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| (14 tussenliggende versies door dezelfde gebruiker niet weergegeven) |
| Regel 1: |
Regel 1: |
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| __NUMBEREDHEADINGS__
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| {{#customtitle:Raadplegen medicatiegegevens 9.0.7: addendum inhoudelijke gegevens kwalificatie}}
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| [[Bestand:Nictiz_logo_PO_rechts_rgb.png |link=https://www.nictiz.nl/|rechts|Naar nictiz.nl]]
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|
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| =Addenda voor inhoudelijke gegevens=
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| ==Patiënt J. XXX_Amaya==
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| <section begin=XXX_Amaya />
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| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Patiënt
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
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| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Naamgegevens
| |
| |style="background-color: white;"|J. XXX_Amaya
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
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| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|999911764 [BSN]
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| |-style="vertical-align:top; background-color: #E3E3E3;;"
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| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|51107 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
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| |-style="vertical-align:top; background-color: #E3E3E3;;"
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| |colspan="2"|Geboortedatum
| |
| |style="background-color: white;"|6 aug 1964
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
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| |colspan="2"|Geslacht
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| |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
| |
| |}<section end=XXX_Amaya />
| |
| ===Medicatieafspraken XXX_Amaya ===
| |
| <section begin=MA_XXX_Amaya />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_513_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 1 dag, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 1 dag, gedurende 1 jaar
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geannuleerd indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 1 dag, gedurende 1 jaar, 10 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|10 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_513_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:00
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 1 jaar
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Bertine van Doorn
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_513_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 14:32
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Relatie naar afspraak of gebruik: TA
| |
| |style="background-color: white;"|MBH_513_2_TA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Hans van Doorn
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|99901111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Ziekenhuis Stitswerd
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Reden wijzigen of staken
| |
| |style="background-color: white;"|Opname (code = '305335007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Toelichting
| |
| |style="background-color: white;"|Toedieningsafspraak van apotheker ontvangen, geen medicatieafspraak van voorschrijver ontvangen. Deze nieuwe medicatieafspraak is gebaseerd op de toedieningsafspraak: MBH_513_2_TA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_513_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 14:32
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 28 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Relatie naar afspraak of gebruik: MGB
| |
| |style="background-color: white;"|MBH_513_3_MGB_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Hans van Doorn
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|99901111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Ziekenhuis Stitswerd
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Reden van voorschrijven
| |
| |style="background-color: white;"|Andere maligniteit bloed/lymfestelsel (code = 'B74' in codeSystem 'De Nederlandse editie van International Classification of Primary Care ICPC-1-NL')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 28 dagen, 1 maal per week 5 stuks, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per week 5 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_513_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 5 dagen, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|3 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Lichaamslengte
| |
| |style="background-color: white;"|155 cm. Gemeten: T- 5 dagen, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Lichaamsgewicht
| |
| |style="background-color: white;"|54 kg. Gemeten: T- 5 dagen, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Aanvullende informatie
| |
| |style="background-color: white;"|Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Toelichting
| |
| |style="background-color: white;"|In overleg met specialist
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MA_XXX_Amaya />
| |
| ===Verstrekkingsverzoeken XXX_Amaya ===
| |
| <section begin=VV_XXX_Amaya />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatie
| |
| |style="background-color: white;"|MBH_513_2_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Datum
| |
| |style="background-color: white;"|T, om 14:32
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Auteur
| |
| |style="background-color: white;"|Hans van Doorn - Huisartsen, niet nader gespecificeerd. Ziekenhuis Stitswerd
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Te verstrekken hoeveelheid
| |
| |style="background-color: white;"|30 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Beoogd verstrekker
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Toelichting
| |
| |style="background-color: white;"|Extra verstrekkingsverzoek omdat patiënt de medicatie is kwijt geraakt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_513_2_MA_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatie
| |
| |style="background-color: white;"|MBH_513_4_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Datum
| |
| |style="background-color: white;"|T- 5 dagen, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Auteur
| |
| |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Te verstrekken hoeveelheid
| |
| |style="background-color: white;"|40 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Beoogd verstrekker
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Afleverlocatie
| |
| |style="background-color: white;"|Huisadres patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Aanvullende wensen
| |
| |style="background-color: white;"|Bezorgen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2051')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_513_4_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=VV_XXX_Amaya />
| |
| ===Toedieningsafspraken XXX_Amaya ===
| |
| <section begin=TA_XXX_Amaya />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_513_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 12:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 1 jaar
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_513_1_MA_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_513_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 7 dagen, om 14:52
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Reden afspraak
| |
| |style="background-color: white;"|Opname
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_513_2_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_513_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 5 dagen, om 09:45
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|AMOXICILLINE 500MG CAPSULE (code = '5223' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|AMOXICILLINE 500MG CAPSULE (code = '15423' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|3 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende informatie
| |
| |style="background-color: white;"|Gebruiksinstructie gegeven (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2053')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toelichting
| |
| |style="background-color: white;"|Wegens niet leverbaar zijn van Broxil
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_513_4_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=TA_XXX_Amaya />
| |
| ===Verstrekkingen XXX_Amaya ===
| |
| <section begin=MVE_XXX_Amaya />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_513_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanschrijfdatum
| |
| |style="background-color: white;"|T, om 14:32
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek de Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verstrekte hoeveelheid
| |
| |style="background-color: white;"|30 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar verstrekkingsverzoek
| |
| |style="background-color: white;"|MBH_513_2_VV_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_513_4_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Datum
| |
| |style="background-color: white;"|T- 5 dagen, om 09:45
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek de Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verstrekte hoeveelheid
| |
| |style="background-color: white;"|30 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|AMOXICILLINE 500MG CAPSULE (code = '5223' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|AMOXICILLINE 500MG CAPSULE (code = '15423' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afleverlocatie
| |
| |style="background-color: white;"|Huisadres patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende informatie
| |
| |style="background-color: white;"|Aantal bewust gewijzigd (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2052')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toelichting
| |
| |style="background-color: white;"|Patiënt gaf aan nog wat op voorraad te hebben, wens patiënt om minder te verstrekken.
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar verstrekkingsverzoek
| |
| |style="background-color: white;"|MBH_513_4_VV_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MVE_XXX_Amaya />
| |
| ===Medicatiegebruik XXX_Amaya ===
| |
| <section begin=MGB_XXX_Amaya />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_513_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 2 dagen, om 15:39
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 2 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Hans van Doorn
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|99901111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Ziekenhuis Stitswerd
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 2 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_513_2_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Informant
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Zorgverlener : Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_513_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 20:40
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 1 dag, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Hans van Doorn
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|99901111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Ziekenhuis Stitswerd
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 1 dag, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_513_2_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Informant
| |
| |style="background-color: white;"|Persoon: M. XXX_Amaya - Mantelzorger.
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Zorgverlener : Hans van Doorn - Medisch specialisten, inwendige geneeskunde. Ziekenhuis Stitswerd
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Identificatie
| |
| |style="background-color: white;"|MBH_513_2_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Registratiedatum
| |
| |style="background-color: white;"|T, om 21:39
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_513_2_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Informant
| |
| |style="background-color: white;"|Zorgverlener : Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Auteur
| |
| |style="background-color: white;"|Zorgaanbieder : Ziekenhuis Stitswerd
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Identificatie
| |
| |style="background-color: white;"|MBH_5132_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Registratiedatum
| |
| |style="background-color: white;"|T, om 20:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 1 dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|TEMAZEPAM APOTEX TABLET 10MG (code = '13806769' in codeSystem 'G-Standaard ZI-nummer')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TEMAZEPAM APOTEX TABLET 10MG (code = '677965' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TEMAZEPAM TABLET 10MG (code = '32956' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TEMAZEPAM TABLET 10MG (code = '84190' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 1 dag, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gerelateerde verstrekking
| |
| |style="background-color: white;"|MBH_5132_2_MVE_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|MBH identificatie
| |
| |style="background-color: white;"|MBH_5132_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_513_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 3 dagen, om 20:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Hans van Doorn
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|99901111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Ziekenhuis Stitswerd
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 8 dagen, tot en met T- 3 dagen, om 23:59, 1 maal per week 5 stuks, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per week 5 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Reden gebruik
| |
| |style="background-color: white;"|Lymfekanker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Toelichting
| |
| |style="background-color: white;"|Tabletten wat lastig door te slikken, maar het lukt uiteindelijk wel.
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Identificatie
| |
| |style="background-color: white;"|MBH_513_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Registratiedatum
| |
| |style="background-color: white;"|T- 4 dagen, om 22:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Nee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 5 dagen, tot en met T- 4 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 5 dagen, tot en met T- 4 dagen, om 23:59, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_513_4_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Identificatie
| |
| |style="background-color: white;"|MBH_513_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Registratiedatum
| |
| |style="background-color: white;"|T- 3 dagen, om 22:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gebruik indicator
| |
| |style="background-color: white;"|Nee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Nee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 3 dagen, gedurende 1 dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Stoptype
| |
| |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 3 dagen, gedurende 1 dag, 0 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_513_4_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|MBH identificatie
| |
| |style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MGB_XXX_Amaya />
| |
| ==Patiënt Pauline P. XXX_Bourgonje==
| |
| <section begin=XXX_Bourgonje />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Patiënt
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Naamgegevens
| |
| |style="background-color: white;"|Pauline P. XXX_Bourgonje
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|999911296 [BSN]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|12102 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geboortedatum
| |
| |style="background-color: white;"|1 aug 1964
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geslacht
| |
| |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
| |
| |}<section end=XXX_Bourgonje />
| |
| ===Medicatieafspraken XXX_Bourgonje ===
| |
| <section begin=MA_XXX_Bourgonje />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_123_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 7 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Bertine van Doorn
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|99001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Stitswerd Oost
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|zo nodig 2 maal per dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MA_XXX_Bourgonje />
| |
| ===Verstrekkingsverzoeken XXX_Bourgonje ===
| |
| <section begin=VV_XXX_Bourgonje />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatie
| |
| |style="background-color: white;"|MBH_123_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Datum
| |
| |style="background-color: white;"|T- 7 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Auteur
| |
| |style="background-color: white;"|Bertine van Doorn - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Stitswerd Oost
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Te verstrekken hoeveelheid
| |
| |style="background-color: white;"|100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Beoogd verstrekker
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_123_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|MBH identificatie
| |
| |style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=VV_XXX_Bourgonje />
| |
| ===Toedieningsafspraken XXX_Bourgonje ===
| |
| <section begin=TA_XXX_Bourgonje />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_123_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 7 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Cetomacrogolcreme met 10% vaseline FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 7 dagen, tot nader order, Zo nodig 2 maal daags aanbrengen, op de huid
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanvullende instructie
| |
| |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|zo nodig 2 maal per dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_123_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=TA_XXX_Bourgonje />
| |
| ===Verstrekkingen XXX_Bourgonje ===
| |
| <section begin=MVE_XXX_Bourgonje />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_123_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Datum
| |
| |style="background-color: white;"|T- 7 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek de Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verstrekte hoeveelheid
| |
| |style="background-color: white;"|100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Cetomacrogolcreme met 10% vaseline FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar verstrekkingsverzoek
| |
| |style="background-color: white;"|MBH_123_1_VV_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MVE_XXX_Bourgonje />
| |
| ===Medicatiegebruik XXX_Bourgonje ===
| |
| <section begin=MGB_XXX_Bourgonje />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_123_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 4 dagen, om 20:58
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 2 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Bertine van Doorn
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|99001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Stitswerd Oost
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-StandaardGPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 5 dagen, gedurende 2 dagen, 2 maal daags aanbrengen op de huid
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_123_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MGB_XXX_Bourgonje />
| |
| ==Patiënt J. XXX_Cnossen==
| |
| <section begin=XXX_Cnossen />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Patiënt
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Naamgegevens
| |
| |style="background-color: white;"|J. XXX_Cnossen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|999911740 [BSN]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|31105 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geboortedatum
| |
| |style="background-color: white;"|4 aug 1964
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geslacht
| |
| |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
| |
| |}<section end=XXX_Cnossen />
| |
| ===Medicatieafspraken XXX_Cnossen ===
| |
| <section begin=MA_XXX_Cnossen />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 100 dagen, om 12:11
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 dosis
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 60 dagen, om 13:54
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Stoptype
| |
| |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|John de Vries
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Reden wijzigen of staken
| |
| |style="background-color: white;"|Toedieningsweg voldoet niet (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 dosis
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 500 dagen, om 10:19
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 druppel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 366 dagen, om 17:54
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Stoptype
| |
| |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|John de Vries
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Reden wijzigen of staken
| |
| |style="background-color: white;"|Toedieningsweg voldoet niet (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, 1x per dag 1 druppel, in beide ogen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 druppel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 100 dagen, om 12:11
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_3_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 4 dagen, om 13:54
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Stoptype
| |
| |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|John de Vries
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59, 1 maal per dag 1 stuk, oraal - tijdelijk onderbreken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 300 dagen, om 14:23
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_4_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 222 dagen, om 08:54
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Stoptype
| |
| |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|John de Vries
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal - tijdelijk onderbreken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MA_XXX_Cnossen />
| |
| ===Toedieningsafspraken XXX_Cnossen ===
| |
| <section begin=TA_XXX_Cnossen />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_313_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 100 dagen, om 12:11
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 inhalatie, inhalatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 dosis
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_313_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_313_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 60 dagen, om 13:54
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Stoptype
| |
| |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 59 dagen, om 23:59, 1 maal per dag 1 dosis, inhalatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 dosis
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_313_1_MA_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_313_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 500 dagen, om 10:19
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanvullende instructie
| |
| |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 druppel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_313_2_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_313_2_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 366 dagen, om 17:54
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Stoptype
| |
| |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 500 dagen, tot en met T- 366 dagen, om 17:00, 1x per dag 1 druppel, in beide ogen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanvullende instructie
| |
| |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 druppel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_313_2_MA_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_313_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 100 dagen, om 12:30
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_313_3_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_313_3_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 4 dagen, om 14:54
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Stoptype
| |
| |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot en met T- 5 dagen, om 23:59, 1 maal per dag 1 stuk, oraal - tijdelijk onderbreken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_313_3_MA_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_313_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 300 dagen, om 15:23
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_313_4_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_313_4_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 222 dagen, om 09:54
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Stoptype
| |
| |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 300 dagen, tot en met T- 223 dagen, om 23:59, 1 maal per dag 1 stuk, oraal - tijdelijk onderbreken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_313_4_MA_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=TA_XXX_Cnossen />
| |
| ===Medicatiegebruik XXX_Cnossen ===
| |
| <section begin=MGB_XXX_Cnossen />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 100 dagen, om 12:11
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 dosis
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 dosis
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_313_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 60 dagen, om 15:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Nee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 60 dagen, om 07:00, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Stoptype
| |
| |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|John de Vries
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 60 dagen, om 07:00, tot nader order, gebruik gestopt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_313_1_MA_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 500 dagen, om 10:19
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 500 dagen, tot nader order, 1x per dag 1 druppel, in beide ogen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 druppel
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_313_2_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 365 dagen, om 17:54
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Nee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 366 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Stoptype
| |
| |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|John de Vries
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 366 dagen, tot nader order, geen gebruik
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_313_2_MA_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 100 dagen, om 14:11
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 100 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_313_3_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_3_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 4 dagen, om 13:54
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Nee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 4 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Stoptype
| |
| |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|John de Vries
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 4 dagen, tot nader order, gebruik onderbroken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_313_3_MA_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 300 dagen, om 17:23
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Nee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 300 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_313_4_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_313_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 222 dagen, om 19:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Nee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 222 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Stoptype
| |
| |style="background-color: white;"|Onderbreking (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|John de Vries
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="2"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 222 dagen, tot nader order, gebruik onderbroken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_313_4_MA_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MGB_XXX_Cnossen />
| |
| ==Patiënt R. XXX_Dirksz==
| |
| <section begin=XXX_Dirksz />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Patiënt
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Naamgegevens
| |
| |style="background-color: white;"|R. XXX_Dirksz
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|999911326 [BSN]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|11101 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geboortedatum
| |
| |style="background-color: white;"|1 aug 1964
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geslacht
| |
| |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
| |
| |}<section end=XXX_Dirksz />
| |
| ===Medicatieafspraken XXX_Dirksz ===
| |
| <section begin=MA_XXX_Dirksz />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_113_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 50 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_113_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 30 dagen, om 14:55
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_113_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 30 dagen, om 14:57
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 30 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MA_XXX_Dirksz />
| |
| ===Verstrekkingsverzoeken XXX_Dirksz ===
| |
| <section begin=VV_XXX_Dirksz />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatie
| |
| |style="background-color: white;"|MBH_113_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Datum
| |
| |style="background-color: white;"|T- 50 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Auteur
| |
| |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Te verstrekken hoeveelheid
| |
| |style="background-color: white;"|30 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Beoogd verstrekker
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_113_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatie
| |
| |style="background-color: white;"|MBH_113_2_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Datum
| |
| |style="background-color: white;"|T- 30 dagen, om 14:55
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Auteur
| |
| |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Te verstrekken hoeveelheid
| |
| |style="background-color: white;"|21 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Beoogd verstrekker
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_113_2_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatie
| |
| |style="background-color: white;"|MBH_113_3_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Datum
| |
| |style="background-color: white;"|T- 30 dagen, om 14:57
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Auteur
| |
| |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Te verstrekken hoeveelheid
| |
| |style="background-color: white;"|21 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Beoogd verstrekker
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_113_3_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=VV_XXX_Dirksz />
| |
| ===Toedieningsafspraken XXX_Dirksz ===
| |
| <section begin=TA_XXX_Dirksz />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_113_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 50 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 20 dagen, om 23:59, zo nodig 1 maal per dag 1 stuk, rectaal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_113_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_113_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 30 dagen, om 14:55
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 30 dagen, tot en met T- 9 dagen, om 23:59, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_113_2_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_113_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 30 dagen, om 14:57
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 30 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 30 dagen, tot nader order, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_113_3_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=TA_XXX_Dirksz />
| |
| ===Verstrekkingen XXX_Dirksz ===
| |
| <section begin=MVE_XXX_Dirksz />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_113_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Datum
| |
| |style="background-color: white;"|T- 50 dagen, om 12:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek de Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verstrekte hoeveelheid
| |
| |style="background-color: white;"|30 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar verstrekkingsverzoek
| |
| |style="background-color: white;"|MBH_113_1_VV_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_113_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Datum
| |
| |style="background-color: white;"|T- 30 dagen, om 15:55
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek de Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verstrekte hoeveelheid
| |
| |style="background-color: white;"|25 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar verstrekkingsverzoek
| |
| |style="background-color: white;"|MBH_113_2_VV_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_113_3_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Datum
| |
| |style="background-color: white;"|T- 30 dagen, om 15:56
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek de Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verstrekte hoeveelheid
| |
| |style="background-color: white;"|21 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar verstrekkingsverzoek
| |
| |style="background-color: white;"|MBH_113_3_VV_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MVE_XXX_Dirksz />
| |
| ===Medicatiegebruik XXX_Dirksz ===
| |
| <section begin=MGB_XXX_Dirksz />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_113_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 48 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 48 dagen, gedurende 1 dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 48 dagen, gedurende 1 dag, zo nodig 1 maal per dag 1 stuk, rectaal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_113_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_113_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 13 dagen, om 14:55
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 30 dagen, gedurende 3 weken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 30 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_113_2_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_113_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 29 dagen, om 14:57
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 29 dagen, tot en met T- 8 dagen, om 23:59, 1 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_113_3_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MGB_XXX_Dirksz />
| |
| ==Patiënt R. XXX_Gobee==
| |
| <section begin=XXX_Gobee />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Patiënt
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Naamgegevens
| |
| |style="background-color: white;"|R. XXX_Gobee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|999911314 [BSN]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|21104 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geboortedatum
| |
| |style="background-color: white;"|1 aug 1964
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geslacht
| |
| |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
| |
| |}<section end=XXX_Gobee />
| |
| ===Medicatieafspraken XXX_Gobee ===
| |
| <section begin=MA_XXX_Gobee />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 50 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 40 dagen, om 09:13
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Stoptype
| |
| |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Relatie naar afspraak of gebruik: MA
| |
| |style="background-color: white;"|MBH_213_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|John de Vries
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59, 1 à 2 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 40 dagen, om 09:13
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Relatie naar afspraak of gebruik: MA
| |
| |style="background-color: white;"|MBH_213_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|John de Vries
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Reden wijzigen of staken
| |
| |style="background-color: white;"|Overgevoeligheid (code = '16' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 15 dagen, om 16:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Stoptype
| |
| |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Relatie naar afspraak of gebruik: MA
| |
| |style="background-color: white;"|MBH_213_1_MA_3
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 15 dagen, om 16:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Relatie naar afspraak of gebruik: MA
| |
| |style="background-color: white;"|MBH_213_1_MA_3
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Reden wijzigen of staken
| |
| |style="background-color: white;"|Opname (code = '305335007' in codeSystem 'SNOMED CT')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MA_XXX_Gobee />
| |
| ===Verstrekkingsverzoeken XXX_Gobee ===
| |
| <section begin=VV_XXX_Gobee />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Datum
| |
| |style="background-color: white;"|T- 50 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Auteur
| |
| |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Te verstrekken hoeveelheid
| |
| |style="background-color: white;"|40 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Aantal herhalingen
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Beoogd verstrekker
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_213_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Datum
| |
| |style="background-color: white;"|T- 40 dagen, om 09:13
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Auteur
| |
| |style="background-color: white;"|John de Vries - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Te verstrekken hoeveelheid
| |
| |style="background-color: white;"|60 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Aantal herhalingen
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Beoogd verstrekker
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_213_1_MA_3
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Verstrekkingsverzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_VV_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Datum
| |
| |style="background-color: white;"|T- 15 dagen, om 16:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Auteur
| |
| |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Verbruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Beoogd verstrekker
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_213_1_MA_5
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=VV_XXX_Gobee />
| |
| ===Toedieningsafspraken XXX_Gobee ===
| |
| <section begin=TA_XXX_Gobee />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 50 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, tot nader order, 1 à 2 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_213_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 40 dagen, om 09:13
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Stoptype
| |
| |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, tot en met T- 41 dagen, om 23:59, 1 à 2 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_213_1_MA_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_TA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 40 dagen, om 09:13
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 30 dagen, 2 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_213_1_MA_3
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_TA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 15 dagen, om 16:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Stoptype
| |
| |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 40 dagen, tot en met T- 15 dagen, om 23:59, 2 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_213_1_MA_4
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_TA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 15 dagen, om 16:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 30 dagen, 1 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_213_1_MA_5
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=TA_XXX_Gobee />
| |
| ===Verstrekkingen XXX_Gobee ===
| |
| <section begin=MVE_XXX_Gobee />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Datum
| |
| |style="background-color: white;"|T- 50 dagen, om 13:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek de Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verstrekte hoeveelheid
| |
| |style="background-color: white;"|40 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar verstrekkingsverzoek
| |
| |style="background-color: white;"|MBH_213_1_VV_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MVE_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Datum
| |
| |style="background-color: white;"|T- 40 dagen, om 09:13
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek de Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verstrekte hoeveelheid
| |
| |style="background-color: white;"|60 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar verstrekkingsverzoek
| |
| |style="background-color: white;"|MBH_213_1_VV_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MVE_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Datum
| |
| |style="background-color: white;"|T- 15 dagen, om 17:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek de Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verstrekte hoeveelheid
| |
| |style="background-color: white;"|30 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verbruiksduur
| |
| |style="background-color: white;"|30 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar verstrekkingsverzoek
| |
| |style="background-color: white;"|MBH_213_1_VV_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MVE_XXX_Gobee />
| |
| ===Medicatiegebruik XXX_Gobee ===
| |
| <section begin=MGB_XXX_Gobee />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 47 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 3 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 3 dagen, 1 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_213_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 41 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 46 dagen, gedurende 6 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 46 dagen, gedurende 6 dagen, 2 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_213_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Registratiedatum
| |
| |style="background-color: white;"|T- 35 dagen, om 19:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 6 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 40 dagen, gedurende 6 dagen, 2 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gerelateerde afspraak : TA
| |
| |style="background-color: white;"|MBH_213_1_TA_3
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MGB_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 16 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 34 dagen, gedurende 19 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 34 dagen, gedurende 19 dagen, 2 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_213_1_MA_3
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_213_1_MGB_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 10 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 5 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 14 dagen, gedurende 5 dagen, 1 maal per dag 1 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_213_1_MA_5
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MGB_XXX_Gobee />
| |
| ==Patiënt J. XXX_Kilkenny==
| |
| <section begin=XXX_Kilkenny />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Patiënt
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Naamgegevens
| |
| |style="background-color: white;"|J. XXX_Kilkenny
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|999911752 [BSN]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|22108 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geboortedatum
| |
| |style="background-color: white;"|5 aug 1964
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geslacht
| |
| |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
| |
| |}<section end=XXX_Kilkenny />
| |
| ===Medicatieafspraken XXX_Kilkenny ===
| |
| <section begin=MA_XXX_Kilkenny />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_323_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 5 dagen, om 15:34
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 6 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Stoptype
| |
| |style="background-color: white;"|Staking (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Relatie naar afspraak of gebruik: MGB
| |
| |style="background-color: white;"|MBH_323_1_MGB_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|John de Vries
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 6 dagen, om 23:59, 3x per dag 1 tablet
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|3 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_323_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MA_XXX_Kilkenny />
| |
| ===Medicatiegebruik XXX_Kilkenny ===
| |
| <section begin=MGB_XXX_Kilkenny />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="3" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Identificatie
| |
| |style="background-color: white;"|MBH_323_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Registratiedatum
| |
| |style="background-color: white;"|T- 10 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, tot nader order, 3x per dag 1 tablet
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Doseerinstructie
| |
| |style="background-color: white;"|3 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|MBH identificatie
| |
| |style="background-color: white;"|MBH_323_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MGB_XXX_Kilkenny />
| |
| ==Patiënt R. XXX_Ruys==
| |
| <section begin=XXX_Ruys />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Patiënt
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Naamgegevens
| |
| |style="background-color: white;"|R. XXX_Ruys
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|999911351 [BSN]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|13103 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geboortedatum
| |
| |style="background-color: white;"|1 aug 1964
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geslacht
| |
| |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
| |
| |}<section end=XXX_Ruys />
| |
| ==Patiënt R. XXX_Strengersz==
| |
| <section begin=XXX_Strengersz />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="3" | Patiënt
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="2" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Naamgegevens
| |
| |style="background-color: white;"|R. XXX_Strengersz
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|999911338 [BSN]
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Identificatienummer
| |
| |style="background-color: white;"|41106 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geboortedatum
| |
| |style="background-color: white;"|1 aug 1964
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Geslacht
| |
| |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
| |
| |}<section end=XXX_Strengersz />
| |
| ===Medicatieafspraken XXX_Strengersz ===
| |
| <section begin=MA_XXX_Strengersz />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 60 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 à 2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, tot nader order, exact iedere 12 uur 16 IE, subcutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 50 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|3 maal per dag 1 à 2 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 20 dagen, om 10:26
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|3 maal per dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_5_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 20 dagen, om 10:46
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag 1/2 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 0.5 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 14 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 10 à 15 ml
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 14 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_8_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 10 weken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|op maandag, woensdag en vrijdag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk 's avonds innemen, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk 's avonds
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_10_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Herhaalperiode cyclisch schema
| |
| |style="background-color: white;"|28 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_11_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 41 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie 1
| |
| |style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie 2
| |
| |style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie 3
| |
| |style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_12_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 3 weken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_13_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 28 dagen, om 09:12
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|0.5 ml per uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_13_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T- 20 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|0.2 à 0.5 ml per uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_14_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_15_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="9"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatienummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatienummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Adresgegevens
| |
| |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Geneesmiddel - Product specificatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Product naam
| |
| |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Ingredient
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Ingredient code
| |
| |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Sterkte
| |
| |style="background-color: white;"|10 gram per 100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Ingredient
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Ingredient code
| |
| |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Sterkte
| |
| |style="background-color: white;"|90 gram per 100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|bij hoest
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MA_XXX_Strengersz />
| |
| ===Verstrekkingsverzoeken XXX_Strengersz ===
| |
| <section begin=VV_XXX_Strengersz />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_15_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Datum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Auteur
| |
| |style="background-color: white;"|Peter van Pulver - Huisartsen, niet nader gespecificeerd. Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Te verstrekken hoeveelheid
| |
| |style="background-color: white;"|100 ml
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aantal herhalingen
| |
| |style="background-color: white;"|1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - Product specificatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Product naam
| |
| |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Ingredient
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Ingredient code
| |
| |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Sterkte
| |
| |style="background-color: white;"|10 gram per 100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Ingredient
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Ingredient code
| |
| |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Sterkte
| |
| |style="background-color: white;"|90 gram per 100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Beoogd verstrekker
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_15_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=VV_XXX_Strengersz />
| |
| ===Toedieningsafspraken XXX_Strengersz ===
| |
| <section begin=TA_XXX_Strengersz />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 60 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 à 2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, tot nader order, exact iedere 12 uur 16 IE, subcutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_2_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 50 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|PARACETAMOL PCH TABLET 500MG (code = '768901' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|3 maal per dag 1 à 2 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_3_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 20 dagen, om 10:26
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Cetomacrogolcreme met 10% vaseline FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 3 maal per dag aanbrengen, cutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanvullende instructie
| |
| |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|3 maal per dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_4_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 20 dagen, om 10:46
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag 1/2 tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 0.5 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_5_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 14 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|SOLUTIO HYDROGENII PEROXIDI 3% M/V (code = '603694' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanvullende instructie
| |
| |style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanvullende instructie
| |
| |style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 10 à 15 ml
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_6_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_7_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 14 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 uur 16IE
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_7_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_8_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 10 weken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ALDARA CREME 50MG/G IN SACHET (code = '1198521' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanvullende instructie
| |
| |style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanvullende instructie
| |
| |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|op maandag, woensdag en vrijdag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_8_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_9_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk 's avonds innemen, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk 's avonds
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_9_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_10_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MARVELON TABLET (code = '416681' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Herhaalperiode cyclisch schema
| |
| |style="background-color: white;"|28 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_10_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_11_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 41 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FUCIDIN CREME 20MG/G (code = '420956' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="7"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Aanvullende instructie
| |
| |style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie 1
| |
| |style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie 2
| |
| |style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie 3
| |
| |style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_11_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_12_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 3 weken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_12_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_13_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 28 dagen, om 09:12
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 28 dagen, gedurende 8 dagen, 0.5 ml per uur parenteraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|0.5 ml per uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_13_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_13_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T- 20 dagen, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 8 dagen, 0.2 tot 0.5 ml per uur parenteraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|0.2 à 0.5 ml per uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_13_MA_2
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_14_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 11:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf 16 aug 2018, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf 16 aug 2018, tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_14_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_15_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Afspraakdatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek De Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - Product specificatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Product naam
| |
| |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Ingredient
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Ingredient code
| |
| |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Sterkte
| |
| |style="background-color: white;"|10 gram per 100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Ingredient
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Ingredient code
| |
| |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Sterkte
| |
| |style="background-color: white;"|90 gram per 100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, tot nader order, zo nodig, aanbrengen, cutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Toedieningsweg
| |
| |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Doseerinstructie
| |
| |style="background-color: white;"|bij hoest
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar medicatieafspraak
| |
| |style="background-color: white;"|MBH_413_15_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=TA_XXX_Strengersz />
| |
| ===Verstrekkingen XXX_Strengersz ===
| |
| <section begin=MVE_XXX_Strengersz />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_9_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Datum
| |
| |style="background-color: white;"|T, om 10:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek de Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verstrekte hoeveelheid
| |
| |style="background-color: white;"|90 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Distributievorm
| |
| |style="background-color: white;"|Geïndividualiseerd distributiesysteem (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.3.8')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar verstrekkingsverzoek
| |
| |style="background-color: white;"|MBH_413_9_VV_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekking
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="4" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Identificatie
| |
| |style="background-color: white;"|MBH_413_15_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Datum
| |
| |style="background-color: white;"|T, om 10:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Verstrekker
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|01236578 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Apotheek de Gulle Gaper
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Verstrekte hoeveelheid
| |
| |style="background-color: white;"|100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - Product specificatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Product naam
| |
| |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Omschrijving
| |
| |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Ingredient
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Ingredient code
| |
| |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Sterkte
| |
| |style="background-color: white;"|10 gram per 100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Ingredient
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Ingredient code
| |
| |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Sterkte
| |
| |style="background-color: white;"|90 gram per 100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Relatie naar verstrekkingsverzoek
| |
| |style="background-color: white;"|MBH_413_15_VV_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MVE_XXX_Strengersz />
| |
| ===Medicatiegebruik XXX_Strengersz ===
| |
| <section begin=MGB_XXX_Strengersz />
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 16:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 60 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 à 2 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_1_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 14:25
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 14 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 14 dagen, exact iedere 12 uur 16 IE, subcutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|exact iedere 12 uur 16 internationale eenheid
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_2_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 10:45
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|3 maal per dag 1 à 2 stuks
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_3_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T- 15 dagen, om 13:44
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="5"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, tot en met T- 15 dagen, om 23:59, 3 maal per dag aanbrengen, cutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|3 maal per dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_4_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_5_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 12:38
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T- 20 dagen, gedurende 30 dagen, 2 maal per dag ¼ tablet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 0.5 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_5_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_6_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 21:37
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 1 dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 1 dag, 2x per dag 10 tot 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|2 maal per dag 10 à 15 ml
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_6_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_7_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 14:05
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, om 07:00, tot en met T, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, om 07:00, tot en met T, om 23:59, elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid, subcutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_7_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_8_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 23:59
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 10 weken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht aanbrengen, cutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|op maandag, woensdag en vrijdag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_8_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_9_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 22:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, tot nader order, 1 maal daags 1 stuk 's avonds innemen, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk 's avonds
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_9_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_10_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 09:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, tot nader order
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, tot nader order, cyclus van 28 dagen: steeds 21 dagen 1 x per dag 1 tablet, dan 7 dagen niet, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Herhaalperiode cyclisch schema
| |
| |style="background-color: white;"|28 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_10_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_11_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 15:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 41 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="6"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 2 weken 3gr per dag, dan 3 weken 2gr per dag, dan 6 dagen 1gr per dag, dun aanbrengen, cutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie 1
| |
| |style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|gedurende 3 weken 1 maal per dag 2 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|gedurende 6 dagen 1 maal per dag 1 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_11_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_12_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 22:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 3 weken
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 3 weken, iedere 3 uur 1 stuk bij hoest, maximaal 6 stuks per dag, oraal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_12_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_14_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 22:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - primaire code
| |
| |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Geneesmiddel - generiekere code
| |
| |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|tot nader order, eenmaal daags 1 pleister aanbrengen gedurende 16 uur (daarna 8 uur geen pleister), transdermaal
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Doseerinstructie
| |
| |style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_14_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}
| |
| {| class="wikitable" width="85%"
| |
| |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatie gebruik
| |
| |-style="background-color: #1F497D;; color: white; text-align:left;"
| |
| |colspan="5" width="25%"| Gegevenselement
| |
| || Waarde
| |
|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Identificatie
| |
| |style="background-color: white;"|MBH_413_15_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Registratiedatum
| |
| |style="background-color: white;"|T, om 10:35
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruik indicator
| |
| |style="background-color: white;"|Ja
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Volgens afspraak indicator
| |
| |style="background-color: white;"|Nee
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gebruiksperiode
| |
| |style="background-color: white;"|Vanaf T, gedurende 4 dagen
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Voorschrijver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="10"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Zorgverlener
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="8"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Zorgverlener identificatie nummer
| |
| |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Naamgegevens
| |
| |style="background-color: white;"|Peter van Pulver
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Specialisme
| |
| |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Zorgaanbieder
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Zorgaanbieder identificatie nummer
| |
| |style="background-color: white;"|00001111 (in identificerend systeem: URA)
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="2"|Organisatie naam
| |
| |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Geneesmiddel - Product specificatie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="11"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Product naam
| |
| |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Ingredient
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Ingredient code
| |
| |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Sterkte
| |
| |style="background-color: white;"|10 gram per 100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Ingredient
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="3"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Ingredient code
| |
| |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="3"|Sterkte
| |
| |style="background-color: white;"|90 gram per 100 gram
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="6"|Gebruiksinstructie
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |rowspan="4"|
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Omschrijving
| |
| |style="background-color: white;"|Vanaf T, gedurende 4 dagen, aanbrengen, cutaan
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Toedieningsweg
| |
| |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="4"|Aanvullende instructie
| |
| |style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Gerelateerde afspraak : MA
| |
| |style="background-color: white;"|MBH_413_15_MA_1
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|Auteur
| |
| |style="background-color: white;"|Patiënt
| |
| |-style="vertical-align:top; background-color: #E3E3E3;;"
| |
| |colspan="5"|MBH identificatie
| |
| |style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
| |
| |}<section end=MGB_XXX_Strengersz />
| |
|
| |
| [[Categorie:Kwalificatie]]
| |
