Gebz:Vdraft AddendaKwalificatieKernsetGeboortezorg23: verschil tussen versies

Uit informatiestandaarden
Naar navigatie springen Naar zoeken springen
(De pagina is leeggehaald)
 
(5 tussenliggende versies door dezelfde gebruiker niet weergegeven)
Regel 1: Regel 1:
  
−
{{#customtitle:Kernset Geboortezorg 2.3 - inhoud kwalificatie}}
 
−
__NUMBEREDHEADINGS__
 
−
{{IssueBox|Deze pagina is nog in bewerking}}
 
−
[[Bestand:Nictiz_logo_PO_rechts_rgb.png |link=https://www.nictiz.nl/|rechts|Naar nictiz.nl]]
 
−
 
−
=Addenda voor inhoudelijke gegevens Kernset Geboortezorg 2.3=
 
−
==Scenario 1. Zorg volledig 1e lijn, herpes, strippen, gezonde eenling  (voor vrouw met BSN: 999910413)==
 
−
<section begin=999910413 />
 
−
{| 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;"|999910413
 
−
|-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;"|2 may 1976 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Adres - postcode
 
−
|style="background-color: white;"|4563 AB
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Etniciteit
 
−
|style="background-color: white;"|Turks (code = '5' 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;"|170 cm
 
−
|}<section end=999910413 />
 
−
=== Anamnese ===
 
−
<section begin=anamnese_999910413 />
 
−
{| 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="5"|
 
−
|-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')
 
−
|-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"|Infectieziekte
 
−
|style="background-color: white;"|Herpes (code = '23513009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Type operatie
 
−
|style="background-color: white;"|Orthopedisch (code = '112697007' in codeSystem 'Snomed CT')
 
−
|}<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;;"
 
−
|colspan="2"|Datum start zorgverantwoordelijkheid
 
−
|style="background-color: white;"|1 mar 2014  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Datum einde zorgverantwoordelijkheid
 
−
|style="background-color: white;"|12 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"|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')
 
−
|}<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;;"
 
−
|colspan="2"|Zorginstelling lvrid
 
−
|style="background-color: white;"|1808
 
−
|}<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;;"
 
−
|colspan="5"|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="5"|Definitieve a terme datum
 
−
|style="background-color: white;"|1 dec 2011 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Irregulaire antistoffen?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Eerdere bevalling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="12"|
 
−
|-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="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 ===
 
−
<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;"|28 aug 2018 
 
−
|-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;;"
 
−
|rowspan="20"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum verwijzing
 
−
|style="background-color: white;"|6 may 2014  00:00
 
−
|-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"|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;;"
 
−
|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;"|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;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Indicatie primaire sectio
 
−
|style="background-color: white;"|Suspected fetal distress (situation) (code = '444433005:246090004=130955003' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Indicatie primaire 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;"|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;;" 
 
−
|colspan="5"|Betrokkenheid kinderarts
 
−
|-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;;"
 
−
|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;;" 
 
−
|colspan="4"|Diagnose bevalling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Pprom?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Verdenking foetale nood?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Aantal geboren kinderen
 
−
|style="background-color: white;"|2
 
−
|-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;;" 
 
−
|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;"|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;;" 
 
−
|colspan="8"|Baring
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="59"|
 
−
|-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="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;"|847035116
 
−
|-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;"|28 aug 2014  06:30
 
−
|-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;"|27 aug 2014  22:09
 
−
|-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')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Tijdstip actief meepersen
 
−
|style="background-color: white;"|27 aug 2014  23:49
 
−
|-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;"|Administration of morphinomimetic analgesic (procedure) (code = '52685006:363701004=404642006' 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')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Periode
 
−
|style="background-color: white;"|tijdens uitdrijving (code = 'Uitdr' 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="22"|
 
−
|-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;"|Face presentation (finding) (code = '21882006' 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;"|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;;" 
 
−
|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;"|2040 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;"|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;;" 
 
−
|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;"|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;;"
 
−
|rowspan="19"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Tijdstip breken vliezen
 
−
|style="background-color: white;"|27 aug 2014  23:13
 
−
|-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')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Tijdstip actief meepersen
 
−
|style="background-color: white;"|28 aug 2014  06:45
 
−
|-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 uitdrijving (code = 'Uitdr' 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="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;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortegewicht
 
−
|style="background-color: white;"|1580 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Congenitale afwijkingen?
 
−
|style="background-color: white;"|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')
 
−
|-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;"|Multiple congenital cardiac defects (disorder) (code = '94702005' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Chromosomale 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;"|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;;" 
 
−
|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;"|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;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Irregulaire antistoffen?
 
−
|style="background-color: white;"|Nee
 
−
|}<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;;"
 
−
|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;"|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;;"
 
−
|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;;"
 
−
|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;;" 
 
−
|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 />
 
−
=== 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;;"
 
−
|colspan="3"|Pathologie vrouw
 
−
|style="background-color: white;"|Embolism (disorder) (code = '414086009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-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;;"
 
−
|colspan="3"|Pathologie vrouw
 
−
|style="background-color: white;"|Episiotomy infection (disorder) (code = '300927001' 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;"|15 sep 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_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%"
 
−
|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;"|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;;" 
 
−
|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;;"
 
−
|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;;" 
 
−
|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;;"
 
−
|colspan="2"|Zorginstelling lvrid
 
−
|style="background-color: white;"|0179 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|}<section end=zorgverlenerzorginstelling_912345676 />
 
−
=== Obstetrische anamnese gegroepeerd per voorgaande zwangerschap ===
 
−
<section begin=obstetrische_anamnese_gegroepeerd_per_voorgaande_zwangerschap_912345676 />
 
−
{| 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;;"
 
−
|colspan="5"|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="5"|Definitieve a terme datum
 
−
|style="background-color: white;"|5 jun 2012 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="4"|Zwangerschapscholestase?
 
−
|style="background-color: white;"|Ja
 
−
|-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;;"
 
−
|colspan="5"|Irregulaire antistoffen?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Eerdere bevalling
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-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
 
−
|}<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;;"
 
−
|colspan="3"|Dossiernummer
 
−
|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="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;"|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="56"|
 
−
|-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;"|0179 (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;"|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="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"|Kleur en consistentie vruchtwater
 
−
|style="background-color: white;"|meconium (code = '2' in codeSystem '2.16.840.1.113883.2.4.4.13.18')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Episiotomie?
 
−
|style="background-color: white;"|Nee
 
−
|-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;;"
 
−
|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="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Kindspecifieke uitkomstgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="26"|
 
−
|-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;;"
 
−
|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"|Vaginale kunstverlossing groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-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="5"|
 
−
|-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;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|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="4"|Problematiek kind?
 
−
|style="background-color: white;"|Ja
 
−
|-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;;" 
 
−
|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;"|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;;" 
 
−
|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;"|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. 2de lijn met comorbiditeit (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;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Demografische gegevens - geboortedatum
 
−
|style="background-color: white;"|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;"|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;"|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Congenitale afwijkingen?
 
−
|style="background-color: white;"|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_100202020 />
 
−
=== Zwangerschap ===
 
−
<section begin=zwangerschap_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"|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;;"
 
−
|colspan="4"|Graviditeit
 
−
|style="background-color: white;"|2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Pariteit voor deze zwangerschap
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Definitieve a terme datum
 
−
|style="background-color: white;"|2 oct 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;"|Ziekenhuis (code = '22232009' in codeSystem '2.16.840.1.113883.6.96')
 
−
|-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;"|1 mar 2019  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zwangerschapsduur
 
−
|style="background-color: white;"|56 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Leven voelen
 
−
|style="background-color: white;"|geen (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;"|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="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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gewicht gemeten
 
−
|style="background-color: white;"|68 kg
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Diagnose
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="18"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Datum
 
−
|style="background-color: white;"|1 mar 2019  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zwangerschapsduur
 
−
|style="background-color: white;"|56 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|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="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Bloedverlies?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Partiele mola?
 
−
|style="background-color: white;"|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"|Hyperemesis gravidarum?
 
−
|style="background-color: white;"|Nee
 
−
|-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;"|Dysmaturiteit (code = '267258002' in codeSystem 'Snomed CT')
 
−
|-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;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Navelstrengprolaps?
 
−
|style="background-color: white;"|Nee
 
−
|-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;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Maternale sterfte?
 
−
|style="background-color: white;"|Nee
 
−
|-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_100202020 />
 
−
=== Bevalling ===
 
−
<section begin=bevalling_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;"|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="12"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Pprom?
 
−
|style="background-color: white;"|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;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Niet vorderende uitdrijving?
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Verdenking foetale nood?
 
−
|style="background-color: white;"|Nee
 
−
|-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;"|Nee
 
−
|-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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|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="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;"|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;"|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;"|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;"|15 oct 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
 
−
|-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')
 
−
|-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="4"|Hoeveelheid bloedverlies
 
−
|style="background-color: white;"|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')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Conditie perineum postpartum
 
−
|style="background-color: white;"|Episiotomiewond (code = '609344008' in codeSystem 'Snomed CT')
 
−
|}<section end=bevalling_100202020 />
 
−
=== Uitkomst per kind ===
 
−
<section begin=uitkomst_per_kind_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="67"|
 
−
|-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')
 
−
|-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;"|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="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;"|847035116
 
−
|-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;"|15 oct 2019 
 
−
|-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="20"|
 
−
|-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;"|19 oct 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')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Tijdstip actief meepersen
 
−
|style="background-color: white;"|19 oct 2019  05:00
 
−
|-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;"|Ja
 
−
|-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 middel (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;"|Entonox (code = '426060003' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Toediening
 
−
|style="background-color: white;"|Inhalatie (code = '241717009' in codeSystem 'Snomed CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|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="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Sedatie?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Kindspecifieke uitkomstgegevens
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="29"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Type partus
 
−
|style="background-color: white;"|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-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;"|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;"|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;"|Vacuüm (code = '61586001' in codeSystem 'Snomed CT')
 
−
|-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="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;"|3550 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Congenitale afwijkingen?
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Congenitale afwijkingen groep
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-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;"|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
 
−
|-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;"|Geboortetrauma (code = '56110009' in codeSystem 'Snomed CT')
 
−
|-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;"|15 oct 2019  00:00
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Reden betrokkenheid
 
−
|style="background-color: white;"|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')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorginstelling lvrid
 
−
|style="background-color: white;"|0110 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.96.6)
 
−
|}<section end=uitkomst_per_kind_100202020 />
 
−
=== Medisch onderzoek ===
 
−
<section begin=medisch_onderzoek_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="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Irregulaire antistoffen?
 
−
|style="background-color: white;"|Nee
 
−
|}<section end=medisch_onderzoek_100202020 />
 
−
=== Postnatale fase ===
 
−
<section begin=postnatale_fase_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"|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;"|1
 
−
|-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;"|15 oct 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')
 
−
|}<section end=postnatale_fase_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"