naam
|style="background-color: white;"|Vanaf T- 248 dagen, tot en met T- 173 dagen, om 23:59, 1 maal per dag 1 tablet ‘s avonds, oraal, gestopt
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="5"|Auteur
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_MO_123_6_MA_1
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|rowspan="4"|
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
|colspan="4"|Omschrijving
|style="background-color: white;"|Veel last van jeuk
|style="background-color: white;"|Vanaf T - 34 dagen, gedurende 19 dagen, 2 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|Toedieningsweg
|style="background-color: white;"|MBH_MO_123_6
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|}<section end=MGB_XXX_Jangi />
==Patiënt J. XXX_Kilkenny==
<section begin=XXX_Kilkenny />
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Patiënt
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="2" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Naamgegevens
|colspan="4"|Doseerinstructie
|style="background-color: white;"|J. XXX_Kilkenny
|style="background-color: white;"|2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geboortedatum
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|5 aug 1964 
|style="background-color: white;"|MBH_213_1_MA_3
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geslacht
|colspan="5"|MBH identificatie
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1')
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=XXX_Kilkenny />
|}
===Medicatieafspraken XXX_Kilkenny ===
<section begin=MA_XXX_Kilkenny />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_213_1_MGB_5
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_323_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_213_1_MGB_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T- 5 dagen, om 15:34
|style="background-color: white;"|T - 10 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 6 dagen, om 23:59
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 14 dagen, gedurende 5 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksduur
|style="background-color: white;"|5 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stoptype
|rowspan="3"|
|style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar afspraak of gebruik: MA
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|MBH_323_1_MGB_1
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="2"|Organisatie naam
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Auteur
|style="background-color: white;"|ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-standaard PRK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 6 dagen, om 23:59, 3x per dag 1 tablet
|style="background-color: white;"|Vanaf T - 14 dagen, gedurende 5 dagen, 1 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Doseerinstructie
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|3 maal per dag 1 stuk
|style="background-color: white;"|MBH_213_1_MA_5
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_323_1
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MA_XXX_Kilkenny />
|}<section end=MGB_XXX_Gobee />
===Medicatiegebruik XXX_Kilkenny ===
==Patiënt J. XXX_Kilkenny==
<section begin=MGB_XXX_Kilkenny />
<section begin=XXX_Kilkenny />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Patiënt
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|rowspan="6"|
|style="background-color: white;"|MBH_323_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="3"|Initialen
|style="background-color: white;"|T- 10 dagen, om 11:25
|style="background-color: white;"|J.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="3"|Naamgebruik
|style="background-color: white;"|Ja
|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="3"|Gebruiksperiode
|style="background-color: white;"|Vanaf T- 20 dagen, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Geslachtsnaam
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Achternaam
|style="background-color: white;"|Vanaf T- 20 dagen, tot nader order, 3x per dag 1 tablet
|style="background-color: white;"|XXX_Kilkenny
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Identificatienummer
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|style="background-color: white;"|999911752 [BSN]
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Identificatienummer
|style="background-color: white;"|3 maal per dag 1 stuk
|style="background-color: white;"|22108 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|Geboortedatum
|style="background-color: white;"|Patiënt
|style="background-color: white;"|5 aug 1964
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|Geslacht
|style="background-color: white;"|MBH_323_1
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
|}<section end=MGB_XXX_Kilkenny />
|}<section end=XXX_Kilkenny />
==Patiënt R. XXX_Ruys==
===Medicatieafspraken XXX_Kilkenny ===
<section begin=XXX_Ruys />
<section begin=MA_XXX_Kilkenny />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Patiënt
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_323_1_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Naamgegevens
|colspan="5"|Identificatie
|style="background-color: white;"|R. XXX_Ruys
|style="background-color: white;"|MBH_323_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geboortedatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|1 aug 1964  
|style="background-color: white;"|T - 5 dagen om 15:34 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"  
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T - 6 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geslacht
|rowspan="3"|
|style="background-color: white;"|Man (code = 'M' in codeSystem '2.16.840.1.113883.5.1')
|}<section end=XXX_Ruys />
==Patiënt R. XXX_Strengersz==
<section begin=XXX_Strengersz />
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Patiënt
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="2" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Naamgegevens
|colspan="4"|Ingangsdatum
|style="background-color: white;"|R. XXX_Strengersz
|style="background-color: white;"|T - 20 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geboortedatum
|colspan="4"|Einddatum
|style="background-color: white;"|1 aug 1964 
|style="background-color: white;"|T - 6 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geslacht
|colspan="5"|Stoptype
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem '2.16.840.1.113883.5.1')
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
|}<section end=XXX_Strengersz />
===Medicatieafspraken XXX_Strengersz ===
<section begin=MA_XXX_Strengersz />
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Relatie naar afspraak of gebruik: MGB
|style="background-color: white;"|MBH_413_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_323_1_MGB_1
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|John de  Vries
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="2"|Organisatie naam
|style="background-color: white;"|T, om 11:25
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Adresgegevens
|style="background-color: white;"|Vanaf T, gedurende 60 dagen
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal
|style="background-color: white;"|Vanaf T - 20 dagen, tot en met T - 6 dagen, 3 maal per dag 1 stuk, oraal, definitief gestopt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 à 2 maal per dag 1 stuk
|style="background-color: white;"|3 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_1
|style="background-color: white;"|MBH_323_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}<section end=MA_XXX_Kilkenny />
===Medicatiegebruik XXX_Kilkenny ===
<section begin=MGB_XXX_Kilkenny />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik MBH_323_1_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="3" width="25%"| Gegevenselement
Regel 5.040: Regel 5.976:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="3"|Identificatie
|style="background-color: white;"|MBH_413_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_323_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="3"|Registratiedatum
|style="background-color: white;"|T, om 11:25
|style="background-color: white;"|T - 10 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="3"|Gebruiksperiode
|colspan="3"|Gebruiksperiode
|style="background-color: white;"|Vanaf T, tot nader order
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="2"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 20 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
Regel 5.062: Regel 6.009:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Omschrijving
|style="background-color: white;"|Vanaf T, tot nader order, exact iedere 3 uur 16 IE, subcutaan
|style="background-color: white;"|Vanaf T - 20 dagen, 3 maal per dag 1 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Toedieningsweg
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Doseerinstructie
|style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid
|style="background-color: white;"|3 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_413_2
|style="background-color: white;"|MBH_323_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}<section end=MGB_XXX_Kilkenny />
==Patiënt R. XXX_Ruys==
<section begin=XXX_Ruys />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Patiënt
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|rowspan="6"|
|style="background-color: white;"|MBH_413_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="3"|Initialen
|style="background-color: white;"|T- 50 dagen, om 11:25
|style="background-color: white;"|R.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="3"|Naamgebruik
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="2"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="2"|Achternaam
|style="background-color: white;"|XXX_Ruys
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Identificatienummer
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
|style="background-color: white;"|999911351 [BSN]
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Identificatienummer
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|13103 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Geboortedatum
|style="background-color: white;"|3 maal per dag 1 à 2 stuks
|style="background-color: white;"|1 aug 1964
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|Geslacht
|style="background-color: white;"|MBH_413_3
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|}
|}<section end=XXX_Ruys />
==Patiënt R. XXX_Strengersz==
<section begin=XXX_Strengersz />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Patiënt
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="3"|Initialen
|style="background-color: white;"|MBH_413_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|R.
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="3"|Naamgebruik
|style="background-color: white;"|T- 20 dagen, om 10:26
|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;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="2"|
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="2"|Achternaam
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|XXX_Strengersz
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Identificatienummer
|style="background-color: white;"|CETOMACROGOLCREME MET VASELINE (code = '92789' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|999911338 [BSN]
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Identificatienummer
|style="background-color: white;"|CETOMACROGOLCREME MET VASELINE (code = '133329' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|41106 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|colspan="4"|Geboortedatum
|style="background-color: white;"|1 aug 1964
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Geslacht
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}<section end=XXX_Strengersz />
|colspan="2"|Toedieningsweg
===Medicatieafspraken XXX_Strengersz ===
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen')
<section begin=MA_XXX_Strengersz />
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|style="background-color: white;"|3 maal per dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_413_4
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_1_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_5_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_413_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 60 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Gebruiksduur
|style="background-color: white;"|T- 20 dagen, om 10:46
|style="background-color: white;"|60 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="11"|
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="9"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Naamgegevens
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Adresgegevens
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|2 maal per dag 0.5 stuk
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_413_5
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|-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;"|MBH_413_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|style="background-color: white;"|T, om 09:35
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|style="background-color: white;"|Vanaf T, gedurende 14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|1 à 2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="5"|MBH identificatie
|style="background-color: white;"|2 maal per dag 10 à 15 ml
|style="background-color: white;"|MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_413_6
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_2_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_413_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|rowspan="11"|
|style="background-color: white;"|T, om 09:35
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="9"|
|style="background-color: white;"|Vanaf T, gedurende 14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Naamgegevens
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden, subcutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
|style="background-color: white;"|iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_7
|style="background-color: white;"|MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_3_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_8_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_413_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T, om 09:35
|style="background-color: white;"|T - 50 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 4 weken''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T, gedurende 10 weken
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 50 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Gebruiksduur
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|4 weken
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="11"|
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Naamgegevens
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="3"|Specialisme
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|rowspan="4"|
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|op maandag, woensdag en vrijdag
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_413_8
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Adresgegevens
|style="background-color: white;"|MBH_413_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|T, om 09:35
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Vanaf T, tot nader order
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal
|style="background-color: white;"|Vanaf T - 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
|style="background-color: white;"|3 maal per dag 1 à 2 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_9
|style="background-color: white;"|MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_4_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_10_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_413_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T, om 09:35
|style="background-color: white;"|T - 20 dagen om 10:26 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 30 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 20 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Gebruiksduur
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="11"|
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Naamgegevens
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Specialisme
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Herhaalperiode cyclisch schema
|rowspan="4"|
|style="background-color: white;"|28 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|MBH_413_10
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_413_11_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="2"|Adresgegevens
|style="background-color: white;"|T, om 09:35
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Vanaf T, gedurende 41 dagen
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 30 dagen, 3 maal per dag, aanbrengen, cutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie 1
|colspan="4"|Doseerinstructie
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram
|style="background-color: white;"|3 maal per dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie 2
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie 3
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_11
|style="background-color: white;"|MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_5_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_12_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_413_5_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T, om 11:25
|style="background-color: white;"|T - 20 dagen om 10:46 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 30 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T, gedurende 3 weken
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T - 20 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Gebruiksduur
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="11"|
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Specialisme
|style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|rowspan="4"|
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_413_12
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Adresgegevens
|style="background-color: white;"|MBH_413_13_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|T- 28 dagen, om 09:12
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 30 dagen, 2 maal per dag 0.5 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|0.5 ml per uur
|style="background-color: white;"|2 maal per dag 0.5 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_13
|style="background-color: white;"|MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_6_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_13_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_413_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 14 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksduur
|style="background-color: white;"|14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|rowspan="11"|
|style="background-color: white;"|T- 20 dagen, om 11:25
|-style="vertical-align:top; background-color: #E3E3E3;;
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="9"|
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Naamgegevens
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Organisatie naam
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Adresgegevens
|style="background-color: white;"|0.2 à 0.5 ml per uur
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_413_13
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatieafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_413_14_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|rowspan="6"|
|style="background-color: white;"|T, om 11:25
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Omschrijving
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2 maal per dag 10 à 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Toedieningsweg
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Doseerinstructie
|style="background-color: white;"|tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal
|style="background-color: white;"|2 maal per dag 10 à 15 ml
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="5"|MBH identificatie
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
|style="background-color: white;"|MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_413_14
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatieafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_7_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_15_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|style="background-color: white;"|MBH_413_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 14 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Afspraakdatum
|rowspan="3"|
|style="background-color: white;"|T, om 09:35
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksperiode
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Vanaf T, tot nader order
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Voorschrijver
|colspan="4"|Gebruiksduur
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Geneesmiddel - Product specificatie
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Product naam
|colspan="3"|Naamgegevens
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|colspan="3"|Specialisme
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr          Regel: UREUM 10gr          Regel: EUCERINE MET WATER FAGRON ad 100gr
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Ingredient
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingredient code
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sterkte
|colspan="2"|Organisatie naam
|style="background-color: white;"|10 gram per  100 gram
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingredient code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sterkte
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|90 gram per  100 gram
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid, subcutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|bij hoest
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_15
|style="background-color: white;"|MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MA_XXX_Strengersz />
|}
===Verstrekkingsverzoeken XXX_Strengersz ===
<section begin=VV_XXX_Strengersz />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekkingsverzoek
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_8_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_15_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|style="background-color: white;"|MBH_413_8_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Datum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T, om 09:35
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 10 weken''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Auteur
|rowspan="3"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Te verstrekken hoeveelheid
|colspan="4"|Ingangsdatum
|style="background-color: white;"|100 ml
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aantal herhalingen
|colspan="4"|Gebruiksduur
|style="background-color: white;"|1
|style="background-color: white;"|10 weken
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Geneesmiddel - Product specificatie
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Product naam
|colspan="3"|Naamgegevens
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|colspan="3"|Specialisme
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr          Regel: UREUM 10gr          Regel: EUCERINE MET WATER FAGRON ad 100gr
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Ingredient
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingredient code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sterkte
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|10 gram per  100 gram
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Ingredient
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, cutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingredient code
|colspan="4"|Toedieningsweg
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sterkte
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|90 gram per  100 gram
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Beoogd verstrekker
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie naar medicatieafspraak
|colspan="4"|Doseerinstructie
|style="background-color: white;"|MBH_413_15_MA_1
|style="background-color: white;"|op maandag, woensdag en vrijdag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_15
|style="background-color: white;"|MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=VV_XXX_Strengersz />
|}
===Toedieningsafspraken XXX_Strengersz ===
<section begin=TA_XXX_Strengersz />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_9_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|rowspan="2"|
|style="background-color: white;"|T, om 11:25
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Vanaf T, gedurende 60 dagen
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|rowspan="11"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="9"|
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Naamgegevens
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Omschrijving
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Vanaf T, 1 maal per dag 1 stuk 's avonds, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Toedieningsweg
|style="background-color: white;"|1 à 2 maal per dag 1 stuk
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Doseerinstructie
|style="background-color: white;"|MBH_413_1_MA_1
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_1
|style="background-color: white;"|MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_10_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_10_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T, om 11:25
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="11"|
|style="background-color: white;"|Vanaf T, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|rowspan="9"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Naamgegevens
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Vanaf T, tot nader order, exact iedere 3 uur 16 IE, subcutaan
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Organisatie naam
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Adresgegevens
|style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_413_2_MA_1
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Herhaalperiode cyclisch schema
|style="background-color: white;"|28 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_2
|style="background-color: white;"|MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_11_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_11_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 41 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Gebruiksduur
|style="background-color: white;"|T- 50 dagen, om 11:25
|style="background-color: white;"|41 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="11"|
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|rowspan="9"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|PARACETAMOL PCH TABLET 500MG (code = '768901' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Naamgegevens
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Adresgegevens
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|3 maal per dag 1 à 2 stuks
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_413_3_MA_1
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|rowspan="7"|
|style="background-color: white;"|MBH_413_3
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
|colspan="4"|Omschrijving
{| class="wikitable" width="85%"
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst gedurende 2 weken 1 maal per dag 3 gram, dan gedurende 3 weken 1 maal per dag 2 gram, dan gedurende 6 dagen 1 maal per dag 1 gram, dun aanbrengen, cutaan
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie 1
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie 2
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie 3
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_12_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_12_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T- 20 dagen, om 10:26
|style="background-color: white;"|T om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 3 weken''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Gebruiksduur
|style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|3 weken
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="11"|
|style="background-color: white;"|CETOMACROGOLCREME MET VASELINE (code = '92789' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|CETOMACROGOLCREME MET VASELINE (code = '133329' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Naamgegevens
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="3"|Specialisme
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|rowspan="4"|
|style="background-color: white;"|3 maal per dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|MBH_413_4_MA_1
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_413_4
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Adresgegevens
|style="background-color: white;"|MBH_413_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|T- 20 dagen, om 10:46
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal
|style="background-color: white;"|Vanaf T, gedurende 3 weken, bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|2 maal per dag 0.5 stuk
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_413_5_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_5
|style="background-color: white;"|MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_13_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_13_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T, om 09:35
|style="background-color: white;"|T - 28 dagen om 09:12 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 28 dagen, gedurende 8 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T, gedurende 14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|T - 28 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Gebruiksduur
|style="background-color: white;"|SOLUTIO HYDROGENII PEROXIDI 3% M/V (code = '603694' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|8 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="11"|
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Naamgegevens
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Peter van Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="3"|Specialisme
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|rowspan="4"|
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|2 maal per dag 10 à 15 ml
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_413_6_MA_1
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 28 dagen, gedurende 8 dagen, toedieningssnelheid: 0.5 ml per uur, parenteraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|toedieningssnelheid: 0.5 ml per uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_6
|style="background-color: white;"|MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_13_MA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_7_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_13_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T - 20 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 8 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 20 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Gebruiksduur
|style="background-color: white;"|T, om 09:35
|style="background-color: white;"|8 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="11"|
|style="background-color: white;"|Vanaf T, gedurende 14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|rowspan="9"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Naamgegevens
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Organisatie naam
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Adresgegevens
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_413_7_MA_1
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_413_7
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
|}
|-style="vertical-align:top; background-color: #E3E3E3;;" 
{| class="wikitable" width="85%"
|colspan="6"|Gebruiksinstructie
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|rowspan="4"|
|colspan="3" width="25%"| Gegevenselement
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 8 dagen, toedieningssnelheid: 0.2 à 0.5 ml per uur, parenteraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|toedieningssnelheid: 0.2 à 0.5 ml per uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_14_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_8_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_14_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T, om 09:35
|style="background-color: white;"|T om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="11"|
|style="background-color: white;"|Vanaf T, gedurende 10 weken
|-style="vertical-align:top; background-color: #E3E3E3;;
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|rowspan="9"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|ALDARA CREME 50MG/G IN SACHET (code = '1198521' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Naamgegevens
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|colspan="2"|Adresgegevens
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|rowspan="4"|
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="4"|Omschrijving
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur, transdermaal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Toedieningsweg
|style="background-color: white;"|op maandag, woensdag en vrijdag
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Doseerinstructie
|style="background-color: white;"|MBH_413_8_MA_1
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_8
|style="background-color: white;"|MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatieafspraak MBH_413_15_MA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_9_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_15_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afspraakdatum
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|rowspan="2"|
|style="background-color: white;"|T, om 09:35
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Vanaf T, tot nader order
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|rowspan="9"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Zorgverlener identificatienummer
|style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Naamgegevens
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Specialisme
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Organisatie naam
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Adresgegevens
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Geneesmiddel - Product specificatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|rowspan="11"|
|style="background-color: white;"|MBH_413_9_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|Product naam
|style="background-color: white;"|MBH_413_9
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Omschrijving
|style="background-color: white;"|MBH_413_10_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr          Regel: UREUM 10gr          Regel: EUCERINE MET WATER FAGRON ad 100gr
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|rowspan="3"|
|style="background-color: white;"|T, om 09:35
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="3"|Ingredient code
|style="background-color: white;"|Vanaf T, tot nader order
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="3"|Sterkte
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|10 gram per  100 gram
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="3"|
|style="background-color: white;"|MARVELON TABLET (code = '416681' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Ingredient code
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Sterkte
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|90 gram per  100 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal
|style="background-color: white;"|Vanaf T, bij hoest, cutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Doseerinstructie
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
|style="background-color: white;"|bij hoest
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Herhaalperiode cyclisch schema
|colspan="5"|MBH identificatie
|style="background-color: white;"|28 dagen
|style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}<section end=MA_XXX_Strengersz />
|colspan="3"|Relatie naar medicatieafspraak
===Verstrekkingsverzoeken XXX_Strengersz ===
|style="background-color: white;"|MBH_413_10_MA_1
<section begin=VV_XXX_Strengersz />
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_413_10
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekkingsverzoek
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_11_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_15_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Datum
|style="background-color: white;"|T, om 09:35
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="4"|Auteur
|style="background-color: white;"|Vanaf T, gedurende 41 dagen
|style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="4"|Te verstrekken hoeveelheid
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|100 ml
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Aantal herhalingen
|style="background-color: white;"|FUCIDIN CREME 20MG/G (code = '420956' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - Product specificatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="11"|
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Product naam
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksinstructie
|colspan="3"|Omschrijving
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr          Regel: UREUM 10gr          Regel: EUCERINE MET WATER FAGRON ad 100gr
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Ingredient code
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Sterkte
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|10 gram per  100 gram
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|rowspan="3"|
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie 1
|colspan="2"|Ingredient code
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie 2
|colspan="2"|Sterkte
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram
|style="background-color: white;"|90 gram per 100 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie 3
|colspan="4"|Beoogd verstrekker
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_413_11_MA_1
|style="background-color: white;"|MBH_413_15_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_11
|style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}<section end=VV_XXX_Strengersz />
===Toedieningsafspraken XXX_Strengersz ===
<section begin=TA_XXX_Strengersz />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_1_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_12_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T, om 11:25
|style="background-color: white;"|T om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 60 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T, gedurende 3 weken
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Gebruiksduur
|style="background-color: white;"|CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|60 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk
|style="background-color: white;"|1 à 2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_413_12_MA_1
|style="background-color: white;"|MBH_413_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_12
|style="background-color: white;"|MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_2_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_13_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 28 dagen, om 09:12
|style="background-color: white;"|T om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="2"|
|style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="5"|
|style="background-color: white;"|MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal
|style="background-color: white;"|Vanaf T, iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden, subcutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|0.5 ml per uur
|style="background-color: white;"|iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_413_13_MA_1
|style="background-color: white;"|MBH_413_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_13
|style="background-color: white;"|MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_3_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_13_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 20 dagen, om 11:25
|style="background-color: white;"|T - 50 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 4 weken''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|T - 50 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Gebruiksduur
|style="background-color: white;"|MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|4 weken
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="5"|
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="3"|
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|PARACETAMOL PCH TABLET 500MG (code = '768901' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal
|style="background-color: white;"|Vanaf T - 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|0.2 à 0.5 ml per uur
|style="background-color: white;"|3 maal per dag 1 à 2 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_413_13_MA_2
|style="background-color: white;"|MBH_413_3_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_13
|style="background-color: white;"|MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_4_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_14_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T, om 11:25
|style="background-color: white;"|T - 20 dagen om 10:26 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 30 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf 16 aug 2018, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verstrekker
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Apotheek De Gulle Gaper
|style="background-color: white;"|T - 20 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Gebruiksduur
|style="background-color: white;"|DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="5"|
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="3"|
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|Cetomacrogolcreme met 10% vaseline FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 30 dagen, 3 maal per dag, aanbrengen, cutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Vanaf 16 aug 2018, tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Aanvullende instructie
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
|style="background-color: white;"|3 maal per dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_413_14_MA_1
|style="background-color: white;"|MBH_413_4_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_14
|style="background-color: white;"|MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_5_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
Regel 6.500: Regel 7.682:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_15_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|style="background-color: white;"|MBH_413_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Afspraakdatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T, om 09:35
|style="background-color: white;"|T - 20 dagen om 10:46 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksperiode
|colspan="4"|Gebruiksperiode
|style="background-color: white;"|Vanaf T, tot nader order
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 30 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verstrekker
|rowspan="3"|
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Geneesmiddel - Product specificatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|colspan="3"|Ingangsdatum
|style="background-color: white;"|T - 20 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Product naam
|colspan="3"|Gebruiksduur
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
|style="background-color: white;"|30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|rowspan="5"|
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr          Regel: UREUM 10gr          Regel: EUCERINE MET WATER FAGRON ad 100gr
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Ingredient
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingredient code
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sterkte
|colspan="2"|Organisatie naam
|style="background-color: white;"|10 gram per  100 gram
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingredient code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sterkte
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|90 gram per  100 gram
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
Regel 6.546: Regel 7.726:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 30 dagen, 2 maal per dag 0.5 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|bij hoest
|style="background-color: white;"|2 maal per dag 0.5 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie naar medicatieafspraak
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_413_15_MA_1
|style="background-color: white;"|MBH_413_5_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_15
|style="background-color: white;"|MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=TA_XXX_Strengersz />
|}
===Verstrekkingen XXX_Strengersz ===
<section begin=MVE_XXX_Strengersz />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Verstrekking
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_6_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="2" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_9_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|style="background-color: white;"|MBH_413_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T, om 10:35
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 14 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekker
|rowspan="3"|
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verstrekte hoeveelheid
|colspan="3"|Ingangsdatum
|style="background-color: white;"|90 stuks
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - primaire code
|colspan="3"|Gebruiksduur
|style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|rowspan="5"|
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geneesmiddel - generiekere code
|rowspan="3"|
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Distributievorm
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Geïndividualiseerd distributiesysteem (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.3.8')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Relatie naar verstrekkingsverzoek
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_413_9_VV_1
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|MBH identificatie
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_413_9
|style="background-color: white;"|SOLUTIO HYDROGENII PEROXIDI 3% M/V (code = '603694' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2 maal per dag 10 à 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aanvullende instructie
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aanvullende instructie
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Doseerinstructie
|style="background-color: white;"|2 maal per dag 10 à 15 ml
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_413_6_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekking
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_7_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
Regel 6.607: Regel 7.820:
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_15_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|style="background-color: white;"|MBH_413_7_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 14 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Datum
|rowspan="3"|
|style="background-color: white;"|T, om 10:35
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verstrekker
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Apotheek de Gulle Gaper
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verstrekte hoeveelheid
|colspan="3"|Gebruiksduur
|style="background-color: white;"|100 gram
|style="background-color: white;"|14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Geneesmiddel - Product specificatie
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Product naam
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr          Regel: UREUM 10gr          Regel: EUCERINE MET WATER FAGRON ad 100gr
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Ingredient
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingredient code
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sterkte
|colspan="2"|Organisatie naam
|style="background-color: white;"|10 gram per  100 gram
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Ingredient
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid, subcutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingredient code
|colspan="3"|Toedieningsweg
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sterkte
|colspan="3"|Doseerinstructie
|style="background-color: white;"|90 gram per  100 gram
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie naar verstrekkingsverzoek
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_513_15_VV_1
|style="background-color: white;"|MBH_413_7_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_15
|style="background-color: white;"|MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MVE_XXX_Strengersz />
|}
===Medicatiegebruik XXX_Strengersz ===
<section begin=MGB_XXX_Strengersz />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_8_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_413_8_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T, om 16:25
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 10 weken''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|rowspan="3"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Ja
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="3"|Gebruiksduur
|style="background-color: white;"|Vanaf T, gedurende 60 dagen
|style="background-color: white;"|10 weken
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="5"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="3"|
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|ALDARA CREME 50MG/G IN SACHET (code = '1198521' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, subcutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Aanvullende instructie
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Aanvullende instructie
|style="background-color: white;"|1 à 2 maal per dag 1 stuk
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="3"|Doseerinstructie
|style="background-color: white;"|MBH_413_1_MA_1
|style="background-color: white;"|op maandag, woensdag en vrijdag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MBH_413_8_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_1
|style="background-color: white;"|MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_9_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_413_9_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T, om 14:25
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|rowspan="2"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Organisatie naam
|style="background-color: white;"|Vanaf T, gedurende 14 dagen
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, exact iedere 3 uur 16 IE, subcutaan
|style="background-color: white;"|Vanaf T, 1 maal per dag 1 stuk 's avonds, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_413_2_MA_1
|style="background-color: white;"|MBH_413_9_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|MBH identificatie
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_413_2
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_10_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_413_10_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T, om 10:45
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|rowspan="2"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Ja
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Organisatie naam
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|MARVELON TABLET (code = '416681' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
|style="background-color: white;"|Vanaf T, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|3 maal per dag 1 à 2 stuks
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="3"|Herhaalperiode cyclisch schema
|style="background-color: white;"|MBH_413_3_MA_1
|style="background-color: white;"|28 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MBH_413_10_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_3
|style="background-color: white;"|MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_11_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_413_11_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T- 15 dagen, om 13:44
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 41 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Ja
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksduur
|style="background-color: white;"|41 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Organisatie naam
|style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|FUCIDIN CREME 20MG/G (code = '420956' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|CETOMACROGOLCREME MET VASELINE (code = '92789' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|CETOMACROGOLCREME MET VASELINE (code = '133329' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst gedurende 2 weken 1 maal per dag 3 gram, dan gedurende 3 weken 1 maal per dag 2 gram, dan gedurende 6 dagen 1 maal per dag 1 gram, dun aanbrengen, cutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59, 3 maal per dag aanbrengen, cutaan
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Aanvullende instructie
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="3"|Doseerinstructie 1
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie 2
|style="background-color: white;"|3 maal per dag
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="3"|Doseerinstructie 3
|style="background-color: white;"|MBH_413_4_MA_1
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MBH_413_11_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_4
|style="background-color: white;"|MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_12_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_5_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_413_12_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 3 weken''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksduur
|style="background-color: white;"|3 weken
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|rowspan="5"|
|style="background-color: white;"|T, om 12:38
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|rowspan="3"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="2"|Organisatie naam
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal
|style="background-color: white;"|Vanaf T, gedurende 3 weken, bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|2 maal per dag 0.5 stuk
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_413_5_MA_1
|style="background-color: white;"|MBH_413_12_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|MBH identificatie
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|style="background-color: white;"|MBH_413_5
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_13_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_6_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_413_13_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T, om 21:37
|style="background-color: white;"|T - 28 dagen om 09:12 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 28 dagen, gedurende 8 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|rowspan="3"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Vanaf T, gedurende 1 dag
|style="background-color: white;"|T - 28 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="3"|Gebruiksduur
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|8 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="5"|
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf T, gedurende 1 dag, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Organisatie naam
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|2 maal per dag 10 à 15 ml
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|rowspan="4"|
|style="background-color: white;"|MBH_413_6_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="3"|Omschrijving
|style="background-color: white;"|Patiënt
|style="background-color: white;"|Vanaf T - 28 dagen, gedurende 8 dagen, toedieningssnelheid: 0.5 ml per uur, parenteraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="3"|Toedieningsweg
|style="background-color: white;"|MBH_413_6
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="3"|Doseerinstructie
|style="background-color: white;"|MBH_413_7_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|toedieningssnelheid: 0.5 ml per uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_413_13_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="4"|MBH identificatie
|style="background-color: white;"|T, om 14:05
|style="background-color: white;"|MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_13_TA_2
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="4"|Identificatie
|style="background-color: white;"|Ja
|style="background-color: white;"|MBH_413_13_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="4"|Afspraakdatum
|style="background-color: white;"|Vanaf T, om 07:00, tot en met T, om 23:59
|style="background-color: white;"|T - 20 dagen om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 8 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="3"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="3"|Ingangsdatum
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|T - 20 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="3"|Gebruiksduur
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|8 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|rowspan="3"|
|style="background-color: white;"|Vanaf T, om 07:00, tot en met T, om 23:59, om 14:00 16IE
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Organisatie naam
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_413_7_MA_1
|style="background-color: white;"|MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_413_7
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
|}
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 8 dagen, toedieningssnelheid: 0.2 à 0.5 ml per uur, parenteraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Doseerinstructie
|style="background-color: white;"|toedieningssnelheid: 0.2 à 0.5 ml per uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|MBH_413_13_MA_2
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_14_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_8_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_413_14_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T, om 23:59
|style="background-color: white;"|T om 11:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf 16 aug 2018''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|rowspan="2"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Ja
|style="background-color: white;"|16 aug 2018
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|style="background-color: white;"|Vanaf T, gedurende 10 weken
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|rowspan="3"|
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="2"|Organisatie naam
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|op maandag, woensdag en vrijdag
|style="background-color: white;"|DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|style="background-color: white;"|Vanaf 16 aug 2018, 1 maal per dag 1 stuk gedurende 16 uur, transdermaal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="3"|Doseerinstructie
|style="background-color: white;"|MBH_413_8_MA_1
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MBH_413_14_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_8
|style="background-color: white;"|MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Toedieningsafspraak MBH_413_15_TA_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="4" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_9_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_413_15_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="4"|Afspraakdatum
|style="background-color: white;"|T, om 22:35
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|rowspan="2"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="3"|Ingangsdatum
|style="background-color: white;"|Ja
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="5"|
|style="background-color: white;"|Vanaf T, tot nader order
|-style="vertical-align:top; background-color: #E3E3E3;;
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|rowspan="3"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="2"|Organisatie naam
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|Apotheek De Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Geneesmiddel - Product specificatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Product naam
|style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk ’s avonds innemen, oraal
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Omschrijving
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr          Regel: UREUM 10gr          Regel: EUCERINE MET WATER FAGRON ad 100gr
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|rowspan="3"|
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="2"|Ingredient code
|style="background-color: white;"|MBH_413_9_MA_1
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="2"|Sterkte
|style="background-color: white;"|Patiënt
|style="background-color: white;"|10 gram per  100 gram
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|rowspan="3"|
|style="background-color: white;"|MBH_413_9
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="2"|Ingredient code
|style="background-color: white;"|MBH_413_10_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="2"|Sterkte
|style="background-color: white;"|T, om 09:35
|style="background-color: white;"|90 gram per  100 gram
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|rowspan="4"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="3"|Omschrijving
|style="background-color: white;"|Ja
|style="background-color: white;"|Vanaf T, bij hoest, cutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="3"|Toedieningsweg
|style="background-color: white;"|Vanaf T, tot nader order
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="3"|Doseerinstructie
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|bij hoest
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Relatie naar medicatieafspraak
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|MBH_413_15_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=TA_XXX_Strengersz />
===Verstrekkingen XXX_Strengersz ===
<section begin=MVE_XXX_Strengersz />
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekking
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="4" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatie
|style="background-color: white;"|MBH_413_9_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|colspan="4"|Datum
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
|style="background-color: white;"|T om 10:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|rowspan="3"|
|style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Herhaalperiode cyclisch schema
|colspan="2"|Organisatie naam
|style="background-color: white;"|28 dagen
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="4"|Verstrekte hoeveelheid
|style="background-color: white;"|MBH_413_10_MA_1
|style="background-color: white;"|90 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|Geneesmiddel - primaire code
|style="background-color: white;"|Patiënt
|style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_413_10
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="3" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="4"|Geneesmiddel - generiekere code
|style="background-color: white;"|MBH_413_11_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="4"|Distributievorm
|style="background-color: white;"|T, om 15:35
|style="background-color: white;"|Geïndividualiseerd distributiesysteem (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.3.8')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="4"|Relatie naar verstrekkingsverzoek
|style="background-color: white;"|Ja
|style="background-color: white;"|MBH_413_9_VV_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="4"|MBH identificatie
|style="background-color: white;"|Ja
|style="background-color: white;"|MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verstrekking
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|colspan="4"|Identificatie
|style="background-color: white;"|Vanaf T, gedurende 41 dagen
|style="background-color: white;"|MBH_413_15_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Datum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T om 10:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verstrekker
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|rowspan="5"|
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Aanvullende instructie
|colspan="2"|Organisatie naam
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
|style="background-color: white;"|Apotheek de Gulle Gaper
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie 1
|colspan="4"|Verstrekte hoeveelheid
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram
|style="background-color: white;"|100 gram
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Geneesmiddel - Product specificatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|rowspan="11"|
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Product naam
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="3"|Omschrijving
|style="background-color: white;"|MBH_413_11_MA_1
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr          Regel: UREUM 10gr          Regel: EUCERINE MET WATER FAGRON ad 100gr
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingredient code
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sterkte
|style="background-color: white;"|10 gram per  100 gram
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingredient code
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sterkte
|style="background-color: white;"|90 gram per  100 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="4"|Relatie naar verstrekkingsverzoek
|style="background-color: white;"|Patiënt
|style="background-color: white;"|MBH_413_15_VV_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="4"|MBH identificatie
|style="background-color: white;"|MBH_413_11
|style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}<section end=MVE_XXX_Strengersz />
===Medicatiegebruik XXX_Strengersz ===
<section begin=MGB_XXX_Strengersz />
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_1_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_12_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_413_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T, om 22:35
|style="background-color: white;"|T om 16:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 60 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruiksperiode
|rowspan="3"|
|style="background-color: white;"|Vanaf T, gedurende 3 weken
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Gebruiksduur
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|60 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="10"|
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Naamgegevens
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Specialisme
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_413_12_MA_1
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_413_12
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, Oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 à 2 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_1_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_2_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_14_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_413_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Registratiedatum
|colspan="5"|Registratiedatum
|style="background-color: white;"|T, om 22:35
|style="background-color: white;"|T om 14:25 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gebruik indicator
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 14 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Volgens afspraak indicator
|rowspan="3"|
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voorschrijver
|colspan="4"|Ingangsdatum
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - primaire code
|colspan="4"|Gebruiksduur
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
|style="background-color: white;"|14 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geneesmiddel - generiekere code
|rowspan="10"|
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Gebruiksinstructie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Omschrijving
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toedieningsweg
|colspan="3"|Naamgegevens
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Doseerinstructie
|colspan="3"|Specialisme
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gerelateerde afspraak : MA
|rowspan="3"|
|style="background-color: white;"|MBH_413_14_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Auteur
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|MBH identificatie
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_413_14
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden, subcutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_2_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
|}
{| class="wikitable" width="85%"
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatie gebruik
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_3_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
|colspan="5" width="25%"| Gegevenselement
|| Waarde
|| Waarde


|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatie
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_15_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|style="background-color: white;"|MBH_413_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Registratiedatum
|style="background-color: white;"|T om 10:45 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Registratiedatum
|colspan="5"|Gebruik indicator
|style="background-color: white;"|T, om 10:35
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruik indicator
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Ja
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 4 weken''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Volgens afspraak indicator
|colspan="4"|Ingangsdatum
|style="background-color: white;"|Nee
|style="background-color: white;"|T - 50 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksperiode
|colspan="4"|Gebruiksduur
|style="background-color: white;"|Vanaf T, gedurende 4 dagen
|style="background-color: white;"|4 weken
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Voorschrijver
|rowspan="10"|
|style="background-color: white;"| - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Geneesmiddel - Product specificatie
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Product naam
|colspan="3"|Naamgegevens
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|colspan="3"|Specialisme
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr          Regel: UREUM 10gr          Regel: EUCERINE MET WATER FAGRON ad 100gr
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Ingredient
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingredient code
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sterkte
|colspan="2"|Organisatie naam
|style="background-color: white;"|10 gram per  100 gram
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Ingredient code
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Sterkte
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|90 gram per  100 gram
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Gebruiksinstructie
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Omschrijving
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 4 dagen, aanbrengen, cutaan
|style="background-color: white;"|Vanaf T - 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|3 maal per dag 1 à 2 stuks
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_3_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_4_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Registratiedatum
|style="background-color: white;"|T - 15 dagen om 13:44 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T - 15 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 20 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Einddatum
|style="background-color: white;"|T - 15 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toedieningsweg
|rowspan="3"|
|style="background-color: white;"|cutaan (code = '7' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Doseerinstructie
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gerelateerde afspraak : MA
|colspan="2"|Organisatie naam
|style="background-color: white;"|MBH_413_15_MA_1
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Auteur
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|MBH identificatie
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|MBH_413_15
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 20 dagen, tot en met T - 15 dagen, 3 maal per dag, aanbrengen, cutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|3 maal per dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_4_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_5_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_5_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Registratiedatum
|style="background-color: white;"|T om 12:38 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 30 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T - 20 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksduur
|style="background-color: white;"|30 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 30 dagen, 2 maal per dag 0.5 stuk, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|2 maal per dag 0.5 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_5_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_6_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_6_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Registratiedatum
|style="background-color: white;"|T om 21:37 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 1 dag''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksduur
|style="background-color: white;"|1 dag
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 1 dag, 2 maal per dag 10 à 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|2 maal per dag 10 à 15 ml
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_6_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_7_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_7_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Registratiedatum
|style="background-color: white;"|T om 14:05 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T om 07:00 uur, tot en met T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T om 07:00 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Einddatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T om 07:00 uur, tot en met T, elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid, subcutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_7_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_8_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_8_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Registratiedatum
|style="background-color: white;"|T om 23:59 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 10 weken''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksduur
|style="background-color: white;"|10 weken
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, cutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|op maandag, woensdag en vrijdag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_8_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_9_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_9_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Registratiedatum
|style="background-color: white;"|T om 22:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, 1 maal per dag 1 stuk 's avonds, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_9_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_10_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_10_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Registratiedatum
|style="background-color: white;"|T om 09:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Herhaalperiode cyclisch schema
|style="background-color: white;"|28 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_10_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_11_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_11_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Registratiedatum
|style="background-color: white;"|T om 15:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 41 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksduur
|style="background-color: white;"|41 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, gedurende 2 weken 1 maal per dag 3 gram, gedurende 3 weken 1 maal per dag 2 gram, gedurende 6 dagen 1 maal per dag 1 gram, dun aanbrengen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|gedurende 3 weken 1 maal per dag 2 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|gedurende 6 dagen 1 maal per dag 1 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie 1
|style="background-color: white;"|gedurende 2 weken 1 maal per dag 3 gram
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_11_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_12_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_12_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Registratiedatum
|style="background-color: white;"|T om 22:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 3 weken''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksduur
|style="background-color: white;"|3 weken
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 3 weken, bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag, oraal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_12_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_14_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_14_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Registratiedatum
|style="background-color: white;"|T om 22:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - primaire code
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Geneesmiddel - generiekere code
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur, transdermaal
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Doseerinstructie
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_14_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Medicatie gebruik MBH_413_15_MGB_1
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="25%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Identificatie
|style="background-color: white;"|MBH_413_15_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Registratiedatum
|style="background-color: white;"|T om 10:35 uur
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gebruik indicator
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Volgens afspraak indicator
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Gebruiksperiode
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 4 dagen''
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ingangsdatum
|style="background-color: white;"|T
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gebruiksduur
|style="background-color: white;"|4 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Voorschrijver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Zorgverlener
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener identificatie nummer
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgegevens
|style="background-color: white;"|Peter van  Pulver
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Specialisme
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatie nummer
|style="background-color: white;"|00001111 (in identificerend systeem: URA)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Organisatie naam
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Auteur
|style="background-color: white;"|Patiënt
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Geneesmiddel - Product specificatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Product naam
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr          Regel: UREUM 10gr          Regel: EUCERINE MET WATER FAGRON ad 100gr
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ingredient code
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Sterkte
|style="background-color: white;"|10 gram per  100 gram
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Ingredient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ingredient code
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Sterkte
|style="background-color: white;"|90 gram per  100 gram
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Gebruiksinstructie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Omschrijving
|style="background-color: white;"|Vanaf T, gedurende 4 dagen, aanbrengen, cutaan
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Toedieningsweg
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aanvullende instructie
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Gerelateerde afspraak : MA
|style="background-color: white;"|MBH_413_15_MA_1
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|MBH identificatie
|style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
|}<section end=MGB_XXX_Strengersz />
|}<section end=MGB_XXX_Strengersz />


[[Categorie:Kwalificatie]]
[[Categorie:Kwalificatie]]

Huidige versie van 26 okt 2022 om 07:16

__NUMBEREDHEADINGS__


Addenda voor inhoudelijke gegevens

Patiënt J. XXX_Amaya

Patiënt
Gegevenselement Waarde
Naamgegevens
Initialen J.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Amaya
Identificatienummer 999911764 [BSN]
Identificatienummer 51107 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
Geboortedatum 6 aug 1964
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')

Medicatieafspraken XXX_Amaya

Medicatieafspraak MBH_513_1_MA_1
Gegevenselement Waarde
Identificatie MBH_513_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 1 dag om 11:25 uur
Gebruiksperiode Vanaf T - 1 dag, gedurende 1 jaar
Ingangsdatum T - 1 dag
Gebruiksduur 1 jaar
Geannuleerd indicator Ja
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 1 dag, gedurende 1 jaar, 10 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 10 maal per dag 1 stuk
MBH identificatie MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_513_1_MA_2
Gegevenselement Waarde
Identificatie MBH_513_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 09:00 uur
Gebruiksperiode Vanaf T, gedurende 1 jaar
Ingangsdatum T
Gebruiksduur 1 jaar
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001112 (in identificerend systeem: UZI Personen)
Naamgegevens Bertine van Doorn
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
MBH identificatie MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_513_2_MA_2
Gegevenselement Waarde
Identificatie MBH_513_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 14:32 uur
Gebruiksperiode Vanaf T
Ingangsdatum T
Relatie naar afspraak of gebruik: TA MBH_513_2_TA_1
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 999001112 (in identificerend systeem: UZI Personen)
Naamgegevens Hans van Doorn
Specialisme Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 99901111 (in identificerend systeem: URA)
Organisatie naam Ziekenhuis Stitswerd
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Reden wijzigen of staken Opname (code = '305335007' in codeSystem 'SNOMED CT')
Geneesmiddel - primaire code FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
Toelichting Toedieningsafspraak van apotheker ontvangen, geen medicatieafspraak van voorschrijver ontvangen. Deze nieuwe medicatieafspraak is gebaseerd op de toedieningsafspraak: MBH_513_2_TA_1
MBH identificatie MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_513_3_MA_1
Gegevenselement Waarde
Identificatie MBH_513_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 14:32 uur
Gebruiksperiode Vanaf T, gedurende 28 dagen
Ingangsdatum T
Gebruiksduur 28 dagen
Relatie naar afspraak of gebruik: MGB MBH_513_3_MGB_1
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 999001112 (in identificerend systeem: UZI Personen)
Naamgegevens Hans van Doorn
Specialisme Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 99901111 (in identificerend systeem: URA)
Organisatie naam Ziekenhuis Stitswerd
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Reden van voorschrijven Andere maligniteit bloed/lymfestelsel (code = 'B74' in codeSystem 'De Nederlandse editie van International Classification of Primary Care ICPC-1-NL')
Geneesmiddel - primaire code METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 28 dagen, 1 maal per week 5 stuks, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per week 5 stuks
MBH identificatie MBH_513_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_513_4_MA_1
Gegevenselement Waarde
Identificatie MBH_513_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 5 dagen om 09:35 uur
Gebruiksperiode Vanaf T - 5 dagen, gedurende 10 dagen
Ingangsdatum T - 5 dagen
Gebruiksduur 10 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 3 maal per dag 1 stuk
Lichaamslengte 155 cm. Gemeten: T - 5 dagen om 09:35 uur
Lichaamsgewicht 54 kg. Gemeten: T - 5 dagen om 09:35 uur
Aanvullende informatie Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050')
Toelichting In overleg met specialist
MBH identificatie MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Verstrekkingsverzoeken XXX_Amaya

Verstrekkingsverzoek
Gegevenselement Waarde
Identificatie MBH_513_2_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
Datum T om 14:32 uur
Auteur Hans van Doorn - Huisartsen, niet nader gespecificeerd. Ziekenhuis Stitswerd
Te verstrekken hoeveelheid 30 stuks
Geneesmiddel - primaire code FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
Beoogd verstrekker Apotheek De Gulle Gaper
Toelichting Extra verstrekkingsverzoek omdat patiënt de medicatie is kwijt geraakt
Relatie naar medicatieafspraak MBH_513_2_MA_2
MBH identificatie MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Verstrekkingsverzoek
Gegevenselement Waarde
Identificatie MBH_513_4_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
Datum T - 5 dagen om 09:35 uur
Auteur Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
Te verstrekken hoeveelheid 40 stuks
Geneesmiddel - primaire code FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK')
Beoogd verstrekker Apotheek De Gulle Gaper
Afleverlocatie Huisadres patiënt
Aanvullende wensen Bezorgen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2051')
Relatie naar medicatieafspraak MBH_513_4_MA_1
MBH identificatie MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Toedieningsafspraken XXX_Amaya

Toedieningsafspraak MBH_513_1_TA_1
Gegevenselement Waarde
Identificatie MBH_513_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T om 12:25 uur
Gebruiksperiode Vanaf T, gedurende 1 jaar
Ingangsdatum T
Gebruiksduur 1 jaar
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_513_1_MA_2
MBH identificatie MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_513_2_TA_1
Gegevenselement Waarde
Identificatie MBH_513_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 7 dagen om 14:52 uur
Gebruiksperiode Vanaf T - 7 dagen
Ingangsdatum T - 7 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Reden afspraak Opname
Geneesmiddel - primaire code FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 7 dagen, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_513_2_MA_1
MBH identificatie MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_513_4_TA_1
Gegevenselement Waarde
Identificatie MBH_513_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 5 dagen om 09:45 uur
Gebruiksperiode Vanaf T - 5 dagen, gedurende 10 dagen
Ingangsdatum T - 5 dagen
Gebruiksduur 10 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code AMOXICILLINE 500MG CAPSULE (code = '5223' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code AMOXICILLINE 500MG CAPSULE (code = '15423' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 3 maal per dag 1 stuk
Aanvullende informatie Gebruiksinstructie gegeven (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2053')
Toelichting Wegens niet leverbaar zijn van Broxil
Relatie naar medicatieafspraak MBH_513_4_MA_1
MBH identificatie MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Verstrekkingen XXX_Amaya

Verstrekking
Gegevenselement Waarde
Identificatie MBH_513_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
Aanschrijfdatum T om 14:32 uur
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek de Gulle Gaper
Verstrekte hoeveelheid 30 stuks
Geneesmiddel - primaire code FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
Relatie naar verstrekkingsverzoek MBH_513_2_VV_2
MBH identificatie MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Verstrekking
Gegevenselement Waarde
Identificatie MBH_513_4_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
Datum T - 5 dagen om 09:45 uur
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek de Gulle Gaper
Verstrekte hoeveelheid 30 stuks
Geneesmiddel - primaire code AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code AMOXICILLINE 500MG CAPSULE (code = '5223' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code AMOXICILLINE 500MG CAPSULE (code = '15423' in codeSystem 'G-Standaard GPK')
Afleverlocatie Huisadres patiënt
Aanvullende informatie Aantal bewust gewijzigd (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2052')
Toelichting Patiënt gaf aan nog wat op voorraad te hebben, wens patiënt om minder te verstrekken.
Relatie naar verstrekkingsverzoek MBH_513_4_VV_1
MBH identificatie MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Medicatiegebruik XXX_Amaya

Medicatie gebruik MBH_513_2_MGB_1
Gegevenselement Waarde
Identificatie MBH_513_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 2 dagen om 15:39 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 2 dagen
Ingangsdatum T - 2 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 999001112 (in identificerend systeem: UZI Personen)
Naamgegevens Hans van Doorn
Specialisme Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 99901111 (in identificerend systeem: URA)
Organisatie naam Ziekenhuis Stitswerd
Informant Patiënt
Auteur Zorgverlener  : Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
Geneesmiddel - primaire code FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 2 dagen, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_513_2_MA_1
MBH identificatie MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_513_2_MGB_2
Gegevenselement Waarde
Identificatie MBH_513_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 20:40 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 1 dag
Ingangsdatum T - 1 dag
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 999001112 (in identificerend systeem: UZI Personen)
Naamgegevens Hans van Doorn
Specialisme Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 99901111 (in identificerend systeem: URA)
Organisatie naam Ziekenhuis Stitswerd
Informant Persoon: M. XXX_Amaya - Mantelzorger.
Auteur Zorgverlener  : Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
Geneesmiddel - primaire code FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 1 dag, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_513_2_MA_1
MBH identificatie MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_513_2_MGB_3
Gegevenselement Waarde
Identificatie MBH_513_2_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 21:39 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T
Ingangsdatum T
Informant Zorgverlener  : Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
Auteur Zorgaanbieder  : Ziekenhuis Stitswerd
Geneesmiddel - primaire code FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_513_2_MA_1
MBH identificatie MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_5132_2_MGB_1
Gegevenselement Waarde
Identificatie MBH_5132_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 20:59 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T, gedurende 1 dag
Ingangsdatum T
Gebruiksduur 1 dag
Auteur Patiënt
Geneesmiddel - primaire code TEMAZEPAM APOTEX TABLET 10MG (code = '13806769' in codeSystem 'G-Standaard ZI-nummer')
Geneesmiddel - generiekere code TEMAZEPAM APOTEX TABLET 10MG (code = '677965' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code TEMAZEPAM TABLET 10MG (code = '32956' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TEMAZEPAM TABLET 10MG (code = '84190' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 1 dag, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
Gerelateerde verstrekking MBH_5132_2_MVE_1
MBH identificatie MBH_5132_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_513_3_MGB_1
Gegevenselement Waarde
Identificatie MBH_513_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 3 dagen om 20:59 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 8 dagen, tot en met T - 3 dagen
Ingangsdatum T - 8 dagen
Einddatum T - 3 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 999001112 (in identificerend systeem: UZI Personen)
Naamgegevens Hans van Doorn
Specialisme Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 99901111 (in identificerend systeem: URA)
Organisatie naam Ziekenhuis Stitswerd
Auteur Patiënt
Geneesmiddel - primaire code METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 8 dagen, tot en met T - 3 dagen, 1 maal per week 5 stuks
Doseerinstructie 1 maal per week 5 stuks
Reden gebruik Lymfekanker
Toelichting Tabletten wat lastig door te slikken, maar het lukt uiteindelijk wel.
MBH identificatie MBH_513_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_513_4_MGB_1
Gegevenselement Waarde
Identificatie MBH_513_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 4 dagen om 22:35 uur
Gebruik indicator Ja
Volgens afspraak indicator Nee
Gebruiksperiode Vanaf T - 5 dagen, tot en met T - 4 dagen
Ingangsdatum T - 5 dagen
Einddatum T - 4 dagen
Auteur Patiënt
Geneesmiddel - primaire code FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 5 dagen, tot en met T - 4 dagen, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_513_4_MA_1
MBH identificatie MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_513_4_MGB_2
Gegevenselement Waarde
Identificatie MBH_513_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 3 dagen om 22:35 uur
Gebruik indicator Nee
Volgens afspraak indicator Nee
Gebruiksperiode Vanaf T - 3 dagen, gedurende 1 dag
Ingangsdatum T - 3 dagen
Gebruiksduur 1 dag
Stoptype Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Auteur Patiënt
Geneesmiddel - primaire code FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 3 dagen, gedurende 1 dag, geneesmiddel niet in gebruik, tijdelijk gestopt
Gerelateerde afspraak : MA MBH_513_4_MA_1
MBH identificatie MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Patiënt Pauline P. XXX_Bourgonje

Patiënt
Gegevenselement Waarde
Naamgegevens
Voornamen Pauline
Initialen P.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Bourgonje
Identificatienummer 999911296 [BSN]
Identificatienummer 12102 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
Geboortedatum 1 aug 1964
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')

Medicatieafspraken XXX_Bourgonje

Medicatieafspraak MBH_123_1_MA_1
Gegevenselement Waarde
Identificatie MBH_123_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 7 dagen
Gebruiksperiode Vanaf T - 7 dagen
Ingangsdatum T - 7 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001112 (in identificerend systeem: UZI Personen)
Naamgegevens Bertine van Doorn
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 99001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Stitswerd Oost
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 7 dagen, zo nodig 2 maal per dag, aanbrengen, Cutaan
Toedieningsweg Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
Doseerinstructie zo nodig 2 maal per dag
MBH identificatie MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Verstrekkingsverzoeken XXX_Bourgonje

Verstrekkingsverzoek
Gegevenselement Waarde
Identificatie MBH_123_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
Datum T - 7 dagen
Auteur Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Stitswerd Oost
Te verstrekken hoeveelheid 100 gram
Geneesmiddel - primaire code Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
Beoogd verstrekker Apotheek De Gulle Gaper
Relatie naar medicatieafspraak MBH_123_1_MA_1
MBH identificatie MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Toedieningsafspraken XXX_Bourgonje

Toedieningsafspraak MBH_123_1_TA_1
Gegevenselement Waarde
Identificatie MBH_123_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 7 dagen
Gebruiksperiode Vanaf T - 7 dagen
Ingangsdatum T - 7 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code Cetomacrogolcreme met 10% vaseline FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 7 dagen, zo nodig 2 maal per dag, aanbrengen, Cutaan
Toedieningsweg Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
Doseerinstructie zo nodig 2 maal per dag
Relatie naar medicatieafspraak MBH_123_1_MA_1
MBH identificatie MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Verstrekkingen XXX_Bourgonje

Verstrekking
Gegevenselement Waarde
Identificatie MBH_123_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
Datum T - 7 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek de Gulle Gaper
Verstrekte hoeveelheid 100 gram
Geneesmiddel - primaire code Cetomacrogolcreme met 10% vaseline FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
Relatie naar verstrekkingsverzoek MBH_123_1_VV_1
MBH identificatie MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Medicatiegebruik XXX_Bourgonje

Medicatie gebruik MBH_123_1_MGB_1
Gegevenselement Waarde
Identificatie MBH_123_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 4 dagen om 20:58 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 5 dagen, gedurende 2 dagen
Ingangsdatum T - 5 dagen
Gebruiksduur 2 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001112 (in identificerend systeem: UZI Personen)
Naamgegevens Bertine van Doorn
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 99001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Stitswerd Oost
Auteur Patiënt
Geneesmiddel - primaire code Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-StandaardGPK')
Gebruiksinstructie
Omschrijving Vanaf T - 5 dagen, gedurende 2 dagen, 2 maal per dag, aanbrengen
Aanvullende instructie aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
Doseerinstructie 2 maal per dag
Gerelateerde afspraak : MA MBH_123_1_MA_1
MBH identificatie MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Patiënt J. XXX_Cnossen

Patiënt
Gegevenselement Waarde
Naamgegevens
Initialen J.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Cnossen
Identificatienummer 999911740 [BSN]
Identificatienummer 31105 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
Geboortedatum 4 aug 1964
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')

Medicatieafspraken XXX_Cnossen

Medicatieafspraak MBH_313_1_MA_1
Gegevenselement Waarde
Identificatie MBH_313_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 100 dagen om 12:11 uur
Gebruiksperiode Vanaf T - 100 dagen
Ingangsdatum T - 100 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 100 dagen, 1 maal per dag 1 dosis, inhalatie
Toedieningsweg inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 dosis
MBH identificatie MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_313_1_MA_2
Gegevenselement Waarde
Identificatie MBH_313_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 60 dagen om 13:54 uur
Gebruiksperiode Vanaf T - 100 dagen, tot en met T - 59 dagen
Ingangsdatum T - 100 dagen
Einddatum T - 59 dagen
Stoptype Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Voorschrijver
Zorgverlener
Naamgegevens John de Vries
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Reden wijzigen of staken Toedieningsweg voldoet niet (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
Geneesmiddel - primaire code Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 100 dagen, tot en met T - 59 dagen, 1 maal per dag 1 dosis, inhalatie, definitief gestopt
Toedieningsweg inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 dosis
MBH identificatie MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_313_2_MA_1
Gegevenselement Waarde
Identificatie MBH_313_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 500 dagen om 10:19 uur
Gebruiksperiode Vanaf T - 500 dagen
Ingangsdatum T - 500 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 500 dagen, 1 maal per dag 1 druppel, in beide ogen, oculair
Toedieningsweg oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Aanvullende instructie in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
Doseerinstructie 1 maal per dag 1 druppel
MBH identificatie MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_313_2_MA_2
Gegevenselement Waarde
Identificatie MBH_313_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 366 dagen om 17:54 uur
Gebruiksperiode Vanaf T - 500 dagen, tot en met T - 366 dagen om 17:00 uur
Ingangsdatum T - 500 dagen
Einddatum T - 366 dagen om 17:00 uur
Stoptype Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Voorschrijver
Zorgverlener
Naamgegevens John de Vries
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Reden wijzigen of staken Toedieningsweg voldoet niet (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
Geneesmiddel - primaire code Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 500 dagen, tot en met T - 366 dagen om 17:00 uur, 1 maal per dag 1 druppel, in beide ogen, oculair, definitief gestopt
Toedieningsweg oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Aanvullende instructie in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
Doseerinstructie 1 maal per dag 1 druppel
MBH identificatie MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_313_3_MA_1
Gegevenselement Waarde
Identificatie MBH_313_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 100 dagen om 12:11 uur
Gebruiksperiode Vanaf T - 100 dagen
Ingangsdatum T - 100 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
MBH identificatie MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_313_3_MA_2
Gegevenselement Waarde
Identificatie MBH_313_3_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 4 dagen om 13:54 uur
Gebruiksperiode Vanaf T - 100 dagen, tot en met T - 5 dagen
Ingangsdatum T - 100 dagen
Einddatum T - 5 dagen
Stoptype Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Voorschrijver
Zorgverlener
Naamgegevens John de Vries
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 100 dagen, tot en met T - 5 dagen, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
MBH identificatie MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_313_4_MA_1
Gegevenselement Waarde
Identificatie MBH_313_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 300 dagen om 14:23 uur
Gebruiksperiode Vanaf T - 300 dagen
Ingangsdatum T - 300 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 300 dagen, 1 maal per dag 1 stuk, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
MBH identificatie MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_313_4_MA_2
Gegevenselement Waarde
Identificatie MBH_313_4_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 222 dagen om 08:54 uur
Gebruiksperiode Vanaf T - 300 dagen, tot en met T - 223 dagen
Ingangsdatum T - 300 dagen
Einddatum T - 223 dagen
Stoptype Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Voorschrijver
Zorgverlener
Naamgegevens John de Vries
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 300 dagen, tot en met T - 223 dagen, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
MBH identificatie MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Toedieningsafspraken XXX_Cnossen

Toedieningsafspraak MBH_313_1_TA_1
Gegevenselement Waarde
Identificatie MBH_313_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 100 dagen om 12:11 uur
Gebruiksperiode Vanaf T - 100 dagen
Ingangsdatum T - 100 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 100 dagen, 1 maal per dag 1 dosis, inhalatie
Toedieningsweg inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 dosis
Relatie naar medicatieafspraak MBH_313_1_MA_1
MBH identificatie MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_313_1_TA_2
Gegevenselement Waarde
Identificatie MBH_313_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 60 dagen om 13:54 uur
Gebruiksperiode Vanaf T - 100 dagen, tot en met T - 59 dagen
Ingangsdatum T - 100 dagen
Einddatum T - 59 dagen
Stoptype Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 100 dagen, tot en met T - 59 dagen, 1 maal per dag 1 dosis, inhalatie, definitief gestopt
Toedieningsweg inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 dosis
Relatie naar medicatieafspraak MBH_313_1_MA_2
MBH identificatie MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_313_2_TA_1
Gegevenselement Waarde
Identificatie MBH_313_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 500 dagen om 10:19 uur
Gebruiksperiode Vanaf T - 500 dagen
Ingangsdatum T - 500 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 500 dagen, 1 maal per dag 1 druppel, in beide ogen, oculair
Toedieningsweg oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Aanvullende instructie in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
Doseerinstructie 1 maal per dag 1 druppel
Relatie naar medicatieafspraak MBH_313_2_MA_1
MBH identificatie MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_313_2_TA_2
Gegevenselement Waarde
Identificatie MBH_313_2_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 366 dagen om 17:54 uur
Gebruiksperiode Vanaf T - 500 dagen, tot en met T - 366 dagen om 17:00 uur
Ingangsdatum T - 500 dagen
Einddatum T - 366 dagen om 17:00 uur
Stoptype Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 500 dagen, tot en met T - 366 dagen om 17:00 uur, 1 maal per dag 1 druppel, in beide ogen, oculair, definitief gestopt
Toedieningsweg oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Aanvullende instructie in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
Doseerinstructie 1 maal per dag 1 druppel
Relatie naar medicatieafspraak MBH_313_2_MA_2
MBH identificatie MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_313_3_TA_1
Gegevenselement Waarde
Identificatie MBH_313_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 100 dagen om 12:30 uur
Gebruiksperiode Vanaf T - 100 dagen
Ingangsdatum T - 100 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_313_3_MA_1
MBH identificatie MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_313_3_TA_2
Gegevenselement Waarde
Identificatie MBH_313_3_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 4 dagen om 14:54 uur
Gebruiksperiode Vanaf T - 100 dagen, tot en met T - 5 dagen
Ingangsdatum T - 100 dagen
Einddatum T - 5 dagen
Stoptype Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 100 dagen, tot en met T - 5 dagen, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_313_3_MA_2
MBH identificatie MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_313_4_TA_1
Gegevenselement Waarde
Identificatie MBH_313_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 300 dagen om 15:23 uur
Gebruiksperiode Vanaf T - 300 dagen
Ingangsdatum T - 300 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 300 dagen, 1 maal per dag 1 stuk, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_313_4_MA_1
MBH identificatie MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_313_4_TA_2
Gegevenselement Waarde
Identificatie MBH_313_4_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 222 dagen om 09:54 uur
Gebruiksperiode Vanaf T - 300 dagen, tot en met T - 223 dagen
Ingangsdatum T - 300 dagen
Einddatum T - 223 dagen
Stoptype Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 300 dagen, tot en met T - 223 dagen, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_313_4_MA_2
MBH identificatie MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Medicatiegebruik XXX_Cnossen

Medicatie gebruik MBH_313_1_MGB_1
Gegevenselement Waarde
Identificatie MBH_313_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 100 dagen om 12:11 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 100 dagen
Ingangsdatum T - 100 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 100 dagen, 1 maal per dag 1 dosis, inhalatie
Toedieningsweg inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 dosis
Gerelateerde afspraak : MA MBH_313_1_MA_1
MBH identificatie MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_313_1_MGB_2
Gegevenselement Waarde
Identificatie MBH_313_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 60 dagen om 15:25 uur
Gebruik indicator Nee
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T - 60 dagen om 07:00 uur
Ingangsdatum T - 60 dagen om 07:00 uur
Stoptype Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Voorschrijver
Zorgverlener
Naamgegevens John de Vries
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 60 dagen om 07:00 uur, geneesmiddel niet in gebruik, definitief gestopt
Gerelateerde afspraak : MA MBH_313_1_MA_2
MBH identificatie MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_313_2_MGB_1
Gegevenselement Waarde
Identificatie MBH_313_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 500 dagen om 10:19 uur
Gebruik indicator Ja
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T - 500 dagen
Ingangsdatum T - 500 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 500 dagen, 1 maal per dag 1 druppel, in beide ogen, oculair
Toedieningsweg oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Aanvullende instructie in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
Doseerinstructie 1 maal per dag 1 druppel
Gerelateerde afspraak : MA MBH_313_2_MA_1
MBH identificatie MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_313_2_MGB_2
Gegevenselement Waarde
Identificatie MBH_313_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 365 dagen om 17:54 uur
Gebruik indicator Nee
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T - 366 dagen
Ingangsdatum T - 366 dagen
Stoptype Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Voorschrijver
Zorgverlener
Naamgegevens John de Vries
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 366 dagen, geneesmiddel niet in gebruik, definitief gestopt
Gerelateerde afspraak : MA MBH_313_2_MA_2
MBH identificatie MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_313_3_MGB_1
Gegevenselement Waarde
Identificatie MBH_313_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 100 dagen om 14:11 uur
Gebruik indicator Ja
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T - 100 dagen
Ingangsdatum T - 100 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_313_3_MA_1
MBH identificatie MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_313_3_MGB_2
Gegevenselement Waarde
Identificatie MBH_313_3_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 4 dagen om 13:54 uur
Gebruik indicator Nee
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T - 4 dagen
Ingangsdatum T - 4 dagen
Stoptype Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Voorschrijver
Zorgverlener
Naamgegevens John de Vries
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 4 dagen, geneesmiddel niet in gebruik, tijdelijk gestopt
Gerelateerde afspraak : MA MBH_313_3_MA_2
MBH identificatie MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_313_4_MGB_1
Gegevenselement Waarde
Identificatie MBH_313_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 300 dagen om 17:23 uur
Gebruik indicator Nee
Gebruiksperiode Vanaf T - 300 dagen
Ingangsdatum T - 300 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 300 dagen, 1 maal per dag 1 stuk, oraal, geneesmiddel niet in gebruik
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_313_4_MA_1
MBH identificatie MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_313_4_MGB_2
Gegevenselement Waarde
Identificatie MBH_313_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 222 dagen om 19:35 uur
Gebruik indicator Nee
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T - 222 dagen
Ingangsdatum T - 222 dagen
Stoptype Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Voorschrijver
Zorgverlener
Naamgegevens John de Vries
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 222 dagen, geneesmiddel niet in gebruik, tijdelijk gestopt
Gerelateerde afspraak : MA MBH_313_4_MA_2
MBH identificatie MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Patiënt R. XXX_Dirksz

Patiënt
Gegevenselement Waarde
Naamgegevens
Initialen R.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Dirksz
Identificatienummer 999911326 [BSN]
Identificatienummer 11101 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
Geboortedatum 1 aug 1964
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')

Medicatieafspraken XXX_Dirksz

Medicatieafspraak MBH_113_1_MA_1
Gegevenselement Waarde
Identificatie MBH_113_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 50 dagen om 11:25 uur
Gebruiksperiode Vanaf T - 50 dagen, tot en met T - 20 dagen
Ingangsdatum T - 50 dagen
Einddatum T - 20 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 50 dagen, tot en met T - 20 dagen, zo nodig 1 maal per dag 1 stuk, Rectaal
Toedieningsweg Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie zo nodig 1 maal per dag 1 stuk
MBH identificatie MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_113_2_MA_1
Gegevenselement Waarde
Identificatie MBH_113_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 30 dagen om 14:55 uur
Gebruiksperiode Vanaf T - 30 dagen, tot en met T - 9 dagen
Ingangsdatum T - 30 dagen
Einddatum T - 9 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 30 dagen, tot en met T - 9 dagen, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
MBH identificatie MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_113_3_MA_1
Gegevenselement Waarde
Identificatie MBH_113_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 30 dagen om 14:57 uur
Gebruiksperiode Vanaf T - 30 dagen
Ingangsdatum T - 30 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 30 dagen, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
MBH identificatie MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Verstrekkingsverzoeken XXX_Dirksz

Verstrekkingsverzoek
Gegevenselement Waarde
Identificatie MBH_113_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
Datum T - 50 dagen om 11:25 uur
Auteur Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
Te verstrekken hoeveelheid 30 stuks
Geneesmiddel - primaire code Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
Beoogd verstrekker Apotheek De Gulle Gaper
Relatie naar medicatieafspraak MBH_113_1_MA_1
MBH identificatie MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Verstrekkingsverzoek
Gegevenselement Waarde
Identificatie MBH_113_2_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
Datum T - 30 dagen om 14:55 uur
Auteur Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
Te verstrekken hoeveelheid 21 stuks
Geneesmiddel - primaire code ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
Beoogd verstrekker Apotheek De Gulle Gaper
Relatie naar medicatieafspraak MBH_113_2_MA_1
MBH identificatie MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Verstrekkingsverzoek
Gegevenselement Waarde
Identificatie MBH_113_3_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
Datum T - 30 dagen om 14:57 uur
Auteur Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
Te verstrekken hoeveelheid 21 stuks
Geneesmiddel - primaire code ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
Beoogd verstrekker Apotheek De Gulle Gaper
Relatie naar medicatieafspraak MBH_113_3_MA_1
MBH identificatie MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Toedieningsafspraken XXX_Dirksz

Toedieningsafspraak MBH_113_1_TA_1
Gegevenselement Waarde
Identificatie MBH_113_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 50 dagen om 11:25 uur
Gebruiksperiode Vanaf T - 50 dagen, tot en met T - 20 dagen
Ingangsdatum T - 50 dagen
Einddatum T - 20 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 50 dagen, tot en met T - 20 dagen, zo nodig 1 maal per dag 1 stuk, Rectaal
Toedieningsweg Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie zo nodig 1 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_113_1_MA_1
MBH identificatie MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_113_2_TA_1
Gegevenselement Waarde
Identificatie MBH_113_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 30 dagen om 14:55 uur
Gebruiksperiode Vanaf T - 30 dagen, tot en met T - 9 dagen
Ingangsdatum T - 30 dagen
Einddatum T - 9 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 30 dagen, tot en met T - 9 dagen, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_113_2_MA_1
MBH identificatie MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_113_3_TA_1
Gegevenselement Waarde
Identificatie MBH_113_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 30 dagen om 14:57 uur
Gebruiksperiode Vanaf T - 30 dagen
Ingangsdatum T - 30 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 30 dagen, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_113_3_MA_1
MBH identificatie MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Verstrekkingen XXX_Dirksz

Verstrekking
Gegevenselement Waarde
Identificatie MBH_113_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
Datum T - 50 dagen om 12:25 uur
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek de Gulle Gaper
Verstrekte hoeveelheid 30 stuks
Geneesmiddel - primaire code PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
Relatie naar verstrekkingsverzoek MBH_113_1_VV_1
MBH identificatie MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Verstrekking
Gegevenselement Waarde
Identificatie MBH_113_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
Datum T - 30 dagen om 15:55 uur
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek de Gulle Gaper
Verstrekte hoeveelheid 25 stuks
Geneesmiddel - primaire code ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
Relatie naar verstrekkingsverzoek MBH_113_2_VV_1
MBH identificatie MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Verstrekking
Gegevenselement Waarde
Identificatie MBH_113_3_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
Datum T - 30 dagen om 15:56 uur
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek de Gulle Gaper
Verstrekte hoeveelheid 21 stuks
Geneesmiddel - primaire code ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
Relatie naar verstrekkingsverzoek MBH_113_3_VV_1
MBH identificatie MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Medicatiegebruik XXX_Dirksz

Medicatie gebruik MBH_113_1_MGB_1
Gegevenselement Waarde
Identificatie MBH_113_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 48 dagen om 11:25 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 48 dagen, gedurende 1 dag
Ingangsdatum T - 48 dagen
Gebruiksduur 1 dag
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 48 dagen, gedurende 1 dag, zo nodig 1 maal per dag 1 stuk, Rectaal
Toedieningsweg Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie zo nodig 1 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_113_1_MA_1
MBH identificatie MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_113_2_MGB_1
Gegevenselement Waarde
Identificatie MBH_113_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 13 dagen om 14:55 uur
Gebruik indicator Ja
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T - 30 dagen, gedurende 3 weken
Ingangsdatum T - 30 dagen
Gebruiksduur 3 weken
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 30 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_113_2_MA_1
MBH identificatie MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_113_3_MGB_1
Gegevenselement Waarde
Identificatie MBH_113_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 29 dagen om 14:57 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 29 dagen, tot en met T - 8 dagen
Ingangsdatum T - 29 dagen
Einddatum T - 8 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 29 dagen, tot en met T - 8 dagen, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 1 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_113_3_MA_1
MBH identificatie MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Patiënt R. XXX_Gobee

Patiënt
Gegevenselement Waarde
Naamgegevens
Initialen R.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Gobee
Identificatienummer 999911314 [BSN]
Identificatienummer 21104 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
Geboortedatum 1 aug 1964
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')

Medicatieafspraken XXX_Gobee

Medicatieafspraak MBH_213_1_MA_1
Gegevenselement Waarde
Identificatie MBH_213_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 50 dagen om 11:25 uur
Gebruiksperiode Vanaf T - 50 dagen
Ingangsdatum T - 50 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 50 dagen, zo nodig 1 à 2 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie zo nodig 1 à 2 maal per dag 1 stuk
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_213_1_MA_2
Gegevenselement Waarde
Identificatie MBH_213_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 40 dagen om 09:13 uur
Gebruiksperiode Vanaf T - 50 dagen, tot en met T - 41 dagen
Ingangsdatum T - 50 dagen
Einddatum T - 41 dagen
Stoptype Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Relatie naar afspraak of gebruik: MA MBH_213_1_MA_1
Voorschrijver
Zorgverlener
Naamgegevens John de Vries
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 50 dagen, tot en met T - 41 dagen, zo nodig 1 à 2 maal per dag 1 stuk, Oraal, definitief gestopt
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie zo nodig 1 à 2 maal per dag 1 stuk
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_213_1_MA_3
Gegevenselement Waarde
Identificatie MBH_213_1_MA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 40 dagen om 09:13 uur
Gebruiksperiode Vanaf T - 40 dagen, gedurende 30 dagen
Ingangsdatum T - 40 dagen
Gebruiksduur 30 dagen
Relatie naar afspraak of gebruik: MA MBH_213_1_MA_1
Voorschrijver
Zorgverlener
Naamgegevens John de Vries
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Reden wijzigen of staken Allergie of non-allergische overgevoeligheid of bijwerking (code = '16' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 40 dagen, gedurende 30 dagen, 2 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal per dag 1 stuk
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_213_1_MA_4
Gegevenselement Waarde
Identificatie MBH_213_1_MA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 15 dagen om 16:25 uur
Gebruiksperiode Vanaf T - 40 dagen, tot en met T - 15 dagen
Ingangsdatum T - 40 dagen
Einddatum T - 15 dagen
Stoptype Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Relatie naar afspraak of gebruik: MA MBH_213_1_MA_3
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 40 dagen, tot en met T - 15 dagen, 2 maal per dag 1 stuk, Oraal, definitief gestopt
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal per dag 1 stuk
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_213_1_MA_5
Gegevenselement Waarde
Identificatie MBH_213_1_MA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 15 dagen om 16:25 uur
Gebruiksperiode Vanaf T - 14 dagen, gedurende 30 dagen
Ingangsdatum T - 14 dagen
Gebruiksduur 30 dagen
Relatie naar afspraak of gebruik: MA MBH_213_1_MA_3
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Reden wijzigen of staken Opname (code = '305335007' in codeSystem 'SNOMED CT')
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 14 dagen, gedurende 30 dagen, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Verstrekkingsverzoeken XXX_Gobee

Verstrekkingsverzoek
Gegevenselement Waarde
Identificatie MBH_213_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
Datum T - 50 dagen om 11:25 uur
Auteur Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
Te verstrekken hoeveelheid 40 stuks
Aantal herhalingen 1
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Beoogd verstrekker Apotheek De Gulle Gaper
Relatie naar medicatieafspraak MBH_213_1_MA_1
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Verstrekkingsverzoek
Gegevenselement Waarde
Identificatie MBH_213_1_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
Datum T - 40 dagen om 09:13 uur
Auteur John de Vries - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
Te verstrekken hoeveelheid 60 stuks
Aantal herhalingen 1
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Beoogd verstrekker Apotheek De Gulle Gaper
Relatie naar medicatieafspraak MBH_213_1_MA_3
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Verstrekkingsverzoek
Gegevenselement Waarde
Identificatie MBH_213_1_VV_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
Datum T - 15 dagen om 16:25 uur
Auteur Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Verbruiksperiode Vanaf T - 14 dagen, gedurende 30 dagen
Beoogd verstrekker Apotheek De Gulle Gaper
Relatie naar medicatieafspraak MBH_213_1_MA_5
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Toedieningsafspraken XXX_Gobee

Toedieningsafspraak MBH_213_1_TA_1
Gegevenselement Waarde
Identificatie MBH_213_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 50 dagen om 11:25 uur
Gebruiksperiode Vanaf T - 50 dagen
Ingangsdatum T - 50 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 50 dagen, zo nodig 1 à 2 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie zo nodig 1 à 2 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_213_1_MA_1
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_213_1_TA_2
Gegevenselement Waarde
Identificatie MBH_213_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 40 dagen om 09:13 uur
Gebruiksperiode Vanaf T - 50 dagen, tot en met T - 41 dagen
Ingangsdatum T - 50 dagen
Einddatum T - 41 dagen
Stoptype Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 50 dagen, tot en met T - 41 dagen, zo nodig 1 à 2 maal per dag 1 stuk, Oraal, definitief gestopt
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie zo nodig 1 à 2 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_213_1_MA_2
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_213_1_TA_3
Gegevenselement Waarde
Identificatie MBH_213_1_TA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 40 dagen om 09:13 uur
Gebruiksperiode Vanaf T - 40 dagen, gedurende 30 dagen
Ingangsdatum T - 40 dagen
Gebruiksduur 30 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 40 dagen, gedurende 30 dagen, 2 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_213_1_MA_3
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_213_1_TA_4
Gegevenselement Waarde
Identificatie MBH_213_1_TA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 15 dagen om 16:25 uur
Gebruiksperiode Vanaf T - 40 dagen, tot en met T - 15 dagen
Ingangsdatum T - 40 dagen
Einddatum T - 15 dagen
Stoptype Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 40 dagen, tot en met T - 15 dagen, 2 maal per dag 1 stuk, Oraal, definitief gestopt
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_213_1_MA_4
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_213_1_TA_5
Gegevenselement Waarde
Identificatie MBH_213_1_TA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 15 dagen om 16:25 uur
Gebruiksperiode Vanaf T - 14 dagen, gedurende 30 dagen
Ingangsdatum T - 14 dagen
Gebruiksduur 30 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 14 dagen, gedurende 30 dagen, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_213_1_MA_5
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Verstrekkingen XXX_Gobee

Verstrekking
Gegevenselement Waarde
Identificatie MBH_213_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
Datum T - 50 dagen om 13:25 uur
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek de Gulle Gaper
Verstrekte hoeveelheid 40 stuks
Geneesmiddel - primaire code MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Relatie naar verstrekkingsverzoek MBH_213_1_VV_1
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Verstrekking
Gegevenselement Waarde
Identificatie MBH_213_1_MVE_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
Datum T - 40 dagen om 09:13 uur
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek de Gulle Gaper
Verstrekte hoeveelheid 60 stuks
Geneesmiddel - primaire code MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Relatie naar verstrekkingsverzoek MBH_213_1_VV_2
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Verstrekking
Gegevenselement Waarde
Identificatie MBH_213_1_MVE_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
Datum T - 15 dagen om 17:25 uur
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek de Gulle Gaper
Verstrekte hoeveelheid 30 stuks
Geneesmiddel - primaire code MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Verbruiksduur 30 dagen
Relatie naar verstrekkingsverzoek MBH_213_1_VV_2
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Medicatiegebruik XXX_Gobee

Medicatie gebruik MBH_213_1_MGB_1
Gegevenselement Waarde
Identificatie MBH_213_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 47 dagen om 11:25 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 50 dagen, gedurende 3 dagen
Ingangsdatum T - 50 dagen
Gebruiksduur 3 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 50 dagen, gedurende 3 dagen, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_213_1_MA_1
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_213_1_MGB_2
Gegevenselement Waarde
Identificatie MBH_213_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 41 dagen om 11:25 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 46 dagen, gedurende 6 dagen
Ingangsdatum T - 46 dagen
Gebruiksduur 6 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 46 dagen, gedurende 6 dagen, 2 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_213_1_MA_1
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_213_1_MGB_3
Gegevenselement Waarde
Identificatie MBH_213_1_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 35 dagen om 19:25 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 40 dagen, gedurende 6 dagen
Ingangsdatum T - 40 dagen
Gebruiksduur 6 dagen
Auteur Patiënt
Geneesmiddel - primaire code MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 40 dagen, gedurende 6 dagen, 2 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal per dag 1 stuk
Gerelateerde afspraak : TA MBH_213_1_TA_3
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_213_1_MGB_4
Gegevenselement Waarde
Identificatie MBH_213_1_MGB_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 16 dagen om 11:25 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 34 dagen, gedurende 19 dagen
Ingangsdatum T - 34 dagen
Gebruiksduur 19 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 34 dagen, gedurende 19 dagen, 2 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_213_1_MA_3
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_213_1_MGB_5
Gegevenselement Waarde
Identificatie MBH_213_1_MGB_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 10 dagen om 11:25 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 14 dagen, gedurende 5 dagen
Ingangsdatum T - 14 dagen
Gebruiksduur 5 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 14 dagen, gedurende 5 dagen, 1 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_213_1_MA_5
MBH identificatie MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Patiënt J. XXX_Kilkenny

Patiënt
Gegevenselement Waarde
Naamgegevens
Initialen J.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Kilkenny
Identificatienummer 999911752 [BSN]
Identificatienummer 22108 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
Geboortedatum 5 aug 1964
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')

Medicatieafspraken XXX_Kilkenny

Medicatieafspraak MBH_323_1_MA_1
Gegevenselement Waarde
Identificatie MBH_323_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 5 dagen om 15:34 uur
Gebruiksperiode Vanaf T - 20 dagen, tot en met T - 6 dagen
Ingangsdatum T - 20 dagen
Einddatum T - 6 dagen
Stoptype Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
Relatie naar afspraak of gebruik: MGB MBH_323_1_MGB_1
Voorschrijver
Zorgverlener
Naamgegevens John de Vries
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-standaard PRK')
Geneesmiddel - generiekere code IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 20 dagen, tot en met T - 6 dagen, 3 maal per dag 1 stuk, oraal, definitief gestopt
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 3 maal per dag 1 stuk
MBH identificatie MBH_323_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Medicatiegebruik XXX_Kilkenny

Medicatie gebruik MBH_323_1_MGB_1
Gegevenselement Waarde
Identificatie MBH_323_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 10 dagen om 11:25 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 20 dagen
Ingangsdatum T - 20 dagen
Auteur Patiënt
Geneesmiddel - primaire code ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 20 dagen, 3 maal per dag 1 stuk, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
Doseerinstructie 3 maal per dag 1 stuk
MBH identificatie MBH_323_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Patiënt R. XXX_Ruys

Patiënt
Gegevenselement Waarde
Naamgegevens
Initialen R.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Ruys
Identificatienummer 999911351 [BSN]
Identificatienummer 13103 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
Geboortedatum 1 aug 1964
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')

Patiënt R. XXX_Strengersz

Patiënt
Gegevenselement Waarde
Naamgegevens
Initialen R.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Strengersz
Identificatienummer 999911338 [BSN]
Identificatienummer 41106 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
Geboortedatum 1 aug 1964
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')

Medicatieafspraken XXX_Strengersz

Medicatieafspraak MBH_413_1_MA_1
Gegevenselement Waarde
Identificatie MBH_413_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 11:25 uur
Gebruiksperiode Vanaf T, gedurende 60 dagen
Ingangsdatum T
Gebruiksduur 60 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 à 2 maal per dag 1 stuk
MBH identificatie MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_2_MA_1
Gegevenselement Waarde
Identificatie MBH_413_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 11:25 uur
Gebruiksperiode Vanaf T
Ingangsdatum T
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden, subcutaan
Toedieningsweg subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden
MBH identificatie MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_3_MA_1
Gegevenselement Waarde
Identificatie MBH_413_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 50 dagen om 11:25 uur
Gebruiksperiode Vanaf T - 50 dagen, gedurende 4 weken
Ingangsdatum T - 50 dagen
Gebruiksduur 4 weken
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 3 maal per dag 1 à 2 stuks
MBH identificatie MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_4_MA_1
Gegevenselement Waarde
Identificatie MBH_413_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 20 dagen om 10:26 uur
Gebruiksperiode Vanaf T - 20 dagen, gedurende 30 dagen
Ingangsdatum T - 20 dagen
Gebruiksduur 30 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 20 dagen, gedurende 30 dagen, 3 maal per dag, aanbrengen, cutaan
Toedieningsweg cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
Doseerinstructie 3 maal per dag
MBH identificatie MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_5_MA_1
Gegevenselement Waarde
Identificatie MBH_413_5_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 20 dagen om 10:46 uur
Gebruiksperiode Vanaf T - 20 dagen, gedurende 30 dagen
Ingangsdatum T - 20 dagen
Gebruiksduur 30 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 20 dagen, gedurende 30 dagen, 2 maal per dag 0.5 stuk, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal per dag 0.5 stuk
MBH identificatie MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_6_MA_1
Gegevenselement Waarde
Identificatie MBH_413_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T, gedurende 14 dagen
Ingangsdatum T
Gebruiksduur 14 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 14 dagen, 2 maal per dag 10 à 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
Toedieningsweg niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
Aanvullende instructie mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
Doseerinstructie 2 maal per dag 10 à 15 ml
MBH identificatie MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_7_MA_1
Gegevenselement Waarde
Identificatie MBH_413_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T, gedurende 14 dagen
Ingangsdatum T
Gebruiksduur 14 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid, subcutaan
Toedieningsweg subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
MBH identificatie MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_8_MA_1
Gegevenselement Waarde
Identificatie MBH_413_8_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T, gedurende 10 weken
Ingangsdatum T
Gebruiksduur 10 weken
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, cutaan
Toedieningsweg cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
Aanvullende instructie aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
Doseerinstructie op maandag, woensdag en vrijdag
MBH identificatie MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_9_MA_1
Gegevenselement Waarde
Identificatie MBH_413_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T
Ingangsdatum T
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, 1 maal per dag 1 stuk 's avonds, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk 's avonds
MBH identificatie MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_10_MA_1
Gegevenselement Waarde
Identificatie MBH_413_10_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T
Ingangsdatum T
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie gedurende 21 dagen 1 maal per dag 1 stuk
Herhaalperiode cyclisch schema 28 dagen
MBH identificatie MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_11_MA_1
Gegevenselement Waarde
Identificatie MBH_413_11_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T, gedurende 41 dagen
Ingangsdatum T
Gebruiksduur 41 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 41 dagen, eerst gedurende 2 weken 1 maal per dag 3 gram, dan gedurende 3 weken 1 maal per dag 2 gram, dan gedurende 6 dagen 1 maal per dag 1 gram, dun aanbrengen, cutaan
Toedieningsweg cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
Doseerinstructie 1 eerst gedurende 2 weken 1 maal per dag 3 gram
Doseerinstructie 2 dan gedurende 3 weken 1 maal per dag 2 gram
Doseerinstructie 3 dan gedurende 6 dagen 1 maal per dag 1 gram
MBH identificatie MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_12_MA_1
Gegevenselement Waarde
Identificatie MBH_413_12_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 11:25 uur
Gebruiksperiode Vanaf T, gedurende 3 weken
Ingangsdatum T
Gebruiksduur 3 weken
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 3 weken, bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag
MBH identificatie MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_13_MA_1
Gegevenselement Waarde
Identificatie MBH_413_13_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 28 dagen om 09:12 uur
Gebruiksperiode Vanaf T - 28 dagen, gedurende 8 dagen
Ingangsdatum T - 28 dagen
Gebruiksduur 8 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 28 dagen, gedurende 8 dagen, toedieningssnelheid: 0.5 ml per uur, parenteraal
Toedieningsweg parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie toedieningssnelheid: 0.5 ml per uur
MBH identificatie MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_13_MA_2
Gegevenselement Waarde
Identificatie MBH_413_13_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T - 20 dagen om 11:25 uur
Gebruiksperiode Vanaf T - 20 dagen, gedurende 8 dagen
Ingangsdatum T - 20 dagen
Gebruiksduur 8 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 20 dagen, gedurende 8 dagen, toedieningssnelheid: 0.2 à 0.5 ml per uur, parenteraal
Toedieningsweg parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie toedieningssnelheid: 0.2 à 0.5 ml per uur
MBH identificatie MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_14_MA_1
Gegevenselement Waarde
Identificatie MBH_413_14_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 11:25 uur
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - primaire code NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving 1 maal per dag 1 stuk gedurende 16 uur, transdermaal
Toedieningsweg transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk gedurende 16 uur
MBH identificatie MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatieafspraak MBH_413_15_MA_1
Gegevenselement Waarde
Identificatie MBH_413_15_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T
Ingangsdatum T
Voorschrijver
Zorgverlener
Zorgverlener identificatienummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatienummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Adresgegevens Werkadres: Dorpsstraat 1 1234AA Ons Dorp
Geneesmiddel - Product specificatie
Product naam Ureum 10% in eucerine cum aqua 100gr
Omschrijving Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
Ingredient
Ingredient code UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
Sterkte 10 gram per 100 gram
Ingredient
Ingredient code EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
Sterkte 90 gram per 100 gram
Gebruiksinstructie
Omschrijving Vanaf T, bij hoest, cutaan
Toedieningsweg cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie bij hoest
MBH identificatie MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Verstrekkingsverzoeken XXX_Strengersz

Verstrekkingsverzoek
Gegevenselement Waarde
Identificatie MBH_413_15_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
Datum T om 09:35 uur
Auteur Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
Te verstrekken hoeveelheid 100 ml
Aantal herhalingen 1
Geneesmiddel - Product specificatie
Product naam Ureum 10% in eucerine cum aqua 100gr
Omschrijving Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
Ingredient
Ingredient code UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
Sterkte 10 gram per 100 gram
Ingredient
Ingredient code EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
Sterkte 90 gram per 100 gram
Beoogd verstrekker Apotheek De Gulle Gaper
Relatie naar medicatieafspraak MBH_413_15_MA_1
MBH identificatie MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Toedieningsafspraken XXX_Strengersz

Toedieningsafspraak MBH_413_1_TA_1
Gegevenselement Waarde
Identificatie MBH_413_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T om 11:25 uur
Gebruiksperiode Vanaf T, gedurende 60 dagen
Ingangsdatum T
Gebruiksduur 60 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 à 2 maal per dag 1 stuk
Relatie naar medicatieafspraak MBH_413_1_MA_1
MBH identificatie MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_2_TA_1
Gegevenselement Waarde
Identificatie MBH_413_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T om 11:25 uur
Gebruiksperiode Vanaf T
Ingangsdatum T
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden, subcutaan
Toedieningsweg subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden
Relatie naar medicatieafspraak MBH_413_2_MA_1
MBH identificatie MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_3_TA_1
Gegevenselement Waarde
Identificatie MBH_413_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 50 dagen om 11:25 uur
Gebruiksperiode Vanaf T - 50 dagen, gedurende 4 weken
Ingangsdatum T - 50 dagen
Gebruiksduur 4 weken
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code PARACETAMOL PCH TABLET 500MG (code = '768901' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 3 maal per dag 1 à 2 stuks
Relatie naar medicatieafspraak MBH_413_3_MA_1
MBH identificatie MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_4_TA_1
Gegevenselement Waarde
Identificatie MBH_413_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 20 dagen om 10:26 uur
Gebruiksperiode Vanaf T - 20 dagen, gedurende 30 dagen
Ingangsdatum T - 20 dagen
Gebruiksduur 30 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code Cetomacrogolcreme met 10% vaseline FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 20 dagen, gedurende 30 dagen, 3 maal per dag, aanbrengen, cutaan
Toedieningsweg cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
Doseerinstructie 3 maal per dag
Relatie naar medicatieafspraak MBH_413_4_MA_1
MBH identificatie MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_5_TA_1
Gegevenselement Waarde
Identificatie MBH_413_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 20 dagen om 10:46 uur
Gebruiksperiode Vanaf T - 20 dagen, gedurende 30 dagen
Ingangsdatum T - 20 dagen
Gebruiksduur 30 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 20 dagen, gedurende 30 dagen, 2 maal per dag 0.5 stuk, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal per dag 0.5 stuk
Relatie naar medicatieafspraak MBH_413_5_MA_1
MBH identificatie MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_6_TA_1
Gegevenselement Waarde
Identificatie MBH_413_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T, gedurende 14 dagen
Ingangsdatum T
Gebruiksduur 14 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code SOLUTIO HYDROGENII PEROXIDI 3% M/V (code = '603694' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 14 dagen, 2 maal per dag 10 à 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
Toedieningsweg niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
Aanvullende instructie mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
Doseerinstructie 2 maal per dag 10 à 15 ml
Relatie naar medicatieafspraak MBH_413_6_MA_1
MBH identificatie MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_7_TA_1
Gegevenselement Waarde
Identificatie MBH_413_7_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T, gedurende 14 dagen
Ingangsdatum T
Gebruiksduur 14 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid, subcutaan
Toedieningsweg subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
Relatie naar medicatieafspraak MBH_413_7_MA_1
MBH identificatie MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_8_TA_1
Gegevenselement Waarde
Identificatie MBH_413_8_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T, gedurende 10 weken
Ingangsdatum T
Gebruiksduur 10 weken
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code ALDARA CREME 50MG/G IN SACHET (code = '1198521' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, subcutaan
Toedieningsweg subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
Aanvullende instructie aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
Doseerinstructie op maandag, woensdag en vrijdag
Relatie naar medicatieafspraak MBH_413_8_MA_1
MBH identificatie MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_9_TA_1
Gegevenselement Waarde
Identificatie MBH_413_9_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T
Ingangsdatum T
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, 1 maal per dag 1 stuk 's avonds, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk 's avonds
Relatie naar medicatieafspraak MBH_413_9_MA_1
MBH identificatie MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_10_TA_1
Gegevenselement Waarde
Identificatie MBH_413_10_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T
Ingangsdatum T
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code MARVELON TABLET (code = '416681' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie gedurende 21 dagen 1 maal per dag 1 stuk
Herhaalperiode cyclisch schema 28 dagen
Relatie naar medicatieafspraak MBH_413_10_MA_1
MBH identificatie MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_11_TA_1
Gegevenselement Waarde
Identificatie MBH_413_11_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T, gedurende 41 dagen
Ingangsdatum T
Gebruiksduur 41 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code FUCIDIN CREME 20MG/G (code = '420956' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 41 dagen, eerst gedurende 2 weken 1 maal per dag 3 gram, dan gedurende 3 weken 1 maal per dag 2 gram, dan gedurende 6 dagen 1 maal per dag 1 gram, dun aanbrengen, cutaan
Toedieningsweg cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
Doseerinstructie 1 eerst gedurende 2 weken 1 maal per dag 3 gram
Doseerinstructie 2 dan gedurende 3 weken 1 maal per dag 2 gram
Doseerinstructie 3 dan gedurende 6 dagen 1 maal per dag 1 gram
Relatie naar medicatieafspraak MBH_413_11_MA_1
MBH identificatie MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_12_TA_1
Gegevenselement Waarde
Identificatie MBH_413_12_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T om 11:25 uur
Gebruiksperiode Vanaf T, gedurende 3 weken
Ingangsdatum T
Gebruiksduur 3 weken
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 3 weken, bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag
Relatie naar medicatieafspraak MBH_413_12_MA_1
MBH identificatie MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_13_TA_1
Gegevenselement Waarde
Identificatie MBH_413_13_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 28 dagen om 09:12 uur
Gebruiksperiode Vanaf T - 28 dagen, gedurende 8 dagen
Ingangsdatum T - 28 dagen
Gebruiksduur 8 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 28 dagen, gedurende 8 dagen, toedieningssnelheid: 0.5 ml per uur, parenteraal
Toedieningsweg parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie toedieningssnelheid: 0.5 ml per uur
Relatie naar medicatieafspraak MBH_413_13_MA_1
MBH identificatie MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_13_TA_2
Gegevenselement Waarde
Identificatie MBH_413_13_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T - 20 dagen om 11:25 uur
Gebruiksperiode Vanaf T - 20 dagen, gedurende 8 dagen
Ingangsdatum T - 20 dagen
Gebruiksduur 8 dagen
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 20 dagen, gedurende 8 dagen, toedieningssnelheid: 0.2 à 0.5 ml per uur, parenteraal
Toedieningsweg parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie toedieningssnelheid: 0.2 à 0.5 ml per uur
Relatie naar medicatieafspraak MBH_413_13_MA_2
MBH identificatie MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_14_TA_1
Gegevenselement Waarde
Identificatie MBH_413_14_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T om 11:25 uur
Gebruiksperiode Vanaf 16 aug 2018
Ingangsdatum 16 aug 2018
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - primaire code DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf 16 aug 2018, 1 maal per dag 1 stuk gedurende 16 uur, transdermaal
Toedieningsweg transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk gedurende 16 uur
Relatie naar medicatieafspraak MBH_413_14_MA_1
MBH identificatie MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Toedieningsafspraak MBH_413_15_TA_1
Gegevenselement Waarde
Identificatie MBH_413_15_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
Afspraakdatum T om 09:35 uur
Gebruiksperiode Vanaf T
Ingangsdatum T
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek De Gulle Gaper
Geneesmiddel - Product specificatie
Product naam Ureum 10% in eucerine cum aqua 100gr
Omschrijving Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
Ingredient
Ingredient code UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
Sterkte 10 gram per 100 gram
Ingredient
Ingredient code EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
Sterkte 90 gram per 100 gram
Gebruiksinstructie
Omschrijving Vanaf T, bij hoest, cutaan
Toedieningsweg cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie bij hoest
Relatie naar medicatieafspraak MBH_413_15_MA_1
MBH identificatie MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Verstrekkingen XXX_Strengersz

Verstrekking
Gegevenselement Waarde
Identificatie MBH_413_9_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
Datum T om 10:35 uur
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek de Gulle Gaper
Verstrekte hoeveelheid 90 stuks
Geneesmiddel - primaire code INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
Distributievorm Geïndividualiseerd distributiesysteem (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.3.8')
Relatie naar verstrekkingsverzoek MBH_413_9_VV_1
MBH identificatie MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Verstrekking
Gegevenselement Waarde
Identificatie MBH_413_15_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
Datum T om 10:35 uur
Verstrekker
Zorgaanbieder
Zorgaanbieder identificatie nummer 01236578 (in identificerend systeem: URA)
Organisatie naam Apotheek de Gulle Gaper
Verstrekte hoeveelheid 100 gram
Geneesmiddel - Product specificatie
Product naam Ureum 10% in eucerine cum aqua 100gr
Omschrijving Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
Ingredient
Ingredient code UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
Sterkte 10 gram per 100 gram
Ingredient
Ingredient code EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
Sterkte 90 gram per 100 gram
Relatie naar verstrekkingsverzoek MBH_413_15_VV_1
MBH identificatie MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)

Medicatiegebruik XXX_Strengersz

Medicatie gebruik MBH_413_1_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 16:25 uur
Gebruik indicator Ja
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T, gedurende 60 dagen
Ingangsdatum T
Gebruiksduur 60 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, Oraal
Toedieningsweg Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 à 2 maal per dag 1 stuk
Gerelateerde afspraak : MA MBH_413_1_MA_1
MBH identificatie MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_2_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 14:25 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T, gedurende 14 dagen
Ingangsdatum T
Gebruiksduur 14 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 14 dagen, iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden, subcutaan
Toedieningsweg subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden
Gerelateerde afspraak : MA MBH_413_2_MA_1
MBH identificatie MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_3_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 10:45 uur
Gebruik indicator Ja
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T - 50 dagen, gedurende 4 weken
Ingangsdatum T - 50 dagen
Gebruiksduur 4 weken
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 3 maal per dag 1 à 2 stuks
Gerelateerde afspraak : MA MBH_413_3_MA_1
MBH identificatie MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_4_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T - 15 dagen om 13:44 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 20 dagen, tot en met T - 15 dagen
Ingangsdatum T - 20 dagen
Einddatum T - 15 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 20 dagen, tot en met T - 15 dagen, 3 maal per dag, aanbrengen, cutaan
Toedieningsweg cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
Doseerinstructie 3 maal per dag
Gerelateerde afspraak : MA MBH_413_4_MA_1
MBH identificatie MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_5_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_5_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 12:38 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T - 20 dagen, gedurende 30 dagen
Ingangsdatum T - 20 dagen
Gebruiksduur 30 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
Geneesmiddel - generiekere code NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T - 20 dagen, gedurende 30 dagen, 2 maal per dag 0.5 stuk, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 2 maal per dag 0.5 stuk
Gerelateerde afspraak : MA MBH_413_5_MA_1
MBH identificatie MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_6_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_6_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 21:37 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T, gedurende 1 dag
Ingangsdatum T
Gebruiksduur 1 dag
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 1 dag, 2 maal per dag 10 à 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
Toedieningsweg niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
Aanvullende instructie mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
Doseerinstructie 2 maal per dag 10 à 15 ml
Gerelateerde afspraak : MA MBH_413_6_MA_1
MBH identificatie MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_7_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_7_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 14:05 uur
Gebruik indicator Ja
Gebruiksperiode Vanaf T om 07:00 uur, tot en met T
Ingangsdatum T om 07:00 uur
Einddatum T
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T om 07:00 uur, tot en met T, elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid, subcutaan
Toedieningsweg subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
Gerelateerde afspraak : MA MBH_413_7_MA_1
MBH identificatie MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_8_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_8_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 23:59 uur
Gebruik indicator Ja
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T, gedurende 10 weken
Ingangsdatum T
Gebruiksduur 10 weken
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, cutaan
Toedieningsweg cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
Aanvullende instructie aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
Doseerinstructie op maandag, woensdag en vrijdag
Gerelateerde afspraak : MA MBH_413_8_MA_1
MBH identificatie MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_9_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_9_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 22:35 uur
Gebruik indicator Ja
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T
Ingangsdatum T
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, 1 maal per dag 1 stuk 's avonds, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk 's avonds
Gerelateerde afspraak : MA MBH_413_9_MA_1
MBH identificatie MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_10_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_10_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 09:35 uur
Gebruik indicator Ja
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T
Ingangsdatum T
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk
Doseerinstructie gedurende 21 dagen 1 maal per dag 1 stuk
Herhaalperiode cyclisch schema 28 dagen
Gerelateerde afspraak : MA MBH_413_10_MA_1
MBH identificatie MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_11_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_11_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 15:35 uur
Gebruik indicator Ja
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T, gedurende 41 dagen
Ingangsdatum T
Gebruiksduur 41 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 41 dagen, gedurende 2 weken 1 maal per dag 3 gram, gedurende 3 weken 1 maal per dag 2 gram, gedurende 6 dagen 1 maal per dag 1 gram, dun aanbrengen
Aanvullende instructie dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
Doseerinstructie gedurende 3 weken 1 maal per dag 2 gram
Doseerinstructie gedurende 6 dagen 1 maal per dag 1 gram
Doseerinstructie 1 gedurende 2 weken 1 maal per dag 3 gram
Gerelateerde afspraak : MA MBH_413_11_MA_1
MBH identificatie MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_12_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_12_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 22:35 uur
Gebruik indicator Ja
Volgens afspraak indicator Ja
Gebruiksperiode Vanaf T, gedurende 3 weken
Ingangsdatum T
Gebruiksduur 3 weken
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 3 weken, bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag, oraal
Toedieningsweg oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag
Gerelateerde afspraak : MA MBH_413_12_MA_1
MBH identificatie MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_14_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_14_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 22:35 uur
Gebruik indicator Ja
Volgens afspraak indicator Ja
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - primaire code NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
Geneesmiddel - generiekere code NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
Gebruiksinstructie
Omschrijving 1 maal per dag 1 stuk gedurende 16 uur, transdermaal
Toedieningsweg transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
Doseerinstructie 1 maal per dag 1 stuk gedurende 16 uur
Gerelateerde afspraak : MA MBH_413_14_MA_1
MBH identificatie MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
Medicatie gebruik MBH_413_15_MGB_1
Gegevenselement Waarde
Identificatie MBH_413_15_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
Registratiedatum T om 10:35 uur
Gebruik indicator Ja
Volgens afspraak indicator Nee
Gebruiksperiode Vanaf T, gedurende 4 dagen
Ingangsdatum T
Gebruiksduur 4 dagen
Voorschrijver
Zorgverlener
Zorgverlener identificatie nummer 000001111 (in identificerend systeem: UZI Personen)
Naamgegevens Peter van Pulver
Specialisme Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Zorgaanbieder
Zorgaanbieder identificatie nummer 00001111 (in identificerend systeem: URA)
Organisatie naam Huisartsenpraktijk Pulver & Partners
Auteur Patiënt
Geneesmiddel - Product specificatie
Product naam Ureum 10% in eucerine cum aqua 100gr
Omschrijving Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
Ingredient
Ingredient code UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
Sterkte 10 gram per 100 gram
Ingredient
Ingredient code EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
Sterkte 90 gram per 100 gram
Gebruiksinstructie
Omschrijving Vanaf T, gedurende 4 dagen, aanbrengen, cutaan
Toedieningsweg cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
Aanvullende instructie aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
Gerelateerde afspraak : MA MBH_413_15_MA_1
MBH identificatie MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)