MedMij:V1.0 Sandbox2: verschil tussen versies

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Regel 304: Regel 304:
 
|style="background-color: white;"|bglz-1-3-verpleegkundigeinterventie-01
 
|style="background-color: white;"|bglz-1-3-verpleegkundigeinterventie-01
 
|}<section end=verpleegkundig_zorgplan_ />
 
|}<section end=verpleegkundig_zorgplan_ />
 +
==Demografie en identificatie ==
 +
<section begin=demografie_en_identificatie_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Demografie en identificatie
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Patient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="38"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Fiona
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|F.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|XXX_Mutter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Straat
 +
|style="background-color: white;"|Knolweg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1001
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999XX
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Woonplaats
 +
|style="background-color: white;"|Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Land
 +
|style="background-color: white;"|Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Adres soort
 +
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|+31634567891
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telecom type
 +
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Nummer soort
 +
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email adres
 +
|style="background-color: white;"|fmutter@hotmail.com
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email soort
 +
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatienummer
 +
|style="background-color: white;"|999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geboortedatum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geslacht
 +
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Meerling indicator
 +
|style="background-color: white;"|Nee
 +
|}<section end=demografie_en_identificatie_ />
 +
==Behandelrestricties ==
 +
<section begin=behandelrestricties_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Behandelrestricties
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Behandel aanwijzing
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verificatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geverifieerd
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geverifieerd bij
 +
|style="background-color: white;"|Patiënt (code = '116154003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verificatie datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Behandeling
 +
|style="background-color: white;"|Cardiopulmonaire resuscitatie (code = '89666000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Behandeling toegestaan
 +
|style="background-color: white;"|Behandeling niet toegestaan en/of wenselijk (code = 'NEE' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Wilsverklaring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Wilsverklaring
 +
|style="background-color: white;"|bglz-1-1-wilsverklaring-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Wilsverklaring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wilsverklaring type
 +
|style="background-color: white;"|Niet reanimeren verklaring (code = 'NR' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.14.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wilsverklaring datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Vertegenwoordiger
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Contactpersoon
 +
|style="background-color: white;"|bglz-1-1-contactpersoon-01
 +
|}<section end=behandelrestricties_ />
 +
==Contactpersonen ==
 +
<section begin=contactpersonen_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Contactpersonen
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Contactpersoon
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="26"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Robert
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|R.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Prins
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|06-34567891
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telecom type
 +
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Nummer soort
 +
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email adres
 +
|style="background-color: white;"|bprins@123net.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email soort
 +
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Rol
 +
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Relatie
 +
|style="background-color: white;"|Zoon (code = 'SONC' in codeSystem 'HL7 RoleCode')
 +
|}<section end=contactpersonen_ />
 +
==Klachten en diagnoses ==
 +
<section begin=klachten_en_diagnoses_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Klachten en diagnoses
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Toelichting
 +
|style="background-color: white;"|Niet bekend met neurologische klachten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|diabetes mellitus (code = '73211009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|probleem met lopen (code = '228158008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|afasie (code = '87486003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|risico op decubitus (code = '285304000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|overbelaste mantelzorg (code = '705044006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|}<section end=klachten_en_diagnoses_ />
 +
==Allergieen ==
 +
<section begin=allergieen_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Allergieen
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Allergie intolerantie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Veroorzakende stof
 +
|style="background-color: white;"|pinda (code = '762952008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Allergie status
 +
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Mate van kritiek zijn
 +
|style="background-color: white;"|Fataal (code = '399166001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Toelichting
 +
|style="background-color: white;"|Na het eten van pinda's als student ontstond er een klinisch beeld van anafylaxie waarop de HA epipen heeft moeten toedienen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Reactie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Symptoom
 +
|style="background-color: white;"|Anafylaxie (code = '39579001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Reactie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Symptoom
 +
|style="background-color: white;"|Angio-oedeem (code = '41291007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Reactie beschrijving
 +
|style="background-color: white;"|Angio-oedeem van de tong, lippen en peri-orbitale regio met acute benauwdheid na het eten van pinda's.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Allergie intolerantie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Veroorzakende stof
 +
|style="background-color: white;"|nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Allergie status
 +
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Mate van kritiek zijn
 +
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Toelichting
 +
|style="background-color: white;"|Opgemerkt bij het dragen van nikkel bevattende sieraden.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Reactie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Symptoom
 +
|style="background-color: white;"|Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Reactie beschrijving
 +
|style="background-color: white;"|Last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
 +
|}<section end=allergieen_ />
 +
==Uitslagen ==
 +
<section begin=uitslagen_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Uitslagen
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Laboratorium uitslag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="17"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Laboratorium test
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test code
 +
|style="background-color: white;"|Hemoglobine (code = '718-7' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test datum tijd
 +
|style="background-color: white;"|13 jan 2018  15:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test uitslag
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie ondergrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Interpretatie vlaggen
 +
|style="background-color: white;"|Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Laboratorium test
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test code
 +
|style="background-color: white;"|Hematocriet (code = '20570-8' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test datum tijd
 +
|style="background-color: white;"|13 jan 2018  15:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test uitslag
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie ondergrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Onderzoek
 +
|style="background-color: white;"|hemoglobine & hematocriet panel (code = '24360-0' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Laboratorium uitslag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Laboratorium test
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test code
 +
|style="background-color: white;"|glucose 2 uur na maaltijd massa/volume serum of plasma (code = '1521-4' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test datum tijd
 +
|style="background-color: white;"|13 jan 2018  15:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test uitslag
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie ondergrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Interpretatie vlaggen
 +
|style="background-color: white;"|Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Laboratorium uitslag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Laboratorium test
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test code
 +
|style="background-color: white;"|cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test datum tijd
 +
|style="background-color: white;"|13 jan 2018  15:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test uitslag
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Interpretatie vlaggen
 +
|style="background-color: white;"|Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Toelichting
 +
|style="background-color: white;"|Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
 +
|}<section end=uitslagen_ />
 +
==Verrichtingen ==
 +
<section begin=verrichtingen_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verrichtingen
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting start datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting eind datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|bglz-1-1-probleem-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting type
 +
|style="background-color: white;"|CT van hersenschedel (code = '0000075653' in codeSystem 'DHD Verrichtingenthesaurus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Locatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder
 +
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Aanvrager
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting start datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting eind datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|bglz-1-1-probleem-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting type
 +
|style="background-color: white;"|trombolyse van arteria cerebri anterior links (code = '0000088463' in codeSystem 'DHD Verrichtingenthesaurus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Locatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder
 +
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Aanvrager
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting start datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|bglz-1-1-probleem-05
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting type
 +
|style="background-color: white;"|Fysiotherapie - revalidatie (code = '0000064981' in codeSystem 'DHD Verrichtingenthesaurus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Locatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder
 +
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-04
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Aanvrager
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting start datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|bglz-1-1-probleem-06
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting type
 +
|style="background-color: white;"|Logopedie - individuele zitting afasie (code = '0000065289' in codeSystem 'DHD Verrichtingenthesaurus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Locatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder
 +
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-05
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Aanvrager
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-02
 +
|}<section end=verrichtingen_ />
 +
==Verpleegkundig zorgplan ==
 +
<section begin=verpleegkundig_zorgplan_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundig zorgplan
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Doelen en interventies
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="83"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Interventie
 +
|style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem
 +
|style="background-color: white;"|bglz-1-1-probleem-03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gewenst zorgresultaat
 +
|style="background-color: white;"|wassen onafhankelijk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Frequentie
 +
|style="background-color: white;"|1 per dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Interventie
 +
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem
 +
|style="background-color: white;"|bglz-1-1-probleem-04
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gewenst zorgresultaat
 +
|style="background-color: white;"|kleden onafhankelijk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Frequentie
 +
|style="background-color: white;"|2 per dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Interventie
 +
|style="background-color: white;"|patiënt mobiliseren (code = '62013009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem
 +
|style="background-color: white;"|bglz-1-1-probleem-05
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gewenst zorgresultaat
 +
|style="background-color: white;"|lopen met hulp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Interventie
 +
|style="background-color: white;"|wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem
 +
|style="background-color: white;"|bglz-1-1-probleem-07
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gewenst zorgresultaat
 +
|style="background-color: white;"|huid blijft intact
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Interventie
 +
|style="background-color: white;"|ondersteuning voor verzorger (code = '386229000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem
 +
|style="background-color: white;"|bglz-1-1-probleem-08
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Behandeldoel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Gewenst zorgresultaat
 +
|style="background-color: white;"|zorgtaken voor echtgenoot worden gecontinueerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Uitkomsten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="31"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Uitkomst van zorg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgresultaat
 +
|style="background-color: white;"|Wassen met hulp.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verpleegkundige interventie
 +
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Uitkomst van zorg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgresultaat
 +
|style="background-color: white;"|Kleden met hulp.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verpleegkundige interventie
 +
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Uitkomst van zorg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgresultaat
 +
|style="background-color: white;"|Lopen geheel afhankelijk.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verpleegkundige interventie
 +
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-03
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Uitkomst van zorg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgresultaat
 +
|style="background-color: white;"|Huid is intact zonder decubitus wonden.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verpleegkundige interventie
 +
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-04
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Uitkomst van zorg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgresultaat
 +
|style="background-color: white;"|Thuiszorg is aangevraagd voor continuering van zorgtaken en huishoudelijke hulp.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verpleegkundige interventie
 +
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-05
 +
|}<section end=verpleegkundig_zorgplan_ />
 +
==Zorgsetting ==
 +
<section begin=zorgsetting_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Zorgsetting
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="7" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Huisarts
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="22"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="20"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Laura
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|L.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Lanen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam partner
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorvoegsels partner
 +
|style="background-color: white;"|van
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam partner
 +
|style="background-color: white;"|Oosten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Specialisme
 +
|style="background-color: white;"|Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgaanbieder
 +
|style="background-color: white;"|Huisartsenpraktijk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Zorgverleners rol
 +
|style="background-color: white;"|Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Hoofdbehandelaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="18"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Niels
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|N.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Helmond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Specialisme
 +
|style="background-color: white;"|Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgaanbieder
 +
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Zorgverleners rol
 +
|style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Overige behandelaars
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="49"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Petra Johanna
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|P.J.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Vreeswijk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Specialisme
 +
|style="background-color: white;"|Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgaanbieder
 +
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Thomas
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|T.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Janssen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Specialisme
 +
|style="background-color: white;"|Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgaanbieder
 +
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Hilda
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|H.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Bruinsma
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Specialisme
 +
|style="background-color: white;"|Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgaanbieder
 +
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="28"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Organisatie naam
 +
|style="background-color: white;"|AA-zkh
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Organisatie locatie
 +
|style="background-color: white;"|Noord
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Afdeling specialisme
 +
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Telefoonnummer
 +
|style="background-color: white;"|+31182435768
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Telecom type
 +
|style="background-color: white;"|Vast telefoonnummer (code = 'LL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.22.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Nummer soort
 +
|style="background-color: white;"|Zakelijk telefoonnummer (code = 'WP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Email adres
 +
|style="background-color: white;"|neurologie@AAZ.nl
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Email soort
 +
|style="background-color: white;"|Zakelijk e-mailadres (code = 'WP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Straat
 +
|style="background-color: white;"|De Weststraat
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Huisnummer
 +
|style="background-color: white;"|3
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Postcode
 +
|style="background-color: white;"|9999PK
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Woonplaats
 +
|style="background-color: white;"|Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Land
 +
|style="background-color: white;"|Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Adres soort
 +
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Organisatie type
 +
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 +
|}<section end=zorgsetting_ />
 +
==Demografie en identificatie ==
 +
<section begin=demografie_en_identificatie_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Demografie en identificatie
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Patient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="38"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Fiona
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|F.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|XXX_Mutter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Straat
 +
|style="background-color: white;"|Knolweg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1001
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999XX
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Woonplaats
 +
|style="background-color: white;"|Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Land
 +
|style="background-color: white;"|Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Adres soort
 +
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|+31634567891
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telecom type
 +
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Nummer soort
 +
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email adres
 +
|style="background-color: white;"|fmutter@hotmail.com
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email soort
 +
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatienummer
 +
|style="background-color: white;"|999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geboortedatum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geslacht
 +
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Meerling indicator
 +
|style="background-color: white;"|Nee
 +
|}<section end=demografie_en_identificatie_ />
 +
==Behandelrestricties ==
 +
<section begin=behandelrestricties_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Behandelrestricties
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Behandel aanwijzing
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verificatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geverifieerd
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geverifieerd bij
 +
|style="background-color: white;"|Patiënt (code = '116154003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verificatie datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Behandeling
 +
|style="background-color: white;"|Cardiopulmonaire resuscitatie (code = '89666000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Behandeling toegestaan
 +
|style="background-color: white;"|Behandeling niet toegestaan en/of wenselijk (code = 'NEE' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Wilsverklaring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Wilsverklaring
 +
|style="background-color: white;"|bglz-0-1-wilsverklaring-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Wilsverklaring
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wilsverklaring type
 +
|style="background-color: white;"|Niet reanimeren verklaring (code = 'NR' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.14.1')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Wilsverklaring datum
 +
|style="background-color: white;"|
 +
|}<section end=behandelrestricties_ />
 +
==Klachten en diagnoses ==
 +
<section begin=klachten_en_diagnoses_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Klachten en diagnoses
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Toelichting
 +
|style="background-color: white;"|Niet bekend met neurologische klachten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|diabetes mellitus (code = '73211009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|probleem met lopen (code = '228158008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|afasie (code = '87486003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|risico op decubitus (code = '285304000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|overbelaste mantelzorg (code = '705044006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|}<section end=klachten_en_diagnoses_ />
 +
==Allergieen ==
 +
<section begin=allergieen_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Allergieen
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Allergie intolerantie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Veroorzakende stof
 +
|style="background-color: white;"|pinda (code = '762952008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Allergie status
 +
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Mate van kritiek zijn
 +
|style="background-color: white;"|Fataal (code = '399166001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Toelichting
 +
|style="background-color: white;"|Na het eten van pinda's als student ontstond er een klinisch beeld van anafylaxie waarop de HA epipen heeft moeten toedienen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Reactie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Symptoom
 +
|style="background-color: white;"|Anafylaxie (code = '39579001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Reactie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Symptoom
 +
|style="background-color: white;"|Angio-oedeem (code = '41291007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Reactie beschrijving
 +
|style="background-color: white;"|Angio-oedeem van de tong, lippen en peri-orbitale regio met acute benauwdheid na het eten van pinda's.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Allergie intolerantie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Veroorzakende stof
 +
|style="background-color: white;"|nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Allergie status
 +
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Mate van kritiek zijn
 +
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Toelichting
 +
|style="background-color: white;"|Opgemerkt bij het dragen van nikkel bevattende sieraden.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Reactie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Symptoom
 +
|style="background-color: white;"|Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Reactie beschrijving
 +
|style="background-color: white;"|Last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
 +
|}<section end=allergieen_ />
 +
==Uitslagen ==
 +
<section begin=uitslagen_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Uitslagen
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Laboratorium uitslag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="17"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Laboratorium test
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test code
 +
|style="background-color: white;"|Hemoglobine (code = '718-7' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test datum tijd
 +
|style="background-color: white;"|13 jan 2018  15:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test uitslag
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie ondergrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Interpretatie vlaggen
 +
|style="background-color: white;"|Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Laboratorium test
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test code
 +
|style="background-color: white;"|Hematocriet (code = '20570-8' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test datum tijd
 +
|style="background-color: white;"|13 jan 2018  15:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test uitslag
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie ondergrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Onderzoek
 +
|style="background-color: white;"|hemoglobine & hematocriet panel (code = '24360-0' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Laboratorium uitslag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Laboratorium test
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test code
 +
|style="background-color: white;"|glucose 2 uur na maaltijd massa/volume serum of plasma (code = '1521-4' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test datum tijd
 +
|style="background-color: white;"|13 jan 2018  15:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test uitslag
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie ondergrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Interpretatie vlaggen
 +
|style="background-color: white;"|Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Laboratorium uitslag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Laboratorium test
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test code
 +
|style="background-color: white;"|cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test datum tijd
 +
|style="background-color: white;"|13 jan 2018  15:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Test uitslag
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Interpretatie vlaggen
 +
|style="background-color: white;"|Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Toelichting
 +
|style="background-color: white;"|Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
 +
|}<section end=uitslagen_ />
 +
==Verrichtingen ==
 +
<section begin=verrichtingen_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Verrichtingen
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting start datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting eind datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|bglz-0-1-probleem-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting type
 +
|style="background-color: white;"|CT van hersenschedel (code = '0000075653' in codeSystem 'DHD Verrichtingenthesaurus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-0-1-zorgverlener-02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Aanvrager
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-0-1-zorgverlener-02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting start datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting eind datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|bglz-0-1-probleem-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting type
 +
|style="background-color: white;"|trombolyse van arteria cerebri anterior links (code = '0000088463' in codeSystem 'DHD Verrichtingenthesaurus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-0-1-zorgverlener-02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Aanvrager
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-0-1-zorgverlener-02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting start datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|bglz-0-1-probleem-05
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting type
 +
|style="background-color: white;"|Fysiotherapie - revalidatie (code = '0000064981' in codeSystem 'DHD Verrichtingenthesaurus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-0-1-zorgverlener-04
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Aanvrager
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-0-1-zorgverlener-02
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting start datum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|bglz-0-1-probleem-06
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting type
 +
|style="background-color: white;"|Logopedie - individuele zitting afasie (code = '0000065289' in codeSystem 'DHD Verrichtingenthesaurus')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-0-1-zorgverlener-05
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Aanvrager
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-0-1-zorgverlener-02
 +
|}<section end=verrichtingen_ />
 +
==Zorgsetting ==
 +
<section begin=zorgsetting_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Zorgsetting
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="7" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Huisarts
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="22"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="20"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="11"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Laura
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|L.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Lanen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam partner
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Voorvoegsels partner
 +
|style="background-color: white;"|van
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam partner
 +
|style="background-color: white;"|Oosten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Specialisme
 +
|style="background-color: white;"|Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgaanbieder
 +
|style="background-color: white;"|Huisartsenpraktijk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Zorgverleners rol
 +
|style="background-color: white;"|Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Hoofdbehandelaar
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Niels
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|N.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Helmond
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Specialisme
 +
|style="background-color: white;"|Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Zorgverleners rol
 +
|style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Overige behandelaars
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="40"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Petra Johanna
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|P.J.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Vreeswijk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Specialisme
 +
|style="background-color: white;"|Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Thomas
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|T.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Janssen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Specialisme
 +
|style="background-color: white;"|Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Hilda
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|H.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Bruinsma
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Specialisme
 +
|style="background-color: white;"|Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|}<section end=zorgsetting_ />
 +
==Demografie en identificatie ==
 +
<section begin=demografie_en_identificatie_ />
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Demografie en identificatie
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Patient
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="38"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Gea
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|G.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Naamgebruik
 +
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|XXX_Valk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Adresgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Straat
 +
|style="background-color: white;"|Knolweg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1003
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999ZA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Woonplaats
 +
|style="background-color: white;"|Stitswerd
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Land
 +
|style="background-color: white;"|Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Adres soort
 +
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|+31645678912
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Telecom type
 +
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Nummer soort
 +
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Email adressen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email adres
 +
|style="background-color: white;"|gvalk@hotmail.com
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Email soort
 +
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Identificatienummer
 +
|style="background-color: white;"|999911697 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geboortedatum
 +
|style="background-color: white;"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Geslacht
 +
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Meerling indicator
 +
|style="background-color: white;"|Ja
 +
|}<section end=demografie_en_identificatie_ />
  
 
[[Categorie:Kwalificatie]]
 
[[Categorie:Kwalificatie]]

Versie van 22 aug 2019 11:37


{{#customtitle:Beschikbaarstellen basisgegevens langdurige zorg: addendum inhoudelijke gegevens kwalificatie}}

Naar nictiz.nl

1 Addenda voor inhoudelijke gegevens

1.1 Demografie en identificatie

Demografie en identificatie
Gegevenselement Waarde
Patient
Naamgegevens
Naamgegevens
Voornamen Fiona
Initialen F.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Mutter
Adresgegevens
Adresgegevens
Straat Knolweg
Huisnummer 1001
Postcode 9999XX
Woonplaats Stitswerd
Land Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34')
Adres soort Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
Contactgegevens
Contactgegevens
Telefoonnummers
Telefoonnummer +31634567891
Telecom type Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
Nummer soort Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
Email adressen
Email adres fmutter@hotmail.com
Email soort Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
Identificatienummer 999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3)
Geboortedatum
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Nee

1.2 Klachten en diagnoses

Klachten en diagnoses
Gegevenselement Waarde
Probleem
Probleem anatomische locatie hiel (code = '76853006' in codeSystem 'SNOMED CT')
Probleem lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam decubitus (code = '399912005' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')

1.3 Uitslagen

Uitslagen
Gegevenselement Waarde
Laboratorium uitslag
Laboratorium test
Test code cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC')
Test datum tijd 13 jan 2018 15:00
Test uitslag
Referentie bovengrens
Interpretatie vlaggen Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
Toelichting Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
Laboratorium uitslag
Laboratorium test
Test code cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC')
Test datum tijd 21 feb 2018 16:00
Test uitslag
Referentie bovengrens
Interpretatie vlaggen Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT')
Toelichting Volgens richtlijn herseninfarct: streven naar <1,8mmol/l

1.4 Verpleegkundig zorgplan

Verpleegkundig zorgplan
Gegevenselement Waarde
Doelen en interventies
Verpleegkundige interventie
Interventie aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED CT')
Indicatie
Probleem bglz-1-3-probleem-01
Frequentie 1 per dag
Medisch hulpmiddel
Medisch hulpmiddel
Product
Product type schuimverband (code = '448416005' in codeSystem 'SNOMED CT')
Anatomische locatie hiel (code = '76853006' in codeSystem 'SNOMED CT')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Medisch hulpmiddel
Medisch hulpmiddel
Product
Product type huidvervangende wondbedekkers (code = '465239008' in codeSystem 'SNOMED CT')
Anatomische locatie hiel (code = '76853006' in codeSystem 'SNOMED CT')
Lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Uitvoerder
Zorgverlener
Zorgverlener zie Zorgsetting: Overige behandelaars - verpleegkundige
Uitkomsten
Uitkomst van zorg
Zorgresultaat Decubituswond is verbeterd van categorie 2 naar 1.
Interventie
Verpleegkundige interventie bglz-1-3-verpleegkundigeinterventie-01

1.5 Demografie en identificatie

Demografie en identificatie
Gegevenselement Waarde
Patient
Naamgegevens
Naamgegevens
Voornamen Fiona
Initialen F.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Mutter
Adresgegevens
Adresgegevens
Straat Knolweg
Huisnummer 1001
Postcode 9999XX
Woonplaats Stitswerd
Land Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34')
Adres soort Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
Contactgegevens
Contactgegevens
Telefoonnummers
Telefoonnummer +31634567891
Telecom type Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
Nummer soort Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
Email adressen
Email adres fmutter@hotmail.com
Email soort Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
Identificatienummer 999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3)
Geboortedatum
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Nee

1.6 Behandelrestricties

Behandelrestricties
Gegevenselement Waarde
Behandel aanwijzing
Verificatie
Geverifieerd Ja
Geverifieerd bij Patiënt (code = '116154003' in codeSystem 'SNOMED CT')
Verificatie datum
Behandeling Cardiopulmonaire resuscitatie (code = '89666000' in codeSystem 'SNOMED CT')
Behandeling toegestaan Behandeling niet toegestaan en/of wenselijk (code = 'NEE' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4')
Begin datum
Wilsverklaring
Wilsverklaring bglz-1-1-wilsverklaring-01
Wilsverklaring
Wilsverklaring type Niet reanimeren verklaring (code = 'NR' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.14.1')
Wilsverklaring datum
Vertegenwoordiger
Contactpersoon bglz-1-1-contactpersoon-01

1.7 Contactpersonen

Contactpersonen
Gegevenselement Waarde
Contactpersoon
Naamgegevens
Naamgegevens
Voornamen Robert
Initialen R.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam Prins
Contactgegevens
Contactgegevens
Telefoonnummers
Telefoonnummer 06-34567891
Telecom type Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
Nummer soort Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
Email adressen
Email adres bprins@123net.nl
Email soort Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
Rol Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
Relatie Zoon (code = 'SONC' in codeSystem 'HL7 RoleCode')

1.8 Klachten en diagnoses

Klachten en diagnoses
Gegevenselement Waarde
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting Niet bekend met neurologische klachten
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam diabetes mellitus (code = '73211009' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam probleem met zichzelf kleden (code = '284972002' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam probleem met lopen (code = '228158008' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam afasie (code = '87486003' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam risico op decubitus (code = '285304000' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam overbelaste mantelzorg (code = '705044006' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')

1.9 Allergieen

Allergieen
Gegevenselement Waarde
Allergie intolerantie
Veroorzakende stof pinda (code = '762952008' in codeSystem 'SNOMED CT')
Allergie status Actief (code = 'active' in codeSystem 'HL7 ActStatus')
Mate van kritiek zijn Fataal (code = '399166001' in codeSystem 'SNOMED CT')
Toelichting Na het eten van pinda's als student ontstond er een klinisch beeld van anafylaxie waarop de HA epipen heeft moeten toedienen
Reactie
Symptoom Anafylaxie (code = '39579001' in codeSystem 'SNOMED CT')
Reactie
Symptoom Angio-oedeem (code = '41291007' in codeSystem 'SNOMED CT')
Reactie beschrijving Angio-oedeem van de tong, lippen en peri-orbitale regio met acute benauwdheid na het eten van pinda's.
Allergie intolerantie
Veroorzakende stof nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')
Allergie status Actief (code = 'active' in codeSystem 'HL7 ActStatus')
Mate van kritiek zijn Matig (code = '6736007' in codeSystem 'SNOMED CT')
Toelichting Opgemerkt bij het dragen van nikkel bevattende sieraden.
Reactie
Symptoom Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
Reactie beschrijving Last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.

1.10 Uitslagen

Uitslagen
Gegevenselement Waarde
Laboratorium uitslag
Laboratorium test
Test code Hemoglobine (code = '718-7' in codeSystem 'LOINC')
Test datum tijd 13 jan 2018 15:00
Test uitslag
Referentie bovengrens
Referentie ondergrens
Interpretatie vlaggen Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT')
Laboratorium test
Test code Hematocriet (code = '20570-8' in codeSystem 'LOINC')
Test datum tijd 13 jan 2018 15:00
Test uitslag
Referentie bovengrens
Referentie ondergrens
Onderzoek hemoglobine & hematocriet panel (code = '24360-0' in codeSystem 'LOINC')
Laboratorium uitslag
Laboratorium test
Test code glucose 2 uur na maaltijd massa/volume serum of plasma (code = '1521-4' in codeSystem 'LOINC')
Test datum tijd 13 jan 2018 15:00
Test uitslag
Referentie bovengrens
Referentie ondergrens
Interpretatie vlaggen Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
Laboratorium uitslag
Laboratorium test
Test code cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC')
Test datum tijd 13 jan 2018 15:00
Test uitslag
Referentie bovengrens
Interpretatie vlaggen Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
Toelichting Volgens richtlijn herseninfarct: streven naar <1,8mmol/l

1.11 Verrichtingen

Verrichtingen
Gegevenselement Waarde
Verrichting
Verrichting start datum
Verrichting eind datum
Indicatie
Probleem bglz-1-1-probleem-01
Verrichting type CT van hersenschedel (code = '0000075653' in codeSystem 'DHD Verrichtingenthesaurus')
Locatie
Zorgaanbieder bglz-1-1-zorgaanbieder-01
Uitvoerder
Zorgverlener bglz-1-1-zorgverlener-02
Aanvrager
Zorgverlener bglz-1-1-zorgverlener-02
Verrichting
Verrichting start datum
Verrichting eind datum
Indicatie
Probleem bglz-1-1-probleem-01
Verrichting type trombolyse van arteria cerebri anterior links (code = '0000088463' in codeSystem 'DHD Verrichtingenthesaurus')
Locatie
Zorgaanbieder bglz-1-1-zorgaanbieder-01
Uitvoerder
Zorgverlener bglz-1-1-zorgverlener-02
Aanvrager
Zorgverlener bglz-1-1-zorgverlener-02
Verrichting
Verrichting start datum
Indicatie
Probleem bglz-1-1-probleem-05
Verrichting type Fysiotherapie - revalidatie (code = '0000064981' in codeSystem 'DHD Verrichtingenthesaurus')
Locatie
Zorgaanbieder bglz-1-1-zorgaanbieder-01
Uitvoerder
Zorgverlener bglz-1-1-zorgverlener-04
Aanvrager
Zorgverlener bglz-1-1-zorgverlener-02
Verrichting
Verrichting start datum
Indicatie
Probleem bglz-1-1-probleem-06
Verrichting type Logopedie - individuele zitting afasie (code = '0000065289' in codeSystem 'DHD Verrichtingenthesaurus')
Locatie
Zorgaanbieder bglz-1-1-zorgaanbieder-01
Uitvoerder
Zorgverlener bglz-1-1-zorgverlener-05
Aanvrager
Zorgverlener bglz-1-1-zorgverlener-02

1.12 Verpleegkundig zorgplan

Verpleegkundig zorgplan
Gegevenselement Waarde
Doelen en interventies
Verpleegkundige interventie
Interventie ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED CT')
Indicatie
Probleem bglz-1-1-probleem-03
Behandeldoel
Behandeldoel
Gewenst zorgresultaat wassen onafhankelijk
Frequentie 1 per dag
Uitvoerder
Zorgverlener
Zorgverlener bglz-1-1-zorgverlener-03
Verpleegkundige interventie
Interventie ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED CT')
Indicatie
Probleem bglz-1-1-probleem-04
Behandeldoel
Behandeldoel
Gewenst zorgresultaat kleden onafhankelijk
Frequentie 2 per dag
Uitvoerder
Zorgverlener
Zorgverlener bglz-1-1-zorgverlener-03
Verpleegkundige interventie
Interventie patiënt mobiliseren (code = '62013009' in codeSystem 'SNOMED CT')
Indicatie
Probleem bglz-1-1-probleem-05
Behandeldoel
Behandeldoel
Gewenst zorgresultaat lopen met hulp
Uitvoerder
Zorgverlener
Zorgverlener bglz-1-1-zorgverlener-03
Verpleegkundige interventie
Interventie wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED CT')
Indicatie
Probleem bglz-1-1-probleem-07
Behandeldoel
Behandeldoel
Gewenst zorgresultaat huid blijft intact
Uitvoerder
Zorgverlener
Zorgverlener bglz-1-1-zorgverlener-03
Verpleegkundige interventie
Interventie ondersteuning voor verzorger (code = '386229000' in codeSystem 'SNOMED CT')
Indicatie
Probleem bglz-1-1-probleem-08
Behandeldoel
Behandeldoel
Gewenst zorgresultaat zorgtaken voor echtgenoot worden gecontinueerd
Uitvoerder
Zorgverlener
Zorgverlener bglz-1-1-zorgverlener-03
Uitkomsten
Uitkomst van zorg
Zorgresultaat Wassen met hulp.
Interventie
Verpleegkundige interventie bglz-1-1-verpleegkundigeinterventie-01
Uitkomst van zorg
Zorgresultaat Kleden met hulp.
Interventie
Verpleegkundige interventie bglz-1-1-verpleegkundigeinterventie-02
Uitkomst van zorg
Zorgresultaat Lopen geheel afhankelijk.
Interventie
Verpleegkundige interventie bglz-1-1-verpleegkundigeinterventie-03
Uitkomst van zorg
Zorgresultaat Huid is intact zonder decubitus wonden.
Interventie
Verpleegkundige interventie bglz-1-1-verpleegkundigeinterventie-04
Uitkomst van zorg
Zorgresultaat Thuiszorg is aangevraagd voor continuering van zorgtaken en huishoudelijke hulp.
Interventie
Verpleegkundige interventie bglz-1-1-verpleegkundigeinterventie-05

1.13 Zorgsetting

Zorgsetting
Gegevenselement Waarde
Huisarts
Zorgverlener
Naamgegevens
Naamgegevens
Voornamen Laura
Initialen L.
Naamgebruik Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam Lanen
Geslachtsnaam partner
Voorvoegsels partner van
Achternaam partner Oosten
Specialisme Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Zorgaanbieder
Zorgaanbieder Huisartsenpraktijk
Zorgverleners rol Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType')
Hoofdbehandelaar
Zorgverlener
Naamgegevens
Naamgegevens
Voornamen Niels
Initialen N.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam Helmond
Specialisme Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Zorgaanbieder
Zorgaanbieder bglz-1-1-zorgaanbieder-01
Zorgverleners rol Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType')
Overige behandelaars
Zorgverlener
Naamgegevens
Naamgegevens
Voornamen Petra Johanna
Initialen P.J.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam Vreeswijk
Specialisme Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Zorgaanbieder
Zorgaanbieder bglz-1-1-zorgaanbieder-01
Zorgverlener
Naamgegevens
Naamgegevens
Voornamen Thomas
Initialen T.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam Janssen
Specialisme Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Zorgaanbieder
Zorgaanbieder bglz-1-1-zorgaanbieder-01
Zorgverlener
Naamgegevens
Naamgegevens
Voornamen Hilda
Initialen H.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam Bruinsma
Specialisme Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Zorgaanbieder
Zorgaanbieder bglz-1-1-zorgaanbieder-01
Zorgaanbieder
Organisatie naam AA-zkh
Organisatie locatie Noord
Afdeling specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
Contactgegevens
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435768
Telecom type Vast telefoonnummer (code = 'LL' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.22.1')
Nummer soort Zakelijk telefoonnummer (code = 'WP' in codeSystem 'HL7 AddressUse')
Email adressen
Email adres neurologie@AAZ.nl
Email soort Zakelijk e-mailadres (code = 'WP' in codeSystem 'HL7 AddressUse')
Adresgegevens
Adresgegevens
Straat De Weststraat
Huisnummer 3
Postcode 9999PK
Woonplaats Stitswerd
Land Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34')
Adres soort Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
Organisatie type Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')

1.14 Demografie en identificatie

Demografie en identificatie
Gegevenselement Waarde
Patient
Naamgegevens
Naamgegevens
Voornamen Fiona
Initialen F.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Mutter
Adresgegevens
Adresgegevens
Straat Knolweg
Huisnummer 1001
Postcode 9999XX
Woonplaats Stitswerd
Land Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34')
Adres soort Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
Contactgegevens
Contactgegevens
Telefoonnummers
Telefoonnummer +31634567891
Telecom type Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
Nummer soort Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
Email adressen
Email adres fmutter@hotmail.com
Email soort Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
Identificatienummer 999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3)
Geboortedatum
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Nee

1.15 Behandelrestricties

Behandelrestricties
Gegevenselement Waarde
Behandel aanwijzing
Verificatie
Geverifieerd Ja
Geverifieerd bij Patiënt (code = '116154003' in codeSystem 'SNOMED CT')
Verificatie datum
Behandeling Cardiopulmonaire resuscitatie (code = '89666000' in codeSystem 'SNOMED CT')
Behandeling toegestaan Behandeling niet toegestaan en/of wenselijk (code = 'NEE' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4')
Begin datum
Wilsverklaring
Wilsverklaring bglz-0-1-wilsverklaring-01
Wilsverklaring
Wilsverklaring type Niet reanimeren verklaring (code = 'NR' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.14.1')
Wilsverklaring datum

1.16 Klachten en diagnoses

Klachten en diagnoses
Gegevenselement Waarde
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting Niet bekend met neurologische klachten
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam diabetes mellitus (code = '73211009' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam probleem met zichzelf kleden (code = '284972002' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam probleem met lopen (code = '228158008' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam afasie (code = '87486003' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam risico op decubitus (code = '285304000' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem type Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
Probleem naam overbelaste mantelzorg (code = '705044006' in codeSystem 'SNOMED CT')
Probleem begin datum
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')

1.17 Allergieen

Allergieen
Gegevenselement Waarde
Allergie intolerantie
Veroorzakende stof pinda (code = '762952008' in codeSystem 'SNOMED CT')
Allergie status Actief (code = 'active' in codeSystem 'HL7 ActStatus')
Mate van kritiek zijn Fataal (code = '399166001' in codeSystem 'SNOMED CT')
Toelichting Na het eten van pinda's als student ontstond er een klinisch beeld van anafylaxie waarop de HA epipen heeft moeten toedienen
Reactie
Symptoom Anafylaxie (code = '39579001' in codeSystem 'SNOMED CT')
Reactie
Symptoom Angio-oedeem (code = '41291007' in codeSystem 'SNOMED CT')
Reactie beschrijving Angio-oedeem van de tong, lippen en peri-orbitale regio met acute benauwdheid na het eten van pinda's.
Allergie intolerantie
Veroorzakende stof nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')
Allergie status Actief (code = 'active' in codeSystem 'HL7 ActStatus')
Mate van kritiek zijn Matig (code = '6736007' in codeSystem 'SNOMED CT')
Toelichting Opgemerkt bij het dragen van nikkel bevattende sieraden.
Reactie
Symptoom Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
Reactie beschrijving Last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.

1.18 Uitslagen

Uitslagen
Gegevenselement Waarde
Laboratorium uitslag
Laboratorium test
Test code Hemoglobine (code = '718-7' in codeSystem 'LOINC')
Test datum tijd 13 jan 2018 15:00
Test uitslag
Referentie bovengrens
Referentie ondergrens
Interpretatie vlaggen Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT')
Laboratorium test
Test code Hematocriet (code = '20570-8' in codeSystem 'LOINC')
Test datum tijd 13 jan 2018 15:00
Test uitslag
Referentie bovengrens
Referentie ondergrens
Onderzoek hemoglobine & hematocriet panel (code = '24360-0' in codeSystem 'LOINC')
Laboratorium uitslag
Laboratorium test
Test code glucose 2 uur na maaltijd massa/volume serum of plasma (code = '1521-4' in codeSystem 'LOINC')
Test datum tijd 13 jan 2018 15:00
Test uitslag
Referentie bovengrens
Referentie ondergrens
Interpretatie vlaggen Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
Laboratorium uitslag
Laboratorium test
Test code cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC')
Test datum tijd 13 jan 2018 15:00
Test uitslag
Referentie bovengrens
Interpretatie vlaggen Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
Toelichting Volgens richtlijn herseninfarct: streven naar <1,8mmol/l

1.19 Verrichtingen

Verrichtingen
Gegevenselement Waarde
Verrichting
Verrichting start datum
Verrichting eind datum
Indicatie
Probleem bglz-0-1-probleem-01
Verrichting type CT van hersenschedel (code = '0000075653' in codeSystem 'DHD Verrichtingenthesaurus')
Uitvoerder
Zorgverlener bglz-0-1-zorgverlener-02
Aanvrager
Zorgverlener bglz-0-1-zorgverlener-02
Verrichting
Verrichting start datum
Verrichting eind datum
Indicatie
Probleem bglz-0-1-probleem-01
Verrichting type trombolyse van arteria cerebri anterior links (code = '0000088463' in codeSystem 'DHD Verrichtingenthesaurus')
Uitvoerder
Zorgverlener bglz-0-1-zorgverlener-02
Aanvrager
Zorgverlener bglz-0-1-zorgverlener-02
Verrichting
Verrichting start datum
Indicatie
Probleem bglz-0-1-probleem-05
Verrichting type Fysiotherapie - revalidatie (code = '0000064981' in codeSystem 'DHD Verrichtingenthesaurus')
Uitvoerder
Zorgverlener bglz-0-1-zorgverlener-04
Aanvrager
Zorgverlener bglz-0-1-zorgverlener-02
Verrichting
Verrichting start datum
Indicatie
Probleem bglz-0-1-probleem-06
Verrichting type Logopedie - individuele zitting afasie (code = '0000065289' in codeSystem 'DHD Verrichtingenthesaurus')
Uitvoerder
Zorgverlener bglz-0-1-zorgverlener-05
Aanvrager
Zorgverlener bglz-0-1-zorgverlener-02

1.20 Zorgsetting

Zorgsetting
Gegevenselement Waarde
Huisarts
Zorgverlener
Naamgegevens
Naamgegevens
Voornamen Laura
Initialen L.
Naamgebruik Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam Lanen
Geslachtsnaam partner
Voorvoegsels partner van
Achternaam partner Oosten
Specialisme Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Zorgaanbieder
Zorgaanbieder Huisartsenpraktijk
Zorgverleners rol Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType')
Hoofdbehandelaar
Zorgverlener
Naamgegevens
Naamgegevens
Voornamen Niels
Initialen N.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam Helmond
Specialisme Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Zorgverleners rol Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType')
Overige behandelaars
Zorgverlener
Naamgegevens
Naamgegevens
Voornamen Petra Johanna
Initialen P.J.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam Vreeswijk
Specialisme Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Zorgverlener
Naamgegevens
Naamgegevens
Voornamen Thomas
Initialen T.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam Janssen
Specialisme Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
Zorgverlener
Naamgegevens
Naamgegevens
Voornamen Hilda
Initialen H.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam Bruinsma
Specialisme Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')

1.21 Demografie en identificatie

Demografie en identificatie
Gegevenselement Waarde
Patient
Naamgegevens
Naamgegevens
Voornamen Gea
Initialen G.
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam XXX_Valk
Adresgegevens
Adresgegevens
Straat Knolweg
Huisnummer 1003
Postcode 9999ZA
Woonplaats Stitswerd
Land Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34')
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Contactgegevens
Contactgegevens
Telefoonnummers
Telefoonnummer +31645678912
Telecom type Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
Nummer soort Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
Email adressen
Email adres gvalk@hotmail.com
Email soort Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
Identificatienummer 999911697 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3)
Geboortedatum
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Ja
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