Gebz:Vdraft AddendaKwalificatieKernsetGeboortezorg23: verschil tussen versies

Uit informatiestandaarden
Naar navigatie springen Naar zoeken springen
Regel 1: Regel 1:
  
−
{{#customtitle:Kernset Geboortezorg 2.3 - inhoud kwalificatie}}
+
{{#customtitle:Kernset Geboortezorg 2.3 - dekkingsgraad scenario's}}
 
__NUMBEREDHEADINGS__
 
__NUMBEREDHEADINGS__
 
{{IssueBox|Deze pagina is nog in bewerking}}
 
{{IssueBox|Deze pagina is nog in bewerking}}
 
[[Bestand:Nictiz_logo_PO_rechts_rgb.png |link=https://www.nictiz.nl/|rechts|Naar nictiz.nl]]
 
[[Bestand:Nictiz_logo_PO_rechts_rgb.png |link=https://www.nictiz.nl/|rechts|Naar nictiz.nl]]
  
−
=Addenda voor inhoudelijke gegevens Kernset Geboortezorg 2.3=
+
=Dekkingsgraad scenario's voor Kernset Geboortezorg 2.3=
−
==Scenario 1. Zorg volledig 1e lijn, herpes, strippen, gezonde eenling  (voor vrouw met BSN: 999910413)==
+
De volgende scenario's zijn meegenomen:
−
<section begin=999910413 />
+
* 1. Zorg volledig 1e lijn, herpes, strippen, gezonde eenling (id: scenario1-23)
 +
* 2. 1e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling(id: scenario2_1elijn-23)
 +
* 2. 2e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling(id: scenario2_2elijn-23)
 +
* 3. zorg volledig in 2e lijn, meerling, 1 kind overleden(id: scenario3-23)
 +
* 4. 1e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden(id: scenario4_1elijn-23)
 +
* 4. 2e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden(id: scenario4_2elijn-23)
 +
* 5. zorg volledig 2e lijn, vrouw overleden(id: scenario5-23)
 +
* 6. 2e lijn(id: scenario6-23)
 +
Zie voor de inhoud van deze scenario's: [[Gebz:Vdraft_AddendaKwalificatieKernsetGeboortezorg23]]. Onderstaande tabel toont de unieke waarden voor ieder veld. Lege velden worden niet geraakt door de meegenomen bovenstaande scenario's.
 +
==Scenario (voor vrouw met BSN: 999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020)==
 +
<section begin=999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
Regel 16: Regel 26:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Burgerservicenummer
 
|colspan="2"|Burgerservicenummer
−
|style="background-color: white;"|999910413
+
|style="background-color: white;"|999910413 - 961921821 - 895623146 - 850810711 - 912345676 - 100202020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Lokale persoonsidentificatie
 
|colspan="2"|Lokale persoonsidentificatie
−
|style="background-color: white;"|000000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
+
|style="background-color: white;"|000000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - * (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - 987654321 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Geboortedatum
 
|colspan="2"|Geboortedatum
−
|style="background-color: white;"|2 may 1976   
+
|style="background-color: white;"|2 mei 1976   - 11 sep 1974  - 5 aug 1985  - 6 aug 1987  - 4 mrt 1993  - 1 jan 1989  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Adres - postcode
 
|colspan="2"|Adres - postcode
−
|style="background-color: white;"|4563 AB
+
|style="background-color: white;"|4563 AB - 5689 CZ - 5421 JG - 4589 BA - 9562 GF - 1234 AB
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Etniciteit
 
|colspan="2"|Etniciteit
−
|style="background-color: white;"|Turks (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
+
|style="background-color: white;"|Turks (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Kaukasisch (code = '12' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Latijns Amerikaans (code = '14' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Lengte gemeten
 
|colspan="2"|Lengte gemeten
−
|style="background-color: white;"|170 cm
+
|style="background-color: white;"|170 cm - 184 cm - 167 cm - 162 cm - 186 cm - 172 cm
−
|}<section end=999910413 />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Vrouwelijke genitale verminking?
 +
|style="background-color: white;"|Ja - Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Type vrouwelijke genitale verminking
 +
|style="background-color: white;"|Female genital mutilation type 2 (disorder) (code = '130621000119105' in codeSystem '2.16.840.1.113883.6.96') - Female genital mutilation type 1 (disorder) (code = '130631000119108' in codeSystem '2.16.840.1.113883.6.96')
 +
|}<section end=999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Anamnese ===
 
=== Anamnese ===
−
<section begin=anamnese_999910413 />
+
<section begin=anamnese_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
Regel 43: Regel 59:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Onder behandeling geweest?
 
|colspan="3"|Onder behandeling geweest?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Algemene anamnese
 
|colspan="4"|Algemene anamnese
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|rowspan="21"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Autoimmuun aandoening
 +
|style="background-color: white;"|Rheumatism (disorder) (code = '396332003' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Cardiovasculaire aandoening
 
|colspan="2"|Cardiovasculaire aandoening
−
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
+
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Cardiac arrhythmia (disorder) (code = '698247007' in codeSystem '2.16.840.1.113883.6.96') - Hypertensive disorder, systemic arterial (disorder) (code = '38341003' in codeSystem '2.16.840.1.113883.6.96')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Urogenitale aandoening
 +
|style="background-color: white;"|Bacteriuria (finding) (code = '61373006' in codeSystem '2.16.840.1.113883.6.96') - Pyelonefritis (code = '45816000' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Oncologische aandoening
 
|colspan="2"|Oncologische aandoening
 
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Infectieziekte
+
|colspan="2"|Schildklier aandoening
−
|style="background-color: white;"|Herpes (code = '23513009' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Hyperthyroidism (disorder) (code = '34486009' in codeSystem '2.16.840.1.113883.6.96') - Hypothyreoidie (code = '40930008' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Type operatie
+
|colspan="2"|Diabetes mellitus?
−
|style="background-color: white;"|Orthopedisch (code = '112697007' in codeSystem 'Snomed CT')
+
|style="background-color: white;"|Ja - Nee
−
|}<section end=anamnese_999910413 />
 
−
=== Zorgverlening ===
 
−
<section begin=zorgverlening_999910413 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlening
 
−
|-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"|Datum start zorgverantwoordelijkheid
+
|colspan="2"|Neurologische aandoening
−
|style="background-color: white;"|1 mar 2014  00:00
+
|style="background-color: white;"|Epilepsy (disorder) (code = '84757009' in codeSystem '2.16.840.1.113883.6.96') - Hernia nuclei pulposi (code = '84857004' in codeSystem 'Snomed CT') - Overig, niet nader omschreven Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Datum einde zorgverantwoordelijkheid
+
|colspan="2"|Infectieziekte
−
|style="background-color: white;"|12 nov 2014  00:00
+
|style="background-color: white;"|Herpes (code = '23513009' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
+
|colspan="2"|Mdl aandoening
−
|style="background-color: white;"|start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
+
|style="background-color: white;"|Chronic liver disease (disorder) (code = '328383001' in codeSystem '2.16.840.1.113883.6.96') - M. Crohn (code = '34000006' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
+
|colspan="2"|Anemie
−
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
+
|style="background-color: white;"|Iron deficiency anemia (disorder) (code = '87522002' in codeSystem '2.16.840.1.113883.6.96') - IJzergebrek (code = '87522002' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
+
|colspan="2"|Longaandoening
−
|style="background-color: white;"|start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
+
|style="background-color: white;"|Asthma (disorder) (code = '195967001' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
+
|colspan="2"|Gynaecologische aandoening
−
|style="background-color: white;"|uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
+
|colspan="2"|Orthopedische afwijking
−
|style="background-color: white;"|nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
+
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Trauma bekken (code = '282771003' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
+
|colspan="2"|Bloedtransfusie?
−
|style="background-color: white;"|1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
+
|colspan="2"|Transfusiereactie?
−
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Conclusie risicostatus na intake
+
|colspan="2"|Type operatie
−
|style="background-color: white;"|1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
+
|style="background-color: white;"|Orthopedisch (code = '112697007' in codeSystem 'Snomed CT') - Operation on heart (procedure) (code = '64915003' in codeSystem '2.16.840.1.113883.6.96') - Appendectomy (procedure) (code = '80146002' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Sectio (code = '11466000' in codeSystem 'Snomed CT') - Rug (code = '129152004:260686004=129284003' in codeSystem '2.16.840.1.113883.6.96')
−
|}<section end=zorgverlening_999910413 />
 
−
=== Zorgverlenerzorginstelling ===
 
−
<section begin=zorgverlenerzorginstelling_999910413 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlenerzorginstelling
 
−
|-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"|Zorginstelling lvrid
+
|colspan="2"|Type stollingsprobleem
−
|style="background-color: white;"|1808
+
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
−
|}<section end=zorgverlenerzorginstelling_999910413 />
 
−
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
 
−
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_999910413 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
 
−
|-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="5"|Wijze einde zwangerschap
+
|colspan="2"|Psychiatrie?
−
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Definitieve a terme datum
+
|colspan="2"|Overige aandoening?
−
|style="background-color: white;"|1 dec 2011 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Irregulaire antistoffen?
 
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Eerdere bevalling
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|colspan="2"|Overige aandoening
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|
−
|colspan="4"|Placenta - geboorte placenta
+
|}<section end=anamnese_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
−
|style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Hoeveelheid bloedverlies
 
−
|style="background-color: white;"|550 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Vorige uitkomst per kind - vorige baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Demografische gegevens - geboortedatum
 
−
|style="background-color: white;"|8 dec 2011  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Kindspecifieke gegevens vorige uitkomsten
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type partus
 
−
|style="background-color: white;"|Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Percentiel van het geboortegewicht
 
−
|style="background-color: white;"|p50 tot p90 (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.50')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Apgarscore na 5 min
 
−
|style="background-color: white;"|8
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Congenitale afwijkingen?
 
−
|style="background-color: white;"|Nee
 
−
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_999910413 />
 
−
=== Zwangerschap ===
 
−
<section begin=zwangerschap_999910413 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschap
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Dossiernummer
 
−
|style="background-color: white;"|0cbda760-1fdd-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Graviditeit
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Definitieve a terme datum
 
−
|style="background-color: white;"|9 oct 2014 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Voornemens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 
−
|style="background-color: white;"|Thuis (code = '169813005' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Prenatale controle
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum controle
 
−
|style="background-color: white;"|2 mar 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|59 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Leven voelen
 
−
|style="background-color: white;"|goed (code = '289431008' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Rookgedrag
 
−
|style="background-color: white;"|niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Alcoholgebruik
 
−
|style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Drugsgebruik?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Gewicht gemeten
 
−
|style="background-color: white;"|70 kg
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum
 
−
|style="background-color: white;"|2 mar 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|59 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Infectie
 
−
|style="background-color: white;"|Urineweg infectie (code = '307534009' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Maternale sterfte?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze einde zwangerschap
 
−
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
−
|}<section end=zwangerschap_999910413 />
 
−
=== Bevalling ===
 
−
<section begin=bevalling_999910413 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Bevalling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Partusnummer
 
−
|style="background-color: white;"|000000
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Aantal geboren kinderen
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Risicostatus voor baring
 
−
|style="background-color: white;"|1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Interventies begin baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Interventie begin baring
 
−
|style="background-color: white;"|Strippen (code = '236960006' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Indicatie interventie begin baring
 
−
|style="background-color: white;"|wens patiënt (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze waarop de baring begon
 
−
|style="background-color: white;"|Interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Tijdstip begin actieve ontsluiting
 
−
|style="background-color: white;"|8 oct 2014  14:30
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Medicatie nageboortetijdperk groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Medicatie nageboortetijdperk?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Soort medicatie nageboortetijdperk
 
−
|style="background-color: white;"|Oxytocine (code = 'H01BB02' in codeSystem '2.16.840.1.113883.6.73')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Placenta - geboorte placenta
 
−
|style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Hoeveelheid bloedverlies
 
−
|style="background-color: white;"|615 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Conditie perineum postpartum
 
−
|style="background-color: white;"|1e graads perineumruptuur (code = '199916005' in codeSystem 'Snomed CT')
 
−
|}<section end=bevalling_999910413 />
 
−
=== Uitkomst per kind ===
 
−
<section begin=uitkomst_per_kind_999910413 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Uitkomst per kind
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="34"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Werkelijke plaats baring type locatie
 
−
|style="background-color: white;"|Geboortecentrum (code = '23' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Demografische gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Identificaties kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Bsn kind
 
−
|style="background-color: white;"|999910383
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Geslacht medische observatie
 
−
|style="background-color: white;"|vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Geboortedatum
 
−
|style="background-color: white;"|8 oct 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Rangnummer kind
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Perinatale sterfte groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Perinatale sterfte?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Kindspecifieke maternale gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Tijdstip breken vliezen
 
−
|style="background-color: white;"|8 oct 2014  09:15
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Kleur en consistentie vruchtwater
 
−
|style="background-color: white;"|Kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Tijdstip actief meepersen
 
−
|style="background-color: white;"|8 oct 2014  12:13
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Episiotomie?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Ruggeprik gewenst niet gekregen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pijnbestrijding?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Sedatie?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Kindspecifieke uitkomstgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Type partus
 
−
|style="background-color: white;"|Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Ligging bij geboorte
 
−
|style="background-color: white;"|Achterhoofd-achter (code = '37235006' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Aanpakker kind - rol aanpakker kind
 
−
|style="background-color: white;"|1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Supervisor - rol supervisor
 
−
|style="background-color: white;"|1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Lichamelijk onderzoek kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geboortegewicht
 
−
|style="background-color: white;"|3450 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Congenitale afwijkingen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Problematiek kind?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Kinderarts betrokken?
 
−
|style="background-color: white;"|Nee
 
−
|}<section end=uitkomst_per_kind_999910413 />
 
−
=== Medisch onderzoek ===
 
−
<section begin=medisch_onderzoek_999910413 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Irregulaire antistoffen?
 
−
|style="background-color: white;"|Nee
 
−
|}<section end=medisch_onderzoek_999910413 />
 
−
=== Postnatale fase ===
 
−
<section begin=postnatale_fase_999910413 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Kindspecifieke gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Voeding kind groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voeding kind datum
 
−
|style="background-color: white;"|12 oct 2014 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Substantie voeding kind
 
−
|style="background-color: white;"|borstvoeding (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Substantie voeding kind
 
−
|style="background-color: white;"|kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
 
−
|}<section end=postnatale_fase_999910413 />
 
−
==Scenario 2. 1e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling (voor vrouw met BSN: 961921821)==
 
−
<section begin=961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Burgerservicenummer
 
−
|style="background-color: white;"|961921821
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lokale persoonsidentificatie
 
−
|style="background-color: white;"|* (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geboortedatum
 
−
|style="background-color: white;"|11 sep 1974 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Adres - postcode
 
−
|style="background-color: white;"|5689 CZ
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Etniciteit
 
−
|style="background-color: white;"|Kaukasisch (code = '12' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lengte gemeten
 
−
|style="background-color: white;"|184 cm
 
−
|}<section end=961921821 />
 
−
=== Anamnese ===
 
−
<section begin=anamnese_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Anamnese
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Onder behandeling geweest?
 
−
|style="background-color: white;"|Nee
 
−
|}<section end=anamnese_961921821 />
 
 
=== Zorgverlening ===
 
=== Zorgverlening ===
−
<section begin=zorgverlening_961921821 />
+
<section begin=zorgverlening_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Zorgverlening
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Zorgverlening
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="6" width="25%"| Gegevenselement
+
|colspan="7" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Datum start zorgverantwoordelijkheid
+
|colspan="7"|Datum start zorgverantwoordelijkheid
−
|style="background-color: white;"|28 aug 2018 
+
|style="background-color: white;"|1 mrt 2014  00:00 - 28 aug 2018   - 12 mei 2014  00:00 - 10 mrt 2014  00:00 - 7 aug 2014  00:00 - 3 feb 2014  00:00 - 9 dec 2013  00:00 - 1 mrt 2019  00:00
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum einde zorgverantwoordelijkheid
 
−
|style="background-color: white;"|28 nov 2018
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Conclusie risicostatus na intake
 
−
|style="background-color: white;"|1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Verwijsdetails
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="20"|
+
|colspan="7"|Datum einde zorgverantwoordelijkheid
 +
|style="background-color: white;"|12 nov 2014  00:00 - 28 nov 2018  - 9 okt 2014  00:00 - 3 nov 2014  00:00 - 15 sep 2014  00:00 - 6 aug 2014  00:00 - 4 aug 2014  00:00 - 15 okt 2019  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Datum verwijzing
+
|colspan="7"|Eindverantwoordelijk in welke perinatale periode?
−
|style="background-color: white;"|6 may 2014  00:00
+
|style="background-color: white;"|start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verwijzing van
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="4"|
+
|colspan="7"|Conclusie risicostatus na intake
 +
|style="background-color: white;"|1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 3e lijns zorg (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Zorginstelling
+
|colspan="8"|Verwijsdetails
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="99"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Zorgaanbieder identificatie nummer
+
|colspan="6"|Datum verwijzing
−
|style="background-color: white;"|1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
+
|style="background-color: white;"|6 mei 2014  00:00 - 6 aug 2014  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Verwijzing naar
+
|colspan="7"|Verwijzing van
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorginstelling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Specialisme
 
−
|style="background-color: white;"|Gynaecoloog 2e lijn (code = '02' in codeSystem 'Specialisme, specifiek voor perinatologie.')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Redenen van verwijzing
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Van 1e naar 2e lijn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Zwangerschap
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Hypertensieve aandoening
 
−
|style="background-color: white;"|Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Perinatale periode
 
−
|style="background-color: white;"|voor 28e week (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')
 
−
|}<section end=zorgverlening_961921821 />
 
−
=== Zorgverlenerzorginstelling ===
 
−
<section begin=zorgverlenerzorginstelling_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlenerzorginstelling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorginstelling lvrid
 
−
|style="background-color: white;"|1504
 
−
|}<section end=zorgverlenerzorginstelling_961921821 />
 
−
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
 
−
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze einde zwangerschap
 
−
|style="background-color: white;"|Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Definitieve a terme datum
 
−
|style="background-color: white;"|5 jun 2013 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Bloedverlies?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Hyperemesis gravidarum?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Irregulaire antistoffen?
 
−
|style="background-color: white;"|Ja
 
−
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_961921821 />
 
−
=== Zwangerschap ===
 
−
<section begin=zwangerschap_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschap
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Dossiernummer
 
−
|style="background-color: white;"|5460cff0-2089-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Graviditeit
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|0
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Definitieve a terme datum
 
−
|style="background-color: white;"|8 sep 2014 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Voornemens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 
−
|style="background-color: white;"|Nog niet bepaald (code = '05' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Prenatale controle
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum controle
 
−
|style="background-color: white;"|6 may 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|155 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Leven voelen
 
−
|style="background-color: white;"|Weak fetal movements (finding) (code = '276372004' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Rookgedrag
 
−
|style="background-color: white;"|gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Alcoholgebruik
 
−
|style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Drugsgebruik?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Gewicht gemeten
 
−
|style="background-color: white;"|85 kg
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum
 
−
|style="background-color: white;"|6 may 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|155 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Hypertensieve aandoening
 
−
|style="background-color: white;"|Pregnancy-induced hypertension (disorder) (code = '48194001' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Maternale sterfte?
 
−
|style="background-color: white;"|Nee
 
−
|}<section end=zwangerschap_961921821 />
 
−
==Scenario 2. 2e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling (voor vrouw met BSN: 961921821)==
 
−
<section begin=961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Burgerservicenummer
 
−
|style="background-color: white;"|961921821
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lokale persoonsidentificatie
 
−
|style="background-color: white;"|* (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geboortedatum
 
−
|style="background-color: white;"|11 sep 1974 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Adres - postcode
 
−
|style="background-color: white;"|5689 CZ
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Etniciteit
 
−
|style="background-color: white;"|Kaukasisch (code = '12' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lengte gemeten
 
−
|style="background-color: white;"|184 cm
 
−
|}<section end=961921821 />
 
−
=== Anamnese ===
 
−
<section begin=anamnese_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Anamnese
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Onder behandeling geweest?
 
−
|style="background-color: white;"|Nee
 
−
|}<section end=anamnese_961921821 />
 
−
=== Zorgverlening ===
 
−
<section begin=zorgverlening_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Zorgverlening
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum start zorgverantwoordelijkheid
 
−
|style="background-color: white;"|12 may 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum einde zorgverantwoordelijkheid
 
−
|style="background-color: white;"|9 oct 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Verwijsdetails
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="18"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verwijzing van
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorginstelling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|style="background-color: white;"|1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verwijzing naar
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorginstelling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|style="background-color: white;"|0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Redenen van verwijzing
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Van 1e naar 2e lijn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Zwangerschap
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Hypertensieve aandoening
 
−
|style="background-color: white;"|Preeclampsie (code = '398254007' in codeSystem 'SNOMED CT')
 
−
|}<section end=zorgverlening_961921821 />
 
−
=== Zorgverlenerzorginstelling ===
 
−
<section begin=zorgverlenerzorginstelling_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlenerzorginstelling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorginstelling lvrid
 
−
|style="background-color: white;"|0003
 
−
|}<section end=zorgverlenerzorginstelling_961921821 />
 
−
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
 
−
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze einde zwangerschap
 
−
|style="background-color: white;"|Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Definitieve a terme datum
 
−
|style="background-color: white;"|5 jun 2013 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Gynaecologische aandoening
 
−
|style="background-color: white;"|Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Bloedverlies?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Hyperemesis gravidarum?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Irregulaire antistoffen?
 
−
|style="background-color: white;"|Ja
 
−
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_961921821 />
 
−
=== Zwangerschap ===
 
−
<section begin=zwangerschap_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschap
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Dossiernummer
 
−
|style="background-color: white;"|c2204d20-209a-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Graviditeit
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|0
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Definitieve a terme datum
 
−
|style="background-color: white;"|8 sep 2014 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Voornemens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="1"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Prenatale controle
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum controle
 
−
|style="background-color: white;"|12 may 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|161 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Leven voelen
 
−
|style="background-color: white;"|Reduced fetal movement (finding) (code = '276369006' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Rookgedrag
 
−
|style="background-color: white;"|gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Alcoholgebruik
 
−
|style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Drugsgebruik?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Gewicht gemeten
 
−
|style="background-color: white;"|85 kg
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum
 
−
|style="background-color: white;"|12 may 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|161 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Gynaecologische aandoening
 
−
|style="background-color: white;"|Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Partiele mola?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Hypertensieve aandoening
 
−
|style="background-color: white;"|Pre-eclampsia (disorder) (code = '398254007' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Maternale sterfte?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze einde zwangerschap
 
−
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
−
|}<section end=zwangerschap_961921821 />
 
−
=== Bevalling ===
 
−
<section begin=bevalling_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Bevalling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Partusnummer
 
−
|style="background-color: white;"|000000
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Aantal geboren kinderen
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Risicostatus voor baring
 
−
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Interventies begin baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Interventie begin baring
 
−
|style="background-color: white;"|Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Indicatie interventie begin baring
 
−
|style="background-color: white;"|acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze waarop de baring begon
 
−
|style="background-color: white;"|interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Tijdstip begin actieve ontsluiting
 
−
|style="background-color: white;"|30 aug 2014  14:09
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Medicatie nageboortetijdperk groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Medicatie nageboortetijdperk?
 
−
|style="background-color: white;"|UNK
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Placenta - geboorte placenta
 
−
|style="background-color: white;"|placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Hoeveelheid bloedverlies
 
−
|style="background-color: white;"|980 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Conditie perineum postpartum
 
−
|style="background-color: white;"|Perineum intact (finding) (code = '289854007' in codeSystem '2.16.840.1.113883.6.96')
 
−
|}<section end=bevalling_961921821 />
 
−
=== Uitkomst per kind ===
 
−
<section begin=uitkomst_per_kind_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Uitkomst per kind
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="51"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Werkelijke plaats baring type locatie
 
−
|style="background-color: white;"|Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Ziekenhuis baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ziekenhuisnummer lvrid
 
−
|style="background-color: white;"|0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Demografische gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Identificaties kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Bsn kind
 
−
|style="background-color: white;"|951847624
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht medische observatie
 
−
|style="background-color: white;"|mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|1 sep 2014  02:34
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Rangnummer kind
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Perinatale sterfte groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Perinatale sterfte?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Kindspecifieke maternale gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="12"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Tijdstip breken vliezen
 
−
|style="background-color: white;"|30 aug 2014  23:04
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Kleur en consistentie vruchtwater
 
−
|style="background-color: white;"|geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ruggeprik gewenst niet gekregen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Pijnbestrijding?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Pijnbestrijding
 
 
|-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="4"|Methode
+
|colspan="6"|Zorginstelling
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Methode
 
−
|style="background-color: white;"|Epidural anesthesia (procedure) (code = '18946005' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Periode
 
−
|style="background-color: white;"|tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Sedatie?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Kindspecifieke uitkomstgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="21"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Type partus
 
−
|style="background-color: white;"|Cesarean section (procedure) (code = '11466000' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ligging bij geboorte
 
−
|style="background-color: white;"|Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aanpakker kind - rol aanpakker kind
 
−
|style="background-color: white;"|gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Supervisor - rol supervisor
 
−
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Sectio caesarea group
 
 
|-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="3"|Indicatie primaire sectio
+
|colspan="4"|Zorgaanbieder identificatie nummer
−
|style="background-color: white;"|Suspected fetal distress (situation) (code = '444433005:246090004=130955003' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Indicatie primaire sectio
+
|colspan="4"|Specialisme
−
|style="background-color: white;"|Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichamelijk onderzoek kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Geboortegewicht
 
−
|style="background-color: white;"|3620 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Congenitale afwijkingen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problematiek kind?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Kinderarts betrokken?
 
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Betrokkenheid kinderarts
+
|colspan="7"|Verwijzing naar
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Datum betrokkenheid
 
−
|style="background-color: white;"|1 sep 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Reden betrokkenheid
 
−
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Type betrokkenheid
 
−
|style="background-color: white;"|consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorginstelling lvrid
 
−
|style="background-color: white;"|0003
 
−
|}<section end=uitkomst_per_kind_961921821 />
 
−
=== Medisch onderzoek ===
 
−
<section begin=medisch_onderzoek_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Irregulaire antistoffen?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Welke irregulaire antistoffen vrouw aanwezig
 
−
|style="background-color: white;"|Rhesus D (code = '112162009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|}<section end=medisch_onderzoek_961921821 />
 
−
=== Postnatale fase ===
 
−
<section begin=postnatale_fase_961921821 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Diagnoseinterventie postpartum
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Datum
 
−
|style="background-color: white;"|3 sep 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pathologie vrouw
 
−
|style="background-color: white;"|Urinary tract infectious disease (disorder) (code = '68566005' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Kindspecifieke gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Voeding kind groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voeding kind datum
 
−
|style="background-color: white;"|7 oct 2014 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Substantie voeding kind
 
−
|style="background-color: white;"|kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
 
−
|}<section end=postnatale_fase_961921821 />
 
−
==Scenario 3. zorg volledig in 2e lijn, meerling, 1 kind overleden (voor vrouw met BSN: 895623146)==
 
−
<section begin=895623146 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Burgerservicenummer
 
−
|style="background-color: white;"|895623146
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lokale persoonsidentificatie
 
−
|style="background-color: white;"|000000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geboortedatum
 
−
|style="background-color: white;"|5 aug 1985 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Adres - postcode
 
−
|style="background-color: white;"|5421 JG
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Etniciteit
 
−
|style="background-color: white;"|Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lengte gemeten
 
−
|style="background-color: white;"|167 cm
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Vrouwelijke genitale verminking?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type vrouwelijke genitale verminking
 
−
|style="background-color: white;"|Female genital mutilation type 2 (disorder) (code = '130621000119105' in codeSystem '2.16.840.1.113883.6.96')
 
−
|}<section end=895623146 />
 
−
=== Anamnese ===
 
−
<section begin=anamnese_895623146 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Onder behandeling geweest?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Algemene anamnese
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|rowspan="6"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Cardiovasculaire aandoening
 
−
|style="background-color: white;"|Cardiac arrhythmia (disorder) (code = '698247007' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Schildklier aandoening
 
−
|style="background-color: white;"|Hyperthyroidism (disorder) (code = '34486009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Anemie
 
−
|style="background-color: white;"|Iron deficiency anemia (disorder) (code = '87522002' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Bloedtransfusie?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type operatie
 
−
|style="background-color: white;"|Operation on heart (procedure) (code = '64915003' in codeSystem '2.16.840.1.113883.6.96')
 
−
|}<section end=anamnese_895623146 />
 
−
=== Zorgverlening ===
 
−
<section begin=zorgverlening_895623146 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlening
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum start zorgverantwoordelijkheid
 
−
|style="background-color: white;"|10 mar 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum einde zorgverantwoordelijkheid
 
−
|style="background-color: white;"|3 nov 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Conclusie risicostatus na intake
 
−
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
 
−
|}<section end=zorgverlening_895623146 />
 
−
=== Zorgverlenerzorginstelling ===
 
−
<section begin=zorgverlenerzorginstelling_895623146 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlenerzorginstelling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorginstelling lvrid
 
−
|style="background-color: white;"|9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|}<section end=zorgverlenerzorginstelling_895623146 />
 
−
=== Zwangerschap ===
 
−
<section begin=zwangerschap_895623146 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschap
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Dossiernummer
 
−
|style="background-color: white;"|ad9c3280-209d-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Graviditeit
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|0
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Definitieve a terme datum
 
−
|style="background-color: white;"|22 sep 2014 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Voornemens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 
−
|style="background-color: white;"|Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Prenatale controle
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum controle
 
−
|style="background-color: white;"|21 may 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|156 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Leven voelen
 
−
|style="background-color: white;"|Fetal movements present (finding) (code = '289431008' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Rookgedrag
 
−
|style="background-color: white;"|niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Alcoholgebruik
 
−
|style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Drugsgebruik?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Gewicht gemeten
 
−
|style="background-color: white;"|67 kg
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum
 
−
|style="background-color: white;"|21 may 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|156 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Bloedverlies?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Infectie
 
−
|style="background-color: white;"|Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Afwijkende groei foetus
 
−
|style="background-color: white;"|Small for gestational age fetus (disorder) (code = '267258002' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Abruptio placentae?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Maternale sterfte?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze einde zwangerschap
 
−
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
−
|}<section end=zwangerschap_895623146 />
 
−
=== Bevalling ===
 
−
<section begin=bevalling_895623146 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Bevalling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Partusnummer
 
−
|style="background-color: white;"|000000
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Diagnose bevalling
+
|colspan="6"|Zorginstelling
 
|-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"|Pprom?
+
|colspan="4"|Zorgaanbieder identificatie nummer
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Verdenking foetale nood?
+
|colspan="4"|Specialisme
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Gynaecoloog 2e lijn (code = '02' in codeSystem 'Specialisme, specifiek voor perinatologie.')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Aantal geboren kinderen
+
|colspan="5"|Type verwijzing
−
|style="background-color: white;"|2
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Risicostatus voor baring
 
−
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze waarop de baring begon
 
−
|style="background-color: white;"|spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Tijdstip begin actieve ontsluiting
 
−
|style="background-color: white;"|27 aug 2014  22:09
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Medicatie nageboortetijdperk groep
+
|colspan="7"|Redenen van verwijzing
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Medicatie nageboortetijdperk?
+
|rowspan="82"|
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Placenta - geboorte placenta
 
−
|style="background-color: white;"|controlled cord traction (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Hoeveelheid bloedverlies
 
−
|style="background-color: white;"|1740 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Conditie perineum postpartum
 
−
|style="background-color: white;"|Episiotomy wound (morphologic abnormality) (code = '609344008' in codeSystem '2.16.840.1.113883.6.96')
 
−
|}<section end=bevalling_895623146 />
 
−
=== Uitkomst per kind ===
 
−
<section begin=uitkomst_per_kind_895623146 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="7" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="8"|Baring
+
|colspan="6"|Van 1e naar 2e lijn
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="59"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="6"|Werkelijke plaats baring type locatie
+
|rowspan="77"|
−
|style="background-color: white;"|Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Ziekenhuis baring
+
|colspan="5"|Algemene anamnese
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|rowspan="20"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Ziekenhuisnummer lvrid
+
|colspan="3"|Autoimmuun aandoening
−
|style="background-color: white;"|9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Demografische gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|colspan="3"|Cardiovasculaire aandoening
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|
−
|colspan="6"|Identificaties kind
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|Urogenitale aandoening
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Bsn kind
+
|colspan="3"|Oncologische aandoening
−
|style="background-color: white;"|847035116
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Geslacht medische observatie
+
|colspan="3"|Schildklier aandoening
−
|style="background-color: white;"|vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Geboortedatum
+
|colspan="3"|Diabetes mellitus?
−
|style="background-color: white;"|28 aug 2014  06:30
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Rangnummer kind
+
|colspan="3"|Neurologische aandoening
−
|style="background-color: white;"|1
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Perinatale sterfte groep
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|Infectieziekte
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Perinatale sterfte?
+
|colspan="3"|Mdl aandoening
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Kindspecifieke maternale gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="19"|
+
|colspan="3"|Anemie
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Tijdstip breken vliezen
+
|colspan="3"|Longaandoening
−
|style="background-color: white;"|27 aug 2014  22:09
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Kleur en consistentie vruchtwater
+
|colspan="3"|Gynaecologische aandoening
−
|style="background-color: white;"|kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Tijdstip actief meepersen
+
|colspan="3"|Orthopedische afwijking
−
|style="background-color: white;"|27 aug 2014  23:49
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Episiotomie?
+
|colspan="3"|Bloedtransfusie?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Locatie episiotomie
+
|colspan="3"|Transfusiereactie?
−
|style="background-color: white;"|mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Ruggeprik gewenst niet gekregen?
+
|colspan="3"|Type operatie
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Pijnbestrijding?
+
|colspan="3"|Type stollingsprobleem
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Pijnbestrijding
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|colspan="3"|Psychiatrie?
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|
−
|colspan="5"|Methode
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="3"|Overige aandoening?
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|
−
|colspan="3"|Methode
 
−
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Overig middel
+
|colspan="5"|Obstetrische anamnese
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Middel
+
|colspan="3"|Gynaecologische aandoening
−
|style="background-color: white;"|Administration of morphinomimetic analgesic (procedure) (code = '52685006:363701004=404642006' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Toediening
+
|colspan="3"|Bloedverlies?
−
|style="background-color: white;"|Administration of substance via intravenous route (procedure) (code = '431215000' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Periode
+
|colspan="3"|Partiele mola?
−
|style="background-color: white;"|tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Sedatie?
+
|colspan="3"|Cervixinsufficientie?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Kindspecifieke uitkomstgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="22"|
+
|colspan="3"|Infectie
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Type partus
+
|colspan="3"|Hyperemesis gravidarum?
−
|style="background-color: white;"|Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Ligging bij geboorte
+
|colspan="3"|Hypertensieve aandoening
−
|style="background-color: white;"|Face presentation (finding) (code = '21882006' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Aanpakker kind - rol aanpakker kind
+
|colspan="3"|Zwangerschapscholestase?
−
|style="background-color: white;"|arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Supervisor - rol supervisor
+
|colspan="3"|Diabetes gravidarum met insuline?
−
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111')
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Vaginale kunstverlossing groep
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="3"|Afwijkende groei foetus
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Vaginale kunstverlossing
+
|colspan="3"|Dreigende partus immaturus?
−
|style="background-color: white;"|Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Succes vaginale kunstverlossing?
+
|colspan="3"|Dreigende partus prematurus?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Lichamelijk onderzoek kind
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|Abruptio placentae?
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Geboortegewicht
+
|colspan="3"|Fluxus postpartum?
−
|style="background-color: white;"|2040 gram
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Congenitale afwijkingen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Problematiek kind?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Problematiek kind
 
−
|style="background-color: white;"|Birth trauma of fetus (disorder) (code = '56110009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Kinderarts betrokken?
 
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Betrokkenheid kinderarts
+
|colspan="5"|Zwangerschap
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Datum betrokkenheid
 
−
|style="background-color: white;"|28 aug 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Reden betrokkenheid
 
−
|style="background-color: white;"|Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Type betrokkenheid
 
−
|style="background-color: white;"|consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorginstelling lvrid
 
−
|style="background-color: white;"|9999
 
−
|}<section end=uitkomst_per_kind_895623146 />
 
−
=== Uitkomst per kind ===
 
−
<section begin=uitkomst_per_kind_895623146 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="7" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="71"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Werkelijke plaats baring type locatie
 
−
|style="background-color: white;"|Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ziekenhuis baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ziekenhuisnummer lvrid
 
−
|style="background-color: white;"|9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Demografische gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="12"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Identificaties kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Bsn kind
 
−
|style="background-color: white;"|847035128
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geslacht medische observatie
 
−
|style="background-color: white;"|mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geboortedatum
 
−
|style="background-color: white;"|28 aug 2014  07:02
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Rangnummer kind
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Perinatale sterfte groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Perinatale sterfte?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Fase perinatale sterfte
 
−
|style="background-color: white;"|Newborn death (event) (code = '276506001' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Datumtijd vaststelling perinatale sterfte
 
−
|style="background-color: white;"|28 aug 2014  08:10
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Kindspecifieke maternale gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="19"|
 
|rowspan="19"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Tijdstip breken vliezen
+
|colspan="3"|Gynaecologische aandoening
−
|style="background-color: white;"|27 aug 2014  23:13
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Kleur en consistentie vruchtwater
+
|colspan="3"|Bloedverlies?
−
|style="background-color: white;"|kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Tijdstip actief meepersen
+
|colspan="3"|Partiele mola?
−
|style="background-color: white;"|28 aug 2014  06:45
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Episiotomie?
+
|colspan="3"|Cervixinsufficientie?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Locatie episiotomie
+
|colspan="3"|Infectie
−
|style="background-color: white;"|mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Ruggeprik gewenst niet gekregen?
+
|colspan="3"|Hyperemesis gravidarum?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Pijnbestrijding?
+
|colspan="3"|Hypertensieve aandoening
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT') - Preeclampsie (code = '398254007' in codeSystem 'SNOMED CT')
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Pijnbestrijding
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="9"|
+
|colspan="3"|Zwangerschapscholestase?
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|
−
|colspan="5"|Methode
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="3"|Diabetes gravidarum met insuline?
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Methode
+
|colspan="3"|Afwijkende groei foetus
−
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Overig middel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="3"|Dreigende partus immaturus?
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Middel
+
|colspan="3"|Dreigende partus prematurus?
−
|style="background-color: white;"|Nitrous oxide and oxygen gas analgesia in labor (procedure) (code = '426060003' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="2"|Toediening
+
|colspan="3"|Abruptio placentae?
−
|style="background-color: white;"|Inhalational analgesia (procedure) (code = '241717009' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Periode
+
|colspan="3"|Navelstrengprolaps?
−
|style="background-color: white;"|tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Sedatie?
+
|colspan="3"|Liggingsafwijking
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="7"|Kindspecifieke uitkomstgegevens
+
|colspan="4"|Intrauteriene vruchtdood
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="32"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Type partus
 
−
|style="background-color: white;"|Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ligging bij geboorte
 
−
|style="background-color: white;"|Complete breech presentation (finding) (code = '49168004' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanpakker kind - rol aanpakker kind
 
−
|style="background-color: white;"|arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Supervisor - rol supervisor
 
−
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Vaginale kunstverlossing groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Vaginale kunstverlossing
 
−
|style="background-color: white;"|Total breech extraction (procedure) (code = '416055001' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Succes vaginale kunstverlossing?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Overige interventies
 
−
|style="background-color: white;"|Maneuvers for delivery in shoulder dystocia (procedure) (code = '237008007' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Lichamelijk onderzoek kind
 
 
|-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="4"|Geboortegewicht
+
|colspan="2"|Vermoeden intrauteriene vruchtdood?
−
|style="background-color: white;"|1580 gram
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Congenitale afwijkingen?
+
|colspan="4"|Einde zwangerschap
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Congenitale afwijkingen groep
+
|colspan="5"|Bevalling
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="8"|
+
|rowspan="13"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Specificatie congenitale afwijking groep
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|Pprom?
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Specificatie congenitale afwijking
+
|colspan="3"|Prom?
−
|style="background-color: white;"|Spina bifida occulta (disorder) (code = '76916001' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Specificatie congenitale afwijking groep
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="2"|
+
|colspan="3"|Koorts?
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Specificatie congenitale afwijking
+
|colspan="3"|Niet vorderende ontsluiting?
−
|style="background-color: white;"|Multiple congenital cardiac defects (disorder) (code = '94702005' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Chromosomale afwijkingen?
+
|colspan="3"|Niet vorderende uitdrijving?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Problematiek kind?
+
|colspan="3"|Verdenking foetale nood?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Problematiek kind
 
−
|style="background-color: white;"|Subdural intracranial hemorrhage due to birth trauma (disorder) (code = '126941005' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Kinderarts betrokken?
 
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Betrokkenheid kinderarts
+
|colspan="4"|Intrauteriene vruchtdood
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Datum betrokkenheid
 
−
|style="background-color: white;"|28 aug 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Reden betrokkenheid
 
−
|style="background-color: white;"|Finding of neonatal condition (finding) (code = '364737004' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Type betrokkenheid
 
−
|style="background-color: white;"|overdracht (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorginstelling lvrid
 
−
|style="background-color: white;"|0001
 
−
|}<section end=uitkomst_per_kind_895623146 />
 
−
=== Medisch onderzoek ===
 
−
<section begin=medisch_onderzoek_895623146 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
 
 
|-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"|Irregulaire antistoffen?
+
|colspan="2"|Vermoeden intrauteriene vruchtdood?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|
−
|}<section end=medisch_onderzoek_895623146 />
 
−
=== Postnatale fase ===
 
−
<section begin=postnatale_fase_895623146 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Kindspecifieke gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="6"|
+
|colspan="3"|Vastzittende placenta?
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Rangnummer kind
 
 
|style="background-color: white;"|
 
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Voeding kind groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voeding kind datum
 
−
|style="background-color: white;"|3 sep 2014 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Substantie voeding kind
 
−
|style="background-color: white;"|borstmelk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
 
−
|}<section end=postnatale_fase_895623146 />
 
−
==Scenario 4. 1e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden (voor vrouw met BSN: 850810711)==
 
−
<section begin=850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Burgerservicenummer
 
−
|style="background-color: white;"|850810711
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lokale persoonsidentificatie
 
−
|style="background-color: white;"|* (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geboortedatum
 
−
|style="background-color: white;"|6 aug 1987 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Adres - postcode
 
−
|style="background-color: white;"|4589 BA
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Etniciteit
 
−
|style="background-color: white;"|Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lengte gemeten
 
−
|style="background-color: white;"|162 cm
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Vrouwelijke genitale verminking?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type vrouwelijke genitale verminking
 
−
|style="background-color: white;"|Female genital mutilation type 1 (disorder) (code = '130631000119108' in codeSystem '2.16.840.1.113883.6.96')
 
−
|}<section end=850810711 />
 
−
=== Anamnese ===
 
−
<section begin=anamnese_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Onder behandeling geweest?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Algemene anamnese
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Autoimmuun aandoening
 
−
|style="background-color: white;"|Rheumatism (disorder) (code = '396332003' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Urogenitale aandoening
 
−
|style="background-color: white;"|Bacteriuria (finding) (code = '61373006' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Diabetes mellitus?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Mdl aandoening
 
−
|style="background-color: white;"|Chronic liver disease (disorder) (code = '328383001' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Longaandoening
 
−
|style="background-color: white;"|Asthma (disorder) (code = '195967001' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type operatie
 
−
|style="background-color: white;"|Operation on musculoskeletal system (procedure) (code = '112697007' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type operatie
 
−
|style="background-color: white;"|Appendectomy (procedure) (code = '80146002' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type operatie
 
−
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|}<section end=anamnese_850810711 />
 
−
=== Zorgverlening ===
 
−
<section begin=zorgverlening_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zorgverlening
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum start zorgverantwoordelijkheid
 
−
|style="background-color: white;"|7 aug 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum einde zorgverantwoordelijkheid
 
−
|style="background-color: white;"|15 sep 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Conclusie risicostatus na intake
 
−
|style="background-color: white;"|3e lijns zorg (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verwijsdetails
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="15"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verwijzing van
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Zorginstelling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatie nummer
 
−
|style="background-color: white;"|0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verwijzing naar
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Zorginstelling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatie nummer
 
−
|style="background-color: white;"|1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Redenen van verwijzing
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="1"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Redenen van verwijzing
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="1"|
 
−
|}<section end=zorgverlening_850810711 />
 
−
=== Zorgverlenerzorginstelling ===
 
−
<section begin=zorgverlenerzorginstelling_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlenerzorginstelling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorginstelling lvrid
 
−
|style="background-color: white;"|1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|}<section end=zorgverlenerzorginstelling_850810711 />
 
−
=== Zwangerschap ===
 
−
<section begin=zwangerschap_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zwangerschap
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Dossiernummer
 
−
|style="background-color: white;"|05e54070-209f-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Graviditeit
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|0
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Definitieve a terme datum
 
−
|style="background-color: white;"|18 aug 2014 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Maternale sterfte?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Wijze einde zwangerschap
 
−
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
−
|}<section end=zwangerschap_850810711 />
 
−
=== Bevalling ===
 
−
<section begin=bevalling_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Bevalling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Aantal geboren kinderen
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Risicostatus voor baring
 
−
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze waarop de baring begon
 
−
|style="background-color: white;"|spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Tijdstip begin actieve ontsluiting
 
−
|style="background-color: white;"|3 aug 2014  21:09
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Medicatie nageboortetijdperk groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Medicatie nageboortetijdperk?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Soort medicatie nageboortetijdperk
 
−
|style="background-color: white;"|Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Placenta - geboorte placenta
 
−
|style="background-color: white;"|spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Hoeveelheid bloedverlies
 
−
|style="background-color: white;"|1120 ml
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Conditie perineum postpartum
 
|colspan="3"|Conditie perineum postpartum
−
|style="background-color: white;"|Third degree perineal tear during delivery - delivered (disorder) (code = '199930000' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|
−
|}<section end=bevalling_850810711 />
 
−
=== Uitkomst per kind ===
 
−
<section begin=uitkomst_per_kind_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="7" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Baring
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="58"|
+
|colspan="3"|Fluxus postpartum?
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|
−
|colspan="6"|Werkelijke plaats baring type locatie
 
−
|style="background-color: white;"|Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ziekenhuis baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ziekenhuisnummer lvrid
 
−
|style="background-color: white;"|0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Demografische gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Identificaties kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Bsn kind
 
−
|style="background-color: white;"|840736526
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geslacht medische observatie
 
−
|style="background-color: white;"|vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geboortedatum
 
−
|style="background-color: white;"|4 aug 2014  23:35
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Rangnummer kind
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Perinatale sterfte groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Perinatale sterfte?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Kindspecifieke maternale gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="19"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Tijdstip breken vliezen
 
−
|style="background-color: white;"|3 aug 2014  07:04
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Kleur en consistentie vruchtwater
 
−
|style="background-color: white;"|bloederig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Tijdstip actief meepersen
 
−
|style="background-color: white;"|4 aug 2014  22:15
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Episiotomie?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Locatie episiotomie
 
−
|style="background-color: white;"|mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ruggeprik gewenst niet gekregen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Pijnbestrijding?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Pijnbestrijding
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Methode
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Methode
 
−
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Overig middel
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Middel
 
−
|style="background-color: white;"|Nitrous oxide and oxygen gas analgesia in labor (procedure) (code = '426060003' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Toediening
 
−
|style="background-color: white;"|Inhalational analgesia (procedure) (code = '241717009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Periode
 
−
|style="background-color: white;"|tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Sedatie?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Kindspecifieke uitkomstgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="21"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Type partus
 
−
|style="background-color: white;"|Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ligging bij geboorte
 
−
|style="background-color: white;"|Fontanelles presenting (finding) (code = '249079005' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanpakker kind - rol aanpakker kind
 
−
|style="background-color: white;"|co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Supervisor - rol supervisor
 
−
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Vaginale kunstverlossing groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Vaginale kunstverlossing
 
−
|style="background-color: white;"|Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Succes vaginale kunstverlossing?
 
−
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Lichamelijk onderzoek kind
+
|colspan="5"|Postnatale fase
 
|-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;;"
 
−
|colspan="4"|Geboortegewicht
 
−
|style="background-color: white;"|4205 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Congenitale afwijkingen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Problematiek kind?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Kinderarts betrokken?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Betrokkenheid kinderarts
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Datum betrokkenheid
 
−
|style="background-color: white;"|4 aug 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Reden betrokkenheid
 
−
|style="background-color: white;"|Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Type betrokkenheid
 
−
|style="background-color: white;"|consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorginstelling lvrid
 
−
|style="background-color: white;"|0010
 
−
|}<section end=uitkomst_per_kind_850810711 />
 
−
=== Postnatale fase ===
 
−
<section begin=postnatale_fase_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Diagnoseinterventie postpartum
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Datum
 
−
|style="background-color: white;"|8 aug 2014  00:00
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Pathologie vrouw
 
|colspan="3"|Pathologie vrouw
−
|style="background-color: white;"|Embolism (disorder) (code = '414086009' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Diagnoseinterventie postpartum
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="4"|Overig
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Datum
+
|colspan="5"|Van 2e naar 3e lijn
−
|style="background-color: white;"|8 aug 2014  00:00
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Pathologie vrouw
+
|colspan="5"|Van 2e naar 1e lijn
−
|style="background-color: white;"|Episiotomy infection (disorder) (code = '300927001' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Kindspecifieke gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="5"|
+
|colspan="5"|Van 3e naar 2e lijn
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|style="background-color: white;"|
−
|colspan="4"|Voeding kind groep
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|colspan="6"|Perinatale periode
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|voor 28e week (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') - 2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')
−
|colspan="2"|Voeding kind datum
+
|}<section end=zorgverlening_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
−
|style="background-color: white;"|15 sep 2014 
+
=== Zorgverlenerzorginstelling ===
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
<section begin=zorgverlenerzorginstelling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
−
|colspan="2"|Substantie voeding kind
 
−
|style="background-color: white;"|kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
 
−
|}<section end=postnatale_fase_850810711 />
 
−
==Scenario 4. 2e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden (voor vrouw met BSN: 850810711)==
 
−
<section begin=850810711 />
 
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zorgverlenerzorginstelling
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Burgerservicenummer
 
−
|style="background-color: white;"|850810711
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lokale persoonsidentificatie
 
−
|style="background-color: white;"|* (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geboortedatum
 
−
|style="background-color: white;"|6 aug 1987 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Adres - postcode
 
−
|style="background-color: white;"|4589 BA
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Etniciteit
 
−
|style="background-color: white;"|Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lengte gemeten
 
−
|style="background-color: white;"|162 cm
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Vrouwelijke genitale verminking?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type vrouwelijke genitale verminking
 
−
|style="background-color: white;"|Female genital mutilation type 1 (disorder) (code = '130631000119108' in codeSystem '2.16.840.1.113883.6.96')
 
−
|}<section end=850810711 />
 
−
=== Anamnese ===
 
−
<section begin=anamnese_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 
 
|-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
 
|| Waarde
 
|| Waarde
  
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Onder behandeling geweest?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Algemene anamnese
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Autoimmuun aandoening
 
−
|style="background-color: white;"|Rheumatism (disorder) (code = '396332003' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Urogenitale aandoening
 
−
|style="background-color: white;"|Bacteriuria (finding) (code = '61373006' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Diabetes mellitus?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Mdl aandoening
 
−
|style="background-color: white;"|Chronic liver disease (disorder) (code = '328383001' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Longaandoening
 
−
|style="background-color: white;"|Asthma (disorder) (code = '195967001' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type operatie
 
−
|style="background-color: white;"|Operation on musculoskeletal system (procedure) (code = '112697007' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type operatie
 
−
|style="background-color: white;"|Appendectomy (procedure) (code = '80146002' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type operatie
 
−
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|}<section end=anamnese_850810711 />
 
−
=== Zorgverlening ===
 
−
<section begin=zorgverlening_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Zorgverlening
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum start zorgverantwoordelijkheid
 
−
|style="background-color: white;"|3 feb 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum einde zorgverantwoordelijkheid
 
−
|style="background-color: white;"|6 aug 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Conclusie risicostatus na intake
 
−
|style="background-color: white;"|3e lijns zorg (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verwijsdetails
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="15"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Datum verwijzing
 
−
|style="background-color: white;"|6 aug 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verwijzing van
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Zorginstelling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatie nummer
 
−
|style="background-color: white;"|0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Verwijzing naar
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Zorginstelling
 
|colspan="4"|Zorginstelling
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorgaanbieder identificatie nummer
 
−
|style="background-color: white;"|1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Redenen van verwijzing
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="1"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Perinatale periode
 
−
|style="background-color: white;"|2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')
 
−
|}<section end=zorgverlening_850810711 />
 
−
=== Zorgverlenerzorginstelling ===
 
−
<section begin=zorgverlenerzorginstelling_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlenerzorginstelling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorginstelling lvrid
 
−
|style="background-color: white;"|0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|}<section end=zorgverlenerzorginstelling_850810711 />
 
−
=== Zwangerschap ===
 
−
<section begin=zwangerschap_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschap
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Dossiernummer
 
−
|style="background-color: white;"|e1691540-209f-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Graviditeit
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|0
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Definitieve a terme datum
 
−
|style="background-color: white;"|18 aug 2014 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Voornemens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 
−
|style="background-color: white;"|Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Prenatale controle
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum controle
 
−
|style="background-color: white;"|7 may 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|149 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Leven voelen
 
−
|style="background-color: white;"|Fetal movements present (finding) (code = '289431008' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Rookgedrag
 
−
|style="background-color: white;"|niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Alcoholgebruik
 
−
|style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Drugsgebruik?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Gewicht gemeten
 
−
|style="background-color: white;"|82 kg
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum
 
−
|style="background-color: white;"|7 may 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|149 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Infectie
 
−
|style="background-color: white;"|Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Maternale sterfte?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze einde zwangerschap
 
−
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
−
|}<section end=zwangerschap_850810711 />
 
−
=== Bevalling ===
 
−
<section begin=bevalling_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Bevalling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Diagnose bevalling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Niet vorderende ontsluiting?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Niet vorderende uitdrijving?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Aantal geboren kinderen
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Risicostatus voor baring
 
−
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze waarop de baring begon
 
−
|style="background-color: white;"|spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Tijdstip begin actieve ontsluiting
 
−
|style="background-color: white;"|3 aug 2014  21:09
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Medicatie nageboortetijdperk groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Medicatie nageboortetijdperk?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Soort medicatie nageboortetijdperk
 
−
|style="background-color: white;"|Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Placenta - geboorte placenta
 
−
|style="background-color: white;"|spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Hoeveelheid bloedverlies
 
−
|style="background-color: white;"|1120 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Conditie perineum postpartum
 
−
|style="background-color: white;"|Third degree perineal tear during delivery - delivered (disorder) (code = '199930000' in codeSystem '2.16.840.1.113883.6.96')
 
−
|}<section end=bevalling_850810711 />
 
−
=== Uitkomst per kind ===
 
−
<section begin=uitkomst_per_kind_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="7" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="58"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Werkelijke plaats baring type locatie
 
−
|style="background-color: white;"|Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Ziekenhuis baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ziekenhuisnummer lvrid
 
−
|style="background-color: white;"|0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Demografische gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Identificaties kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Bsn kind
 
−
|style="background-color: white;"|840736526
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geslacht medische observatie
 
−
|style="background-color: white;"|vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geboortedatum
 
−
|style="background-color: white;"|4 aug 2014  23:35
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Rangnummer kind
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Perinatale sterfte groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Perinatale sterfte?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Kindspecifieke maternale gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="19"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Tijdstip breken vliezen
 
−
|style="background-color: white;"|3 aug 2014  07:04
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Kleur en consistentie vruchtwater
 
−
|style="background-color: white;"|bloederig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Tijdstip actief meepersen
 
−
|style="background-color: white;"|4 aug 2014  22:15
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Episiotomie?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Locatie episiotomie
 
−
|style="background-color: white;"|mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ruggeprik gewenst niet gekregen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Pijnbestrijding?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Pijnbestrijding
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Methode
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Methode
 
−
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Overig middel
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Middel
 
−
|style="background-color: white;"|Nitrous oxide and oxygen gas analgesia in labor (procedure) (code = '426060003' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Toediening
 
−
|style="background-color: white;"|Inhalational analgesia (procedure) (code = '241717009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Periode
 
−
|style="background-color: white;"|tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Sedatie?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Kindspecifieke uitkomstgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="21"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Type partus
 
−
|style="background-color: white;"|Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ligging bij geboorte
 
−
|style="background-color: white;"|Fontanelles presenting (finding) (code = '249079005' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanpakker kind - rol aanpakker kind
 
−
|style="background-color: white;"|co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Supervisor - rol supervisor
 
−
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Vaginale kunstverlossing groep
 
 
|-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="4"|Vaginale kunstverlossing
+
|colspan="2"|Zorginstelling agbid
−
|style="background-color: white;"|Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|12345678 (in identificerend systeem: 1)
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Succes vaginale kunstverlossing?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Lichamelijk onderzoek kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortegewicht
 
−
|style="background-color: white;"|4205 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Congenitale afwijkingen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Problematiek kind?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Kinderarts betrokken?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Betrokkenheid kinderarts
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Datum betrokkenheid
 
−
|style="background-color: white;"|4 aug 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Reden betrokkenheid
 
−
|style="background-color: white;"|Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Type betrokkenheid
 
−
|style="background-color: white;"|consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorginstelling lvrid
 
−
|style="background-color: white;"|0010
 
−
|}<section end=uitkomst_per_kind_850810711 />
 
−
=== Medisch onderzoek ===
 
−
<section begin=medisch_onderzoek_850810711 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Irregulaire antistoffen?
 
−
|style="background-color: white;"|Nee
 
−
|}<section end=medisch_onderzoek_850810711 />
 
−
==Scenario 5. zorg volledig 2e lijn, vrouw overleden (voor vrouw met BSN: 912345676)==
 
−
<section begin=912345676 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Burgerservicenummer
 
−
|style="background-color: white;"|912345676
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lokale persoonsidentificatie
 
−
|style="background-color: white;"|* (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geboortedatum
 
−
|style="background-color: white;"|4 mar 1993 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Adres - postcode
 
−
|style="background-color: white;"|9562 GF
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Etniciteit
 
−
|style="background-color: white;"|Latijns Amerikaans (code = '14' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lengte gemeten
 
−
|style="background-color: white;"|186 cm
 
−
|}<section end=912345676 />
 
−
=== Anamnese ===
 
−
<section begin=anamnese_912345676 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Onder behandeling geweest?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Algemene anamnese
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Cardiovasculaire aandoening
 
−
|style="background-color: white;"|Hypertensive disorder, systemic arterial (disorder) (code = '38341003' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Diabetes mellitus?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Neurologische aandoening
 
−
|style="background-color: white;"|Epilepsy (disorder) (code = '84757009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Longaandoening
 
−
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Orthopedische afwijking
 
−
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type stollingsprobleem
 
−
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Psychiatrie?
 
−
|style="background-color: white;"|Ja
 
−
|}<section end=anamnese_912345676 />
 
−
=== Zorgverlening ===
 
−
<section begin=zorgverlening_912345676 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlening
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum start zorgverantwoordelijkheid
 
−
|style="background-color: white;"|9 dec 2013  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum einde zorgverantwoordelijkheid
 
−
|style="background-color: white;"|4 aug 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Conclusie risicostatus na intake
 
−
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
 
−
|}<section end=zorgverlening_912345676 />
 
−
=== Zorgverlenerzorginstelling ===
 
−
<section begin=zorgverlenerzorginstelling_912345676 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlenerzorginstelling
 
−
|-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"|Zorginstelling lvrid
 
|colspan="2"|Zorginstelling lvrid
−
|style="background-color: white;"|0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
+
|style="background-color: white;"|1808 - 1504 - 0003 - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
−
|}<section end=zorgverlenerzorginstelling_912345676 />
+
|}<section end=zorgverlenerzorginstelling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
 
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
−
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_912345676 />
+
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
−
|colspan="5" width="25%"| Gegevenselement
+
|colspan="7" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Wijze einde zwangerschap
+
|colspan="7"|Wijze einde zwangerschap
−
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
+
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Definitieve a terme datum
+
|colspan="7"|Definitieve a terme datum
−
|style="background-color: white;"|5 jun 2012   
+
|style="background-color: white;"|1 dec 2011  - 5 jun 2013  - 5 jun 2012   - 1 feb 2017  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="6"|Diagnose
+
|colspan="8"|Diagnose
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Infectie
+
|rowspan="13"|
−
|style="background-color: white;"|Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Zwangerschapscholestase?
+
|colspan="6"|Gynaecologische aandoening
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Afwijkende groei foetus
 
−
|style="background-color: white;"|Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="5"|Irregulaire antistoffen?
+
|colspan="6"|Bloedverlies?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Eerdere bevalling
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="11"|
+
|colspan="6"|Cervixinsufficientie?
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Placenta - geboorte placenta
 
−
|style="background-color: white;"|spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Vorige uitkomst per kind - vorige baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Demografische gegevens - geboortedatum
 
−
|style="background-color: white;"|9 jun 2012  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Kindspecifieke gegevens vorige uitkomsten
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type partus
 
−
|style="background-color: white;"|Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Percentiel van het geboortegewicht
 
−
|style="background-color: white;"|10 ≤ P < 50 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.50')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Apgarscore na 5 min
 
−
|style="background-color: white;"|10
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Congenitale afwijkingen?
 
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
−
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_912345676 />
 
−
=== Zwangerschap ===
 
−
<section begin=zwangerschap_912345676 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschap
 
−
|-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"|Dossiernummer
+
|colspan="6"|Infectie
−
|style="background-color: white;"|68a34ee0-20a0-11e9-b56e-0800200c9a66 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)
+
|style="background-color: white;"|Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Intra-uterien (code = '301775005' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Graviditeit
+
|colspan="6"|Hyperemesis gravidarum?
−
|style="background-color: white;"|2
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="3"|Pariteit voor deze zwangerschap
+
|colspan="6"|Hypertensieve aandoening
−
|style="background-color: white;"|1
+
|style="background-color: white;"|Zwangerschapshypertensie (code = '48194001' in codeSystem '2.16.840.1.113883.6.96')
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Definitieve a terme datum
 
−
|style="background-color: white;"|22 jul 2014 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Voornemens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 
−
|style="background-color: white;"|Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Prenatale controle
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum controle
 
−
|style="background-color: white;"|9 jan 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|86 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Leven voelen
 
−
|style="background-color: white;"|Fetal movements absent (context-dependent category) (code = '289432001' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Rookgedrag
 
−
|style="background-color: white;"|gestopt tijdens huidige zwangerschap (code = '6' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Alcoholgebruik
 
−
|style="background-color: white;"|geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Drugsgebruik?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Gewicht gemeten
 
−
|style="background-color: white;"|89 kg
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum
 
−
|style="background-color: white;"|9 jan 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zwangerschapsduur
 
−
|style="background-color: white;"|86 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Afwijkende groei foetus
 
−
|style="background-color: white;"|Large-for-dates fetus (disorder) (code = '199616008' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Abruptio placentae?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Intrauteriene behandeling
 
−
|style="background-color: white;"|Selective destruction of fetus (procedure) (code = '265633004' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Maternale sterfte?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze einde zwangerschap
 
−
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
−
|}<section end=zwangerschap_912345676 />
 
−
=== Bevalling ===
 
−
<section begin=bevalling_912345676 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Bevalling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Partusnummer
 
−
|style="background-color: white;"|000000
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Aantal geboren kinderen
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Risicostatus voor baring
 
−
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Interventies begin baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Interventie begin baring
 
−
|style="background-color: white;"|Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Indicatie interventie begin baring
 
−
|style="background-color: white;"|acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Wijze waarop de baring begon
 
−
|style="background-color: white;"|interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Medicatie nageboortetijdperk groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Medicatie nageboortetijdperk?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Placenta - geboorte placenta
 
−
|style="background-color: white;"|placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Hoeveelheid bloedverlies
 
−
|style="background-color: white;"|1500 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Conditie perineum postpartum
 
−
|style="background-color: white;"|Perineum intact (finding) (code = '289854007' in codeSystem '2.16.840.1.113883.6.96')
 
−
|}<section end=bevalling_912345676 />
 
−
=== Uitkomst per kind ===
 
−
<section begin=uitkomst_per_kind_912345676 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Uitkomst per kind
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="58"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Werkelijke plaats baring type locatie
 
−
|style="background-color: white;"|Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Ziekenhuis baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Ziekenhuisnummer lvrid
+
|colspan="6"|Zwangerschapscholestase?
−
|style="background-color: white;"|0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
+
|style="background-color: white;"|Ja - Nee
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Demografische gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|colspan="6"|Diabetes gravidarum met insuline?
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Identificaties kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Bsn kind
 
−
|style="background-color: white;"|528741913
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht medische observatie
 
−
|style="background-color: white;"|twijfelachtig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|24 jul 2014  02:30
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Rangnummer kind
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Perinatale sterfte groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Perinatale sterfte?
 
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Kindspecifieke maternale gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="12"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Kleur en consistentie vruchtwater
+
|colspan="6"|Afwijkende groei foetus
−
|style="background-color: white;"|meconium (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
+
|style="background-color: white;"|Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Macrosomie (code = '199616008' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Episiotomie?
+
|colspan="6"|Dreigende partus immaturus?
 
|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="4"|Ruggeprik gewenst niet gekregen?
+
|colspan="6"|Dreigende partus prematurus?
 
|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="4"|Pijnbestrijding?
+
|colspan="6"|Abruptio placentae?
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Pijnbestrijding
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Methode
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Methode
 
−
|style="background-color: white;"|General anesthesia (procedure) (code = '50697003' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Periode
 
−
|style="background-color: white;"|tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Sedatie?
 
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Kindspecifieke uitkomstgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="28"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Type partus
 
−
|style="background-color: white;"|Emergency cesarian section (procedure) (code = '274130007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ligging bij geboorte
 
−
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aanpakker kind - rol aanpakker kind
 
−
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Supervisor - rol supervisor
+
|colspan="7"|Irregulaire antistoffen?
−
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111')
+
|style="background-color: white;"|Nee - Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="5"|Vaginale kunstverlossing groep
+
|colspan="8"|Eerdere bevalling
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="19"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Vaginale kunstverlossing
 
−
|style="background-color: white;"|Delivery by vacuum extraction (procedure) (code = '61586001' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Succes vaginale kunstverlossing?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Sectio caesarea group
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Beslismoment sectio caesarea
 
−
|style="background-color: white;"|tijdens uitdrijving besloten (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.5')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Indicatie secundaire sectio
 
−
|style="background-color: white;"|Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Lichamelijk onderzoek kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Geboortegewicht
 
−
|style="background-color: white;"|3750 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Congenitale afwijkingen?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Congenitale afwijkingen groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
−
|colspan="4"|Specificatie congenitale afwijking groep
+
|colspan="7"|Placenta
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="1"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Chromosomale afwijkingen?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Specificatie chromosomale afwijking groep
 
 
|-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"|Specificatie chromosomale afwijking
+
|colspan="5"|Geboorte placenta
−
|style="background-color: white;"|Complete trisomy 21 syndrome (disorder) (code = '41040004' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Problematiek kind?
+
|colspan="6"|Hoeveelheid bloedverlies
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|550 ml - 895 ml
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Problematiek kind
 
−
|style="background-color: white;"|Congenital hearing disorder (disorder) (code = '95827002' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Kinderarts betrokken?
 
−
|style="background-color: white;"|Nee
 
−
|}<section end=uitkomst_per_kind_912345676 />
 
−
=== Medisch onderzoek ===
 
−
<section begin=medisch_onderzoek_912345676 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
 
−
|-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="4"|Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
+
|colspan="7"|Vorige uitkomst per kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="3"|
+
|rowspan="13"|
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Irregulaire antistoffen?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Welke irregulaire antistoffen vrouw aanwezig
 
−
|style="background-color: white;"|Kell (code = '405844003' in codeSystem '2.16.840.1.113883.6.96')
 
−
|}<section end=medisch_onderzoek_912345676 />
 
−
=== Postnatale fase ===
 
−
<section begin=postnatale_fase_912345676 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
 
−
|-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="5"|Diagnoseinterventie postpartum
+
|colspan="6"|Vorige baring
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Datum
 
−
|style="background-color: white;"|24 jul 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pathologie vrouw
 
−
|style="background-color: white;"|Postpartum deep phlebothrombosis (disorder) (code = '56272000' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Kindspecifieke gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Voeding kind groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Voeding kind datum
 
−
|style="background-color: white;"|24 jul 2014 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Substantie voeding kind
 
−
|style="background-color: white;"|kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
 
−
|}<section end=postnatale_fase_912345676 />
 
−
==Scenario 6. 2e lijn (voor vrouw met BSN: 100202020)==
 
−
<section begin=100202020 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Burgerservicenummer
 
−
|style="background-color: white;"|100202020
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lokale persoonsidentificatie
 
−
|style="background-color: white;"|987654321 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Geboortedatum
 
−
|style="background-color: white;"|1 jan 1989 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Adres - postcode
 
−
|style="background-color: white;"|1234 AB
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Etniciteit
 
−
|style="background-color: white;"|Kaukasisch (code = '12' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Lengte gemeten
 
−
|style="background-color: white;"|172 cm
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Vrouwelijke genitale verminking?
 
−
|style="background-color: white;"|Nee
 
−
|}<section end=100202020 />
 
−
=== Anamnese ===
 
−
<section begin=anamnese_100202020 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Onder behandeling geweest?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Algemene anamnese
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="18"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Autoimmuun aandoening
 
−
|style="background-color: white;"|Reuma (code = '396332003' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Cardiovasculaire aandoening
 
−
|style="background-color: white;"|Overig, niet nader omschreven Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Urogenitale aandoening
 
−
|style="background-color: white;"|Pyelonefritis (code = '45816000' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Oncologische aandoening
 
−
|style="background-color: white;"|Overig, niet nader omschreven Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Schildklier aandoening
 
−
|style="background-color: white;"|Hypothyreoidie (code = '40930008' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Diabetes mellitus?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Neurologische aandoening
 
−
|style="background-color: white;"|Hernia nuclei pulposi (code = '84857004' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Neurologische aandoening
 
−
|style="background-color: white;"|Overig, niet nader omschreven Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Mdl aandoening
 
−
|style="background-color: white;"|M. Crohn (code = '34000006' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Anemie
 
−
|style="background-color: white;"|IJzergebrek (code = '87522002' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Longaandoening
 
−
|style="background-color: white;"|Astma (code = '195967001' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Orthopedische afwijking
 
−
|style="background-color: white;"|Trauma bekken (code = '282771003' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Bloedtransfusie?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type operatie
 
−
|style="background-color: white;"|Sectio (code = '11466000' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type operatie
 
−
|style="background-color: white;"|Rug (code = '129152004:260686004=129284003' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Psychiatrie?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Overige aandoening?
 
−
|style="background-color: white;"|Nee
 
−
|}<section end=anamnese_100202020 />
 
−
=== Zorgverlening ===
 
−
<section begin=zorgverlening_100202020 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlening
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum start zorgverantwoordelijkheid
 
−
|style="background-color: white;"|1 mar 2019  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum einde zorgverantwoordelijkheid
 
−
|style="background-color: white;"|15 oct 2019  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Eindverantwoordelijk in welke perinatale periode?
 
−
|style="background-color: white;"|follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Conclusie risicostatus na intake
 
−
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
 
−
|}<section end=zorgverlening_100202020 />
 
−
=== Zorgverlenerzorginstelling ===
 
−
<section begin=zorgverlenerzorginstelling_100202020 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlenerzorginstelling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="2" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorginstelling lvrid
 
−
|style="background-color: white;"|0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|}<section end=zorgverlenerzorginstelling_100202020 />
 
−
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
 
−
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_100202020 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Wijze einde zwangerschap
 
−
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Definitieve a terme datum
 
−
|style="background-color: white;"|1 feb 2017 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="12"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Bloedverlies?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Cervixinsufficientie?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Infectie
 
−
|style="background-color: white;"|Intra-uterien (code = '301775005' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Hyperemesis gravidarum?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Hypertensieve aandoening
 
−
|style="background-color: white;"|Zwangerschapshypertensie (code = '48194001' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Zwangerschapscholestase?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Diabetes gravidarum met insuline?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afwijkende groei foetus
 
−
|style="background-color: white;"|Macrosomie (code = '199616008' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Dreigende partus immaturus?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Dreigende partus prematurus?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Abruptio placentae?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Irregulaire antistoffen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Eerdere bevalling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="15"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Placenta - geboorte placenta
 
−
|style="background-color: white;"|Placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Hoeveelheid bloedverlies
 
−
|style="background-color: white;"|895 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Vorige uitkomst per kind - vorige baring
 
 
|-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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Demografische gegevens - geboortedatum
+
|colspan="4"|Geboortedatum
−
|style="background-color: white;"|15 dec 2016   
+
|style="background-color: white;"|8 dec 2011  00:00 - 9 jun 2012  00:00 - 15 dec 2016   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Kindspecifieke gegevens vorige uitkomsten
 
|colspan="5"|Kindspecifieke gegevens vorige uitkomsten
Regel 3.381: Regel 525:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Type partus
 
|colspan="3"|Type partus
−
|style="background-color: white;"|Secundair (code = '274130007' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Secundair (code = '274130007' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Percentiel van het geboortegewicht
 
|colspan="3"|Percentiel van het geboortegewicht
−
|style="background-color: white;"|p2,3 tot p10 (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.50')
+
|style="background-color: white;"|p50 tot p90 (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.50') - 10 ≤ P < 50 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.50') - p2,3 tot p10 (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.50')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Apgarscore na 5 min
 
|colspan="3"|Apgarscore na 5 min
−
|style="background-color: white;"|8
+
|style="background-color: white;"|8 - 10
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Congenitale afwijkingen?
 
|colspan="3"|Congenitale afwijkingen?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Nee - Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Congenitale afwijkingen groep
 
|colspan="4"|Congenitale afwijkingen groep
Regel 3.398: Regel 542:
 
|colspan="2"|Chromosomale afwijkingen?
 
|colspan="2"|Chromosomale afwijkingen?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
−
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_100202020 />
+
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Zwangerschap ===
 
=== Zwangerschap ===
−
<section begin=zwangerschap_100202020 />
+
<section begin=zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschap
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschap
Regel 3.407: Regel 551:
 
|| Waarde
 
|| Waarde
  
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Dossiernummer
 
−
|style="background-color: white;"|0af1e5b1-bf99-40a2-ade9-728186c32f31 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.4)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Graviditeit
 
|colspan="4"|Graviditeit
−
|style="background-color: white;"|2
+
|style="background-color: white;"|2 - 1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Pariteit voor deze zwangerschap
 
|colspan="4"|Pariteit voor deze zwangerschap
−
|style="background-color: white;"|1
+
|style="background-color: white;"|1 - 0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Definitieve a terme datum
 
|colspan="4"|Definitieve a terme datum
−
|style="background-color: white;"|2 oct 2019   
+
|style="background-color: white;"|9 okt 2014  - 8 sep 2014  - 22 sep 2014  - 18 aug 2014  - 22 jul 2014  - 2 okt 2019   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Voornemens
 
|colspan="5"|Voornemens
Regel 3.425: Regel 566:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 
|colspan="3"|Voorgenomen plaats baring tijdens zwangerschap type locatie
−
|style="background-color: white;"|Ziekenhuis (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Thuis (code = '169813005' in codeSystem '2.16.840.1.113883.6.96') - Nog niet bepaald (code = '05' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Prenatale controle
 
|colspan="5"|Prenatale controle
Regel 3.432: Regel 573:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Datum controle
 
|colspan="3"|Datum controle
−
|style="background-color: white;"|1 mar 2019  00:00
+
|style="background-color: white;"|2 mrt 2014  00:00 - 6 mei 2014  00:00 - 12 mei 2014  00:00 - 21 mei 2014  00:00 - 7 mei 2014  00:00 - 9 jan 2014  00:00 - 1 mrt 2019  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Zwangerschapsduur
 
|colspan="3"|Zwangerschapsduur
−
|style="background-color: white;"|56 dagen
+
|style="background-color: white;"|59 dagen - 155 dagen - 161 dagen - 156 dagen - 149 dagen - 86 dagen - 56 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Leven voelen
 
|colspan="3"|Leven voelen
−
|style="background-color: white;"|geen (code = '289432001' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|goed (code = '289431008' in codeSystem 'Snomed CT') - Weak fetal movements (finding) (code = '276372004' in codeSystem '2.16.840.1.113883.6.96') - Reduced fetal movement (finding) (code = '276369006' in codeSystem '2.16.840.1.113883.6.96') - Fetal movements absent (context-dependent category) (code = '289432001' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Rookgedrag
 
|colspan="3"|Rookgedrag
−
|style="background-color: white;"|gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
+
|style="background-color: white;"|niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - gestopt tijdens huidige zwangerschap (code = '6' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Alcoholgebruik
 
|colspan="3"|Alcoholgebruik
Regel 3.447: Regel 588:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Drugsgebruik?
 
|colspan="3"|Drugsgebruik?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Nee - Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Gewicht gemeten
 
|colspan="3"|Gewicht gemeten
−
|style="background-color: white;"|68 kg
+
|style="background-color: white;"|70 kg - 85 kg - 67 kg - 82 kg - 89 kg - 68 kg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Diagnose
 
|colspan="5"|Diagnose
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="18"|
+
|rowspan="22"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Datum
 
|colspan="3"|Datum
−
|style="background-color: white;"|1 mar 2019  00:00
+
|style="background-color: white;"|2 mrt 2014  00:00 - 6 mei 2014  00:00 - 12 mei 2014  00:00 - 21 mei 2014  00:00 - 7 mei 2014  00:00 - 9 jan 2014  00:00 - 1 mrt 2019  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Zwangerschapsduur
 
|colspan="3"|Zwangerschapsduur
−
|style="background-color: white;"|56 dagen
+
|style="background-color: white;"|59 dagen - 155 dagen - 161 dagen - 156 dagen - 149 dagen - 86 dagen - 56 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Gynaecologische aandoening
 
|colspan="3"|Gynaecologische aandoening
−
|style="background-color: white;"|Overig, niet nader gespecificeerd Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
+
|style="background-color: white;"|Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') - Overig, niet nader gespecificeerd Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Bloedverlies?
 
|colspan="3"|Bloedverlies?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Partiele mola?
 
|colspan="3"|Partiele mola?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Cervixinsufficientie?
 
|colspan="3"|Cervixinsufficientie?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Infectie
 +
|style="background-color: white;"|Urineweg infectie (code = '307534009' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Hyperemesis gravidarum?
 
|colspan="3"|Hyperemesis gravidarum?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Hypertensieve aandoening
 +
|style="background-color: white;"|Pregnancy-induced hypertension (disorder) (code = '48194001' in codeSystem '2.16.840.1.113883.6.96') - Pre-eclampsia (disorder) (code = '398254007' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Zwangerschapscholestase?
 
|colspan="3"|Zwangerschapscholestase?
Regel 3.484: Regel 631:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Afwijkende groei foetus
 
|colspan="3"|Afwijkende groei foetus
−
|style="background-color: white;"|Dysmaturiteit (code = '267258002' in codeSystem 'Snomed CT')
+
|style="background-color: white;"|Small for gestational age fetus (disorder) (code = '267258002' in codeSystem '2.16.840.1.113883.6.96') - Large-for-dates fetus (disorder) (code = '199616008' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Dreigende partus immaturus?
 
|colspan="3"|Dreigende partus immaturus?
Regel 3.493: Regel 640:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Abruptio placentae?
 
|colspan="3"|Abruptio placentae?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Navelstrengprolaps?
 
|colspan="3"|Navelstrengprolaps?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Liggingsafwijking
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Intrauteriene vruchtdood
 
|colspan="4"|Intrauteriene vruchtdood
 
|-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"|Vermoeden intrauteriene vruchtdood?
 
|colspan="2"|Vermoeden intrauteriene vruchtdood?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Vermoeden iuvd op basis van
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Intrauteriene behandeling
 +
|style="background-color: white;"|Selective destruction of fetus (procedure) (code = '265633004' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Maternale sterfte?
 
|colspan="4"|Maternale sterfte?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Nee - Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Wijze einde zwangerschap
 
|colspan="4"|Wijze einde zwangerschap
 
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
 
|style="background-color: white;"|Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
−
|}<section end=zwangerschap_100202020 />
+
|}<section end=zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Bevalling ===
 
=== Bevalling ===
−
<section begin=bevalling_100202020 />
+
<section begin=bevalling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Bevalling
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Bevalling
Regel 3.521: Regel 677:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Partusnummer
 
|colspan="4"|Partusnummer
−
|style="background-color: white;"|4567890123 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999​.60.7)
+
|style="background-color: white;"|000000 - 4567890123 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999​.60.7)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Diagnose bevalling
 
|colspan="5"|Diagnose bevalling
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="12"|
+
|rowspan="13"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Pprom?
 
|colspan="3"|Pprom?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Prom?
 
|colspan="3"|Prom?
Regel 3.537: Regel 693:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Niet vorderende ontsluiting?
 
|colspan="3"|Niet vorderende ontsluiting?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Niet vorderende uitdrijving?
 
|colspan="3"|Niet vorderende uitdrijving?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verdenking foetale nood?
 
|colspan="3"|Verdenking foetale nood?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Intrauteriene vruchtdood
 
|colspan="4"|Intrauteriene vruchtdood
 
|-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"|Vermoeden intrauteriene vruchtdood?
 
|colspan="2"|Vermoeden intrauteriene vruchtdood?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Vermoeden iuvd op basis van
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Vastzittende placenta?
 
|colspan="3"|Vastzittende placenta?
Regel 3.559: Regel 718:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Aantal geboren kinderen
 
|colspan="4"|Aantal geboren kinderen
−
|style="background-color: white;"|1
+
|style="background-color: white;"|1 - 2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Risicostatus voor baring
 
|colspan="4"|Risicostatus voor baring
−
|style="background-color: white;"|2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
+
|style="background-color: white;"|1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Interventies begin baring
 
|colspan="5"|Interventies begin baring
Regel 3.569: Regel 728:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Interventie begin baring
 
|colspan="3"|Interventie begin baring
−
|style="background-color: white;"|Primen prostaglandine (code = '236966000' in codeSystem 'Snomed CT')
+
|style="background-color: white;"|Strippen (code = '236960006' in codeSystem 'Snomed CT') - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96') - Primen prostaglandine (code = '236966000' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Indicatie interventie begin baring
 
|colspan="3"|Indicatie interventie begin baring
−
|style="background-color: white;"|niet levensbedreigend (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')
+
|style="background-color: white;"|wens patiënt (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - niet levensbedreigend (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Wijze waarop de baring begon
 
|colspan="4"|Wijze waarop de baring begon
−
|style="background-color: white;"|Spontane weeën (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
+
|style="background-color: white;"|Interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - Spontane weeën (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Tijdstip begin actieve ontsluiting
 
|colspan="4"|Tijdstip begin actieve ontsluiting
−
|style="background-color: white;"|15 oct 2019  03:45
+
|style="background-color: white;"|8 okt 2014  14:30 - 30 aug 2014  14:09 - 27 aug 2014  22:09 - 3 aug 2014  21:09 - 15 okt 2019  03:45
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Medicatie nageboortetijdperk groep
 
|colspan="5"|Medicatie nageboortetijdperk groep
Regel 3.585: Regel 744:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Medicatie nageboortetijdperk?
 
|colspan="3"|Medicatie nageboortetijdperk?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - UNK - Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Soort medicatie nageboortetijdperk
 
|colspan="3"|Soort medicatie nageboortetijdperk
−
|style="background-color: white;"|Oxytocine (code = 'H01BB02' in codeSystem '2.16.840.1.113883.6.73')
+
|style="background-color: white;"|Oxytocine (code = 'H01BB02' in codeSystem '2.16.840.1.113883.6.73') - Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Placenta
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|colspan="4"|Placenta - geboorte placenta
+
|colspan="3"|Geboorte placenta
−
|style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
+
|style="background-color: white;"|Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - controlled cord traction (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Hoeveelheid bloedverlies
 
|colspan="4"|Hoeveelheid bloedverlies
−
|style="background-color: white;"|650 ml
+
|style="background-color: white;"|615 ml - 980 ml - 1740 ml - 1120 ml - 1500 ml - 650 ml
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Conditie perineum postpartum
 
|colspan="4"|Conditie perineum postpartum
−
|style="background-color: white;"|1e graads perineumruptuur (code = '199916005' in codeSystem 'Snomed CT')
+
|style="background-color: white;"|1e graads perineumruptuur (code = '199916005' in codeSystem 'Snomed CT') - Perineum intact (finding) (code = '289854007' in codeSystem '2.16.840.1.113883.6.96') - Episiotomy wound (morphologic abnormality) (code = '609344008' in codeSystem '2.16.840.1.113883.6.96') - Third degree perineal tear during delivery - delivered (disorder) (code = '199930000' in codeSystem '2.16.840.1.113883.6.96')
−
|}<section end=bevalling_100202020 />
+
|}<section end=bevalling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Uitkomst per kind ===
 
=== Uitkomst per kind ===
−
<section begin=uitkomst_per_kind_100202020 />
+
<section begin=uitkomst_per_kind_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Uitkomst per kind
Regel 3.610: Regel 773:
 
|colspan="8"|Baring
 
|colspan="8"|Baring
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="67"|
+
|rowspan="79"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="6"|Werkelijke plaats baring type locatie
 
|colspan="6"|Werkelijke plaats baring type locatie
−
|style="background-color: white;"|Geboortecentrum (code = '23' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7')
+
|style="background-color: white;"|Geboortecentrum (code = '23' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Ziekenhuis baring
 
|colspan="7"|Ziekenhuis baring
Regel 3.620: Regel 783:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Ziekenhuisnummer lvrid
 
|colspan="5"|Ziekenhuisnummer lvrid
−
|style="background-color: white;"|0803 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
+
|style="background-color: white;"|0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0803 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Demografische gegevens
 
|colspan="7"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="10"|
+
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Identificaties kind
 
|colspan="6"|Identificaties kind
Regel 3.631: Regel 794:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Bsn kind
 
|colspan="4"|Bsn kind
−
|style="background-color: white;"|847035116
+
|style="background-color: white;"|999910383 - 951847624 - 847035116 - 847035128 - 840736526 - 528741913
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geslacht medische observatie
 
|colspan="5"|Geslacht medische observatie
−
|style="background-color: white;"|mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
+
|style="background-color: white;"|vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - twijfelachtig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Geboortedatum
 
|colspan="5"|Geboortedatum
−
|style="background-color: white;"|15 oct 2019   
+
|style="background-color: white;"|8 okt 2014  00:00 - 1 sep 2014  02:34 - 28 aug 2014  06:30 - 28 aug 2014  07:02 - 4 aug 2014  23:35 - 24 jul 2014  02:30 - 15 okt 2019   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Rangnummer kind
 
|colspan="5"|Rangnummer kind
−
|style="background-color: white;"|1
+
|style="background-color: white;"|1 - 2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Perinatale sterfte groep
 
|colspan="6"|Perinatale sterfte groep
 
|-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="4"|Perinatale sterfte?
 
|colspan="4"|Perinatale sterfte?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Nee - Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Fase perinatale sterfte
 +
|style="background-color: white;"|Newborn death (event) (code = '276506001' in codeSystem '2.16.840.1.113883.6.96')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Datumtijd vaststelling perinatale sterfte
 +
|style="background-color: white;"|28 aug 2014  08:10
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Kindspecifieke maternale gegevens
 
|colspan="7"|Kindspecifieke maternale gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="20"|
+
|rowspan="21"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Bijstimulatie toegediend?
 
|colspan="5"|Bijstimulatie toegediend?
Regel 3.657: Regel 826:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Tijdstip breken vliezen
 
|colspan="5"|Tijdstip breken vliezen
−
|style="background-color: white;"|19 oct 2019  04:30
+
|style="background-color: white;"|8 okt 2014  09:15 - 30 aug 2014  23:04 - 27 aug 2014  22:09 - 27 aug 2014  23:13 - 3 aug 2014  07:04 - 19 okt 2019  04:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Kleur en consistentie vruchtwater
 
|colspan="5"|Kleur en consistentie vruchtwater
−
|style="background-color: white;"|Kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
+
|style="background-color: white;"|Kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - bloederig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - meconium (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Tijdstip actief meepersen
 
|colspan="5"|Tijdstip actief meepersen
−
|style="background-color: white;"|19 oct 2019  05:00
+
|style="background-color: white;"|8 okt 2014  12:13 - 27 aug 2014  23:49 - 28 aug 2014  06:45 - 4 aug 2014  22:15 - 19 okt 2019  05:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Episiotomie?
 
|colspan="5"|Episiotomie?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Nee - Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Indicatie episiotomie
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Locatie episiotomie
 
|colspan="5"|Locatie episiotomie
Regel 3.672: Regel 844:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Ruggeprik gewenst niet gekregen?
 
|colspan="5"|Ruggeprik gewenst niet gekregen?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Nee - Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Pijnbestrijding?
 
|colspan="5"|Pijnbestrijding?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Nee - Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Pijnbestrijding
 
|colspan="6"|Pijnbestrijding
Regel 3.686: Regel 858:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Methode
 
|colspan="3"|Methode
−
|style="background-color: white;"|Overig middel (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
+
|style="background-color: white;"|Epidural anesthesia (procedure) (code = '18946005' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - General anesthesia (procedure) (code = '50697003' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Overig middel
 
|colspan="4"|Overig middel
Regel 3.693: Regel 865:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Middel
 
|colspan="2"|Middel
−
|style="background-color: white;"|Entonox (code = '426060003' in codeSystem 'Snomed CT')
+
|style="background-color: white;"|Administration of morphinomimetic analgesic (procedure) (code = '52685006:363701004=404642006' in codeSystem '2.16.840.1.113883.6.96') - Nitrous oxide and oxygen gas analgesia in labor (procedure) (code = '426060003' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Toediening
 
|colspan="2"|Toediening
−
|style="background-color: white;"|Inhalatie (code = '241717009' in codeSystem 'Snomed CT')
+
|style="background-color: white;"|Administration of substance via intravenous route (procedure) (code = '431215000' in codeSystem '2.16.840.1.113883.6.96') - Inhalational analgesia (procedure) (code = '241717009' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Periode
 
|colspan="4"|Periode
−
|style="background-color: white;"|tijdens ontsluitingsperiode > 3 cm (code = 'OntMt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
+
|style="background-color: white;"|tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode > 3 cm (code = 'OntMt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Sedatie?
 
|colspan="5"|Sedatie?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Nee - Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="7"|Kindspecifieke uitkomstgegevens
 
|colspan="7"|Kindspecifieke uitkomstgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
−
|rowspan="29"|
+
|rowspan="38"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Type partus
 
|colspan="5"|Type partus
−
|style="background-color: white;"|Spontaan (code = '177184002' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Cesarean section (procedure) (code = '11466000' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Emergency cesarian section (procedure) (code = '274130007' in codeSystem 'SNOMED CT') - Spontaan (code = '177184002' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Ligging bij geboorte
 
|colspan="5"|Ligging bij geboorte
−
|style="background-color: white;"|Achterhoofd-voor (code = '70028003' in codeSystem 'Snomed CT')
+
|style="background-color: white;"|Achterhoofd-achter (code = '37235006' in codeSystem 'Snomed CT') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Face presentation (finding) (code = '21882006' in codeSystem '2.16.840.1.113883.6.96') - Complete breech presentation (finding) (code = '49168004' in codeSystem '2.16.840.1.113883.6.96') - Fontanelles presenting (finding) (code = '249079005' in codeSystem '2.16.840.1.113883.6.96') - Onbekend (code = 'UNK' in codeSystem '2.16.840.1.113883.5.1008') - Achterhoofd-voor (code = '70028003' in codeSystem 'Snomed CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Aanpakker kind - rol aanpakker kind
 
|colspan="5"|Aanpakker kind - rol aanpakker kind
−
|style="background-color: white;"|klinisch verloskundige (code = '25' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
+
|style="background-color: white;"|1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - klinisch verloskundige (code = '25' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Supervisor - rol supervisor
 
|colspan="5"|Supervisor - rol supervisor
−
|style="background-color: white;"|gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111')
+
|style="background-color: white;"|1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Vaginale kunstverlossing groep
 
|colspan="6"|Vaginale kunstverlossing groep
Regel 3.725: Regel 897:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Vaginale kunstverlossing
 
|colspan="4"|Vaginale kunstverlossing
−
|style="background-color: white;"|Vacuüm (code = '61586001' in codeSystem 'Snomed CT')
+
|style="background-color: white;"|Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - Total breech extraction (procedure) (code = '416055001' in codeSystem '2.16.840.1.113883.6.96') - Delivery by vacuum extraction (procedure) (code = '61586001' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Succes vaginale kunstverlossing?
 
|colspan="4"|Succes vaginale kunstverlossing?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Ja - Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Sectio caesarea group
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Beslismoment sectio caesarea
 +
|style="background-color: white;"|tijdens uitdrijving besloten (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.5')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Indicatie primaire sectio
 +
|style="background-color: white;"|Suspected fetal distress (situation) (code = '444433005:246090004=130955003' in codeSystem '2.16.840.1.113883.6.96') - Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Indicatie secundaire sectio
 +
|style="background-color: white;"|Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Overige interventies
 +
|style="background-color: white;"|Maneuvers for delivery in shoulder dystocia (procedure) (code = '237008007' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Lichamelijk onderzoek kind
 
|colspan="6"|Lichamelijk onderzoek kind
Regel 3.738: Regel 926:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortegewicht
 
|colspan="4"|Geboortegewicht
−
|style="background-color: white;"|3550 gram
+
|style="background-color: white;"|3450 gram - 3620 gram - 2040 gram - 1580 gram - 4205 gram - 3750 gram - 3550 gram
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Congenitale afwijkingen?
 
|colspan="5"|Congenitale afwijkingen?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Nee - Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Congenitale afwijkingen groep
 
|colspan="6"|Congenitale afwijkingen groep
 
|-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="5"|Specificatie congenitale afwijking groep
 
|colspan="5"|Specificatie congenitale afwijking groep
Regel 3.752: Regel 940:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Specificatie congenitale afwijking
 
|colspan="3"|Specificatie congenitale afwijking
−
|style="background-color: white;"|overige congenitale huidafwijking (code = '74' in codeSystem '2.16.840.1.113883.2.4.4.13.8')
+
|style="background-color: white;"|Spina bifida occulta (disorder) (code = '76916001' in codeSystem '2.16.840.1.113883.6.96') - Multiple congenital cardiac defects (disorder) (code = '94702005' in codeSystem '2.16.840.1.113883.6.96') - overige congenitale huidafwijking (code = '74' in codeSystem '2.16.840.1.113883.2.4.4.13.8')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Chromosomale afwijkingen?
 
|colspan="4"|Chromosomale afwijkingen?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Nee - Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Specificatie chromosomale afwijking groep
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Specificatie chromosomale afwijking
 +
|style="background-color: white;"|Complete trisomy 21 syndrome (disorder) (code = '41040004' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Problematiek kind?
 
|colspan="5"|Problematiek kind?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Nee - Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Problematiek kind
 
|colspan="5"|Problematiek kind
−
|style="background-color: white;"|Geboortetrauma (code = '56110009' in codeSystem 'Snomed CT')
+
|style="background-color: white;"|Birth trauma of fetus (disorder) (code = '56110009' in codeSystem '2.16.840.1.113883.6.96') - Subdural intracranial hemorrhage due to birth trauma (disorder) (code = '126941005' in codeSystem '2.16.840.1.113883.6.96') - Congenital hearing disorder (disorder) (code = '95827002' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Kinderarts betrokken?
 
|colspan="5"|Kinderarts betrokken?
−
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Nee - Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Betrokkenheid kinderarts
 
|colspan="6"|Betrokkenheid kinderarts
Regel 3.771: Regel 966:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Datum betrokkenheid
 
|colspan="4"|Datum betrokkenheid
−
|style="background-color: white;"|15 oct 2019  00:00
+
|style="background-color: white;"|1 sep 2014  00:00 - 28 aug 2014  00:00 - 4 aug 2014  00:00 - 15 okt 2019  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Reden betrokkenheid
 
|colspan="4"|Reden betrokkenheid
−
|style="background-color: white;"|kunstverlossing (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96')
+
|style="background-color: white;"|Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - Finding of neonatal condition (finding) (code = '364737004' in codeSystem '2.16.840.1.113883.6.96') - kunstverlossing (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Type betrokkenheid
 
|colspan="4"|Type betrokkenheid
−
|style="background-color: white;"|Consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
+
|style="background-color: white;"|consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - overdracht (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorginstelling lvrid
 
|colspan="4"|Zorginstelling lvrid
−
|style="background-color: white;"|0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
+
|style="background-color: white;"|0003 - 9999 - 0001 - 0010 - 0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
−
|}<section end=uitkomst_per_kind_100202020 />
+
|}<section end=uitkomst_per_kind_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Medisch onderzoek ===
 
=== Medisch onderzoek ===
−
<section begin=medisch_onderzoek_100202020 />
+
<section begin=medisch_onderzoek_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Medisch onderzoek
Regel 3.793: Regel 988:
 
|colspan="4"|Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
 
|colspan="4"|Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
 
|-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"|Irregulaire antistoffen?
 
|colspan="2"|Irregulaire antistoffen?
−
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Nee - Ja
−
|}<section end=medisch_onderzoek_100202020 />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Welke irregulaire antistoffen vrouw aanwezig
 +
|style="background-color: white;"|Rhesus D (code = '112162009' in codeSystem '2.16.840.1.113883.6.96') - Kell (code = '405844003' in codeSystem '2.16.840.1.113883.6.96')
 +
|}<section end=medisch_onderzoek_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
=== Postnatale fase ===
 
=== Postnatale fase ===
−
<section begin=postnatale_fase_100202020 />
+
<section begin=postnatale_fase_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Postnatale fase
Regel 3.806: Regel 1.004:
 
|| Waarde
 
|| Waarde
  
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Diagnoseinterventie postpartum
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Datum
 +
|style="background-color: white;"|3 sep 2014  00:00 - 8 aug 2014  00:00 - 24 jul 2014  00:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Pathologie vrouw
 +
|style="background-color: white;"|Urinary tract infectious disease (disorder) (code = '68566005' in codeSystem '2.16.840.1.113883.6.96') - Embolism (disorder) (code = '414086009' in codeSystem '2.16.840.1.113883.6.96') - Episiotomy infection (disorder) (code = '300927001' in codeSystem '2.16.840.1.113883.6.96') - Postpartum deep phlebothrombosis (disorder) (code = '56272000' in codeSystem '2.16.840.1.113883.6.96')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Kindspecifieke gegevens
 
|colspan="5"|Kindspecifieke gegevens
Regel 3.812: Regel 1.020:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Rangnummer kind
 
|colspan="3"|Rangnummer kind
−
|style="background-color: white;"|1
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="4"|Voeding kind groep
 
|colspan="4"|Voeding kind groep
Regel 3.819: Regel 1.027:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Voeding kind datum
 
|colspan="2"|Voeding kind datum
−
|style="background-color: white;"|15 oct 2019   
+
|style="background-color: white;"|12 okt 2014  - 7 okt 2014  - 3 sep 2014  - 15 sep 2014  - 24 jul 2014  - 15 okt 2019   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Substantie voeding kind
 
|colspan="2"|Substantie voeding kind
−
|style="background-color: white;"|borstvoeding (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
+
|style="background-color: white;"|borstvoeding (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
−
|}<section end=postnatale_fase_100202020 />
+
|}<section end=postnatale_fase_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />        
 
[[Categorie:Kwalificatie]]
 
[[Categorie:Kwalificatie]]

Versie van 12 feb 2019 15:12

{{#customtitle:Kernset Geboortezorg 2.3 - dekkingsgraad scenario's}}

Issue icon.png

Deze pagina is nog in bewerking

Naar nictiz.nl

1 Dekkingsgraad scenario's voor Kernset Geboortezorg 2.3

De volgende scenario's zijn meegenomen:

  • 1. Zorg volledig 1e lijn, herpes, strippen, gezonde eenling (id: scenario1-23)
  • 2. 1e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling(id: scenario2_1elijn-23)
  • 2. 2e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling(id: scenario2_2elijn-23)
  • 3. zorg volledig in 2e lijn, meerling, 1 kind overleden(id: scenario3-23)
  • 4. 1e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden(id: scenario4_1elijn-23)
  • 4. 2e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden(id: scenario4_2elijn-23)
  • 5. zorg volledig 2e lijn, vrouw overleden(id: scenario5-23)
  • 6. 2e lijn(id: scenario6-23)

Zie voor de inhoud van deze scenario's: Gebz:Vdraft_AddendaKwalificatieKernsetGeboortezorg23. Onderstaande tabel toont de unieke waarden voor ieder veld. Lege velden worden niet geraakt door de meegenomen bovenstaande scenario's.

1.1 Scenario (voor vrouw met BSN: 999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020)

Vrouw
Gegevenselement Waarde
Burgerservicenummer 999910413 - 961921821 - 895623146 - 850810711 - 912345676 - 100202020
Lokale persoonsidentificatie 000000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - * (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6) - 987654321 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.60.6)
Geboortedatum 2 mei 1976 - 11 sep 1974 - 5 aug 1985 - 6 aug 1987 - 4 mrt 1993 - 1 jan 1989
Adres - postcode 4563 AB - 5689 CZ - 5421 JG - 4589 BA - 9562 GF - 1234 AB
Etniciteit Turks (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Kaukasisch (code = '12' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Overig Afrikaans (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.28') - Latijns Amerikaans (code = '14' in codeSystem '2.16.840.1.113883.2.4.4.13.28')
Lengte gemeten 170 cm - 184 cm - 167 cm - 162 cm - 186 cm - 172 cm
Vrouwelijke genitale verminking? Ja - Nee
Type vrouwelijke genitale verminking Female genital mutilation type 2 (disorder) (code = '130621000119105' in codeSystem '2.16.840.1.113883.6.96') - Female genital mutilation type 1 (disorder) (code = '130631000119108' in codeSystem '2.16.840.1.113883.6.96')

1.1.1 Anamnese

Anamnese
Gegevenselement Waarde
Onder behandeling geweest? Ja - Nee
Algemene anamnese
Autoimmuun aandoening Rheumatism (disorder) (code = '396332003' in codeSystem '2.16.840.1.113883.6.96')
Cardiovasculaire aandoening Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Cardiac arrhythmia (disorder) (code = '698247007' in codeSystem '2.16.840.1.113883.6.96') - Hypertensive disorder, systemic arterial (disorder) (code = '38341003' in codeSystem '2.16.840.1.113883.6.96')
Urogenitale aandoening Bacteriuria (finding) (code = '61373006' in codeSystem '2.16.840.1.113883.6.96') - Pyelonefritis (code = '45816000' in codeSystem 'Snomed CT')
Oncologische aandoening Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
Schildklier aandoening Hyperthyroidism (disorder) (code = '34486009' in codeSystem '2.16.840.1.113883.6.96') - Hypothyreoidie (code = '40930008' in codeSystem 'Snomed CT')
Diabetes mellitus? Ja - Nee
Neurologische aandoening Epilepsy (disorder) (code = '84757009' in codeSystem '2.16.840.1.113883.6.96') - Hernia nuclei pulposi (code = '84857004' in codeSystem 'Snomed CT') - Overig, niet nader omschreven Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
Infectieziekte Herpes (code = '23513009' in codeSystem '2.16.840.1.113883.6.96')
Mdl aandoening Chronic liver disease (disorder) (code = '328383001' in codeSystem '2.16.840.1.113883.6.96') - M. Crohn (code = '34000006' in codeSystem 'Snomed CT')
Anemie Iron deficiency anemia (disorder) (code = '87522002' in codeSystem '2.16.840.1.113883.6.96') - IJzergebrek (code = '87522002' in codeSystem 'Snomed CT')
Longaandoening Asthma (disorder) (code = '195967001' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
Gynaecologische aandoening
Orthopedische afwijking Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Trauma bekken (code = '282771003' in codeSystem 'Snomed CT')
Bloedtransfusie? Ja - Nee
Transfusiereactie?
Type operatie Orthopedisch (code = '112697007' in codeSystem 'Snomed CT') - Operation on heart (procedure) (code = '64915003' in codeSystem '2.16.840.1.113883.6.96') - Appendectomy (procedure) (code = '80146002' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Sectio (code = '11466000' in codeSystem 'Snomed CT') - Rug (code = '129152004:260686004=129284003' in codeSystem '2.16.840.1.113883.6.96')
Type stollingsprobleem Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
Psychiatrie? Ja - Nee
Overige aandoening? Nee
Overige aandoening

1.1.2 Zorgverlening

Zorgverlening
Gegevenselement Waarde
Datum start zorgverantwoordelijkheid 1 mrt 2014 00:00 - 28 aug 2018 - 12 mei 2014 00:00 - 10 mrt 2014 00:00 - 7 aug 2014 00:00 - 3 feb 2014 00:00 - 9 dec 2013 00:00 - 1 mrt 2019 00:00
Datum einde zorgverantwoordelijkheid 12 nov 2014 00:00 - 28 nov 2018 - 9 okt 2014 00:00 - 3 nov 2014 00:00 - 15 sep 2014 00:00 - 6 aug 2014 00:00 - 4 aug 2014 00:00 - 15 okt 2019 00:00
Eindverantwoordelijk in welke perinatale periode? start /intake zwangerschapszorg (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - zwangerschap vervolg (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - start baring/ontsluiting (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - uitdrijving (code = '4' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - nageboortetijdperk (code = '5' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 1e 24 uur postpartum (code = '6' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - 2e - 7e dag postpartum (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20') - follow-up eerste 6 wkn postpartum (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.20')
Conclusie risicostatus na intake 1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.26') - 3e lijns zorg (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.26')
Verwijsdetails
Datum verwijzing 6 mei 2014 00:00 - 6 aug 2014 00:00
Verwijzing van
Zorginstelling
Zorgaanbieder identificatie nummer 1504 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
Specialisme
Verwijzing naar
Zorginstelling
Zorgaanbieder identificatie nummer 0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
Specialisme Gynaecoloog 2e lijn (code = '02' in codeSystem 'Specialisme, specifiek voor perinatologie.')
Type verwijzing
Redenen van verwijzing
Van 1e naar 2e lijn
Algemene anamnese
Autoimmuun aandoening
Cardiovasculaire aandoening
Urogenitale aandoening
Oncologische aandoening
Schildklier aandoening
Diabetes mellitus?
Neurologische aandoening
Infectieziekte
Mdl aandoening
Anemie
Longaandoening
Gynaecologische aandoening
Orthopedische afwijking
Bloedtransfusie?
Transfusiereactie?
Type operatie
Type stollingsprobleem
Psychiatrie?
Overige aandoening?
Obstetrische anamnese
Gynaecologische aandoening
Bloedverlies?
Partiele mola?
Cervixinsufficientie?
Infectie
Hyperemesis gravidarum?
Hypertensieve aandoening
Zwangerschapscholestase?
Diabetes gravidarum met insuline?
Afwijkende groei foetus
Dreigende partus immaturus?
Dreigende partus prematurus?
Abruptio placentae?
Fluxus postpartum?
Zwangerschap
Gynaecologische aandoening
Bloedverlies?
Partiele mola?
Cervixinsufficientie?
Infectie
Hyperemesis gravidarum?
Hypertensieve aandoening Zwangerschapshypertensie (code = '48194001' in codeSystem 'SNOMED CT') - Preeclampsie (code = '398254007' in codeSystem 'SNOMED CT')
Zwangerschapscholestase?
Diabetes gravidarum met insuline?
Afwijkende groei foetus
Dreigende partus immaturus?
Dreigende partus prematurus?
Abruptio placentae?
Navelstrengprolaps?
Liggingsafwijking
Intrauteriene vruchtdood
Vermoeden intrauteriene vruchtdood?
Einde zwangerschap
Bevalling
Pprom?
Prom?
Koorts?
Niet vorderende ontsluiting?
Niet vorderende uitdrijving?
Verdenking foetale nood?
Intrauteriene vruchtdood
Vermoeden intrauteriene vruchtdood?
Vastzittende placenta?
Conditie perineum postpartum
Fluxus postpartum?
Postnatale fase
Pathologie vrouw
Overig
Van 2e naar 3e lijn
Van 2e naar 1e lijn
Van 3e naar 2e lijn
Perinatale periode voor 28e week (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52') - 2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')

1.1.3 Zorgverlenerzorginstelling

Zorgverlenerzorginstelling
Gegevenselement Waarde
Zorginstelling
Zorginstelling agbid 12345678 (in identificerend systeem: 1)
Zorginstelling lvrid 1808 - 1504 - 0003 - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 1410 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)

1.1.4 Obstetrische anamnese gegroepeerd per voorgaande zwangerschap

Obstetrische anamnese gegroepeerd per voorgaande zwangerschap
Gegevenselement Waarde
Wijze einde zwangerschap Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46') - Miskraam (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.46')
Definitieve a terme datum 1 dec 2011 - 5 jun 2013 - 5 jun 2012 - 1 feb 2017
Diagnose
Gynaecologische aandoening Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96')
Bloedverlies? Ja
Cervixinsufficientie? Nee
Infectie Urinary tract infection in pregnancy (disorder) (code = '307534009' in codeSystem '2.16.840.1.113883.6.96') - Intra-uterien (code = '301775005' in codeSystem 'Snomed CT')
Hyperemesis gravidarum? Ja - Nee
Hypertensieve aandoening Zwangerschapshypertensie (code = '48194001' in codeSystem '2.16.840.1.113883.6.96')
Zwangerschapscholestase? Ja - Nee
Diabetes gravidarum met insuline? Nee
Afwijkende groei foetus Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Macrosomie (code = '199616008' in codeSystem 'Snomed CT')
Dreigende partus immaturus? Nee
Dreigende partus prematurus? Nee
Abruptio placentae? Ja
Irregulaire antistoffen? Nee - Ja
Eerdere bevalling
Placenta
Geboorte placenta Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - Placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
Hoeveelheid bloedverlies 550 ml - 895 ml
Vorige uitkomst per kind
Vorige baring
Geboortedatum 8 dec 2011 00:00 - 9 jun 2012 00:00 - 15 dec 2016
Kindspecifieke gegevens vorige uitkomsten
Type partus Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Secundair (code = '274130007' in codeSystem '2.16.840.1.113883.6.96')
Percentiel van het geboortegewicht p50 tot p90 (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.50') - 10 ≤ P < 50 (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.50') - p2,3 tot p10 (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.50')
Apgarscore na 5 min 8 - 10
Congenitale afwijkingen? Nee - Ja
Congenitale afwijkingen groep
Chromosomale afwijkingen? Nee

1.1.5 Zwangerschap

Zwangerschap
Gegevenselement Waarde
Graviditeit 2 - 1
Pariteit voor deze zwangerschap 1 - 0
Definitieve a terme datum 9 okt 2014 - 8 sep 2014 - 22 sep 2014 - 18 aug 2014 - 22 jul 2014 - 2 okt 2019
Voornemens
Voorgenomen plaats baring tijdens zwangerschap type locatie Thuis (code = '169813005' in codeSystem '2.16.840.1.113883.6.96') - Nog niet bepaald (code = '05' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008')
Prenatale controle
Datum controle 2 mrt 2014 00:00 - 6 mei 2014 00:00 - 12 mei 2014 00:00 - 21 mei 2014 00:00 - 7 mei 2014 00:00 - 9 jan 2014 00:00 - 1 mrt 2019 00:00
Zwangerschapsduur 59 dagen - 155 dagen - 161 dagen - 156 dagen - 149 dagen - 86 dagen - 56 dagen
Leven voelen goed (code = '289431008' in codeSystem 'Snomed CT') - Weak fetal movements (finding) (code = '276372004' in codeSystem '2.16.840.1.113883.6.96') - Reduced fetal movement (finding) (code = '276369006' in codeSystem '2.16.840.1.113883.6.96') - Fetal movements absent (context-dependent category) (code = '289432001' in codeSystem '2.16.840.1.113883.6.96')
Rookgedrag niet gerookt (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - gestopt vóór huidige zwangerschap (code = '5' in codeSystem '2.16.840.1.113883.2.4.4.13.58') - gestopt tijdens huidige zwangerschap (code = '6' in codeSystem '2.16.840.1.113883.2.4.4.13.58')
Alcoholgebruik geen (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.59')
Drugsgebruik? Nee - Ja
Gewicht gemeten 70 kg - 85 kg - 67 kg - 82 kg - 89 kg - 68 kg
Diagnose
Datum 2 mrt 2014 00:00 - 6 mei 2014 00:00 - 12 mei 2014 00:00 - 21 mei 2014 00:00 - 7 mei 2014 00:00 - 9 jan 2014 00:00 - 1 mrt 2019 00:00
Zwangerschapsduur 59 dagen - 155 dagen - 161 dagen - 156 dagen - 149 dagen - 86 dagen - 56 dagen
Gynaecologische aandoening Congenital uterine anomaly (disorder) (code = '37849005' in codeSystem '2.16.840.1.113883.6.96') - Overig, niet nader gespecificeerd Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008')
Bloedverlies? Ja - Nee
Partiele mola? Ja - Nee
Cervixinsufficientie? Nee
Infectie Urineweg infectie (code = '307534009' in codeSystem 'Snomed CT')
Hyperemesis gravidarum? Nee
Hypertensieve aandoening Pregnancy-induced hypertension (disorder) (code = '48194001' in codeSystem '2.16.840.1.113883.6.96') - Pre-eclampsia (disorder) (code = '398254007' in codeSystem '2.16.840.1.113883.6.96')
Zwangerschapscholestase? Nee
Diabetes gravidarum met insuline? Nee
Afwijkende groei foetus Small for gestational age fetus (disorder) (code = '267258002' in codeSystem '2.16.840.1.113883.6.96') - Large-for-dates fetus (disorder) (code = '199616008' in codeSystem '2.16.840.1.113883.6.96')
Dreigende partus immaturus? Nee
Dreigende partus prematurus? Nee
Abruptio placentae? Ja - Nee
Navelstrengprolaps? Nee
Liggingsafwijking
Intrauteriene vruchtdood
Vermoeden intrauteriene vruchtdood? Nee
Vermoeden iuvd op basis van
Intrauteriene behandeling Selective destruction of fetus (procedure) (code = '265633004' in codeSystem '2.16.840.1.113883.6.96')
Maternale sterfte? Nee - Ja
Wijze einde zwangerschap Partus (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.46')

1.1.6 Bevalling

Bevalling
Gegevenselement Waarde
Partusnummer 000000 - 4567890123 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999​.60.7)
Diagnose bevalling
Pprom? Ja - Nee
Prom? Nee
Koorts? Nee
Niet vorderende ontsluiting? Ja - Nee
Niet vorderende uitdrijving? Ja - Nee
Verdenking foetale nood? Ja - Nee
Intrauteriene vruchtdood
Vermoeden intrauteriene vruchtdood? Nee
Vermoeden iuvd op basis van
Vastzittende placenta? Nee
Fluxus postpartum? Ja
Aantal geboren kinderen 1 - 2
Risicostatus voor baring 1e lijn (VIL A) (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25') - 2e lijn (VIL C) (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.25')
Interventies begin baring
Interventie begin baring Strippen (code = '236960006' in codeSystem 'Snomed CT') - Elective caesarean section (procedure) (code = '177141003' in codeSystem '2.16.840.1.113883.6.96') - Primen prostaglandine (code = '236966000' in codeSystem 'Snomed CT')
Indicatie interventie begin baring wens patiënt (code = '7' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - acuut levensbedreigend (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7') - niet levensbedreigend (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.7')
Wijze waarop de baring begon Interventie om baring op gang te brengen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - spontane vliesscheur (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46') - Spontane weeën (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.46')
Tijdstip begin actieve ontsluiting 8 okt 2014 14:30 - 30 aug 2014 14:09 - 27 aug 2014 22:09 - 3 aug 2014 21:09 - 15 okt 2019 03:45
Medicatie nageboortetijdperk groep
Medicatie nageboortetijdperk? Ja - UNK - Nee
Soort medicatie nageboortetijdperk Oxytocine (code = 'H01BB02' in codeSystem '2.16.840.1.113883.6.73') - Prostaglandins (code = 'G02AD' in codeSystem '2.16.840.1.113883.6.73')
Placenta
Geboorte placenta Spontaan (code = '0' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - placentaverwijdering bij SC (code = '4' in codeSystem '2.16.840.1.113883.2.4.4.13.19') - controlled cord traction (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.19')
Hoeveelheid bloedverlies 615 ml - 980 ml - 1740 ml - 1120 ml - 1500 ml - 650 ml
Conditie perineum postpartum 1e graads perineumruptuur (code = '199916005' in codeSystem 'Snomed CT') - Perineum intact (finding) (code = '289854007' in codeSystem '2.16.840.1.113883.6.96') - Episiotomy wound (morphologic abnormality) (code = '609344008' in codeSystem '2.16.840.1.113883.6.96') - Third degree perineal tear during delivery - delivered (disorder) (code = '199930000' in codeSystem '2.16.840.1.113883.6.96')

1.1.7 Uitkomst per kind

Uitkomst per kind
Gegevenselement Waarde
Baring
Werkelijke plaats baring type locatie Geboortecentrum (code = '23' in codeSystem '2.16.840.1.113883.2.4.3.22.1.8.7') - Hospital (environment) (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
Ziekenhuis baring
Ziekenhuisnummer lvrid 0003 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 9999 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0010 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6) - 0803 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
Demografische gegevens
Identificaties kind
Bsn kind 999910383 - 951847624 - 847035116 - 847035128 - 840736526 - 528741913
Geslacht medische observatie vrouwelijk (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - mannelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.21') - twijfelachtig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.21')
Geboortedatum 8 okt 2014 00:00 - 1 sep 2014 02:34 - 28 aug 2014 06:30 - 28 aug 2014 07:02 - 4 aug 2014 23:35 - 24 jul 2014 02:30 - 15 okt 2019
Rangnummer kind 1 - 2
Perinatale sterfte groep
Perinatale sterfte? Nee - Ja
Fase perinatale sterfte Newborn death (event) (code = '276506001' in codeSystem '2.16.840.1.113883.6.96')
Datumtijd vaststelling perinatale sterfte 28 aug 2014 08:10
Kindspecifieke maternale gegevens
Bijstimulatie toegediend? Ja
Tijdstip breken vliezen 8 okt 2014 09:15 - 30 aug 2014 23:04 - 27 aug 2014 22:09 - 27 aug 2014 23:13 - 3 aug 2014 07:04 - 19 okt 2019 04:30
Kleur en consistentie vruchtwater Kleurloos (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - bloederig (code = '3' in codeSystem '2.16.840.1.113883.2.4.4.13.18') - meconium (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
Tijdstip actief meepersen 8 okt 2014 12:13 - 27 aug 2014 23:49 - 28 aug 2014 06:45 - 4 aug 2014 22:15 - 19 okt 2019 05:00
Episiotomie? Nee - Ja
Indicatie episiotomie
Locatie episiotomie mediolaterale episiotomie (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.60')
Ruggeprik gewenst niet gekregen? Nee - Ja
Pijnbestrijding? Nee - Ja
Pijnbestrijding
Methode
Methode Epidural anesthesia (procedure) (code = '18946005' in codeSystem '2.16.840.1.113883.6.96') - Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - General anesthesia (procedure) (code = '50697003' in codeSystem '2.16.840.1.113883.6.96')
Overig middel
Middel Administration of morphinomimetic analgesic (procedure) (code = '52685006:363701004=404642006' in codeSystem '2.16.840.1.113883.6.96') - Nitrous oxide and oxygen gas analgesia in labor (procedure) (code = '426060003' in codeSystem '2.16.840.1.113883.6.96')
Toediening Administration of substance via intravenous route (procedure) (code = '431215000' in codeSystem '2.16.840.1.113883.6.96') - Inhalational analgesia (procedure) (code = '241717009' in codeSystem '2.16.840.1.113883.6.96')
Periode tijdens sectio (code = 'Sectio' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens uitdrijving (code = 'Uitdr' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode <= 3 cm (code = 'OntLt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60') - tijdens ontsluitingsperiode > 3 cm (code = 'OntMt3' in codeSystem '2.16.840.1.113883.2.4.4.13.60')
Sedatie? Nee - Ja
Kindspecifieke uitkomstgegevens
Type partus Normal delivery procedure (procedure) (code = '177184002' in codeSystem 'SNOMED CT') - Cesarean section (procedure) (code = '11466000' in codeSystem 'SNOMED CT') - Assisted delivery of fetus (procedure) (code = '3311000146109' in codeSystem 'SNOMED CT') - Emergency cesarian section (procedure) (code = '274130007' in codeSystem 'SNOMED CT') - Spontaan (code = '177184002' in codeSystem '2.16.840.1.113883.6.96')
Ligging bij geboorte Achterhoofd-achter (code = '37235006' in codeSystem 'Snomed CT') - Geen informatie (code = 'NI' in codeSystem '2.16.840.1.113883.5.1008') - Face presentation (finding) (code = '21882006' in codeSystem '2.16.840.1.113883.6.96') - Complete breech presentation (finding) (code = '49168004' in codeSystem '2.16.840.1.113883.6.96') - Fontanelles presenting (finding) (code = '249079005' in codeSystem '2.16.840.1.113883.6.96') - Onbekend (code = 'UNK' in codeSystem '2.16.840.1.113883.5.1008') - Achterhoofd-voor (code = '70028003' in codeSystem 'Snomed CT')
Aanpakker kind - rol aanpakker kind 1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog in opleiding (code = '22' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - arts-assistent (code = '24' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - co-assistent (code = '13' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111') - klinisch verloskundige (code = '25' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59')
Supervisor - rol supervisor 1e lijns verloskundige (code = '11' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.59') - gynaecoloog (code = '01.046' in codeSystem '2.16.840.1.113883.2.4.15.111')
Vaginale kunstverlossing groep
Vaginale kunstverlossing Forceps delivery (procedure) (code = '302383004' in codeSystem '2.16.840.1.113883.6.96') - Total breech extraction (procedure) (code = '416055001' in codeSystem '2.16.840.1.113883.6.96') - Delivery by vacuum extraction (procedure) (code = '61586001' in codeSystem '2.16.840.1.113883.6.96')
Succes vaginale kunstverlossing? Ja - Nee
Sectio caesarea group
Beslismoment sectio caesarea tijdens uitdrijving besloten (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.22.1.3.5')
Indicatie primaire sectio Suspected fetal distress (situation) (code = '444433005:246090004=130955003' in codeSystem '2.16.840.1.113883.6.96') - Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96')
Indicatie secundaire sectio Patient condition finding (finding) (code = '418138009' in codeSystem '2.16.840.1.113883.6.96')
Overige interventies Maneuvers for delivery in shoulder dystocia (procedure) (code = '237008007' in codeSystem '2.16.840.1.113883.6.96')
Lichamelijk onderzoek kind
Apgarscore na 5 min 9
Geboortegewicht 3450 gram - 3620 gram - 2040 gram - 1580 gram - 4205 gram - 3750 gram - 3550 gram
Congenitale afwijkingen? Nee - Ja
Congenitale afwijkingen groep
Specificatie congenitale afwijking groep
Specificatie congenitale afwijking Spina bifida occulta (disorder) (code = '76916001' in codeSystem '2.16.840.1.113883.6.96') - Multiple congenital cardiac defects (disorder) (code = '94702005' in codeSystem '2.16.840.1.113883.6.96') - overige congenitale huidafwijking (code = '74' in codeSystem '2.16.840.1.113883.2.4.4.13.8')
Chromosomale afwijkingen? Nee - Ja
Specificatie chromosomale afwijking groep
Specificatie chromosomale afwijking Complete trisomy 21 syndrome (disorder) (code = '41040004' in codeSystem '2.16.840.1.113883.6.96')
Problematiek kind? Nee - Ja
Problematiek kind Birth trauma of fetus (disorder) (code = '56110009' in codeSystem '2.16.840.1.113883.6.96') - Subdural intracranial hemorrhage due to birth trauma (disorder) (code = '126941005' in codeSystem '2.16.840.1.113883.6.96') - Congenital hearing disorder (disorder) (code = '95827002' in codeSystem '2.16.840.1.113883.6.96')
Kinderarts betrokken? Nee - Ja
Betrokkenheid kinderarts
Datum betrokkenheid 1 sep 2014 00:00 - 28 aug 2014 00:00 - 4 aug 2014 00:00 - 15 okt 2019 00:00
Reden betrokkenheid Overig (code = 'OTH' in codeSystem '2.16.840.1.113883.5.1008') - Fetal or neonatal effect of assisted delivery (disorder) (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96') - Finding of neonatal condition (finding) (code = '364737004' in codeSystem '2.16.840.1.113883.6.96') - kunstverlossing (code = '8571000146103' in codeSystem '2.16.840.1.113883.6.96')
Type betrokkenheid consultatie (code = '1' in codeSystem '2.16.840.1.113883.2.4.4.13.17') - overdracht (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.17')
Zorginstelling lvrid 0003 - 9999 - 0001 - 0010 - 0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)

1.1.8 Medisch onderzoek

Medisch onderzoek
Gegevenselement Waarde
Maternale onderzoeksgegevens - urine bloed en aanvullende onderzoeken - PSIE
Irregulaire antistoffen? Nee - Ja
Welke irregulaire antistoffen vrouw aanwezig Rhesus D (code = '112162009' in codeSystem '2.16.840.1.113883.6.96') - Kell (code = '405844003' in codeSystem '2.16.840.1.113883.6.96')

1.1.9 Postnatale fase

Postnatale fase
Gegevenselement Waarde
Diagnoseinterventie postpartum
Datum 3 sep 2014 00:00 - 8 aug 2014 00:00 - 24 jul 2014 00:00
Pathologie vrouw Urinary tract infectious disease (disorder) (code = '68566005' in codeSystem '2.16.840.1.113883.6.96') - Embolism (disorder) (code = '414086009' in codeSystem '2.16.840.1.113883.6.96') - Episiotomy infection (disorder) (code = '300927001' in codeSystem '2.16.840.1.113883.6.96') - Postpartum deep phlebothrombosis (disorder) (code = '56272000' in codeSystem '2.16.840.1.113883.6.96')
Kindspecifieke gegevens
Rangnummer kind
Voeding kind groep
Voeding kind datum 12 okt 2014 - 7 okt 2014 - 3 sep 2014 - 15 sep 2014 - 24 jul 2014 - 15 okt 2019
Substantie voeding kind borstvoeding (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
Overgenomen van "https://informatiestandaarden.test-nictiz.nl/index.php?title=Gebz:Vdraft_AddendaKwalificatieKernsetGeboortezorg23&oldid=17868"