MedMij:V1.0 Sandbox2: verschil tussen versies

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Regel 5: Regel 5:
  
 
=Addenda voor inhoudelijke gegevens=
 
=Addenda voor inhoudelijke gegevens=
==Demografie en identificatie ==
+
==Scenario bglz-0-1==
<section begin=demografie_en_identificatie_ />
+
 
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Demografie en identificatie
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Demografie en identificatie
Regel 91: Regel 91:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geboortedatum
 
|colspan="4"|Geboortedatum
|style="background-color: white;"|8 feb 1964
+
|style="background-color: white;"|8 feb 1964   00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Geslacht
 
|colspan="4"|Geslacht
Regel 98: Regel 98:
 
|colspan="4"|Meerling indicator
 
|colspan="4"|Meerling indicator
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
|}<section end=demografie_en_identificatie_ />
+
|}
==Klachten en diagnoses ==
 
<section begin=klachten_en_diagnoses_ />
 
 
{| class="wikitable" width="85%"
 
{| 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; font-weight: bold; text-align:center;"  colspan="5" | Behandelrestricties
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="3" width="25%"| Gegevenselement
+
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="5"|Behandel aanwijzing
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verificatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem anatomische locatie
+
|rowspan="4"|
|style="background-color: white;"|hiel (code = '76853006' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem lateraliteit
+
|colspan="2"|Geverifieerd
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="2"|Geverifieerd bij
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Patiënt (code = '116154003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="2"|Verificatie datum
|style="background-color: white;"|decubitus (code = '399912005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|20 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|colspan="3"|Behandeling
|style="background-color: white;"|
+
|style="background-color: white;"|Cardiopulmonaire resuscitatie (code = '89666000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
+
|colspan="3"|Behandeling toegestaan
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|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')
|}<section end=klachten_en_diagnoses_ />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
==Uitslagen ==
+
|colspan="3"|Begin datum
<section begin=uitslagen_ />
+
|style="background-color: white;"|20 jan 2018  00:00
 +
|-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;"|20 jan 2018  00:00
 +
|}
 
{| class="wikitable" width="85%"
 
{| 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; font-weight: bold; text-align:center;"  colspan="4" | Klachten en diagnoses
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
+
|colspan="3" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Laboratorium uitslag
+
|colspan="4"|Probleem
|-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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="2"|Probleem type
|style="background-color: white;"|cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC')
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test datum tijd
+
|colspan="2"|Probleem naam
|style="background-color: white;"|13 jan 2018  15:00
+
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|colspan="2"|Probleem begin datum
|style="background-color: white;"|
+
|style="background-color: white;"|13 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie bovengrens
+
|colspan="2"|Probleem status
|style="background-color: white;"|
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Interpretatie vlaggen
+
|colspan="2"|Toelichting
|style="background-color: white;"|Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Niet bekend met neurologische klachten
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Toelichting
 
|style="background-color: white;"|Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Laboratorium uitslag
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Laboratorium test
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="2"|Probleem naam
|style="background-color: white;"|cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC')
+
|style="background-color: white;"|diabetes mellitus (code = '73211009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test datum tijd
+
|colspan="2"|Probleem begin datum
|style="background-color: white;"|21 feb 2018  16:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Test uitslag
 
 
|style="background-color: white;"|
 
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie bovengrens
+
|colspan="2"|Probleem status
|style="background-color: white;"|
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-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="3"|Toelichting
 
|style="background-color: white;"|Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
 
|}<section end=uitslagen_ />
 
==Verpleegkundig zorgplan ==
 
<section begin=verpleegkundig_zorgplan_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Verpleegkundig zorgplan
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="7" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="8"|Doelen en interventies
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="31"|
+
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Verpleegkundige interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="29"|
+
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Interventie
+
|colspan="2"|Probleem naam
|style="background-color: white;"|aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED CT')
+
|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;"|20 jan 2018  00:00
 +
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Indicatie
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem
+
|colspan="2"|Probleem type
|style="background-color: white;"|bglz-1-3-probleem-01
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Frequentie
+
|colspan="2"|Probleem naam
|style="background-color: white;"|1 per dag
+
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|colspan="2"|Probleem begin datum
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|20 jan 2018  00:00
|colspan="5"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Product
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Product type
+
|colspan="2"|Probleem type
|style="background-color: white;"|schuimverband (code = '448416005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Anatomische locatie
+
|colspan="2"|Probleem naam
|style="background-color: white;"|hiel (code = '76853006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|probleem met lopen (code = '228158008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Lateraliteit
+
|colspan="2"|Probleem begin datum
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|20 jan 2018  00:00
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Medisch hulpmiddel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Medisch hulpmiddel
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Product
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Product type
+
|colspan="2"|Probleem naam
|style="background-color: white;"|huidvervangende wondbedekkers (code = '465239008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|afasie (code = '87486003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Anatomische locatie
+
|colspan="2"|Probleem begin datum
|style="background-color: white;"|hiel (code = '76853006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|20 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Lateraliteit
+
|colspan="2"|Probleem status
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Uitvoerder
+
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="2"|Probleem type
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
|colspan="5"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|risico op decubitus (code = '285304000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgverlener
+
|colspan="2"|Probleem begin datum
|style="background-color: white;"|zie Zorgsetting: Overige behandelaars - verpleegkundige
+
|style="background-color: white;"|20 jan 2018  00:00
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="8"|Uitkomsten
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Uitkomst van zorg
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zorgresultaat
+
|colspan="2"|Probleem type
|style="background-color: white;"|Decubituswond is verbeterd van categorie 2 naar 1.
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|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;"|20 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verpleegkundige interventie
+
|colspan="2"|Probleem status
|style="background-color: white;"|bglz-1-3-verpleegkundigeinterventie-01
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|}<section end=verpleegkundig_zorgplan_ />
+
|}
==Demografie en identificatie ==
 
<section begin=demografie_en_identificatie_ />
 
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Demografie en identificatie
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Allergieen
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="5" width="25%"| Gegevenselement
+
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Patient
+
|colspan="5"|Allergie intolerantie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="32"|
+
|rowspan="12"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="3"|Veroorzakende stof
 +
|style="background-color: white;"|pinda (code = '762952008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="3"|Allergie status
|style="background-color: white;"|Fiona
+
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="3"|Mate van kritiek zijn
|style="background-color: white;"|F.
+
|style="background-color: white;"|Fataal (code = '399166001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="3"|Toelichting
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Geslachtsnaam
+
|colspan="4"|Reactie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="2"|Symptoom
|style="background-color: white;"|XXX_Mutter
+
|style="background-color: white;"|Anafylaxie (code = '39579001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Adresgegevens
+
|colspan="4"|Reactie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Straat
+
|colspan="2"|Symptoom
|style="background-color: white;"|Knolweg
+
|style="background-color: white;"|Angio-oedeem (code = '41291007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Huisnummer
+
|colspan="2"|Reactie beschrijving
|style="background-color: white;"|1001
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
+
|rowspan="9"|
|style="background-color: white;"|9999XX
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
+
|colspan="3"|Veroorzakende stof
|style="background-color: white;"|Stitswerd
+
|style="background-color: white;"|nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Land
+
|colspan="3"|Allergie status
|style="background-color: white;"|Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34')
+
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adres soort
+
|colspan="3"|Mate van kritiek zijn
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Contactgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|colspan="3"|Toelichting
 +
|style="background-color: white;"|Opgemerkt bij het dragen van nikkel bevattende sieraden.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Telefoonnummers
+
|colspan="4"|Reactie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummer
+
|colspan="2"|Symptoom
|style="background-color: white;"|+31634567891
+
|style="background-color: white;"|Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telecom type
+
|colspan="2"|Reactie beschrijving
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
|colspan="2"|Nummer soort
+
{| class="wikitable" width="85%"
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
+
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Email adressen
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email adres
+
|colspan="2"|Test code
|style="background-color: white;"|fmutter@hotmail.com
+
|style="background-color: white;"|Hemoglobine (code = '718-7' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email soort
+
|colspan="2"|Test datum tijd
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|13 jan 2018  15:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
+
|colspan="2"|Test uitslag
|style="background-color: white;"|999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3)
+
|style="background-color: white;"|11.0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
+
|colspan="2"|Referentie bovengrens
|style="background-color: white;"|
+
|style="background-color: white;"|16.0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="2"|Referentie ondergrens
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|12.0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Meerling indicator
+
|colspan="2"|Interpretatie vlaggen
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT')
|}<section end=demografie_en_identificatie_ />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"   
==Behandelrestricties ==
+
|colspan="4"|Laboratorium test
<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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="12"|
+
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Verificatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="2"|Test code
 +
|style="background-color: white;"|Hematocriet (code = '20570-8' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geverifieerd
+
|colspan="2"|Test datum tijd
|style="background-color: white;"|Ja
+
|style="background-color: white;"|13 jan 2018  15:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geverifieerd bij
+
|colspan="2"|Test uitslag
|style="background-color: white;"|Patiënt (code = '116154003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|47
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verificatie datum
+
|colspan="2"|Referentie bovengrens
|style="background-color: white;"|
+
|style="background-color: white;"|51
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Behandeling
+
|colspan="2"|Referentie ondergrens
|style="background-color: white;"|Cardiopulmonaire resuscitatie (code = '89666000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|39
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Behandeling toegestaan
+
|colspan="3"|Onderzoek
|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="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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Begin datum
+
|rowspan="9"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Wilsverklaring
+
|colspan="4"|Laboratorium test
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Wilsverklaring
+
|colspan="2"|Test code
|style="background-color: white;"|bglz-1-1-wilsverklaring-01
+
|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="5"|Wilsverklaring
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|colspan="2"|Test datum tijd
 +
|style="background-color: white;"|13 jan 2018  15:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Wilsverklaring type
+
|colspan="2"|Test uitslag
|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="background-color: white;"|5.9
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Wilsverklaring datum
+
|colspan="2"|Referentie bovengrens
|style="background-color: white;"|
+
|style="background-color: white;"|7.8
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Vertegenwoordiger
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Referentie ondergrens
 +
|style="background-color: white;"|3.5
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Contactpersoon
+
|colspan="2"|Interpretatie vlaggen
|style="background-color: white;"|bglz-1-1-contactpersoon-01
+
|style="background-color: white;"|Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
|}<section end=behandelrestricties_ />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"   
==Contactpersonen ==
+
|colspan="5"|Laboratorium uitslag
<section begin=contactpersonen_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Contactpersonen
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="6"|Contactpersoon
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="22"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Naamgegevens
+
|colspan="4"|Laboratorium test
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="2"|Test code
|style="background-color: white;"|Robert
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="2"|Test datum tijd
|style="background-color: white;"|R.
+
|style="background-color: white;"|13 jan 2018  15:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="2"|Test uitslag
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|5.5
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|1.8
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="2"|Interpretatie vlaggen
|style="background-color: white;"|Prins
+
|style="background-color: white;"|Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Contactgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|colspan="3"|Toelichting
 +
|style="background-color: white;"|Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
 +
|}
 +
{| 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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Telefoonnummers
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="13"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummer
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|06-34567891
+
|style="background-color: white;"|20 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telecom type
+
|colspan="3"|Verrichting eind datum
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|20 jan 2018  00:00
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Email adressen
+
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email adres
+
|colspan="2"|Probleem
|style="background-color: white;"|bprins@123net.nl
+
|style="background-color: white;"|bglz-0-1-probleem-01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email soort
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|computertomografie van hersenen (code = '34227000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Rol
+
|rowspan="2"|
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Zoon (code = 'SONC' in codeSystem 'HL7 RoleCode')
+
|style="background-color: white;"|bglz-0-1-zorgverlener-02
|}<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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="4"|Aanvrager
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|rowspan="13"|
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|
+
|style="background-color: white;"|20 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
+
|colspan="3"|Verrichting eind datum
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|20 jan 2018  00:00
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="2"|Probleem
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|bglz-0-1-probleem-01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="3"|Verrichting type
|style="background-color: white;"|diabetes mellitus (code = '73211009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|percutane trombolyse van intracraniële arterie (code = '230935003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|rowspan="2"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|bglz-0-1-zorgverlener-02
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="4"|Aanvrager
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|rowspan="12"|
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|
+
|style="background-color: white;"|20 jan 2018  00:00
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="2"|Probleem
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|bglz-0-1-probleem-05
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="3"|Verrichting type
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|fysiotherapie (code = '91251008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|rowspan="2"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|bglz-0-1-zorgverlener-04
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="4"|Aanvrager
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|rowspan="12"|
|style="background-color: white;"|probleem met lopen (code = '228158008' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|
+
|style="background-color: white;"|20 jan 2018  00:00
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="2"|Probleem
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|bglz-0-1-probleem-06
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="3"|Verrichting type
|style="background-color: white;"|afasie (code = '87486003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|logopedische behandeling (code = '5154007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|rowspan="2"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|bglz-0-1-zorgverlener-05
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="4"|Aanvrager
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|bglz-0-1-zorgverlener-02
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Zorgsetting
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Huisarts
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|rowspan="20"|
|style="background-color: white;"|risico op decubitus (code = '285304000' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|rowspan="18"|
|style="background-color: white;"|
+
|-style="vertical-align:top; background-color: #E3E3E3;;
 +
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
+
|rowspan="11"|
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Laura
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="3"|Initialen
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|L.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|overbelaste mantelzorg (code = '705044006' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|rowspan="2"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
+
|colspan="2"|Achternaam
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Lanen
|}<section end=klachten_en_diagnoses_ />
+
|-style="vertical-align:top; background-color: #E3E3E3;;"   
==Allergieen ==
+
|colspan="4"|Geslachtsnaam partner
<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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="12"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Veroorzakende stof
+
|colspan="2"|Voorvoegsels partner
|style="background-color: white;"|pinda (code = '762952008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|van
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Allergie status
+
|colspan="2"|Achternaam partner
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
+
|style="background-color: white;"|Oosten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Mate van kritiek zijn
+
|colspan="4"|Specialisme
|style="background-color: white;"|Fataal (code = '399166001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Reactie
+
|colspan="5"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Symptoom
+
|colspan="3"|Zorgaanbieder
|style="background-color: white;"|Anafylaxie (code = '39579001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Huisartsenpraktijk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Zorgverleners rol
 +
|style="background-color: white;"|Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Reactie
+
|colspan="7"|Hoofdbehandelaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Symptoom
+
|rowspan="11"|
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Allergie intolerantie
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Veroorzakende stof
+
|colspan="3"|Voornamen
|style="background-color: white;"|nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Niels
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Allergie status
+
|colspan="3"|Initialen
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
+
|style="background-color: white;"|N.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Mate van kritiek zijn
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
+
|rowspan="2"|
|style="background-color: white;"|Opgemerkt bij het dragen van nikkel bevattende sieraden.
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|colspan="2"|Achternaam
|colspan="4"|Reactie
+
|style="background-color: white;"|Helmond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="4"|Specialisme
 +
|style="background-color: white;"|Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Symptoom
+
|colspan="4"|Zorgverleners rol
|style="background-color: white;"|Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Overige behandelaars
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Reactie beschrijving
+
|rowspan="34"|
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Laboratorium uitslag
+
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="17"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Laboratorium test
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="3"|Voornamen
|style="background-color: white;"|Hemoglobine (code = '718-7' in codeSystem 'LOINC')
+
|style="background-color: white;"|Petra Johanna
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test datum tijd
+
|colspan="3"|Initialen
|style="background-color: white;"|13 jan 2018  15:00
+
|style="background-color: white;"|P.J.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|
+
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie bovengrens
+
|rowspan="2"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie ondergrens
+
|colspan="2"|Achternaam
|style="background-color: white;"|
+
|style="background-color: white;"|Vreeswijk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Interpretatie vlaggen
+
|colspan="4"|Specialisme
|style="background-color: white;"|Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Laboratorium test
+
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|rowspan="7"|
|style="background-color: white;"|Hematocriet (code = '20570-8' in codeSystem 'LOINC')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Thomas
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test datum tijd
+
|colspan="3"|Initialen
|style="background-color: white;"|13 jan 2018  15:00
+
|style="background-color: white;"|T.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|
+
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie bovengrens
+
|rowspan="2"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie ondergrens
+
|colspan="2"|Achternaam
|style="background-color: white;"|
+
|style="background-color: white;"|Janssen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Onderzoek
+
|colspan="4"|Specialisme
|style="background-color: white;"|hemoglobine & hematocriet panel (code = '24360-0' in codeSystem 'LOINC')
+
|style="background-color: white;"|Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Laboratorium uitslag
+
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Laboratorium test
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="3"|Voornamen
|style="background-color: white;"|glucose 2 uur na maaltijd massa/volume serum of plasma (code = '1521-4' in codeSystem 'LOINC')
+
|style="background-color: white;"|Hilda
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test datum tijd
+
|colspan="3"|Initialen
|style="background-color: white;"|13 jan 2018  15:00
+
|style="background-color: white;"|H.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|
+
|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="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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Laboratorium uitslag
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Laboratorium test
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Bruinsma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="4"|Specialisme
|style="background-color: white;"|cholesterol in LDL massa/volume serum of plasma (code = '13457-7' in codeSystem 'LOINC')
+
|style="background-color: white;"|Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
|colspan="2"|Test datum tijd
+
==Scenario bglz-1-1==
|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%"
 
{| 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; font-weight: bold; text-align:center;"  colspan="6" | Demografie en identificatie
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
+
|rowspan="32"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|rowspan="7"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting eind datum
+
|colspan="3"|Voornamen
|style="background-color: white;"|
+
|style="background-color: white;"|Fiona
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Initialen
 +
|style="background-color: white;"|F.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|bglz-1-1-probleem-01
+
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verrichting type
 
|style="background-color: white;"|CT van hersenschedel (code = '0000075653' in codeSystem 'DHD Verrichtingenthesaurus')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Locatie
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder
+
|colspan="2"|Achternaam
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
+
|style="background-color: white;"|XXX_Mutter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Uitvoerder
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="3"|Straat
|style="background-color: white;"|bglz-1-1-zorgverlener-02
+
|style="background-color: white;"|Knolweg
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Aanvrager
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1001
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="3"|Postcode
|style="background-color: white;"|bglz-1-1-zorgverlener-02
+
|style="background-color: white;"|9999XX
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
+
|colspan="3"|Woonplaats
 +
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="3"|Land
|style="background-color: white;"|
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting eind datum
+
|colspan="3"|Adres soort
|style="background-color: white;"|
+
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Indicatie
+
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="10"|
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Locatie
+
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder
+
|colspan="2"|Telefoonnummer
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
+
|style="background-color: white;"|+31634567891
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Uitvoerder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Telecom type
 +
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="2"|Nummer soort
|style="background-color: white;"|bglz-1-1-zorgverlener-02
+
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Aanvrager
+
|colspan="4"|Email adressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="2"|Email adres
|style="background-color: white;"|bglz-1-1-zorgverlener-02
+
|style="background-color: white;"|fmutter@hotmail.com
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|colspan="2"|Email soort
 +
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="4"|Identificatienummer
|style="background-color: white;"|
+
|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="4"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|8 feb 1964  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem
+
|colspan="4"|Geslacht
|style="background-color: white;"|bglz-1-1-probleem-05
+
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="4"|Meerling indicator
|style="background-color: white;"|Fysiotherapie - revalidatie (code = '0000064981' in codeSystem 'DHD Verrichtingenthesaurus')
+
|style="background-color: white;"|Nee
 +
|}
 +
{| 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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Locatie
+
|colspan="5"|Behandel aanwijzing
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="12"|
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Uitvoerder
+
|colspan="4"|Verificatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="2"|Geverifieerd
|style="background-color: white;"|bglz-1-1-zorgverlener-04
+
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Aanvrager
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|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;"|20 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="3"|Behandeling
|style="background-color: white;"|bglz-1-1-zorgverlener-02
+
|style="background-color: white;"|Cardiopulmonaire resuscitatie (code = '89666000' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="3"|Begin datum
|style="background-color: white;"|
+
|style="background-color: white;"|20 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Indicatie
+
|colspan="4"|Wilsverklaring
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem
+
|colspan="2"|Wilsverklaring
|style="background-color: white;"|bglz-1-1-probleem-06
+
|style="background-color: white;"|bglz-1-1-wilsverklaring-01
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Locatie
+
|colspan="5"|Wilsverklaring
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder
+
|colspan="3"|Wilsverklaring type
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
+
|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="4"|Uitvoerder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Wilsverklaring datum
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|20 jan 2018  00:00
|colspan="2"|Zorgverlener
 
|style="background-color: white;"|bglz-1-1-zorgverlener-05
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Aanvrager
+
|colspan="4"|Vertegenwoordiger
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="2"|Contactpersoon
|style="background-color: white;"|bglz-1-1-zorgverlener-02
+
|style="background-color: white;"|bglz-1-1-contactpersoon-01
|}<section end=verrichtingen_ />
+
|}
==Verpleegkundig zorgplan ==
 
<section begin=verpleegkundig_zorgplan_ />
 
 
{| class="wikitable" width="85%"
 
{| 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; font-weight: bold; text-align:center;"  colspan="6" | Contactpersonen
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
+
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Doelen en interventies
+
|colspan="6"|Contactpersoon
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="83"|
+
|rowspan="22"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Verpleegkundige interventie
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Interventie
+
|colspan="3"|Voornamen
|style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Robert
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Initialen
 +
|style="background-color: white;"|R.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|bglz-1-1-probleem-03
+
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Behandeldoel
+
|colspan="4"|Geslachtsnaam
|-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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Gewenst zorgresultaat
+
|colspan="2"|Achternaam
|style="background-color: white;"|wassen onafhankelijk
+
|style="background-color: white;"|Prins
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Frequentie
+
|rowspan="10"|
|style="background-color: white;"|1 per dag
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Uitvoerder
+
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Telefoonnummer
 +
|style="background-color: white;"|06-34567891
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="2"|Telecom type
|style="background-color: white;"|bglz-1-1-zorgverlener-03
+
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Verpleegkundige interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
+
|colspan="2"|Nummer soort
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
|colspan="4"|Interventie
 
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Indicatie
+
|colspan="4"|Email adressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem
+
|colspan="2"|Email adres
|style="background-color: white;"|bglz-1-1-probleem-04
+
|style="background-color: white;"|bprins@123net.nl
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Behandeldoel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="2"|Email soort
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
|colspan="4"|Behandeldoel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Gewenst zorgresultaat
+
|colspan="4"|Relatie
|style="background-color: white;"|kleden onafhankelijk
+
|style="background-color: white;"|Zoon (code = 'SONC' in codeSystem 'HL7 RoleCode')
 +
|}
 +
{| 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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Frequentie
+
|rowspan="6"|
|style="background-color: white;"|2 per dag
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Uitvoerder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="2"|Probleem type
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
|colspan="4"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="2"|Probleem begin datum
|style="background-color: white;"|bglz-1-1-zorgverlener-03
+
|style="background-color: white;"|13 jan 2018  00:00
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Verpleegkundige interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Interventie
+
|colspan="2"|Toelichting
|style="background-color: white;"|patiënt mobiliseren (code = '62013009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Niet bekend met neurologische klachten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Indicatie
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem
+
|colspan="2"|Probleem type
|style="background-color: white;"|bglz-1-1-probleem-05
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Behandeldoel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="2"|Probleem naam
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|diabetes mellitus (code = '73211009' in codeSystem 'SNOMED CT')
|colspan="4"|Behandeldoel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Gewenst zorgresultaat
+
|colspan="2"|Probleem status
|style="background-color: white;"|lopen met hulp
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Uitvoerder
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="2"|Probleem naam
|style="background-color: white;"|bglz-1-1-zorgverlener-03
+
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Verpleegkundige interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|13 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Interventie
+
|colspan="2"|Probleem status
|style="background-color: white;"|wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Indicatie
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem
+
|colspan="2"|Probleem type
|style="background-color: white;"|bglz-1-1-probleem-07
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Behandeldoel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="2"|Probleem naam
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'SNOMED CT')
|colspan="4"|Behandeldoel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|13 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Gewenst zorgresultaat
+
|colspan="2"|Probleem status
|style="background-color: white;"|huid blijft intact
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Uitvoerder
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem type
 +
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="2"|Probleem naam
|style="background-color: white;"|bglz-1-1-zorgverlener-03
+
|style="background-color: white;"|probleem met lopen (code = '228158008' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Verpleegkundige interventie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|13 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Interventie
+
|colspan="2"|Probleem status
|style="background-color: white;"|ondersteuning voor verzorger (code = '386229000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Indicatie
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem
+
|colspan="2"|Probleem type
|style="background-color: white;"|bglz-1-1-probleem-08
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Behandeldoel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="2"|Probleem naam
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|afasie (code = '87486003' in codeSystem 'SNOMED CT')
|colspan="4"|Behandeldoel
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|13 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Gewenst zorgresultaat
+
|colspan="2"|Probleem status
|style="background-color: white;"|zorgtaken voor echtgenoot worden gecontinueerd
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Uitvoerder
+
|colspan="4"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="2"|Probleem type
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
|colspan="4"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|risico op decubitus (code = '285304000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="2"|Probleem begin datum
|style="background-color: white;"|bglz-1-1-zorgverlener-03
+
|style="background-color: white;"|13 jan 2018  00:00
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Uitkomsten
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="31"|
+
|colspan="2"|Probleem status
 +
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Uitkomst van zorg
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgresultaat
+
|colspan="2"|Probleem type
|style="background-color: white;"|Wassen met hulp.
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Interventie
+
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|overbelaste mantelzorg (code = '705044006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem begin datum
 +
|style="background-color: white;"|13 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verpleegkundige interventie
+
|colspan="2"|Probleem status
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-01
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|}
 +
{| 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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Uitkomst van zorg
+
|colspan="5"|Allergie intolerantie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgresultaat
+
|colspan="3"|Veroorzakende stof
|style="background-color: white;"|Kleden met hulp.
+
|style="background-color: white;"|pinda (code = '762952008' in codeSystem 'SNOMED CT')
|-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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verpleegkundige interventie
+
|colspan="3"|Allergie status
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-02
+
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Uitkomst van zorg
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="3"|Mate van kritiek zijn
 +
|style="background-color: white;"|Fataal (code = '399166001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgresultaat
+
|colspan="3"|Toelichting
|style="background-color: white;"|Lopen geheel afhankelijk.
+
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Interventie
+
|colspan="4"|Reactie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verpleegkundige interventie
+
|colspan="2"|Symptoom
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-03
+
|style="background-color: white;"|Anafylaxie (code = '39579001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Uitkomst van zorg
+
|colspan="4"|Reactie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="2"|Symptoom
 +
|style="background-color: white;"|Angio-oedeem (code = '41291007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgresultaat
+
|colspan="2"|Reactie beschrijving
|style="background-color: white;"|Huid is intact zonder decubitus wonden.
+
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Interventie
+
|colspan="5"|Allergie intolerantie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verpleegkundige interventie
+
|colspan="3"|Allergie status
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-04
+
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Uitkomst van zorg
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="3"|Mate van kritiek zijn
 +
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgresultaat
+
|colspan="3"|Toelichting
|style="background-color: white;"|Thuiszorg is aangevraagd voor continuering van zorgtaken en huishoudelijke hulp.
+
|style="background-color: white;"|Opgemerkt bij het dragen van nikkel bevattende sieraden.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Interventie
+
|colspan="4"|Reactie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Symptoom
 +
|style="background-color: white;"|Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verpleegkundige interventie
+
|colspan="2"|Reactie beschrijving
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-05
+
|style="background-color: white;"|Last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
|}<section end=verpleegkundig_zorgplan_ />
+
|}
==Zorgsetting ==
 
<section begin=zorgsetting_ />
 
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Zorgsetting
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Uitslagen
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
+
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Huisarts
+
|colspan="5"|Laboratorium uitslag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="20"|
+
|rowspan="17"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgverlener
+
|colspan="4"|Laboratorium test
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
+
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
+
|colspan="2"|Test code
 +
|style="background-color: white;"|Hemoglobine (code = '718-7' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="2"|Test datum tijd
|style="background-color: white;"|Laura
+
|style="background-color: white;"|13 jan 2018  15:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="2"|Test uitslag
|style="background-color: white;"|L.
+
|style="background-color: white;"|11.0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="2"|Referentie bovengrens
|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="background-color: white;"|16.0
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Referentie ondergrens
 +
|style="background-color: white;"|12.0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="2"|Interpretatie vlaggen
|style="background-color: white;"|Lanen
+
|style="background-color: white;"|Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Geslachtsnaam partner
+
|colspan="4"|Laboratorium test
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Voorvoegsels partner
+
|colspan="2"|Test code
|style="background-color: white;"|van
+
|style="background-color: white;"|Hematocriet (code = '20570-8' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam partner
+
|colspan="2"|Test datum tijd
|style="background-color: white;"|Oosten
+
|style="background-color: white;"|13 jan 2018  15:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="2"|Test uitslag
|style="background-color: white;"|Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
+
|style="background-color: white;"|47
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Zorgaanbieder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|51
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder
+
|colspan="2"|Referentie ondergrens
|style="background-color: white;"|Huisartsenpraktijk
+
|style="background-color: white;"|39
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgverleners rol
+
|colspan="3"|Onderzoek
|style="background-color: white;"|Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType')
+
|style="background-color: white;"|hemoglobine & hematocriet panel (code = '24360-0' in codeSystem 'LOINC')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Hoofdbehandelaar
+
|colspan="5"|Laboratorium uitslag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgverlener
+
|colspan="4"|Laboratorium test
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="2"|Test code
|style="background-color: white;"|Niels
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="2"|Test datum tijd
|style="background-color: white;"|N.
+
|style="background-color: white;"|13 jan 2018  15:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="2"|Test uitslag
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|5.9
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|7.8
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="2"|Referentie ondergrens
|style="background-color: white;"|Helmond
+
|style="background-color: white;"|3.5
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="2"|Interpretatie vlaggen
|style="background-color: white;"|Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
+
|style="background-color: white;"|Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="5"|Laboratorium uitslag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Laboratorium test
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder
+
|rowspan="6"|
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgverleners rol
+
|colspan="2"|Test code
|style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType')
+
|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="7"|Overige behandelaars
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="43"|
+
|colspan="2"|Test datum tijd
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|13 jan 2018  15:00
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
+
|colspan="2"|Test uitslag
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|5.5
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|1.8
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="2"|Interpretatie vlaggen
|style="background-color: white;"|Petra Johanna
+
|style="background-color: white;"|Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="3"|Toelichting
|style="background-color: white;"|P.J.
+
|style="background-color: white;"|Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
|colspan="3"|Naamgebruik
+
{| class="wikitable" width="85%"
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|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;"|13 jan 2018  00:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting eind datum
 +
|style="background-color: white;"|13 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Geslachtsnaam
+
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="2"|Probleem
|style="background-color: white;"|Vreeswijk
+
|style="background-color: white;"|bglz-1-1-probleem-01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
+
|style="background-color: white;"|computertomografie van hersenen (code = '34227000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Locatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder
+
|colspan="2"|Zorgaanbieder
 
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgverlener
+
|colspan="4"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
+
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|rowspan="16"|
|style="background-color: white;"|Thomas
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|T.
+
|style="background-color: white;"|13 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="3"|Verrichting eind datum
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|13 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Geslachtsnaam
+
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="2"|Probleem
|style="background-color: white;"|Janssen
+
|style="background-color: white;"|bglz-1-1-probleem-01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
+
|style="background-color: white;"|percutane trombolyse van intracraniële arterie (code = '230935003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Locatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder
+
|colspan="2"|Zorgaanbieder
 
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgverlener
+
|colspan="4"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
+
|colspan="2"|Zorgverlener
 +
|style="background-color: white;"|bglz-1-1-zorgverlener-02
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Naamgegevens
+
|colspan="4"|Aanvrager
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Hilda
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|rowspan="15"|
|style="background-color: white;"|H.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|13 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Geslachtsnaam
+
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="2"|Probleem
|style="background-color: white;"|Bruinsma
+
|style="background-color: white;"|bglz-1-1-probleem-05
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
+
|style="background-color: white;"|fysiotherapie (code = '91251008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Locatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder
+
|colspan="2"|Zorgaanbieder
 
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Zorgaanbieder
+
|colspan="4"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="24"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Organisatie naam
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|AA-zkh
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Organisatie locatie
+
|rowspan="2"|
|style="background-color: white;"|Noord
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Afdeling specialisme
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
+
|style="background-color: white;"|bglz-1-1-zorgverlener-02
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Contactgegevens
+
|colspan="5"|Verrichting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|colspan="3"|Verrichting start datum
 +
|style="background-color: white;"|13 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Telefoonnummers
+
|colspan="4"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Probleem
 +
|style="background-color: white;"|bglz-1-1-probleem-06
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Telefoonnummer
+
|colspan="3"|Verrichting type
|style="background-color: white;"|+31182435768
+
|style="background-color: white;"|logopedische behandeling (code = '5154007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Locatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Telecom type
+
|rowspan="2"|
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Nummer soort
+
|colspan="2"|Zorgaanbieder
|style="background-color: white;"|Zakelijk telefoonnummer (code = 'WP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Email adressen
+
|colspan="4"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Email adres
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|neurologie@AAZ.nl
+
|style="background-color: white;"|bglz-1-1-zorgverlener-05
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Adresgegevens
+
|colspan="4"|Aanvrager
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Straat
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|De Weststraat
+
|style="background-color: white;"|bglz-1-1-zorgverlener-02
|-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="5"|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%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Demografie en identificatie
+
|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;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="5" width="25%"| Gegevenselement
+
|colspan="6" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Patient
+
|colspan="7"|Doelen en interventies
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="32"|
+
|rowspan="83"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Naamgegevens
+
|colspan="6"|Verpleegkundige interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="16"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="4"|Interventie
|style="background-color: white;"|Fiona
+
|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="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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Geslachtsnaam
+
|colspan="5"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="3"|Probleem
|style="background-color: white;"|XXX_Mutter
+
|style="background-color: white;"|bglz-1-1-probleem-03
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Adresgegevens
+
|colspan="5"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Straat
+
|rowspan="2"|
|style="background-color: white;"|Knolweg
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Huisnummer
+
|colspan="2"|Gewenst zorgresultaat
|style="background-color: white;"|1001
+
|style="background-color: white;"|wassen onafhankelijk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
+
|colspan="4"|Frequentie
|style="background-color: white;"|9999XX
+
|style="background-color: white;"|1 per dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
+
|rowspan="4"|
|style="background-color: white;"|Stitswerd
+
|-style="vertical-align:top; background-color: #E3E3E3;;
 +
|colspan="4"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Land
+
|rowspan="2"|
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adres soort
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|bglz-1-1-zorgverlener-03
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Contactgegevens
+
|colspan="6"|Verpleegkundige interventie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="16"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|colspan="4"|Interventie
 +
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Telefoonnummers
+
|colspan="5"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummer
+
|colspan="3"|Probleem
|style="background-color: white;"|+31634567891
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telecom type
+
|rowspan="4"|
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Email adressen
+
|colspan="4"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email adres
+
|colspan="2"|Gewenst zorgresultaat
|style="background-color: white;"|fmutter@hotmail.com
+
|style="background-color: white;"|kleden onafhankelijk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email soort
+
|colspan="4"|Frequentie
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|2 per dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
+
|rowspan="4"|
|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="4"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
+
|rowspan="2"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Meerling indicator
+
|colspan="4"|Interventie
|style="background-color: white;"|Nee
+
|style="background-color: white;"|patiënt mobiliseren (code = '62013009' in codeSystem 'SNOMED CT')
|}<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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Behandel aanwijzing
+
|colspan="5"|Indicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="12"|
+
|colspan="3"|Probleem
 +
|style="background-color: white;"|bglz-1-1-probleem-05
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Verificatie
+
|colspan="5"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geverifieerd
+
|rowspan="2"|
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Geverifieerd bij
+
|colspan="2"|Gewenst zorgresultaat
|style="background-color: white;"|Patiënt (code = '116154003' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verificatie datum
+
|rowspan="2"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Behandeling
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|Cardiopulmonaire resuscitatie (code = '89666000' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Behandeling toegestaan
+
|rowspan="15"|
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Begin datum
+
|colspan="4"|Interventie
|style="background-color: white;"|
+
|style="background-color: white;"|wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Wilsverklaring
+
|colspan="5"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Wilsverklaring
+
|colspan="3"|Probleem
|style="background-color: white;"|bglz-0-1-wilsverklaring-01
+
|style="background-color: white;"|bglz-1-1-probleem-07
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Wilsverklaring
+
|colspan="5"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Wilsverklaring type
+
|rowspan="2"|
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Wilsverklaring datum
+
|colspan="2"|Gewenst zorgresultaat
|style="background-color: white;"|
+
|style="background-color: white;"|huid blijft intact
|}<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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="5"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|rowspan="2"|
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|ischemisch cerebrovasculair accident (code = '422504002' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|rowspan="15"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
+
|colspan="4"|Interventie
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|ondersteuning voor verzorger (code = '386229000' 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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="5"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="3"|Probleem
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|rowspan="4"|
|style="background-color: white;"|diabetes mellitus (code = '73211009' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Behandeldoel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|rowspan="2"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
+
|colspan="2"|Gewenst zorgresultaat
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|zorgtaken voor echtgenoot worden gecontinueerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="5"|Uitvoerder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|rowspan="2"|
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="2"|Zorgverlener
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|rowspan="31"|
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="6"|Uitkomst van zorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="4"|Zorgresultaat
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Wassen met hulp.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|rowspan="2"|
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|colspan="3"|Verpleegkundige interventie
|style="background-color: white;"|
+
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-01
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="6"|Uitkomst van zorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="4"|Zorgresultaat
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Kleden met hulp.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|rowspan="2"|
|style="background-color: white;"|probleem met lopen (code = '228158008' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|colspan="3"|Verpleegkundige interventie
|style="background-color: white;"|
+
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-02
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="6"|Uitkomst van zorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="4"|Zorgresultaat
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Lopen geheel afhankelijk.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|rowspan="2"|
|style="background-color: white;"|afasie (code = '87486003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|colspan="3"|Verpleegkundige interventie
|style="background-color: white;"|
+
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-03
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="6"|Uitkomst van zorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="4"|Zorgresultaat
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|rowspan="2"|
|style="background-color: white;"|risico op decubitus (code = '285304000' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|colspan="3"|Verpleegkundige interventie
|style="background-color: white;"|
+
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-04
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="6"|Uitkomst van zorg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem type
+
|colspan="4"|Zorgresultaat
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|rowspan="2"|
|style="background-color: white;"|overbelaste mantelzorg (code = '705044006' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem begin datum
+
|colspan="3"|Verpleegkundige interventie
|style="background-color: white;"|
+
|style="background-color: white;"|bglz-1-1-verpleegkundigeinterventie-05
|-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%"
 
{| 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; font-weight: bold; text-align:center;"  colspan="7" | Zorgsetting
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="4" width="25%"| Gegevenselement
+
|colspan="6" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Allergie intolerantie
+
|colspan="7"|Huisarts
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="12"|
+
|rowspan="20"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Veroorzakende stof
+
|rowspan="18"|
|style="background-color: white;"|pinda (code = '762952008' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Allergie status
+
|rowspan="11"|
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Mate van kritiek zijn
+
|colspan="3"|Voornamen
|style="background-color: white;"|Fataal (code = '399166001' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
+
|colspan="3"|Naamgebruik
|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="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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Reactie
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Symptoom
+
|colspan="2"|Achternaam
|style="background-color: white;"|Anafylaxie (code = '39579001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Lanen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Reactie
+
|colspan="4"|Geslachtsnaam partner
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Symptoom
+
|colspan="2"|Voorvoegsels partner
|style="background-color: white;"|Angio-oedeem (code = '41291007' in codeSystem 'SNOMED CT')
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Reactie beschrijving
+
|colspan="4"|Specialisme
|style="background-color: white;"|Angio-oedeem van de tong, lippen en peri-orbitale regio met acute benauwdheid na het eten van pinda's.
+
|style="background-color: white;"|Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Allergie intolerantie
+
|colspan="5"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Veroorzakende stof
+
|colspan="3"|Zorgaanbieder
|style="background-color: white;"|nikkelsulfaat (code = '255848005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Huisartsenpraktijk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Allergie status
+
|colspan="4"|Zorgverleners rol
|style="background-color: white;"|Actief (code = 'active' in codeSystem 'HL7 ActStatus')
+
|style="background-color: white;"|Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Hoofdbehandelaar
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Mate van kritiek zijn
+
|rowspan="16"|
|style="background-color: white;"|Matig (code = '6736007' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
+
|rowspan="14"|
|style="background-color: white;"|Opgemerkt bij het dragen van nikkel bevattende sieraden.
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Reactie
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Symptoom
+
|colspan="3"|Voornamen
|style="background-color: white;"|Contactdermatitis (code = '40275004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Niels
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Reactie beschrijving
+
|colspan="3"|Initialen
|style="background-color: white;"|Last van jeuk, roodheid en irritatie op de contactplek van nikkel bevattende sieraden.
+
|style="background-color: white;"|N.
|}<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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="17"|
+
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Laboratorium test
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="2"|Achternaam
|style="background-color: white;"|Hemoglobine (code = '718-7' in codeSystem 'LOINC')
+
|style="background-color: white;"|Helmond
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test datum tijd
+
|colspan="4"|Specialisme
|style="background-color: white;"|13 jan 2018  15:00
+
|style="background-color: white;"|Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|rowspan="2"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie bovengrens
+
|colspan="3"|Zorgaanbieder
|style="background-color: white;"|
+
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie ondergrens
+
|colspan="4"|Zorgverleners rol
|style="background-color: white;"|
+
|style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Overige behandelaars
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Interpretatie vlaggen
+
|rowspan="43"|
|style="background-color: white;"|Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Laboratorium test
+
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|rowspan="7"|
|style="background-color: white;"|Hematocriet (code = '20570-8' in codeSystem 'LOINC')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test datum tijd
+
|colspan="3"|Voornamen
|style="background-color: white;"|13 jan 2018  15:00
+
|style="background-color: white;"|Petra Johanna
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|colspan="3"|Initialen
|style="background-color: white;"|
+
|style="background-color: white;"|P.J.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie bovengrens
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|
+
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie ondergrens
+
|rowspan="2"|
|style="background-color: white;"|
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Achternaam
 +
|style="background-color: white;"|Vreeswijk
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Specialisme
 +
|style="background-color: white;"|Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Onderzoek
+
|colspan="3"|Zorgaanbieder
|style="background-color: white;"|hemoglobine & hematocriet panel (code = '24360-0' in codeSystem 'LOINC')
+
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Laboratorium uitslag
+
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="13"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Laboratorium test
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|colspan="3"|Voornamen
|style="background-color: white;"|glucose 2 uur na maaltijd massa/volume serum of plasma (code = '1521-4' in codeSystem 'LOINC')
+
|style="background-color: white;"|Thomas
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test datum tijd
+
|colspan="3"|Initialen
|style="background-color: white;"|13 jan 2018  15:00
+
|style="background-color: white;"|T.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|
+
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie bovengrens
+
|rowspan="2"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie ondergrens
+
|colspan="2"|Achternaam
|style="background-color: white;"|
+
|style="background-color: white;"|Janssen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Interpretatie vlaggen
+
|colspan="4"|Specialisme
|style="background-color: white;"|Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Laboratorium uitslag
+
|colspan="5"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|colspan="3"|Zorgaanbieder
 +
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Laboratorium test
+
|colspan="6"|Zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test code
+
|rowspan="7"|
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test datum tijd
+
|colspan="3"|Voornamen
|style="background-color: white;"|13 jan 2018  15:00
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Test uitslag
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|
+
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Referentie bovengrens
+
|rowspan="2"|
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Interpretatie vlaggen
+
|colspan="2"|Achternaam
|style="background-color: white;"|Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Bruinsma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
+
|colspan="4"|Specialisme
|style="background-color: white;"|Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
+
|style="background-color: white;"|Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
|}<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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="5"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="3"|Zorgaanbieder
|style="background-color: white;"|
+
|style="background-color: white;"|bglz-1-1-zorgaanbieder-01
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting eind datum
+
|rowspan="24"|
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="5"|Organisatie naam
 +
|style="background-color: white;"|AA-zkh
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem
+
|colspan="5"|Organisatie locatie
|style="background-color: white;"|bglz-0-1-probleem-01
+
|style="background-color: white;"|Noord
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="5"|Afdeling specialisme
|style="background-color: white;"|CT van hersenschedel (code = '0000075653' in codeSystem 'DHD Verrichtingenthesaurus')
+
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Uitvoerder
+
|colspan="6"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="10"|
|-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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Aanvrager
+
|colspan="5"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="3"|Telefoonnummer
|style="background-color: white;"|bglz-0-1-zorgverlener-02
+
|style="background-color: white;"|+31182435768
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="3"|Nummer soort
|style="background-color: white;"|
+
|style="background-color: white;"|Zakelijk telefoonnummer (code = 'WP' in codeSystem 'HL7 AddressUse')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verrichting eind datum
 
|style="background-color: white;"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Indicatie
+
|colspan="5"|Email adressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem
+
|colspan="3"|Email adres
|style="background-color: white;"|bglz-0-1-probleem-01
+
|style="background-color: white;"|neurologie@AAZ.nl
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Email soort
|style="background-color: white;"|trombolyse van arteria cerebri anterior links (code = '0000088463' in codeSystem 'DHD Verrichtingenthesaurus')
+
|style="background-color: white;"|Zakelijk e-mailadres (code = 'WP' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Uitvoerder
+
|colspan="6"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="4"|Straat
|style="background-color: white;"|bglz-0-1-zorgverlener-02
+
|style="background-color: white;"|De Weststraat
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Aanvrager
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Huisnummer
 +
|style="background-color: white;"|3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="4"|Postcode
|style="background-color: white;"|bglz-0-1-zorgverlener-02
+
|style="background-color: white;"|9999PK
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="12"|
+
|colspan="4"|Woonplaats
 +
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="4"|Land
|style="background-color: white;"|
+
|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"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Adres soort
 +
|style="background-color: white;"|Werkadres (code = 'WP' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem
+
|colspan="5"|Organisatie type
|style="background-color: white;"|bglz-0-1-probleem-05
+
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
 +
|}
 +
==Scenario bglz-1-2==
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Demografie en identificatie
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|rowspan="32"|
|style="background-color: white;"|Fysiotherapie - revalidatie (code = '0000064981' in codeSystem 'DHD Verrichtingenthesaurus')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Uitvoerder
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Initialen
 +
|style="background-color: white;"|G.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|bglz-0-1-zorgverlener-04
+
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Aanvrager
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="2"|Achternaam
|style="background-color: white;"|bglz-0-1-zorgverlener-02
+
|style="background-color: white;"|XXX_Valk
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="12"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="3"|Straat
|style="background-color: white;"|
+
|style="background-color: white;"|Knolweg
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1003
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem
+
|colspan="3"|Postcode
|style="background-color: white;"|bglz-0-1-probleem-06
+
|style="background-color: white;"|9999ZA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Woonplaats
|style="background-color: white;"|Logopedie - individuele zitting afasie (code = '0000065289' in codeSystem 'DHD Verrichtingenthesaurus')
+
|style="background-color: white;"|Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Uitvoerder
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="3"|Adres soort
|style="background-color: white;"|bglz-0-1-zorgverlener-05
+
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Aanvrager
+
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener
+
|colspan="2"|Telefoonnummer
|style="background-color: white;"|bglz-0-1-zorgverlener-02
+
|style="background-color: white;"|+31645678912
|}<section end=verrichtingen_ />
 
==Zorgsetting ==
 
<section begin=zorgsetting_ />
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Zorgsetting
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="6" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Huisarts
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="20"|
+
|colspan="2"|Telecom type
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
+
|colspan="2"|Nummer soort
 +
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Naamgegevens
+
|colspan="4"|Email adressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="2"|Email adres
|style="background-color: white;"|Laura
+
|style="background-color: white;"|gvalk@hotmail.com
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="2"|Email soort
|style="background-color: white;"|L.
+
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="4"|Geboortedatum
|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="background-color: white;"|8 feb 1964  00:00
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Geslacht
 +
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="4"|Meerling indicator
|style="background-color: white;"|Lanen
+
|style="background-color: white;"|Ja
 +
|}
 +
==Scenario bglz-1-3==
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Demografie en identificatie
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Geslachtsnaam partner
+
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="32"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Voorvoegsels partner
+
|rowspan="7"|
|style="background-color: white;"|van
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Fiona
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam partner
+
|colspan="3"|Initialen
|style="background-color: white;"|Oosten
+
|style="background-color: white;"|F.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|Huisarts (code = '01.015' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
+
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder
+
|colspan="2"|Achternaam
|style="background-color: white;"|Huisartsenpraktijk
+
|style="background-color: white;"|XXX_Mutter
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Zorgverleners rol
 
|style="background-color: white;"|Verwijzer (code = 'REF' in codeSystem 'HL7 ParticipationType')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Hoofdbehandelaar
+
|colspan="5"|Adresgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
+
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Zorgverlener
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
+
|colspan="3"|Straat
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Knolweg
|colspan="5"|Naamgegevens
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Huisnummer
 +
|style="background-color: white;"|1001
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="3"|Postcode
 +
|style="background-color: white;"|9999XX
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="3"|Woonplaats
|style="background-color: white;"|Niels
+
|style="background-color: white;"|Stitswerd
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="3"|Land
|style="background-color: white;"|N.
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="3"|Adres soort
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|Postadres (code = 'PST' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Geslachtsnaam
+
|colspan="5"|Contactgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Telefoonnummers
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|rowspan="4"|
|style="background-color: white;"|Helmond
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="2"|Telefoonnummer
|style="background-color: white;"|Neuroloog (code = '01.026' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
+
|style="background-color: white;"|+31634567891
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgverleners rol
+
|colspan="2"|Telecom type
|style="background-color: white;"|Hoofdbehandelaar (code = 'RESP' in codeSystem 'HL7 ParticipationType')
+
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Overige behandelaars
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="34"|
+
|colspan="2"|Nummer soort
 +
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgverlener
+
|colspan="4"|Email adressen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="2"|Email adres
 +
|style="background-color: white;"|fmutter@hotmail.com
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="2"|Email soort
|style="background-color: white;"|Petra Johanna
+
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="4"|Identificatienummer
|style="background-color: white;"|P.J.
+
|style="background-color: white;"|999911673 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="4"|Geboortedatum
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|8 feb 1964  00:00
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Geslacht
 +
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="4"|Meerling indicator
|style="background-color: white;"|Vreeswijk
+
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
|colspan="4"|Specialisme
+
{| class="wikitable" width="85%"
|style="background-color: white;"|Verpleegkundige (code = '30.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
+
|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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgverlener
+
|colspan="4"|Probleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Naamgegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="2"|Probleem anatomische locatie
|style="background-color: white;"|Thomas
+
|style="background-color: white;"|hiel (code = '76853006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="2"|Probleem lateraliteit
|style="background-color: white;"|T.
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="2"|Probleem type
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|Diagnose (code = '282291009' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|decubitus (code = '399912005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="2"|Probleem begin datum
|style="background-color: white;"|Janssen
+
|style="background-color: white;"|25 jan 2018  00:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="2"|Probleem status
|style="background-color: white;"|Fysiotherapeut (code = '04.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
+
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
 +
|}
 +
{| 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;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgverlener
+
|colspan="5"|Laboratorium uitslag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Naamgegevens
+
|colspan="4"|Laboratorium test
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="2"|Test code
|style="background-color: white;"|Hilda
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="2"|Test datum tijd
|style="background-color: white;"|H.
+
|style="background-color: white;"|13 jan 2018  15:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="2"|Test uitslag
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|5.5
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Referentie bovengrens
 +
|style="background-color: white;"|1.8
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="2"|Interpretatie vlaggen
|style="background-color: white;"|Bruinsma
+
|style="background-color: white;"|Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Specialisme
+
|colspan="3"|Toelichting
|style="background-color: white;"|Logopedist (code = '91.000' in codeSystem 'RoleCodeNL - zorgverlenertype (personen)')
+
|style="background-color: white;"|Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
|}<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="6" | Demografie en identificatie
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="5" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Patient
+
|colspan="5"|Laboratorium uitslag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="32"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Naamgegevens
+
|colspan="4"|Laboratorium test
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|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;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
+
|colspan="2"|Test datum tijd
|style="background-color: white;"|Gea
+
|style="background-color: white;"|21 feb 2018  16:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
+
|colspan="2"|Test uitslag
|style="background-color: white;"|G.
+
|style="background-color: white;"|1.7
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
+
|colspan="2"|Referentie bovengrens
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
+
|style="background-color: white;"|1.8
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Geslachtsnaam
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Interpretatie vlaggen
 +
|style="background-color: white;"|Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
+
|colspan="3"|Toelichting
|style="background-color: white;"|XXX_Valk
+
|style="background-color: white;"|Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
 +
|}
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Verpleegkundig zorgplan
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="7" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Adresgegevens
+
|colspan="8"|Doelen en interventies
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="31"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Verpleegkundige interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Straat
+
|rowspan="29"|
|style="background-color: white;"|Knolweg
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Huisnummer
+
|colspan="5"|Interventie
|style="background-color: white;"|1003
+
|style="background-color: white;"|aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Indicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
+
|rowspan="2"|
|style="background-color: white;"|9999ZA
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
+
|colspan="4"|Probleem
|style="background-color: white;"|Stitswerd
+
|style="background-color: white;"|bglz-1-3-probleem-01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Land
+
|colspan="5"|Frequentie
|style="background-color: white;"|Nederland (code = '6030' in codeSystem '2.16.840.1.113883.2.4.4.16.34')
+
|style="background-color: white;"|1 per dag
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Medisch hulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adres soort
+
|rowspan="8"|
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Contactgegevens
+
|colspan="5"|Medisch hulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Telefoonnummers
+
|colspan="4"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummer
+
|colspan="2"|Product type
|style="background-color: white;"|+31645678912
+
|style="background-color: white;"|schuimverband (code = '448416005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telecom type
+
|colspan="3"|Anatomische locatie
|style="background-color: white;"|Mobiel telefoonnummer (code = 'MC' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|hiel (code = '76853006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Nummer soort
+
|colspan="3"|Lateraliteit
|style="background-color: white;"|Telefoonnummer thuis (code = 'HP' in codeSystem 'HL7 AddressUse')
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Email adressen
+
|colspan="6"|Medisch hulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="8"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Medisch hulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email adres
+
|rowspan="6"|
|style="background-color: white;"|gvalk@hotmail.com
+
|-style="vertical-align:top; background-color: #E3E3E3;;
 +
|colspan="4"|Product
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email soort
+
|rowspan="2"|
|style="background-color: white;"|Privé e-mailadres (code = 'HP' in codeSystem 'HL7 AddressUse')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
+
|colspan="2"|Product type
|style="background-color: white;"|999911697 (in identificerend systeem: 2.16.840.1.113883.2.4.6.3)
+
|style="background-color: white;"|huidvervangende wondbedekkers (code = '465239008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Anatomische locatie
 +
|style="background-color: white;"|hiel (code = '76853006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Uitvoerder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgverlener
 +
|style="background-color: white;"|zie Zorgsetting: Overige behandelaars - verpleegkundige
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="8"|Uitkomsten
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Uitkomst van zorg
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
+
|colspan="5"|Zorgresultaat
|style="background-color: white;"|
+
|style="background-color: white;"|Decubituswond is verbeterd van categorie 2 naar 1.
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Interventie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|rowspan="2"|
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Meerling indicator
+
|colspan="4"|Verpleegkundige interventie
|style="background-color: white;"|Ja
+
|style="background-color: white;"|bglz-1-3-verpleegkundigeinterventie-01
|}<section end=demografie_en_identificatie_ />
+
|}
  
 
[[Categorie:Kwalificatie]]
 
[[Categorie:Kwalificatie]]

Versie van 26 aug 2019 14:28


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

Naar nictiz.nl

1 Addenda voor inhoudelijke gegevens

1.1 Scenario bglz-0-1

Demografie en identificatie
Gegevenselement Waarde
Patient
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
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
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 8 feb 1964 00:00
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Nee
Behandelrestricties
Gegevenselement Waarde
Behandel aanwijzing
Verificatie
Geverifieerd Ja
Geverifieerd bij Patiënt (code = '116154003' in codeSystem 'SNOMED CT')
Verificatie datum 20 jan 2018 00:00
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 20 jan 2018 00:00
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 20 jan 2018 00:00
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 13 jan 2018 00:00
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 20 jan 2018 00:00
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 20 jan 2018 00:00
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 20 jan 2018 00:00
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 20 jan 2018 00:00
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 20 jan 2018 00:00
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 20 jan 2018 00:00
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
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.
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 11.0
Referentie bovengrens 16.0
Referentie ondergrens 12.0
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 47
Referentie bovengrens 51
Referentie ondergrens 39
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 5.9
Referentie bovengrens 7.8
Referentie ondergrens 3.5
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 5.5
Referentie bovengrens 1.8
Interpretatie vlaggen Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
Toelichting Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
Verrichtingen
Gegevenselement Waarde
Verrichting
Verrichting start datum 20 jan 2018 00:00
Verrichting eind datum 20 jan 2018 00:00
Indicatie
Probleem bglz-0-1-probleem-01
Verrichting type computertomografie van hersenen (code = '34227000' in codeSystem 'SNOMED CT')
Uitvoerder
Zorgverlener bglz-0-1-zorgverlener-02
Aanvrager
Zorgverlener bglz-0-1-zorgverlener-02
Verrichting
Verrichting start datum 20 jan 2018 00:00
Verrichting eind datum 20 jan 2018 00:00
Indicatie
Probleem bglz-0-1-probleem-01
Verrichting type percutane trombolyse van intracraniële arterie (code = '230935003' in codeSystem 'SNOMED CT')
Uitvoerder
Zorgverlener bglz-0-1-zorgverlener-02
Aanvrager
Zorgverlener bglz-0-1-zorgverlener-02
Verrichting
Verrichting start datum 20 jan 2018 00:00
Indicatie
Probleem bglz-0-1-probleem-05
Verrichting type fysiotherapie (code = '91251008' in codeSystem 'SNOMED CT')
Uitvoerder
Zorgverlener bglz-0-1-zorgverlener-04
Aanvrager
Zorgverlener bglz-0-1-zorgverlener-02
Verrichting
Verrichting start datum 20 jan 2018 00:00
Indicatie
Probleem bglz-0-1-probleem-06
Verrichting type logopedische behandeling (code = '5154007' in codeSystem 'SNOMED CT')
Uitvoerder
Zorgverlener bglz-0-1-zorgverlener-05
Aanvrager
Zorgverlener bglz-0-1-zorgverlener-02
Zorgsetting
Gegevenselement Waarde
Huisarts
Zorgverlener
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
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
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
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
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)')

1.2 Scenario bglz-1-1

Demografie en identificatie
Gegevenselement Waarde
Patient
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
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
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 8 feb 1964 00:00
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Nee
Behandelrestricties
Gegevenselement Waarde
Behandel aanwijzing
Verificatie
Geverifieerd Ja
Geverifieerd bij Patiënt (code = '116154003' in codeSystem 'SNOMED CT')
Verificatie datum 20 jan 2018 00:00
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 20 jan 2018 00:00
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 20 jan 2018 00:00
Vertegenwoordiger
Contactpersoon bglz-1-1-contactpersoon-01
Contactpersonen
Gegevenselement Waarde
Contactpersoon
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
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')
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 13 jan 2018 00:00
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 13 jan 2018 00:00
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 13 jan 2018 00:00
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 13 jan 2018 00:00
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 13 jan 2018 00:00
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 13 jan 2018 00:00
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 13 jan 2018 00:00
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
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.
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 11.0
Referentie bovengrens 16.0
Referentie ondergrens 12.0
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 47
Referentie bovengrens 51
Referentie ondergrens 39
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 5.9
Referentie bovengrens 7.8
Referentie ondergrens 3.5
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 5.5
Referentie bovengrens 1.8
Interpretatie vlaggen Boven referentiewaarde (code = '281302008' in codeSystem 'SNOMED CT')
Toelichting Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
Verrichtingen
Gegevenselement Waarde
Verrichting
Verrichting start datum 13 jan 2018 00:00
Verrichting eind datum 13 jan 2018 00:00
Indicatie
Probleem bglz-1-1-probleem-01
Verrichting type computertomografie van hersenen (code = '34227000' in codeSystem 'SNOMED CT')
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 13 jan 2018 00:00
Verrichting eind datum 13 jan 2018 00:00
Indicatie
Probleem bglz-1-1-probleem-01
Verrichting type percutane trombolyse van intracraniële arterie (code = '230935003' in codeSystem 'SNOMED CT')
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 13 jan 2018 00:00
Indicatie
Probleem bglz-1-1-probleem-05
Verrichting type fysiotherapie (code = '91251008' in codeSystem 'SNOMED CT')
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 13 jan 2018 00:00
Indicatie
Probleem bglz-1-1-probleem-06
Verrichting type logopedische behandeling (code = '5154007' in codeSystem 'SNOMED CT')
Locatie
Zorgaanbieder bglz-1-1-zorgaanbieder-01
Uitvoerder
Zorgverlener bglz-1-1-zorgverlener-05
Aanvrager
Zorgverlener bglz-1-1-zorgverlener-02
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
Zorgsetting
Gegevenselement Waarde
Huisarts
Zorgverlener
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
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
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
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
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
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
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')

1.3 Scenario bglz-1-2

Demografie en identificatie
Gegevenselement Waarde
Patient
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
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
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 8 feb 1964 00:00
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Ja

1.4 Scenario bglz-1-3

Demografie en identificatie
Gegevenselement Waarde
Patient
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
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
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 8 feb 1964 00:00
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Nee
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 25 jan 2018 00:00
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
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 5.5
Referentie bovengrens 1.8
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 1.7
Referentie bovengrens 1.8
Interpretatie vlaggen Onder referentiewaarde (code = '281300000' in codeSystem 'SNOMED CT')
Toelichting Volgens richtlijn herseninfarct: streven naar <1,8mmol/l
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