Gebz:Vdraft AddendaKwalificatieKernsetGeboortezorg23: verschil tussen versies

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{{#customtitle:Kernset Geboortezorg 2.3 - dekkingsgraad scenario's}}
 
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=Dekkingsgraad scenario's voor Kernset Geboortezorg 2.3=
 
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De volgende scenario's zijn meegenomen:
 
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* 1. Zorg volledig 1e lijn, herpes, strippen, gezonde eenling (id: scenario1-23)
 
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* 2. 1e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling(id: scenario2_1elijn-23)
 
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* 2. 2e lijn. Zorg begonnen 1e lijn, bevallen 2e lijn, gezonde eenling(id: scenario2_2elijn-23)
 
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* 3. zorg volledig in 2e lijn, meerling, 1 kind overleden(id: scenario3-23)
 
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* 4. 1e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden(id: scenario4_1elijn-23)
 
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* 4. 2e lijn zorg begonnen 2e lijn, bevallen in 2e lijn, gezonde eenling, kraambed 1e lijn, vrouw overleden(id: scenario4_2elijn-23)
 
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* 5. zorg volledig 2e lijn, vrouw overleden(id: scenario5-23)
 
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* 6. 2e lijn(id: scenario6-23)
 
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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.
 
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==Scenario  (voor vrouw met BSN: 999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020)==
 
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<section begin=999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
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{| class="wikitable" width="85%"
 
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|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Vrouw
 
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|-style="background-color: #1F497D;; color: white; text-align:left;"
 
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|colspan="2" width="25%"| Gegevenselement
 
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|| Waarde
 
−
 
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 
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|colspan="2"|Burgerservicenummer
 
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|style="background-color: white;"|999910413 - 961921821 - 895623146 - 850810711 - 912345676 - 100202020
 
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 
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|colspan="2"|Lokale persoonsidentificatie
 
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|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;;"
 
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|colspan="2"|Geboortedatum
 
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|style="background-color: white;"|2 mei 1976  - 11 sep 1974  - 5 aug 1985  - 6 aug 1987  - 4 mrt 1993  - 1 jan 1989 
 
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 
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|colspan="2"|Adres - postcode
 
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|style="background-color: white;"|4563 AB - 5689 CZ - 5421 JG - 4589 BA - 9562 GF - 1234 AB
 
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 
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|colspan="2"|Etniciteit
 
−
|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;;"
 
−
|colspan="2"|Lengte gemeten
 
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|style="background-color: white;"|170 cm - 184 cm - 167 cm - 162 cm - 186 cm - 172 cm
 
−
|-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
 
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|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 />
 
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=== Anamnese ===
 
−
<section begin=anamnese_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
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{| class="wikitable" width="85%"
 
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|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Anamnese
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
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|colspan="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Onder behandeling geweest?
 
−
|style="background-color: white;"|Ja - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Algemene anamnese
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|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;;"
 
−
|colspan="2"|Cardiovasculaire aandoening
 
−
|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;;"
 
−
|colspan="2"|Oncologische aandoening
 
−
|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"|Schildklier aandoening
 
−
|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;;"
 
−
|colspan="2"|Diabetes mellitus?
 
−
|style="background-color: white;"|Ja - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Neurologische aandoening
 
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|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')
 
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|-style="vertical-align:top; background-color: #E3E3E3;;"
 
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|colspan="2"|Infectieziekte
 
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|style="background-color: white;"|Herpes (code = '23513009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
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|colspan="2"|Mdl aandoening
 
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|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;;"
 
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|colspan="2"|Anemie
 
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|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;;"
 
−
|colspan="2"|Longaandoening
 
−
|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;;"
 
−
|colspan="2"|Gynaecologische aandoening
 
−
|style="background-color: white;"|
 
−
|-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') - Trauma bekken (code = '282771003' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
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|colspan="2"|Bloedtransfusie?
 
−
|style="background-color: white;"|Ja - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Transfusiereactie?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type operatie
 
−
|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')
 
−
|-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 - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Overige aandoening?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Overige aandoening
 
−
|style="background-color: white;"|
 
−
|}<section end=anamnese_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
=== Zorgverlening ===
 
−
<section begin=zorgverlening_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Zorgverlening
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="7" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="7"|Datum start zorgverantwoordelijkheid
 
−
|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="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;;"
 
−
|colspan="7"|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') - 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="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;;" 
 
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|colspan="8"|Verwijsdetails
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="99"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum verwijzing
 
−
|style="background-color: white;"|6 mei 2014  00:00 - 6 aug 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Verwijzing van
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorginstelling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Verwijzing naar
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorginstelling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|Gynaecoloog 2e lijn (code = '02' in codeSystem 'Specialisme, specifiek voor perinatologie.')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Type verwijzing
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Redenen van verwijzing
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="82"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Van 1e naar 2e lijn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="77"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Algemene anamnese
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="20"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Autoimmuun aandoening
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Cardiovasculaire aandoening
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Urogenitale aandoening
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Oncologische aandoening
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Schildklier aandoening
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Diabetes mellitus?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Neurologische aandoening
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Infectieziekte
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Mdl aandoening
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Anemie
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Longaandoening
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gynaecologische aandoening
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Orthopedische afwijking
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Bloedtransfusie?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Transfusiereactie?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Type operatie
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Type stollingsprobleem
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Psychiatrie?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Overige aandoening?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Obstetrische anamnese
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="15"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gynaecologische aandoening
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Bloedverlies?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Partiele mola?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Cervixinsufficientie?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Infectie
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Hyperemesis gravidarum?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Hypertensieve aandoening
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zwangerschapscholestase?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Diabetes gravidarum met insuline?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Afwijkende groei foetus
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Dreigende partus immaturus?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Dreigende partus prematurus?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Abruptio placentae?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Fluxus postpartum?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zwangerschap
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="19"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gynaecologische aandoening
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Bloedverlies?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Partiele mola?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Cervixinsufficientie?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Infectie
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Hyperemesis gravidarum?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Hypertensieve aandoening
 
−
|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="3"|Zwangerschapscholestase?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Diabetes gravidarum met insuline?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Afwijkende groei foetus
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Dreigende partus immaturus?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Dreigende partus prematurus?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Abruptio placentae?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Navelstrengprolaps?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Liggingsafwijking
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Intrauteriene vruchtdood
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Vermoeden intrauteriene vruchtdood?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Einde zwangerschap
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Bevalling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="13"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pprom?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Prom?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Koorts?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Niet vorderende ontsluiting?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Niet vorderende uitdrijving?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verdenking foetale nood?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Intrauteriene vruchtdood
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Vermoeden intrauteriene vruchtdood?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Vastzittende placenta?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Conditie perineum postpartum
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Fluxus postpartum?
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Postnatale fase
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pathologie vrouw
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Overig
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Van 2e naar 3e lijn
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Van 2e naar 1e lijn
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Van 3e naar 2e lijn
 
−
|style="background-color: white;"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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') - 2e t/m 7e dag (code = '92' in codeSystem '2.16.840.1.113883.2.4.3.22.1.2.52')
 
−
|}<section end=zorgverlening_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
=== Zorgverlenerzorginstelling ===
 
−
<section begin=zorgverlenerzorginstelling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
{| class="wikitable" width="85%"
 
−
|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="3" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Zorginstelling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorginstelling agbid
 
−
|style="background-color: white;"|12345678 (in identificerend systeem: 1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Zorginstelling lvrid
 
−
|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_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
 
−
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
{| class="wikitable" width="85%"
 
−
|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;"
 
−
|colspan="7" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="7"|Wijze einde zwangerschap
 
−
|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;;"
 
−
|colspan="7"|Definitieve a terme datum
 
−
|style="background-color: white;"|1 dec 2011  - 5 jun 2013  - 5 jun 2012  - 1 feb 2017 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="13"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|Bloedverlies?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Cervixinsufficientie?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Infectie
 
−
|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;;"
 
−
|colspan="6"|Hyperemesis gravidarum?
 
−
|style="background-color: white;"|Ja - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|Zwangerschapscholestase?
 
−
|style="background-color: white;"|Ja - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Diabetes gravidarum met insuline?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afwijkende groei foetus
 
−
|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;;"
 
−
|colspan="6"|Dreigende partus immaturus?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Dreigende partus prematurus?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Abruptio placentae?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="7"|Irregulaire antistoffen?
 
−
|style="background-color: white;"|Nee - Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="8"|Eerdere bevalling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="19"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Placenta
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geboorte placenta
 
−
|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;;"
 
−
|colspan="6"|Hoeveelheid bloedverlies
 
−
|style="background-color: white;"|550 ml - 895 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Vorige uitkomst per kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="13"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Vorige baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|8 dec 2011  00:00 - 9 jun 2012  00:00 - 15 dec 2016 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Kindspecifieke gegevens vorige uitkomsten
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-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') - 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;;"
 
−
|colspan="3"|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') - 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;;"
 
−
|colspan="3"|Apgarscore na 5 min
 
−
|style="background-color: white;"|8 - 10
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Congenitale afwijkingen?
 
−
|style="background-color: white;"|Nee - Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Congenitale afwijkingen groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Chromosomale afwijkingen?
 
−
|style="background-color: white;"|Nee
 
−
|}<section end=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
=== Zwangerschap ===
 
−
<section begin=zwangerschap_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
{| 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; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Graviditeit
 
−
|style="background-color: white;"|2 - 1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|1 - 0
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Definitieve a terme datum
 
−
|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;;" 
 
−
|colspan="5"|Voornemens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Voorgenomen plaats baring tijdens zwangerschap type locatie
 
−
|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;;" 
 
−
|colspan="5"|Prenatale controle
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Datum controle
 
−
|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;;"
 
−
|colspan="3"|Zwangerschapsduur
 
−
|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;;"
 
−
|colspan="3"|Leven voelen
 
−
|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;;"
 
−
|colspan="3"|Rookgedrag
 
−
|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;;"
 
−
|colspan="3"|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="3"|Drugsgebruik?
 
−
|style="background-color: white;"|Nee - Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht gemeten
 
−
|style="background-color: white;"|70 kg - 85 kg - 67 kg - 82 kg - 89 kg - 68 kg
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="22"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Datum
 
−
|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;;"
 
−
|colspan="3"|Zwangerschapsduur
 
−
|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;;"
 
−
|colspan="3"|Gynaecologische aandoening
 
−
|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;;"
 
−
|colspan="3"|Bloedverlies?
 
−
|style="background-color: white;"|Ja - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Partiele mola?
 
−
|style="background-color: white;"|Ja - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Cervixinsufficientie?
 
−
|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;;"
 
−
|colspan="3"|Hyperemesis gravidarum?
 
−
|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;;"
 
−
|colspan="3"|Zwangerschapscholestase?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Diabetes gravidarum met insuline?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Afwijkende groei foetus
 
−
|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;;"
 
−
|colspan="3"|Dreigende partus immaturus?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Dreigende partus prematurus?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Abruptio placentae?
 
−
|style="background-color: white;"|Ja - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Navelstrengprolaps?
 
−
|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;;" 
 
−
|colspan="4"|Intrauteriene vruchtdood
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Vermoeden intrauteriene vruchtdood?
 
−
|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;;"
 
−
|colspan="4"|Maternale sterfte?
 
−
|style="background-color: white;"|Nee - Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
=== Bevalling ===
 
−
<section begin=bevalling_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Bevalling
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Partusnummer
 
−
|style="background-color: white;"|000000 - 4567890123 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999​.60.7)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Diagnose bevalling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="13"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pprom?
 
−
|style="background-color: white;"|Ja - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Prom?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Koorts?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Niet vorderende ontsluiting?
 
−
|style="background-color: white;"|Ja - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Niet vorderende uitdrijving?
 
−
|style="background-color: white;"|Ja - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verdenking foetale nood?
 
−
|style="background-color: white;"|Ja - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Intrauteriene vruchtdood
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Vermoeden intrauteriene vruchtdood?
 
−
|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="3"|Vastzittende placenta?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Fluxus postpartum?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aantal geboren kinderen
 
−
|style="background-color: white;"|1 - 2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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') - 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="5"|Interventies begin baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Interventie begin baring
 
−
|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;;"
 
−
|colspan="3"|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') - 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;;"
 
−
|colspan="4"|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') - 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;;"
 
−
|colspan="4"|Tijdstip begin actieve ontsluiting
 
−
|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;;" 
 
−
|colspan="5"|Medicatie nageboortetijdperk groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Medicatie nageboortetijdperk?
 
−
|style="background-color: white;"|Ja - UNK - Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Soort medicatie nageboortetijdperk
 
−
|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;;"
 
−
|colspan="3"|Geboorte placenta
 
−
|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;;"
 
−
|colspan="4"|Hoeveelheid bloedverlies
 
−
|style="background-color: white;"|615 ml - 980 ml - 1740 ml - 1120 ml - 1500 ml - 650 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Conditie perineum postpartum
 
−
|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_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
=== Uitkomst per kind ===
 
−
<section begin=uitkomst_per_kind_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
{| 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="79"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|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') - 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;"|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;;" 
 
−
|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;"|999910383 - 951847624 - 847035116 - 847035128 - 840736526 - 528741913
 
−
|-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') - 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;;"
 
−
|colspan="5"|Geboortedatum
 
−
|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;;"
 
−
|colspan="5"|Rangnummer kind
 
−
|style="background-color: white;"|1 - 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;"|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;;" 
 
−
|colspan="7"|Kindspecifieke maternale gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="21"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Bijstimulatie toegediend?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Tijdstip breken vliezen
 
−
|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;;"
 
−
|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') - 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;;"
 
−
|colspan="5"|Tijdstip actief meepersen
 
−
|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;;"
 
−
|colspan="5"|Episiotomie?
 
−
|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;;"
 
−
|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 - Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Pijnbestrijding?
 
−
|style="background-color: white;"|Nee - 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;"|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;;" 
 
−
|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;"|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;;"
 
−
|colspan="2"|Toediening
 
−
|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;;"
 
−
|colspan="4"|Periode
 
−
|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;;"
 
−
|colspan="5"|Sedatie?
 
−
|style="background-color: white;"|Nee - Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Kindspecifieke uitkomstgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="38"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Type partus
 
−
|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;;"
 
−
|colspan="5"|Ligging bij geboorte
 
−
|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;;"
 
−
|colspan="5"|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') - 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;;"
 
−
|colspan="5"|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') - 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') - 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;;"
 
−
|colspan="4"|Succes vaginale kunstverlossing?
 
−
|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;;" 
 
−
|colspan="6"|Lichamelijk onderzoek kind
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Apgarscore na 5 min
 
−
|style="background-color: white;"|9
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortegewicht
 
−
|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;;"
 
−
|colspan="5"|Congenitale afwijkingen?
 
−
|style="background-color: white;"|Nee - Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Congenitale afwijkingen groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Specificatie congenitale afwijking groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Specificatie congenitale afwijking
 
−
|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;;"
 
−
|colspan="4"|Chromosomale afwijkingen?
 
−
|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;;"
 
−
|colspan="5"|Problematiek kind?
 
−
|style="background-color: white;"|Nee - 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') - 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;;"
 
−
|colspan="5"|Kinderarts betrokken?
 
−
|style="background-color: white;"|Nee - 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;"|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;;"
 
−
|colspan="4"|Reden betrokkenheid
 
−
|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;;"
 
−
|colspan="4"|Type betrokkenheid
 
−
|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;;"
 
−
|colspan="4"|Zorginstelling lvrid
 
−
|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_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
=== Medisch onderzoek ===
 
−
<section begin=medisch_onderzoek_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
{| 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;"|Nee - 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') - 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 ===
 
−
<section begin=postnatale_fase_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />
 
−
{| 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 - 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;;" 
 
−
|colspan="5"|Kindspecifieke gegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Rangnummer kind
 
−
|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;"|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;;"
 
−
|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') - kunstvoeding (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.22.1.4.8')
 
−
|}<section end=postnatale_fase_999910413 - 961921821 - 961921821 - 895623146 - 850810711 - 850810711 - 912345676 - 100202020 />         
 
−
[[Categorie:Kwalificatie]]
 

Huidige versie van 26 mrt 2019 om 13:19

Overgenomen van "https://informatiestandaarden.test-nictiz.nl/index.php?title=Gebz:Vdraft_AddendaKwalificatieKernsetGeboortezorg23&oldid=18788"