Gebz:Vdraft KSNEO: verschil tussen versies

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(Versie ter review)
 
 
Regel 6: Regel 6:
 
==Scenario Testscenario 1: uitgebreide problematiek ==
 
==Scenario Testscenario 1: uitgebreide problematiek ==
 
          
 
          
 +
=== Documentgegevens ===
 +
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 +
|-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;"|0000 (in identificerend systeem: abc123)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Document datum
 +
|style="background-color: white;"|22 sep 2021 08:48
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Set identificatie
 +
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Versienummer
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Software naam
 +
|style="background-color: white;"|InformatieSysteemX
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verificatie zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geverifieerd door zorgverlener?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verificatie datum
 +
|style="background-color: white;"|21 sep 2021 15:01
 +
|}
 
=== Zorgaanbieder ===
 
=== Zorgaanbieder ===
  
Regel 16: Regel 50:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Zorgaanbieder identificatienummer
 
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|
+
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|0000 (in identificerend systeem: AGB-Z)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|0000 (in identificerend systeem: URA)
 
|}
 
|}
=== Zwangerschapsgegevens ===
+
=== Zorgverlener ===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zorgverlener
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="4" width="25%"| Gegevenselement
 
|colspan="4" width="25%"| Gegevenselement
Regel 27: Regel 67:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Graviditeit
+
|colspan="4"|Zorgverlener identificatienummer
|style="background-color: white;"|1
+
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.528.1.1007.5.1)
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Pariteit voor deze zwangerschap
 
|style="background-color: white;"|0
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Complicaties tijdens zwangerschap
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="12"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Voornamen
 +
|style="background-color: white;"|Hans Peter
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Initialen
 +
|style="background-color: white;"|HP
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Roepnaam
 +
|style="background-color: white;"|Hans
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Complicaties zwangerschap?
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="2"|Voorvoegsels
|style="background-color: white;"|koorts (code = '386661006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|van den
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verificatie status
+
|colspan="2"|Achternaam
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Akker
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam partner
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Magnesiumsulfaat
+
|rowspan="2"|
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Antenatale steroiden gegeven?
+
|colspan="2"|Achternaam partner
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Pieterse
 
|}
 
|}
=== Kind ===
+
=== Vrouw ===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
+
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Demografische gegevens
+
|colspan="5"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Patient
+
|colspan="4"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
+
|colspan="2"|Identificatienummer
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
+
|style="background-color: white;"|000000000 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
+
|colspan="2"|Geboortedatum
|style="background-color: white;"|7 maa 2020 12:13
+
|style="background-color: white;"|11 mei 1993
 +
|}
 +
=== Zwangerschapsgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="4"|Graviditeit
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Meerling indicator
+
|colspan="4"|Pariteit voor deze zwangerschap
|style="background-color: white;"|Ja
+
|style="background-color: white;"|0
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Complicaties tijdens zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Rangnummer kind
+
|rowspan="8"|
|style="background-color: white;"|2
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Overlijdens indicator
+
|colspan="3"|Complicaties zwangerschap?
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Bevallingsgegevens
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zwangerschapsduur
+
|colspan="2"|Probleem naam
|style="background-color: white;"|179 dagen
+
|style="background-color: white;"|koorts (code = '386661006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Aantal geboren kinderen
+
|colspan="2"|Verificatie status
|style="background-color: white;"|2
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Type partus
+
|colspan="3"|Magnesiumsulfaat
|style="background-color: white;"|Primair (code = '177141003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Locatie partus
+
|colspan="3"|Antenatale steroiden gegeven?
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 +
|}
 +
=== Kind ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgaanbieder
+
|colspan="6"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatienummer
+
|rowspan="7"|
|style="background-color: white;"|(in identificerend systeem: AGB-Z)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie naam
+
|colspan="3"|Identificatienummer
|style="background-color: white;"|UMC Papendorp
+
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Ondersteuning opvang
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="3"|Geboortedatum
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|7 maa 2020 12:13
|colspan="6"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Geslacht
 +
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting type
+
|colspan="3"|Meerling indicator
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Rangnummer kind
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting type
+
|colspan="3"|Overlijdens indicator
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Opname gegevens
+
|colspan="6"|Bevallingsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="37"|
+
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Opname
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="4"|Zwangerschapsduur
 +
|style="background-color: white;"|179 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Opname datum
+
|colspan="4"|Aantal geboren kinderen
|style="background-color: white;"|7 maa 2020 13:30
+
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ic opname?
+
|colspan="4"|Type partus
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Primair (code = '177141003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Heropname?
+
|colspan="4"|Locatie partus
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Herkomst kind
+
|rowspan="3"|
|style="background-color: white;"|In-hospital admission from obstetrical ward (procedure) (code = '59151000146103' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Opname indicatie
+
|colspan="3"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Finding of length of gestation (finding) (code = '366323009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ontslag datum
+
|colspan="3"|Organisatie naam
|style="background-color: white;"|5 mei 2020 12:00
+
|style="background-color: white;"|UMC Papendorp
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Onderzoek
+
|colspan="6"|Ondersteuning opvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="27"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Lichaamslengte
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Lengte waarde
+
|colspan="3"|Verrichting type
|style="background-color: white;"|31 cm
+
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Lengte datum tijd
 
|style="background-color: white;"|7 maa 2020 13:20
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Lichaamsgewicht
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht waarde
+
|colspan="3"|Verrichting type
|style="background-color: white;"|710 g
+
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Opname gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht datum tijd
+
|rowspan="37"|
|style="background-color: white;"|7 maa 2020 13:21
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Lichaamstemperatuur
+
|colspan="5"|Opname
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Temperatuur waarde
+
|colspan="3"|Opname datum
|style="background-color: white;"|37.4 graden celsius
+
|style="background-color: white;"|7 maa 2020 13:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Temperatuur datum tijd
+
|colspan="3"|Ic opname?
|style="background-color: white;"|7 maa 2020 13:22
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
+
|colspan="3"|Heropname?
|style="background-color: white;"|geen bijzonderheden
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Temperatuur type
+
|colspan="3"|Herkomst kind
|style="background-color: white;"|Rectale temperatuur (code = '307047009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|In-hospital admission from obstetrical ward (procedure) (code = '59151000146103' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Schedelomvang
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Opname indicatie
 +
|style="background-color: white;"|Finding of length of gestation (finding) (code = '366323009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schedelomvang waarde
+
|colspan="3"|Ontslag datum
|style="background-color: white;"|22.5 cm
+
|style="background-color: white;"|5 mei 2020 12:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schedelomvang datum tijd
+
|rowspan="27"|
|style="background-color: white;"|7 maa 2020 13:23
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Apgar score na 1 min
+
|colspan="4"|Lichaamslengte
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Lengte waarde
 +
|style="background-color: white;"|31 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Apgar score totaal
+
|colspan="2"|Lengte datum tijd
|style="background-color: white;"|1
+
|style="background-color: white;"|7 maa 2020 13:20
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Apgar score na 5 min
+
|colspan="4"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Apgar score totaal
+
|colspan="2"|Gewicht waarde
|style="background-color: white;"|5
+
|style="background-color: white;"|710 g
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Nsp h arterieel
+
|colspan="2"|Gewicht datum tijd
|style="background-color: white;"|7.05 ph
+
|style="background-color: white;"|7 maa 2020 13:21
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Be
 
|style="background-color: white;"|-12.0 mmol/l
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Problematiek kind
+
|colspan="4"|Lichaamstemperatuur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="103"|
+
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Geboortetrauma
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Temperatuur waarde
 +
|style="background-color: white;"|37.4 graden celsius
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="2"|Temperatuur datum tijd
|style="background-color: white;"|Nee
+
|style="background-color: white;"|7 maa 2020 13:22
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Ademhalingsondersteuning
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
+
|colspan="2"|Toelichting
 +
|style="background-color: white;"|abc
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ademhalingsondersteuning?
+
|colspan="2"|Temperatuur type
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Rectale temperatuur (code = '307047009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="4"|Schedelomvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="2"|Schedelomvang waarde
|style="background-color: white;"|7 maa 2020 13:35
+
|style="background-color: white;"|22.5 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting eind datum
+
|colspan="2"|Schedelomvang datum tijd
|style="background-color: white;"|3 mei 2020 12:00
+
|style="background-color: white;"|7 maa 2020 13:23
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Apgar score na 1 min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|rowspan="2"|
|style="background-color: white;"|Oxygen therapy using high flow oxygen nasal cannula (procedure) (code = '57485005:424226004=426854004' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Apgar score totaal
 +
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="4"|Apgar score na 5 min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="2"|Apgar score totaal
|style="background-color: white;"|3 mei 2020 12:00
+
|style="background-color: white;"|5
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting eind datum
+
|colspan="3"|Nsp h arterieel
|style="background-color: white;"|5 mei 2020 10:00
+
|style="background-color: white;"|7.05 ph
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Be
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|-12.0 mmol/l
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Problematiek kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|O2 op dag 28?
+
|rowspan="97"|
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Respiratoir
+
|colspan="5"|Geboortetrauma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="3"|Problemen aanwezig?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Ademhalingsondersteuning
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="13"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Ademhalingsondersteuning?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="4"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="2"|Verrichting start datum
|style="background-color: white;"|Respiratory distress syndrome in the newborn (disorder) (code = '46775006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|7 maa 2020 13:35
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem begin datum
+
|colspan="2"|Verrichting eind datum
|style="background-color: white;"|8 maa 2020 23:00
+
|style="background-color: white;"|3 mei 2020 12:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verificatie status
+
|colspan="2"|Verrichting type
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Oxygen therapy using high flow oxygen nasal cannula (procedure) (code = '57485005:424226004=426854004' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aanvang
+
|rowspan="4"|
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Medicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="2"|Verrichting start datum
 +
|style="background-color: white;"|3 mei 2020 12:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stimulatie ademhaling
+
|colspan="2"|Verrichting eind datum
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
+
|style="background-color: white;"|5 mei 2020 10:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Surfactant
+
|colspan="2"|Verrichting type
|style="background-color: white;"|NATUURLIJKE FOSFOLIPIDEN - LONGSURFACTANTS (code = 'R07AA02' in codeSystem 'ATC-NL')
+
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Medicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|O2 op dag 28?
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Ja
|colspan="3"|Stimulatie ademhaling
 
|style="background-color: white;"|DOXAPRAM (code = 'R07AB01' in codeSystem 'ATC-NL')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Circulatoir
+
|colspan="5"|Respiratoir
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="3"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="2"|Probleem naam
|style="background-color: white;"|Patent ductus arteriosus (disorder) (code = '83330001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Respiratory distress syndrome in the newborn (disorder) (code = '46775006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verificatie status
+
|colspan="2"|Verificatie status
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Aanvang
 +
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="4"|Medicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="2"|Stimulatie ademhaling
|style="background-color: white;"|Drug therapy for patent ductus arteriosus (procedure) (code = '58801000146104' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Surfactant
 +
|style="background-color: white;"|NATUURLIJKE FOSFOLIPIDEN - LONGSURFACTANTS (code = 'R07AA02' in codeSystem 'ATC-NL')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Infectieus
+
|colspan="4"|Medicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="2"|Stimulatie ademhaling
|style="background-color: white;"|Ja
+
|style="background-color: white;"|DOXAPRAM (code = 'R07AB01' in codeSystem 'ATC-NL')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="5"|Circulatoir
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="9"|
 
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="3"|Problemen aanwezig?
|style="background-color: white;"|Suspected sepsis (situation) (code = '9331000146100' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem begin datum
+
|rowspan="3"|
|style="background-color: white;"|8 maa 2020
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem eind datum
+
|colspan="2"|Probleem naam
|style="background-color: white;"|11 maa 2020
+
|style="background-color: white;"|Patent ductus arteriosus (disorder) (code = '83330001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verificatie status
+
|colspan="2"|Verificatie status
|style="background-color: white;"|Werk (code = '415684004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aanvang
+
|rowspan="2"|
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Microorganisme sepsis meningitis
+
|colspan="2"|Verrichting type
|style="background-color: white;"|Other, specify (code = 'OTH' in codeSystem 'HL7 NullFlavor'): onduidelijk
+
|style="background-color: white;"|Drug therapy for patent ductus arteriosus (procedure) (code = '58801000146104' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Infectieus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Lijnsepsis?
+
|rowspan="13"|
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Onset
+
|colspan="3"|Problemen aanwezig?
|style="background-color: white;"|vroege neonatale periode (kwalificatiewaarde) (code = '303114002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Antibiotica eerste 3 dagen?
 
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Gastrointestinaal
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="2"|Probleem naam
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Suspected sepsis (situation) (code = '9331000146100' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="2"|Probleem begin datum
|-style="vertical-align:top; background-color: #E3E3E3;;
+
|style="background-color: white;"|8 maa 2020
|colspan="4"|Indicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem eind datum
 +
|style="background-color: white;"|11 maa 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem
+
|colspan="2"|Verificatie status
|style="background-color: white;"|Zie probleem met id: ''
+
|style="background-color: white;"|Werk (code = '415684004' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="2"|Aanvang
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Hematologisch
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="2"|Microorganisme sepsis meningitis
 +
|style="background-color: white;"|Other, specify (code = 'OTH' in codeSystem 'HL7 NullFlavor'): abc
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="2"|Lijnsepsis?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Onset
 +
|style="background-color: white;"|vroege neonatale periode (kwalificatiewaarde) (code = '303114002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Antibiotica eerste 3 dagen?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Gastrointestinaal
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Problemen aanwezig?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Verrichting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Verrichting type
 +
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Hematologisch
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="4"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="2"|Verrichting type
 
|style="background-color: white;"|Transfusion for anemia (procedure) (code = '59071000146107' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Transfusion for anemia (procedure) (code = '59071000146107' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Metabool en endocrien
+
|colspan="5"|Metabool en endocrien
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="9"|
 
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="3"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="2"|Probleem naam
 
|style="background-color: white;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verificatie status
+
|colspan="2"|Verificatie status
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="4"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="2"|Verrichting type
 
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Neurologisch
+
|colspan="5"|Neurologisch
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="3"|Problemen aanwezig?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="5"|Zintuigen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="11"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Problemen aanwezig?
|style="background-color: white;"|echografische beeldvorming van hoofd (verrichting) (code = '241449005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zintuigen
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="2"|Probleem naam
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Retinopathy of prematurity stage 2 - intraretinal ridge (disorder) (code = '408848001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Rop screening verricht?
+
|colspan="2"|Verificatie status
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Rop screening afgesloten?
+
|colspan="3"|Rop screening verricht?
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Rop screening afgesloten?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aabr verricht?
+
|colspan="3"|Aabr verricht?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aabr afwijkend?
+
|colspan="3"|Aabr afwijkend?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Bera verricht?
+
|colspan="3"|Bera verricht?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Bera
+
|colspan="5"|Congenitale aandoeningen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Bera afwijkend?
+
|colspan="3"|Problemen aanwezig?
|style="background-color: white;"|NullFlavor: NA
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Congenitale aandoeningen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Ontslagoverplaatsing
+
|colspan="6"|Ontslagoverplaatsing
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="15"|
 
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Nog opgenomen?
+
|colspan="4"|Nog opgenomen?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Bestemming kind
+
|colspan="4"|Bestemming kind
 
|style="background-color: white;"|Discharge to other hospital (procedure) (code = '115851000146108' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Discharge to other hospital (procedure) (code = '115851000146108' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Lichamelijk onderzoek
+
|colspan="5"|Lichamelijk onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Lichaamsgewicht
+
|colspan="4"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht waarde
+
|colspan="2"|Gewicht waarde
 
|style="background-color: white;"|1740 gram
 
|style="background-color: white;"|1740 gram
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht datum tijd
+
|colspan="2"|Gewicht datum tijd
 
|style="background-color: white;"|5 mei 2020 09:00
 
|style="background-color: white;"|5 mei 2020 09:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Schedelomvang
+
|colspan="4"|Schedelomvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schedelomvang meetmethode
+
|colspan="2"|Schedelomvang meetmethode
 
|style="background-color: white;"|Meten van schedelomvang m.b.v. meetlint (code = '31551000146109' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Meten van schedelomvang m.b.v. meetlint (code = '31551000146109' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schedelomvang waarde
+
|colspan="2"|Schedelomvang waarde
 
|style="background-color: white;"|30 cm
 
|style="background-color: white;"|30 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schedelomvang datum tijd
+
|colspan="2"|Schedelomvang datum tijd
 
|style="background-color: white;"|5 mei 2020 09:01
 
|style="background-color: white;"|5 mei 2020 09:01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Voeding kind
+
|colspan="4"|Voeding kind
 
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Mortaliteit
+
|colspan="6"|Mortaliteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="4"|
 
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Overlijden lt12 uur na opname nicu?
+
|colspan="4"|Overlijden lt12 uur na opname nicu?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Overleden op verloskamer?
+
|colspan="4"|Overleden op verloskamer?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Staken icbehandeling?
+
|colspan="4"|Staken icbehandeling?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Follow up
+
|colspan="6"|Follow up
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Na ontslag
+
|colspan="5"|Na ontslag
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|O2 op dag 28?
+
|colspan="3"|O2 op dag 28?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gradatie bpd
+
|colspan="3"|Gradatie bpd
 
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zintuigen
+
|colspan="4"|Zintuigen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Problemen aanwezig?
+
|colspan="2"|Problemen aanwezig?
 
|style="background-color: white;"|NullFlavor: UNK
 
|style="background-color: white;"|NullFlavor: UNK
 +
|}
 +
==Scenario Testscenario 2: geb.trauma + neurologisch + anat afw  + overlijden ==
 +
       
 +
=== Documentgegevens ===
 +
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Rop screening verricht?
+
|colspan="3"|Identificatie
|style="background-color: white;"|NullFlavor: UNK
+
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Rop screening afgesloten?
+
|colspan="3"|Document datum
|style="background-color: white;"|NullFlavor: UNK
+
|style="background-color: white;"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aabr verricht?
+
|colspan="3"|Set identificatie
|style="background-color: white;"|NullFlavor: NI
+
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aabr afwijkend?
+
|colspan="3"|Versienummer
|style="background-color: white;"|NullFlavor: NI
+
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Bera verricht?
+
|colspan="3"|Software naam
|style="background-color: white;"|NullFlavor: NI
+
|style="background-color: white;"|XIS
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Bera
+
|colspan="4"|Verificatie zorgverlener
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Geverifieerd door zorgverlener?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Bera afwijkend?
+
|colspan="2"|Verificatie datum
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|
 
|}
 
|}
==Scenario Testscenario 2: geb.trauma + neurologisch + anat afw  + overlijden ==
 
       
 
 
=== Zorgaanbieder ===
 
=== Zorgaanbieder ===
  
Regel 597: Regel 703:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Zorgaanbieder identificatienummer
 
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|
+
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 
|}
 
|}
=== Zwangerschapsgegevens ===
+
=== Zorgverlener ===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zorgverlener
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="4" width="25%"| Gegevenselement
 
|colspan="4" width="25%"| Gegevenselement
Regel 608: Regel 714:
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Graviditeit
+
|colspan="4"|Zorgverlener identificatienummer
|style="background-color: white;"|3
+
|style="background-color: white;"|0000 (in identificerend systeem: UZI Personen)
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Pariteit voor deze zwangerschap
 
|style="background-color: white;"|2
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Complicaties tijdens zwangerschap
+
|colspan="5"|Naamgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="8"|
 
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Complicaties zwangerschap?
+
|colspan="3"|Voornamen
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Hans Paul
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Probleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Initialen
 +
|style="background-color: white;"|H.P.
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="3"|Roepnaam
|style="background-color: white;"|hypertensieve aandoening (aandoening) (code = '38341003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Hans
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verificatie status
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Magnesiumsulfaat
+
|rowspan="2"|
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Antenatale steroiden gegeven?
+
|colspan="2"|Achternaam
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|Pieterse
 
|}
 
|}
=== Kind ===
+
=== Vrouw ===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="6" width="25%"| Gegevenselement
+
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Demografische gegevens
+
|colspan="5"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Patient
+
|colspan="4"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
+
|colspan="2"|Identificatienummer
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
+
|style="background-color: white;"|(in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
+
|colspan="2"|Geboortedatum
|style="background-color: white;"|26 mei 2020 10:44
+
|style="background-color: white;"|1994
 +
|}
 +
=== Zwangerschapsgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="4"|Graviditeit
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Meerling indicator
+
|colspan="4"|Pariteit voor deze zwangerschap
|style="background-color: white;"|Nee
+
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Complicaties tijdens zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Overlijdens indicator
+
|rowspan="8"|
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Datum overlijden
+
|colspan="3"|Complicaties zwangerschap?
|style="background-color: white;"|26 mei 2020 21:00
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Bevallingsgegevens
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zwangerschapsduur
+
|colspan="2"|Probleem naam
|style="background-color: white;"|254 dagen
+
|style="background-color: white;"|hypertensieve aandoening (aandoening) (code = '38341003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Aantal geboren kinderen
+
|colspan="2"|Verificatie status
|style="background-color: white;"|1
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Type partus
+
|colspan="3"|Magnesiumsulfaat
|style="background-color: white;"|Primair (code = '177141003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Locatie partus
+
|colspan="3"|Antenatale steroiden gegeven?
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|NullFlavor: NA
 +
|}
 +
=== Kind ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgaanbieder
+
|colspan="7"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="9"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatienummer
+
|rowspan="7"|
|style="background-color: white;"|234 (in identificerend systeem: AGB-Z)
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie naam
+
|colspan="4"|Identificatienummer
|style="background-color: white;"|UMC Papendorp
+
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Ondersteuning opvang
+
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|26 mei 2020 10:44
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="4"|Geslacht
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|colspan="6"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Meerling indicator
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting type
+
|colspan="4"|Overlijdens indicator
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Opname gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="28"|
+
|colspan="4"|Datum overlijden
 +
|style="background-color: white;"|26 mei 2020 21:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Opname
+
|colspan="7"|Bevallingsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="9"|
 
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Opname datum
+
|colspan="5"|Zwangerschapsduur
|style="background-color: white;"|26 mei 2020
+
|style="background-color: white;"|254 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ic opname?
+
|colspan="5"|Aantal geboren kinderen
|style="background-color: white;"|Ja
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Heropname?
+
|colspan="5"|Type partus
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Primair (code = '177141003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Herkomst kind
+
|colspan="5"|Locatie partus
|style="background-color: white;"|In-hospital admission from obstetrical ward (procedure) (code = '59151000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zorgaanbieder
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Opname indicatie
+
|rowspan="3"|
|style="background-color: white;"|Perinatal asphyxia (disorder) (code = '281578009' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Opname indicatie
+
|colspan="4"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Infant in poor condition at birth (finding) (code = '276707008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|234 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Opname indicatie
+
|colspan="4"|Organisatie naam
|style="background-color: white;"|Congenital disease (disorder) (code = '66091009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|UMC Papendorp
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Ontslag datum
 
|style="background-color: white;"|26 mei 2020
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Onderzoek
+
|colspan="7"|Ondersteuning opvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Lichaamsgewicht
+
|colspan="6"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht waarde
+
|colspan="4"|Verrichting type
|style="background-color: white;"|3870 g
+
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Opname gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht datum tijd
+
|rowspan="28"|
|style="background-color: white;"|26 mei 2020 11:01
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Lichaamstemperatuur
+
|colspan="6"|Opname
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Temperatuur waarde
+
|colspan="4"|Opname datum
|style="background-color: white;"|36.1 graden celsius
+
|style="background-color: white;"|26 mei 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Temperatuur datum tijd
+
|colspan="4"|Ic opname?
|style="background-color: white;"|26 mei 2020 11:02
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Temperatuur type
+
|colspan="4"|Heropname?
|style="background-color: white;"|Rectale temperatuur (code = '307047009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Apgar score na 1 min
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Herkomst kind
 +
|style="background-color: white;"|In-hospital admission from obstetrical ward (procedure) (code = '59151000146103' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Apgar score totaal
+
|colspan="4"|Opname indicatie
|style="background-color: white;"|0
+
|style="background-color: white;"|Perinatal asphyxia (disorder) (code = '281578009' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Apgar score na 5 min
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Opname indicatie
 +
|style="background-color: white;"|Infant in poor condition at birth (finding) (code = '276707008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Apgar score totaal
+
|colspan="4"|Opname indicatie
|style="background-color: white;"|2
+
|style="background-color: white;"|Congenital disease (disorder) (code = '66091009' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Problematiek kind
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="71"|
+
|colspan="4"|Ontslag datum
 +
|style="background-color: white;"|26 mei 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Geboortetrauma
+
|colspan="6"|Onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="16"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="5"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="3"|Gewicht waarde
|style="background-color: white;"|Spinal cord injury due to birth trauma (disorder) (code = '698500002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|3870 g
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verificatie status
+
|colspan="3"|Gewicht datum tijd
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|26 mei 2020 11:01
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Ademhalingsondersteuning
+
|colspan="5"|Lichaamstemperatuur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ademhalingsondersteuning?
+
|colspan="3"|Temperatuur waarde
|style="background-color: white;"|Ja
+
|style="background-color: white;"|36.1 graden celsius
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Temperatuur datum tijd
 +
|style="background-color: white;"|26 mei 2020 11:02
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting start datum
+
|colspan="3"|Temperatuur type
|style="background-color: white;"|26 mei 2020 11:16
+
|style="background-color: white;"|Rectale temperatuur (code = '307047009' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Apgar score na 1 min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|rowspan="2"|
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|O2 op dag 28?
+
|colspan="3"|Apgar score totaal
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|0
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Respiratoir
+
|colspan="5"|Apgar score na 5 min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="3"|Apgar score totaal
|style="background-color: white;"|Nee
+
|style="background-color: white;"|2
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Problematiek kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="68"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Circulatoir
+
|colspan="6"|Geboortetrauma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="6"|
 
|rowspan="6"|
Regel 842: Regel 962:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem naam
 
|colspan="3"|Probleem naam
|style="background-color: white;"|Neonatal hypotension (disorder) (code = '276519002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Spinal cord injury due to birth trauma (disorder) (code = '698500002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verificatie status
 
|colspan="3"|Verificatie status
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Infectieus
+
|colspan="6"|Ademhalingsondersteuning
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="4"|Ademhalingsondersteuning?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Gastrointestinaal
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="3"|Verrichting start datum
|style="background-color: white;"|Nee
+
|style="background-color: white;"|26 mei 2020 11:16
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Hematologisch
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Verrichting type
 +
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="4"|O2 op dag 28?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|NullFlavor: NA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Metabool en endocrien
+
|colspan="6"|Respiratoir
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
Regel 875: Regel 994:
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Neurologisch
+
|colspan="6"|Circulatoir
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="17"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
Regel 884: Regel 1.003:
 
|colspan="5"|Probleem
 
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem naam
 
|colspan="3"|Probleem naam
|style="background-color: white;"|Neonatal encephalopathy (disorder) (code = '95628005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Neonatal hypotension (disorder) (code = '276519002' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Ernst encefalopathie
 
|style="background-color: white;"|Ernstig (code = '24484000' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verificatie status
 
|colspan="3"|Verificatie status
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="6"|Infectieus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|asfyxie bij geboorte (code = '413654009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verificatie status
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="6"|Gastrointestinaal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|Intraventricular (nontraumatic) hemorrhage, grade 2, of fetus and newborn (disorder) (code = '206396002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="6"|Hematologisch
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|echografische beeldvorming van hoofd (verrichting) (code = '241449005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zintuigen
+
|colspan="6"|Metabool en endocrien
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|NullFlavor: NASK
+
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Rop screening verricht?
 
|style="background-color: white;"|NullFlavor: NA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Aabr verricht?
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Bera verricht?
 
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Congenitale aandoeningen
+
|colspan="6"|Neurologisch
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="17"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Aangeboren anatomische afwijkingen majorsyndromen
+
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Probleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|Neonatal encephalopathy (disorder) (code = '95628005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="3"|Ernst encefalopathie
|style="background-color: white;"|Overige congenitale afwijkingen zenuwstelsel (code = '09' in codeSystem '2.16.840.1.113883.2.4.4.13.8')
+
|style="background-color: white;"|Ernstig (code = '24484000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verificatie status
+
|colspan="3"|Verificatie status
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Ontslagoverplaatsing
+
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Nog opgenomen?
+
|colspan="3"|Probleem naam
|style="background-color: white;"|Nee
+
|style="background-color: white;"|asfyxie bij geboorte (code = '413654009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Voeding kind
+
|colspan="3"|Verificatie status
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Mortaliteit
+
|colspan="5"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|Intraventricular (nontraumatic) hemorrhage, grade 2, of fetus and newborn (disorder) (code = '206396002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Overlijden lt12 uur na opname nicu?
+
|rowspan="2"|
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Overleden op verloskamer?
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Nee
+
|style="background-color: white;"|echografische beeldvorming van hoofd (verrichting) (code = '241449005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Zintuigen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Oorzaak overlijden
+
|rowspan="2"|
|style="background-color: white;"|multiorgaanfalen (aandoening) (code = '57653000' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Staken icbehandeling?
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|NullFlavor: UNK
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
==Scenario Testscenario 3: stofwisselingsziekte  ==
+
|colspan="6"|Congenitale aandoeningen
       
 
=== Zorgaanbieder ===
 
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="2" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
+
|rowspan="8"|
|style="background-color: white;"|
 
|}
 
=== Zwangerschapsgegevens ===
 
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschapsgegevens
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="3" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Graviditeit
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|4
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Aangeboren anatomische afwijkingen majorsyndromen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Pariteit voor deze zwangerschap
+
|rowspan="5"|
|style="background-color: white;"|2
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Complicaties tijdens zwangerschap
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Complicaties zwangerschap?
+
|colspan="2"|Probleem naam
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Overige congenitale afwijkingen zenuwstelsel (code = '09' in codeSystem '2.16.840.1.113883.2.4.4.13.8')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Antenatale steroiden gegeven?
+
|colspan="2"|Verificatie status
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Antenatale steroiden
 
|style="background-color: white;"|Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')
 
|}
 
=== Kind ===
 
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="6" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Demografische gegevens
+
|colspan="7"|Ontslagoverplaatsing
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Patient
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|colspan="5"|Nog opgenomen?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
+
|colspan="5"|Voeding kind
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
+
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Mortaliteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
+
|rowspan="5"|
|style="background-color: white;"|2 jul 2020 06:55
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="5"|Overlijden lt12 uur na opname nicu?
|style="background-color: white;"|Ongedifferentieerd (code = 'UN' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Meerling indicator
+
|colspan="5"|Overleden op verloskamer?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Overlijdens indicator
+
|colspan="5"|Oorzaak overlijden
|style="background-color: white;"|Nee
+
|style="background-color: white;"|multiorgaanfalen (aandoening) (code = '57653000' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Bevallingsgegevens
+
|colspan="5"|Staken icbehandeling?
 +
|style="background-color: white;"|Ja
 +
|}
 +
==Scenario Testscenario 3: stofwisselingsziekte ==
 +
       
 +
=== Documentgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="3"|Identificatie
 +
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zwangerschapsduur
+
|colspan="3"|Document datum
|style="background-color: white;"|215 dagen
+
|style="background-color: white;"|22 sep 2021 09:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Aantal geboren kinderen
+
|colspan="3"|Set identificatie
|style="background-color: white;"|1
+
|style="background-color: white;"|0000 (in identificerend systeem: abc123)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Type partus
+
|colspan="3"|Versienummer
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|3
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Locatie partus
+
|colspan="3"|Software naam
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|XIS
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Opname gegevens
+
|colspan="4"|Verificatie zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="29"|
+
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Opname
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Opname datum
 
|style="background-color: white;"|16 sep 2020
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ic opname?
+
|colspan="2"|Geverifieerd door zorgverlener?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Heropname?
+
|colspan="2"|Verificatie datum
|style="background-color: white;"|Ja
+
|style="background-color: white;"|
 +
|}
 +
=== Zorgaanbieder ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Herkomst kind
+
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Hospital admission from home or birth center (procedure) (code = '59141000146101' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|0000 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Opname indicatie
+
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Other (code = 'OTH' in codeSystem 'HL7 NullFlavor'): vaccinatie onder observatie
+
|style="background-color: white;"|(in identificerend systeem: URA)
 +
|}
 +
=== Zorgverlener ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zorgverlener
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ontslag datum
+
|colspan="4"|Zorgverlener identificatienummer
|style="background-color: white;"|16 sep 2020
+
|style="background-color: white;"|0000 (in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Onderzoek
+
|colspan="5"|Naamgegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="19"|
+
|colspan="3"|Voornamen
|-style="vertical-align:top; background-color: #E3E3E3;;
+
|style="background-color: white;"|Hans Peter
|colspan="5"|Lichaamslengte
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Initialen
 +
|style="background-color: white;"|HP
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Lengte waarde
+
|colspan="3"|Roepnaam
|style="background-color: white;"|43 cm
+
|style="background-color: white;"|Hans
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Lengte datum tijd
+
|colspan="3"|Naamgebruik
|style="background-color: white;"|16 sep 2020 09:30
+
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Lichaamsgewicht
+
|colspan="4"|Geslachtsnaam
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht waarde
+
|colspan="2"|Voorvoegsels
|style="background-color: white;"|1800 g
+
|style="background-color: white;"|van de
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht datum tijd
+
|colspan="2"|Achternaam
|style="background-color: white;"|16 sep 2020 09:30
+
|style="background-color: white;"|Velde
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
|colspan="5"|Lichaamstemperatuur
+
=== Zwangerschapsgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschapsgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Graviditeit
 +
|style="background-color: white;"|4
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Temperatuur waarde
+
|colspan="3"|Pariteit voor deze zwangerschap
|style="background-color: white;"|37.1
+
|style="background-color: white;"|2
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Temperatuur datum tijd
 
|style="background-color: white;"|16 sep 2020 09:30
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Schedelomvang
+
|colspan="4"|Complicaties tijdens zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schedelomvang waarde
+
|colspan="2"|Complicaties zwangerschap?
|style="background-color: white;"|31 centimeter
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schedelomvang datum tijd
+
|colspan="2"|Antenatale steroiden gegeven?
|style="background-color: white;"|16 sep 2020 09:32
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Nsp h arterieel
+
|colspan="2"|Antenatale steroiden
|style="background-color: white;"|7.35 ph
+
|style="background-color: white;"|Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
|colspan="4"|Be
+
=== Kind ===
|style="background-color: white;"|0.0 mmol/l
+
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="7" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Problematiek kind
+
|colspan="7"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Congenitale aandoeningen
+
|colspan="6"|Patient
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Stofwisselingsziekten
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Probleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="4"|Geboortedatum
|style="background-color: white;"|stoornis van mineraalstofwisseling (aandoening) (code = '45744005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2 jul 2020 06:55
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geslacht
 +
|style="background-color: white;"|Ongedifferentieerd (code = 'UN' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verificatie status
+
|colspan="4"|Overlijdens indicator
|style="background-color: white;"|Differentiaal (code = '410590009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Ontslagoverplaatsing
+
|colspan="7"|Bevallingsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Nog opgenomen?
+
|colspan="5"|Zwangerschapsduur
|style="background-color: white;"|Nee
+
|style="background-color: white;"|215 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Bestemming kind
+
|colspan="5"|Aantal geboren kinderen
|style="background-color: white;"|Discharge to home (procedure) (code = '306689006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Voeding kind
+
|colspan="5"|Type partus
|style="background-color: white;"|moedermelk (substantie) (code = '226789007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Ondersteuning bij ontslag naar huis
+
|colspan="5"|Locatie partus
|style="background-color: white;"|monitoren met cardiotachometer (regime/therapie) (code = '63818009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Mortaliteit
+
|colspan="7"|Opname gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="29"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Opname
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Overlijden lt12 uur na opname nicu?
+
|rowspan="7"|
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Overleden op verloskamer?
+
|colspan="4"|Opname datum
|style="background-color: white;"|Nee
+
|style="background-color: white;"|16 sep 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Staken icbehandeling?
+
|colspan="4"|Ic opname?
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
|}
 
==Scenario Testscenario 4: gastro + chirurgie ==
 
       
 
=== Zorgaanbieder ===
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="2" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
+
|colspan="4"|Heropname?
|style="background-color: white;"|
+
|style="background-color: white;"|Ja
|}
 
=== Zwangerschapsgegevens ===
 
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Graviditeit
+
|colspan="4"|Herkomst kind
|style="background-color: white;"|1
+
|style="background-color: white;"|Hospital admission from home or birth center (procedure) (code = '59141000146101' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Opname indicatie
 +
|style="background-color: white;"|Other (code = 'OTH' in codeSystem 'HL7 NullFlavor'): vaccinatie onder observatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Pariteit voor deze zwangerschap
+
|colspan="4"|Ontslag datum
|style="background-color: white;"|0
+
|style="background-color: white;"|16 sep 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Complicaties tijdens zwangerschap
+
|colspan="6"|Onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="19"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Complicaties zwangerschap?
 
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="5"|Lichaamslengte
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="3"|Lengte waarde
|style="background-color: white;"|hypertensieve aandoening (aandoening) (code = '38341003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|43 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Magnesiumsulfaat
+
|colspan="3"|Lengte datum tijd
|style="background-color: white;"|Nee
+
|style="background-color: white;"|16 sep 2020 09:30
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Antenatale steroiden gegeven?
+
|rowspan="3"|
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Antenatale steroiden
+
|colspan="3"|Gewicht waarde
|style="background-color: white;"|Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1800 g
|}
 
=== Kind ===
 
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="6" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Demografische gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|colspan="3"|Gewicht datum tijd
 +
|style="background-color: white;"|16 sep 2020 09:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Patient
+
|colspan="5"|Lichaamstemperatuur
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
+
|colspan="3"|Temperatuur waarde
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
+
|style="background-color: white;"|37.1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
+
|colspan="3"|Temperatuur datum tijd
|style="background-color: white;"|13 aug 2020 13:00
+
|style="background-color: white;"|16 sep 2020 09:30
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Schedelomvang
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="3"|Schedelomvang waarde
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
+
|style="background-color: white;"|31 centimeter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Meerling indicator
+
|colspan="3"|Schedelomvang datum tijd
|style="background-color: white;"|Ja
+
|style="background-color: white;"|16 sep 2020 09:32
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Rangnummer kind
+
|colspan="4"|Nsp h arterieel
|style="background-color: white;"|2
+
|style="background-color: white;"|7.35 ph
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Overlijdens indicator
+
|colspan="4"|Be
|style="background-color: white;"|Nee
+
|style="background-color: white;"|0.0 mmol/l
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Bevallingsgegevens
+
|colspan="7"|Problematiek kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="10"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Congenitale aandoeningen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zwangerschapsduur
+
|rowspan="8"|
|style="background-color: white;"|236 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Aantal geboren kinderen
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|2
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Stofwisselingsziekten
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Type partus
+
|rowspan="5"|
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Locatie partus
 
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Ondersteuning opvang
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Probleem naam
 +
|style="background-color: white;"|stoornis van mineraalstofwisseling (aandoening) (code = '45744005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting type
+
|colspan="2"|Verificatie status
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Differentiaal (code = '410590009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Opname gegevens
+
|colspan="7"|Ontslagoverplaatsing
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="19"|
+
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Opname
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="5"|Nog opgenomen?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Opname datum
+
|colspan="5"|Bestemming kind
|style="background-color: white;"|20 aug 2020
+
|style="background-color: white;"|Discharge to home (procedure) (code = '306689006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ic opname?
+
|colspan="5"|Voeding kind
|style="background-color: white;"|Ja
+
|style="background-color: white;"|moedermelk (substantie) (code = '226789007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Heropname?
+
|colspan="5"|Ondersteuning bij ontslag naar huis
|style="background-color: white;"|Ja
+
|style="background-color: white;"|monitoren met cardiotachometer (regime/therapie) (code = '63818009' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Herkomst kind
 
|style="background-color: white;"|Hospital admission, transfer from other hospital or health care facility (procedure) (code = '4563007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Opname indicatie
 
|style="background-color: white;"|Other (code = 'OTH' in codeSystem 'HL7 NullFlavor'): NEC
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Ontslag datum
 
|style="background-color: white;"|28 okt 2020
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Onderzoek
+
|colspan="7"|Mortaliteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Lichaamslengte
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="5"|Overlijden lt12 uur na opname nicu?
 +
|style="background-color: white;"|NullFlavor: NA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Lengte waarde
+
|colspan="5"|Overleden op verloskamer?
|style="background-color: white;"|43 cm
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Lengte datum tijd
+
|colspan="5"|Staken icbehandeling?
|style="background-color: white;"|16 sep 2020 09:30
+
|style="background-color: white;"|NullFlavor: NA
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
|colspan="5"|Lichaamsgewicht
+
==Scenario Testscenario 4: gastro + chirurgie ==
 +
       
 +
=== Documentgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 +
|-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;"|0000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Document datum
 +
|style="background-color: white;"|22 sep 2021 10:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht waarde
+
|colspan="3"|Set identificatie
|style="background-color: white;"|1530 g
+
|style="background-color: white;"|0000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht datum tijd
+
|colspan="3"|Versienummer
|style="background-color: white;"|20 aug 2020 09:30
+
|style="background-color: white;"|1
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Problematiek kind
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="97"|
+
|colspan="3"|Software naam
 +
|style="background-color: white;"|InformatieSysteemX
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Geboortetrauma
+
|colspan="4"|Verificatie zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="2"|Geverifieerd door zorgverlener?
|style="background-color: white;"|Nee
+
|style="background-color: white;"|NullFlavor: NI
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Ademhalingsondersteuning
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|colspan="2"|Verificatie datum
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|
|colspan="4"|Ademhalingsondersteuning?
+
|}
|style="background-color: white;"|Ja
+
=== Zorgaanbieder ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 +
|}
 +
=== Vrouw ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="5"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|rowspan="3"|
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|O2 op dag 28?
+
|colspan="2"|Identificatienummer
|style="background-color: white;"|Nee
+
|style="background-color: white;"|(in identificerend systeem: BSN)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Geboortedatum
 +
|style="background-color: white;"|
 +
|}
 +
=== Zwangerschapsgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zwangerschapsgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Graviditeit
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Pariteit voor deze zwangerschap
 +
|style="background-color: white;"|0
 +
|}
 +
=== Kind ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Respiratoir
+
|colspan="7"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="9"|
 
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="4"|Identificatienummer
|style="background-color: white;"|Bronchopulmonary dysplasia of newborn (disorder) (code = '67569000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geboortedatum
 +
|style="background-color: white;"|13 aug 2020 13:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Geslacht
 +
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verificatie status
+
|colspan="4"|Meerling indicator
|style="background-color: white;"|Uitgesloten (code = '410516002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Medicatie
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Rangnummer kind
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stimulatie ademhaling
+
|colspan="4"|Overlijdens indicator
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Circulatoir
+
|colspan="7"|Bevallingsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="5"|Zwangerschapsduur
|style="background-color: white;"|Ja
+
|style="background-color: white;"|236 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Probleem
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="5"|Aantal geboren kinderen
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="5"|Type partus
|style="background-color: white;"|Neonatal hypotension (disorder) (code = '276519002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Locatie partus
 +
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ondersteuning opvang
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Infectieus
+
|colspan="6"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="4"|Verrichting type
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="7"|Opname gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="23"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Opname
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|rowspan="11"|
|style="background-color: white;"|neonatale sepsis (aandoening) (code = '206376005' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Microorganisme sepsis meningitis
+
|colspan="4"|Opname datum
|style="background-color: white;"|Listeria monocytogenes (organism) (code = '36094007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|20 aug 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Lijnsepsis?
+
|colspan="4"|Ic opname?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Onset
+
|colspan="4"|Heropname?
|style="background-color: white;"|late neonatale periode (kwalificatiewaarde) (code = '303115001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Antibiotica eerste 3 dagen?
+
|colspan="4"|Herkomst kind
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|Hospital admission, transfer from other hospital or health care facility (procedure) (code = '4563007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Infuus
+
|colspan="5"|Zorgaanbieder
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Zorgaanbieder identificatienummer
 +
|style="background-color: white;"|0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Organisatie naam
 +
|style="background-color: white;"|AZ Papendorp
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Opname indicatie
 +
|style="background-color: white;"|Other (code = 'OTH' in codeSystem 'HL7 NullFlavor'): abc
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="4"|Ontslag datum
 +
|style="background-color: white;"|28 okt 2020
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Infuuskatheter
+
|colspan="6"|Onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Medisch hulpmiddel
+
|colspan="5"|Lichaamslengte
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Begin datum
+
|colspan="3"|Lengte waarde
|style="background-color: white;"|20 aug 2020 10:00
+
|style="background-color: white;"|43 cm
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Einddatum
+
|colspan="3"|Lengte datum tijd
|style="background-color: white;"|22 okt 2020 09:00
+
|style="background-color: white;"|16 sep 2020 09:30
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Gastrointestinaal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="5"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="3"|Gewicht waarde
|style="background-color: white;"|Necrotizing enterocolitis in fetus OR newborn - Bell stage IIIA (disorder) (code = '21941000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1530 g
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verificatie status
+
|colspan="3"|Gewicht datum tijd
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|20 aug 2020 09:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="7"|Problematiek kind
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|rowspan="92"|
|style="background-color: white;"|Laparotomy (procedure) (code = '86481000' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="6"|Geboortetrauma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Hematologisch
+
|colspan="6"|Ademhalingsondersteuning
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="6"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="4"|Ademhalingsondersteuning?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
Regel 1.519: Regel 1.660:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verrichting type
 
|colspan="3"|Verrichting type
|style="background-color: white;"|Transfusion for anemia (procedure) (code = '59071000146107' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|O2 op dag 28?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Metabool en endocrien
+
|colspan="6"|Respiratoir
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
Regel 1.533: Regel 1.677:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem naam
 
|colspan="3"|Probleem naam
|style="background-color: white;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Bronchopulmonary dysplasia of newborn (disorder) (code = '67569000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verificatie status
 
|colspan="3"|Verificatie status
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="5"|Medicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="3"|Stimulatie ademhaling
|style="background-color: white;"|Hypoglycemia (disorder) (code = '302866003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verificatie status
 
|style="background-color: white;"|Differentiaal (code = '410590009' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="6"|Circulatoir
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Probleem naam
|style="background-color: white;"|Intravenous infusion of glucose in hypoglycemia (procedure) (code = '109091000146105' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Neonatal hypotension (disorder) (code = '276519002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zintuigen
+
|colspan="6"|Infectieus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|NullFlavor: NASK
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Rop screening verricht?
+
|rowspan="5"|
|style="background-color: white;"|NullFlavor: NASK
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Rop screening afgesloten?
+
|colspan="3"|Probleem naam
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|neonatale sepsis (aandoening) (code = '206376005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aabr verricht?
+
|colspan="3"|Microorganisme sepsis meningitis
|style="background-color: white;"|NullFlavor: NASK
+
|style="background-color: white;"|Listeria monocytogenes (organism) (code = '36094007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aabr afwijkend?
+
|colspan="3"|Lijnsepsis?
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Bera verricht?
+
|colspan="3"|Onset
|style="background-color: white;"|NullFlavor: NASK
+
|style="background-color: white;"|late neonatale periode (kwalificatiewaarde) (code = '303115001' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"   
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Congenitale aandoeningen
+
|colspan="4"|Antibiotica eerste 3 dagen?
 +
|style="background-color: white;"|NullFlavor: NA
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 +
|colspan="6"|Infuus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="7"|
 
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Infuuskatheter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|rowspan="5"|
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Chirurgische ingrepen
+
|colspan="4"|Medisch hulpmiddel
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Begin datum
 +
|style="background-color: white;"|20 aug 2020 10:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verrichting type
+
|colspan="2"|Einddatum
|style="background-color: white;"|Endoscopie van oesofagus (verrichting) (code = '49230008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|22 okt 2020 09:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Ontslagoverplaatsing
+
|colspan="6"|Gastrointestinaal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="12"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Nog opgenomen?
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Bestemming kind
+
|rowspan="3"|
|style="background-color: white;"|Discharge to other location within hospital premises (procedure) (code = '115841000146105' in codeSystem 'SNOMED CT')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|-style="vertical-align:top; background-color: #E3E3E3;;" 
+
|colspan="3"|Probleem naam
|colspan="6"|Lichamelijk onderzoek
+
|style="background-color: white;"|Necrotizing enterocolitis in fetus OR newborn - Bell stage IIIA (disorder) (code = '21941000146103' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="3"|Verificatie status
 +
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Lichaamsgewicht
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht waarde
+
|colspan="3"|Verrichting type
|style="background-color: white;"|2800 gram
+
|style="background-color: white;"|Laparotomy (procedure) (code = '86481000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht datum tijd
+
|rowspan="2"|
|style="background-color: white;"|28 okt 2020 15:00
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Voeding kind
+
|colspan="3"|Verrichting type
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
+
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Mortaliteit
+
|colspan="6"|Hematologisch
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Overlijden lt12 uur na opname nicu?
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Overleden op verloskamer?
+
|rowspan="2"|
|style="background-color: white;"|Nee
 
|}
 
==Scenario Testscenario 5: zintuigen + FU ==
 
       
 
=== Zorgaanbieder ===
 
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="2" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
+
|colspan="3"|Verrichting type
|style="background-color: white;"|
+
|style="background-color: white;"|Transfusion for anemia (procedure) (code = '59071000146107' in codeSystem 'SNOMED CT')
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
=== Zorgverlener ===
+
|colspan="6"|Metabool en endocrien
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlener
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="2" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener identificatienummer
+
|rowspan="16"|
|style="background-color: white;"|(in identificerend systeem: 2.16.528.1.1007.5.1)
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|}
+
|colspan="4"|Problemen aanwezig?
=== Vrouw ===
+
|style="background-color: white;"|Ja
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Vrouw
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Demografische gegevens
+
|colspan="5"|Probleem
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem naam
 +
|style="background-color: white;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="3"|Verificatie status
 +
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Patient
+
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatienummer
+
|colspan="3"|Probleem naam
|style="background-color: white;"|(in identificerend systeem: BSN)
+
|style="background-color: white;"|Hypoglycemia (disorder) (code = '302866003' in codeSystem 'SNOMED CT')
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
=== Zwangerschapsgegevens ===
+
|colspan="3"|Verificatie status
 
+
|style="background-color: white;"|Differentiaal (code = '410590009' in codeSystem 'SNOMED CT')
{| class="wikitable" width="85%"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Zwangerschapsgegevens
+
|colspan="5"|Verrichting
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Graviditeit
+
|rowspan="2"|
|style="background-color: white;"|5
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Pariteit voor deze zwangerschap
+
|colspan="3"|Verrichting type
|style="background-color: white;"|4
+
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Complicaties tijdens zwangerschap
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Complicaties zwangerschap?
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Intravenous infusion of glucose in hypoglycemia (procedure) (code = '109091000146105' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="6"|Zintuigen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|preterm en prematuur gebroken vliezen (aandoening) (code = '312974005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|NullFlavor: NI
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Congenitale aandoeningen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verificatie status
+
|rowspan="7"|
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Magnesiumsulfaat
+
|colspan="4"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Antenatale steroiden gegeven?
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Antenatale steroiden
 
|style="background-color: white;"|Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')
 
|}
 
=== Kind ===
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="6" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Demografische gegevens
+
|colspan="5"|Chirurgische ingrepen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Patient
+
|colspan="4"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
+
|colspan="2"|Verrichting type
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
+
|style="background-color: white;"|Endoscopie van oesofagus (verrichting) (code = '49230008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Ontslagoverplaatsing
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
+
|rowspan="10"|
|style="background-color: white;"|2 feb 2020 14:00
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
+
|colspan="5"|Nog opgenomen?
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Meerling indicator
 
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Overlijdens indicator
+
|colspan="5"|Bestemming kind
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Discharge to other location within hospital premises (procedure) (code = '115841000146105' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Bevallingsgegevens
+
|colspan="6"|Lichamelijk onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Zwangerschapsduur
+
|rowspan="3"|
|style="background-color: white;"|177 dagen
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Type partus
+
|colspan="3"|Gewicht waarde
|style="background-color: white;"|Sectio Caesarea (code = '11466000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2800 gram
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Locatie partus
+
|colspan="3"|Gewicht datum tijd
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|28 okt 2020 15:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="5"|Voeding kind
 +
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zorgaanbieder
+
|colspan="7"|Mortaliteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatienummer
+
|colspan="5"|Overlijden lt12 uur na opname nicu?
|style="background-color: white;"|(in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Ondersteuning opvang
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="5"|Overleden op verloskamer?
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Nee
|colspan="6"|Verrichting
+
|}
 +
==Scenario Testscenario 5: zintuigen + FU ==
 +
       
 +
=== Documentgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Identificatie
 +
|style="background-color: white;"|0000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting type
+
|colspan="3"|Document datum
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|22 sep 2021 11:00
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Set identificatie
 +
|style="background-color: white;"|0000
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Verrichting type
+
|colspan="3"|Versienummer
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="7"|Opname gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="36"|
+
|colspan="3"|Software naam
 +
|style="background-color: white;"|InformatieSysteemX
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Opname
+
|colspan="4"|Verificatie zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Opname datum
+
|colspan="2"|Geverifieerd door zorgverlener?
|style="background-color: white;"|2 feb 2020 14:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Ic opname?
 
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Heropname?
+
|colspan="2"|Verificatie datum
|style="background-color: white;"|Nee
+
|style="background-color: white;"|22 sep 2021 10:00
 +
|}
 +
=== Zorgaanbieder ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Herkomst kind
+
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|Hospital admission, transfer from other hospital or health care facility (procedure) (code = '4563007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|
|-style="vertical-align:top; background-color: #E3E3E3;;"   
+
|}
|colspan="5"|Zorgaanbieder
+
=== Zwangerschapsgegevens ===
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
 
|rowspan="2"|
+
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Zwangerschapsgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatienummer
+
|colspan="4"|Graviditeit
|style="background-color: white;"|(in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|5
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Opname indicatie
+
|colspan="4"|Pariteit voor deze zwangerschap
|style="background-color: white;"|Finding of length of gestation (finding) (code = '366323009' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|4
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Complicaties tijdens zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ontslag datum
+
|rowspan="9"|
|style="background-color: white;"|17 jun 2020 12:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Onderzoek
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="23"|
+
|colspan="3"|Complicaties zwangerschap?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Lichaamsgewicht
+
|colspan="4"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht waarde
+
|colspan="2"|Probleem naam
|style="background-color: white;"|710 g
+
|style="background-color: white;"|preterm en prematuur gebroken vliezen (aandoening) (code = '312974005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht datum tijd
+
|colspan="2"|Verificatie status
|style="background-color: white;"|2 feb 2020 14:30
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Lichaamstemperatuur
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="3"|Magnesiumsulfaat
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Temperatuur waarde
+
|colspan="3"|Antenatale steroiden gegeven?
|style="background-color: white;"|36.7
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Temperatuur datum tijd
+
|colspan="3"|Antenatale steroiden
|style="background-color: white;"|2 feb 2020 14:35
+
|style="background-color: white;"|Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')
 +
|}
 +
=== Kind ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="6" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
+
|rowspan="8"|
|style="background-color: white;"|geen bijzonderheden
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Temperatuur type
 
|style="background-color: white;"|Orale temperatuur (onder de tong) (code = '415945006' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Schedelomvang
+
|colspan="6"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="6"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Identificatienummer
 +
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schedelomvang waarde
+
|colspan="4"|Geboortedatum
|style="background-color: white;"|25.5
+
|style="background-color: white;"|2 feb 2020 14:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schedelomvang datum tijd
+
|colspan="4"|Geslacht
|style="background-color: white;"|2 feb 2020 14:35
+
|style="background-color: white;"|Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Apgar score na 1 min
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Meerling indicator
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Apgar score totaal
+
|colspan="4"|Overlijdens indicator
|style="background-color: white;"|1
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Apgar score na 5 min
+
|colspan="7"|Bevallingsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Apgar score totaal
+
|colspan="5"|Zwangerschapsduur
|style="background-color: white;"|4
+
|style="background-color: white;"|177 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Nsp h arterieel
+
|colspan="5"|Type partus
|style="background-color: white;"|7.21 ph
+
|style="background-color: white;"|Sectio Caesarea (code = '11466000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Be
+
|colspan="5"|Locatie partus
|style="background-color: white;"|-11 mmol/l
+
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Problematiek kind
+
|colspan="7"|Ondersteuning opvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="127"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Geboortetrauma
+
|colspan="6"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="4"|Verrichting type
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Ademhalingsondersteuning
+
|colspan="6"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Ademhalingsondersteuning?
+
|colspan="4"|Verrichting type
|style="background-color: white;"|Ja
+
|style="background-color: white;"|endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="7"|Opname gegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|rowspan="33"|
|style="background-color: white;"|toedienen van zuurstof via neusbril (verrichting) (code = '371907003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="6"|Opname
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="4"|Opname datum
|style="background-color: white;"|Oxygen therapy using high flow oxygen nasal cannula (procedure) (code = '57485005:424226004=426854004' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2 feb 2020 14:30
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Ic opname?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="4"|Heropname?
|style="background-color: white;"|Continuous positive airway pressure ventilation treatment (procedure) (code = '47545007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="4"|Herkomst kind
 +
|style="background-color: white;"|Hospital admission, transfer from other hospital or health care facility (procedure) (code = '4563007' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="4"|Opname indicatie
|style="background-color: white;"|Noninvasive ventilation (procedure) (code = '428311008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Finding of length of gestation (finding) (code = '366323009' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|O2 op dag 28?
+
|colspan="4"|Ontslag datum
|style="background-color: white;"|Ja
+
|style="background-color: white;"|17 jun 2020 12:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Respiratoir
+
|colspan="6"|Onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="21"|
+
|rowspan="23"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|rowspan="3"|
|style="background-color: white;"|Ja
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Gewicht waarde
 +
|style="background-color: white;"|710 g
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Gewicht datum tijd
 +
|style="background-color: white;"|2 feb 2020 14:30
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="5"|Lichaamstemperatuur
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="3"|Temperatuur waarde
 +
|style="background-color: white;"|36.7
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="3"|Temperatuur datum tijd
|style="background-color: white;"|Respiratory distress syndrome in the newborn (disorder) (code = '46775006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|2 feb 2020 14:35
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem begin datum
+
|colspan="3"|Toelichting
|style="background-color: white;"|1 maa 2020 08:00
+
|style="background-color: white;"|geen bijzonderheden
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aanvang
+
|colspan="3"|Temperatuur type
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Orale temperatuur (onder de tong) (code = '415945006' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="5"|Schedelomvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="3"|Schedelomvang waarde
|style="background-color: white;"|Bronchopulmonary dysplasia of newborn - grade 3 (disorder) (code = '22041000146108' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|25.5
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Schedelomvang datum tijd
 +
|style="background-color: white;"|2 feb 2020 14:35
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="5"|Apgar score na 1 min
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Apgar score totaal
|style="background-color: white;"|Extracorporeal membrane oxygenation (procedure) (code = '233573008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Medicatie
+
|colspan="5"|Apgar score na 5 min
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="3"|Apgar score totaal
 +
|style="background-color: white;"|4
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stimulatie ademhaling
+
|colspan="4"|Nsp h arterieel
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
+
|style="background-color: white;"|7.21 ph
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Surfactant
+
|colspan="4"|Be
|style="background-color: white;"|NATUURLIJKE FOSFOLIPIDEN - LONGSURFACTANTS (code = 'R07AA02' in codeSystem 'ATC-NL')
+
|style="background-color: white;"|-11 mmol/l
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="7"|Problematiek kind
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Systemische steroiden
+
|rowspan="124"|
|style="background-color: white;"|CORTICOSTEROIDEN VOOR SYSTEMISCH GEBRUIK - SYSTEMISCHE HORMOONPREPARATEN, EXCL GESLACHTSHORMONEN (code = 'H02' in codeSystem 'ATC-NL')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Medicatie
+
|colspan="6"|Geboortetrauma
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Stimulatie ademhaling
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|DOXAPRAM (code = 'R07AB01' in codeSystem 'ATC-NL')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Circulatoir
+
|colspan="6"|Ademhalingsondersteuning
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="4"|Ademhalingsondersteuning?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Low blood pressure (disorder) (code = '45007003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|toedienen van zuurstof via neusbril (verrichting) (code = '371907003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Infectieus
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Oxygen therapy using high flow oxygen nasal cannula (procedure) (code = '57485005:424226004=426854004' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Probleem
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
+
|colspan="3"|Verrichting type
|style="background-color: white;"|neonatale sepsis (aandoening) (code = '206376005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Continuous positive airway pressure ventilation treatment (procedure) (code = '47545007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Lijnsepsis?
+
|rowspan="2"|
|style="background-color: white;"|Nee
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting type
 +
|style="background-color: white;"|Noninvasive ventilation (procedure) (code = '428311008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|O2 op dag 28?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Respiratoir
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="21"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Onset
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|vroege neonatale periode (kwalificatiewaarde) (code = '303114002' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Probleem
 
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem naam
 
|colspan="3"|Probleem naam
|style="background-color: white;"|urineweginfectie (aandoening) (code = '68566005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Respiratory distress syndrome in the newborn (disorder) (code = '46775006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Probleem begin datum
 +
|style="background-color: white;"|1 maa 2020 08:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verificatie status
+
|colspan="3"|Aanvang
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Probleem
 
|colspan="5"|Probleem
Regel 2.041: Regel 2.207:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem naam
 
|colspan="3"|Probleem naam
|style="background-color: white;"|Neonatal pneumonia (disorder) (code = '233619008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Bronchopulmonary dysplasia of newborn - grade 3 (disorder) (code = '22041000146108' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Antibiotica eerste 3 dagen?
+
|rowspan="2"|
|style="background-color: white;"|Ja
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verrichting type
 +
|style="background-color: white;"|Extracorporeal membrane oxygenation (procedure) (code = '233573008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Infuus
+
|colspan="5"|Medicatie
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="4"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Stimulatie ademhaling
 +
|style="background-color: white;"|COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="3"|Surfactant
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|NATUURLIJKE FOSFOLIPIDEN - LONGSURFACTANTS (code = 'R07AA02' in codeSystem 'ATC-NL')
|colspan="5"|Infuuskatheter
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|colspan="3"|Systemische steroiden
 +
|style="background-color: white;"|CORTICOSTEROIDEN VOOR SYSTEMISCH GEBRUIK - SYSTEMISCHE HORMOONPREPARATEN, EXCL GESLACHTSHORMONEN (code = 'H02' in codeSystem 'ATC-NL')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Medisch hulpmiddel
+
|colspan="5"|Medicatie
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Begin datum
+
|colspan="3"|Stimulatie ademhaling
|style="background-color: white;"|2 feb 2020 17:00
+
|style="background-color: white;"|DOXAPRAM (code = 'R07AB01' in codeSystem 'ATC-NL')
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Einddatum
 
|style="background-color: white;"|5 maa 2020 08:00
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Gastrointestinaal
+
|colspan="6"|Circulatoir
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="5"|
 
|rowspan="5"|
Regel 2.071: Regel 2.243:
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Probleem naam
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Low blood pressure (disorder) (code = '45007003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Hematologisch
+
|colspan="6"|Infectieus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
+
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="4"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Probleem naam
|style="background-color: white;"|Treatment for trombocytopenia (procedure) (code = '59091000146106' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|neonatale sepsis (aandoening) (code = '206376005' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Metabool en endocrien
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
+
|colspan="3"|Lijnsepsis?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="3"|Onset
|style="background-color: white;"|Ja
+
|style="background-color: white;"|vroege neonatale periode (kwalificatiewaarde) (code = '303114002' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Probleem
 
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem naam
 
|colspan="3"|Probleem naam
|style="background-color: white;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|urineweginfectie (aandoening) (code = '68566005' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Verificatie status
 +
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Probleem
 
|colspan="5"|Probleem
Regel 2.111: Regel 2.285:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem naam
 
|colspan="3"|Probleem naam
|style="background-color: white;"|Hypoglycemia (disorder) (code = '302866003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Neonatal pneumonia (disorder) (code = '233619008' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Antibiotica eerste 3 dagen?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="6"|Infuus
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="7"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Infuuskatheter
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|rowspan="5"|
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="4"|Medisch hulpmiddel
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="2"|Begin datum
 +
|style="background-color: white;"|2 feb 2020 17:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="2"|Einddatum
|style="background-color: white;"|Intravenous infusion of glucose in hypoglycemia (procedure) (code = '109091000146105' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|5 maa 2020 08:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Neurologisch
+
|colspan="6"|Gastrointestinaal
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="5"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Verrichting
 
|colspan="5"|Verrichting
Regel 2.139: Regel 2.320:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verrichting type
 
|colspan="3"|Verrichting type
|style="background-color: white;"|echografische beeldvorming van hoofd (verrichting) (code = '241449005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Hematologisch
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Problemen aanwezig?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Verrichting
 
|colspan="5"|Verrichting
Regel 2.146: Regel 2.334:
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Verrichting type
 
|colspan="3"|Verrichting type
|style="background-color: white;"|'magnetic resonance imaging' van hoofd (verrichting) (code = '241601008' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Treatment for trombocytopenia (procedure) (code = '59091000146106' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Zintuigen
+
|colspan="6"|Metabool en endocrien
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|rowspan="14"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Problemen aanwezig?
 
|colspan="4"|Problemen aanwezig?
Regel 2.157: Regel 2.345:
 
|colspan="5"|Probleem
 
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Probleem naam
 
|colspan="3"|Probleem naam
|style="background-color: white;"|Plus disease (disorder) (code = '56341000146109' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Probleem
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verificatie status
+
|rowspan="2"|
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Rop screening verricht?
+
|colspan="3"|Probleem naam
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Hypoglycemia (disorder) (code = '302866003' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Rop screening afgesloten?
+
|rowspan="2"|
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aabr verricht?
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Aabr afwijkend?
+
|rowspan="2"|
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Bera verricht?
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Intravenous infusion of glucose in hypoglycemia (procedure) (code = '109091000146105' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Bera
+
|colspan="6"|Neurologisch
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|rowspan="8"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Bera afwijkend?
+
|colspan="4"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Verrichting
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Bera lateraliteit
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|echografische beeldvorming van hoofd (verrichting) (code = '241449005' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Congenitale aandoeningen
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Problemen aanwezig?
+
|colspan="3"|Verrichting type
|style="background-color: white;"|Nee
+
|style="background-color: white;"|'magnetic resonance imaging' van hoofd (verrichting) (code = '241601008' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Ontslagoverplaatsing
+
|colspan="6"|Zintuigen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="15"|
 
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Nog opgenomen?
+
|colspan="4"|Problemen aanwezig?
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="5"|Bestemming kind
 
|style="background-color: white;"|Discharge to other hospital (procedure) (code = '115851000146108' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Lichamelijk onderzoek
+
|colspan="5"|Probleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="10"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Lichaamsgewicht
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht waarde
+
|colspan="3"|Probleem naam
|style="background-color: white;"|4 kg
+
|style="background-color: white;"|Plus disease (disorder) (code = '56341000146109' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Gewicht datum tijd
+
|colspan="3"|Verificatie status
|style="background-color: white;"|17 jun 2020 09:00
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Schedelomvang
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="4"|Rop screening verricht?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schedelomvang meetmethode
+
|colspan="4"|Rop screening afgesloten?
|style="background-color: white;"|Meten van schedelomvang m.b.v. echografisch onderzoek (code = '31561000146107' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schedelomvang waarde
+
|colspan="4"|Aabr verricht?
|style="background-color: white;"|34.6
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Schedelomvang datum tijd
+
|colspan="4"|Aabr afwijkend?
|style="background-color: white;"|16 jun 2020 10:20
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Voeding kind
+
|colspan="4"|Bera verricht?
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Mortaliteit
+
|colspan="5"|Bera
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Overlijden lt12 uur na opname nicu?
+
|colspan="3"|Bera afwijkend?
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Overleden op verloskamer?
+
|colspan="3"|Bera lateraliteit
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="7"|Follow up
+
|colspan="7"|Ontslagoverplaatsing
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="21"|
+
|rowspan="15"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="6"|Na ontslag
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="19"|
+
|colspan="5"|Nog opgenomen?
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|O2 op dag 28?
 
 
|style="background-color: white;"|Nee
 
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Gradatie bpd
+
|colspan="5"|Bestemming kind
|style="background-color: white;"|Bronchopulmonary dysplasia of newborn - grade 1 (disorder) (code = '22021000146102' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Discharge to other hospital (procedure) (code = '115851000146108' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zintuigen
+
|colspan="6"|Lichamelijk onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
+
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Problemen aanwezig?
 
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Probleem
+
|colspan="5"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
+
|colspan="3"|Gewicht waarde
|style="background-color: white;"|Plus disease (disorder) (code = '56341000146109' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|4 kg
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verificatie status
+
|colspan="3"|Gewicht datum tijd
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|17 jun 2020 09:00
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Schedelomvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Rop screening verricht?
+
|rowspan="4"|
|style="background-color: white;"|Ja
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Rop screening afgesloten?
+
|colspan="3"|Schedelomvang meetmethode
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Meten van schedelomvang m.b.v. echografisch onderzoek (code = '31561000146107' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aabr verricht?
+
|colspan="3"|Schedelomvang waarde
|style="background-color: white;"|Ja
+
|style="background-color: white;"|34.6
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Aabr afwijkend?
+
|colspan="3"|Schedelomvang datum tijd
|style="background-color: white;"|Ja
+
|style="background-color: white;"|16 jun 2020 10:20
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Bera verricht?
+
|colspan="5"|Voeding kind
|style="background-color: white;"|Ja
+
|style="background-color: white;"|niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Bera
+
|colspan="7"|Mortaliteit
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Bera afwijkend?
+
|colspan="5"|Overlijden lt12 uur na opname nicu?
|style="background-color: white;"|Ja
+
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Bera lateraliteit
+
|colspan="5"|Overleden op verloskamer?
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Nee
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
==Scenario Testscenario 6: overleden op verloskamer ==
+
|colspan="7"|Follow up
       
 
=== Zorgaanbieder ===
 
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="2" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgaanbieder identificatienummer
+
|rowspan="21"|
|style="background-color: white;"|
+
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|}
+
|colspan="6"|Na ontslag
=== Zorgverlener ===
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
+
|rowspan="19"|
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgverlener
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="2" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Zorgverlener identificatienummer
+
|colspan="4"|O2 op dag 28?
|style="background-color: white;"|(in identificerend systeem: 2.16.528.1.1007.5.1)
+
|style="background-color: white;"|Nee
|}
 
=== Vrouw ===
 
 
 
{| class="wikitable" width="85%"
 
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
 
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
|colspan="4" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Demografische gegevens
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
+
|colspan="4"|Gradatie bpd
 +
|style="background-color: white;"|Bronchopulmonary dysplasia of newborn - grade 1 (disorder) (code = '22021000146102' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Patient
+
|colspan="5"|Zintuigen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="15"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Identificatienummer
+
|colspan="3"|Problemen aanwezig?
|style="background-color: white;"|(in identificerend systeem: BSN)
+
|style="background-color: white;"|Ja
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"   
=== Zwangerschapsgegevens ===
+
|colspan="4"|Probleem
 
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
{| class="wikitable" width="85%"
+
|rowspan="3"|
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschapsgegevens
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|colspan="3" width="25%"| Gegevenselement
 
|| Waarde
 
 
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Graviditeit
+
|colspan="2"|Probleem naam
|style="background-color: white;"|2
+
|style="background-color: white;"|Plus disease (disorder) (code = '56341000146109' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Pariteit voor deze zwangerschap
+
|colspan="2"|Verificatie status
|style="background-color: white;"|1
+
|style="background-color: white;"|Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Complicaties tijdens zwangerschap
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Rop screening verricht?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Complicaties zwangerschap?
+
|colspan="3"|Rop screening afgesloten?
|style="background-color: white;"|Nee
+
|style="background-color: white;"|Ja
|}
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
=== Kind ===
+
|colspan="3"|Aabr verricht?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Aabr afwijkend?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Bera verricht?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Bera
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="3"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Bera afwijkend?
 +
|style="background-color: white;"|Ja
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Bera lateraliteit
 +
|style="background-color: white;"|Links (code = '7771000' in codeSystem 'SNOMED CT')
 +
|}
 +
==Scenario Testscenario 6: overleden op verloskamer ==
 +
       
 +
=== Documentgegevens ===
  
 
{| class="wikitable" width="85%"
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Kind
+
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Documentgegevens
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 
|-style="background-color: #1F497D;; color: white; text-align:left;"  
|colspan="5" width="25%"| Gegevenselement
+
|colspan="3" width="25%"| Gegevenselement
 
|| Waarde
 
|| Waarde
  
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Demografische gegevens
+
|colspan="4"|Verificatie zorgverlener
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
+
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Patient
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
+
|colspan="2"|Geverifieerd door zorgverlener?
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Identificatienummer
+
|colspan="2"|Verificatie datum
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
+
|style="background-color: white;"|
 +
|}
 +
=== Zorgaanbieder ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="3" | Zorgaanbieder
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="2" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geboortedatum
+
|colspan="2"|Zorgaanbieder identificatienummer
|style="background-color: white;"|27 nov 2020 13:20
+
|style="background-color: white;"|
 +
|}
 +
=== Vrouw ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Vrouw
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="4" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Geslacht
+
|rowspan="5"|
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="4"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Meerling indicator
+
|rowspan="3"|
|style="background-color: white;"|Nee
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Overlijdens indicator
+
|colspan="2"|Identificatienummer
|style="background-color: white;"|Ja
+
|style="background-color: white;"|000000000 (in identificerend systeem: BSN)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Datum overlijden
+
|colspan="2"|Geboortedatum
|style="background-color: white;"|27 nov 2020 19:00
+
|style="background-color: white;"|12 dec 1991
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|}
|colspan="6"|Bevallingsgegevens
+
=== Zwangerschapsgegevens ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="4" | Zwangerschapsgegevens
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"  
 +
|colspan="3" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|colspan="3"|Graviditeit
 +
|style="background-color: white;"|2
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zwangerschapsduur
+
|colspan="3"|Pariteit voor deze zwangerschap
|style="background-color: white;"|266 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Aantal geboren kinderen
 
 
|style="background-color: white;"|1
 
|style="background-color: white;"|1
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Type partus
 
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="4"|Locatie partus
 
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Zorgaanbieder
+
|colspan="4"|Complicaties tijdens zwangerschap
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Zorgaanbieder identificatienummer
+
|colspan="2"|Complicaties zwangerschap?
|style="background-color: white;"|(in identificerend systeem: AGB-Z)
+
|style="background-color: white;"|Nee
 +
|}
 +
=== Kind ===
 +
 
 +
{| class="wikitable" width="85%"
 +
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Kind
 +
|-style="background-color: #1F497D;; color: white; text-align:left;"
 +
|colspan="5" width="25%"| Gegevenselement
 +
|| Waarde
 +
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Ondersteuning opvang
+
|colspan="6"|Demografische gegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
+
|rowspan="9"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Verrichting
+
|colspan="5"|Patient
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="7"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Identificatienummer
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|123 (in identificerend systeem: 1.2.3.999)
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Verrichting
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Geboortedatum
 +
|style="background-color: white;"|27 nov 2020 13:20
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Geslacht
|style="background-color: white;"|mechanische thoraxcompressies (verrichting) (code = '33631000146101' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Verrichting
+
|colspan="3"|Meerling indicator
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|colspan="3"|Overlijdens indicator
 +
|style="background-color: white;"|Ja
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verrichting type
+
|colspan="3"|Datum overlijden
|style="background-color: white;"|injectie van adrenaline (verrichting) (code = '313191000' in codeSystem 'SNOMED CT')
+
|style="background-color: white;"|27 nov 2020 19:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Opname gegevens
+
|colspan="6"|Bevallingsgegevens
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="24"|
+
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="5"|Opname
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|colspan="4"|Zwangerschapsduur
 +
|style="background-color: white;"|266 dagen
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Opname datum
+
|colspan="4"|Aantal geboren kinderen
|style="background-color: white;"|27 nov 2020
+
|style="background-color: white;"|1
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ic opname?
+
|colspan="4"|Type partus
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Heropname?
+
|colspan="4"|Locatie partus
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Zorgaanbieder
+
|colspan="6"|Ondersteuning opvang
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
+
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Zorgaanbieder identificatienummer
 
|style="background-color: white;"|(in identificerend systeem: AGB-Z)
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="3"|Ontslag datum
 
|style="background-color: white;"|27 nov 2020 19:00
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Onderzoek
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
+
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
|colspan="4"|Lichaamsgewicht
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
+
|colspan="3"|Verrichting type
|-style="vertical-align:top; background-color: #E3E3E3;;"
+
|style="background-color: white;"|Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
|colspan="2"|Gewicht waarde
 
|style="background-color: white;"|3100 g
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|colspan="2"|Gewicht datum tijd
 
|style="background-color: white;"|27 nov 2020 13:30
 
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Apgar score na 1 min
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Apgar score totaal
+
|colspan="3"|Verrichting type
|style="background-color: white;"|1
+
|style="background-color: white;"|mechanische thoraxcompressies (verrichting) (code = '33631000146101' in codeSystem 'SNOMED CT')
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="4"|Apgar score na 5 min
+
|colspan="5"|Verrichting
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="2"|
 
|rowspan="2"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Apgar score totaal
+
|colspan="3"|Verrichting type
|style="background-color: white;"|1
+
|style="background-color: white;"|injectie van adrenaline (verrichting) (code = '313191000' in codeSystem 'SNOMED CT')
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Opname gegevens
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="21"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Opname
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="5"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Opname datum
 +
|style="background-color: white;"|27 nov 2020
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Ic opname?
 +
|style="background-color: white;"|NullFlavor: NA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Nsp h arterieel
+
|colspan="3"|Heropname?
|style="background-color: white;"|7.13 ph
+
|style="background-color: white;"|NullFlavor: NA
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Be
+
|colspan="3"|Ontslag datum
|style="background-color: white;"|-6.9 mmol/l
+
|style="background-color: white;"|27 nov 2020 19:00
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="6"|Problematiek kind
+
|colspan="5"|Onderzoek
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
+
|rowspan="13"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
|colspan="5"|Ademhalingsondersteuning
+
|colspan="4"|Lichaamsgewicht
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|rowspan="3"|
 
|rowspan="3"|
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Ademhalingsondersteuning?
+
|colspan="2"|Gewicht waarde
|style="background-color: white;"|NullFlavor: NI
+
|style="background-color: white;"|3100 g
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|O2 op dag 28?
+
|colspan="2"|Gewicht datum tijd
|style="background-color: white;"|NullFlavor: NA
+
|style="background-color: white;"|27 nov 2020 13:30
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Apgar score na 1 min
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Apgar score totaal
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="4"|Apgar score na 5 min
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="2"|Apgar score totaal
 +
|style="background-color: white;"|1
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Nsp h arterieel
 +
|style="background-color: white;"|7.13 ph
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Be
 +
|style="background-color: white;"|-6.9 mmol/l
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="6"|Problematiek kind
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="19"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Ademhalingsondersteuning
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Ademhalingsondersteuning?
 +
|style="background-color: white;"|NullFlavor: NI
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Circulatoir
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Problemen aanwezig?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Infectieus
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Problemen aanwezig?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Hematologisch
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Problemen aanwezig?
 +
|style="background-color: white;"|Nee
 +
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 +
|colspan="5"|Zintuigen
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|rowspan="2"|
 +
|-style="vertical-align:top; background-color: #E3E3E3;;"
 +
|colspan="3"|Problemen aanwezig?
 +
|style="background-color: white;"|Nee
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|-style="vertical-align:top; background-color: #E3E3E3;;"   
 
|colspan="5"|Congenitale aandoeningen
 
|colspan="5"|Congenitale aandoeningen

Huidige versie van 23 sep 2021 om 11:29



1 Addenda voor inhoudelijke gegevens Kernset Neonatologie 3.0

1.1 Scenario Testscenario 1: uitgebreide problematiek

1.1.1 Documentgegevens

Documentgegevens
Gegevenselement Waarde
Identificatie 0000 (in identificerend systeem: abc123)
Document datum 22 sep 2021 08:48
Set identificatie 0000 (in identificerend systeem: abc123)
Versienummer 1
Software naam InformatieSysteemX
Verificatie zorgverlener
Geverifieerd door zorgverlener? Ja
Verificatie datum 21 sep 2021 15:01

1.1.2 Zorgaanbieder

Zorgaanbieder
Gegevenselement Waarde
Zorgaanbieder identificatienummer 0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
Zorgaanbieder identificatienummer 0000 (in identificerend systeem: AGB-Z)
Zorgaanbieder identificatienummer 0000 (in identificerend systeem: URA)

1.1.3 Zorgverlener

Zorgverlener
Gegevenselement Waarde
Zorgverlener identificatienummer 0000 (in identificerend systeem: 2.16.528.1.1007.5.1)
Naamgegevens
Voornamen Hans Peter
Initialen HP
Roepnaam Hans
Naamgebruik Geslachtsnaam partner gevolgd door eigen geslachtsnaam (code = 'NL3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Voorvoegsels van den
Achternaam Akker
Geslachtsnaam partner
Achternaam partner Pieterse

1.1.4 Vrouw

Vrouw
Gegevenselement Waarde
Demografische gegevens
Patient
Identificatienummer 000000000 (in identificerend systeem: BSN)
Geboortedatum 11 mei 1993

1.1.5 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Graviditeit 1
Pariteit voor deze zwangerschap 0
Complicaties tijdens zwangerschap
Complicaties zwangerschap? Ja
Probleem
Probleem naam koorts (code = '386661006' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Magnesiumsulfaat Ja
Antenatale steroiden gegeven? Nee

1.1.6 Kind

Kind
Gegevenselement Waarde
Demografische gegevens
Patient
Identificatienummer 123 (in identificerend systeem: 1.2.3.999)
Geboortedatum 7 maa 2020 12:13
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Ja
Rangnummer kind 2
Overlijdens indicator Nee
Bevallingsgegevens
Zwangerschapsduur 179 dagen
Aantal geboren kinderen 2
Type partus Primair (code = '177141003' in codeSystem 'SNOMED CT')
Locatie partus Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
Zorgaanbieder
Zorgaanbieder identificatienummer 0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
Organisatie naam UMC Papendorp
Ondersteuning opvang
Verrichting
Verrichting type Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
Opname gegevens
Opname
Opname datum 7 maa 2020 13:30
Ic opname? Ja
Heropname? Nee
Herkomst kind In-hospital admission from obstetrical ward (procedure) (code = '59151000146103' in codeSystem 'SNOMED CT')
Opname indicatie Finding of length of gestation (finding) (code = '366323009' in codeSystem 'SNOMED CT')
Ontslag datum 5 mei 2020 12:00
Onderzoek
Lichaamslengte
Lengte waarde 31 cm
Lengte datum tijd 7 maa 2020 13:20
Lichaamsgewicht
Gewicht waarde 710 g
Gewicht datum tijd 7 maa 2020 13:21
Lichaamstemperatuur
Temperatuur waarde 37.4 graden celsius
Temperatuur datum tijd 7 maa 2020 13:22
Toelichting abc
Temperatuur type Rectale temperatuur (code = '307047009' in codeSystem 'SNOMED CT')
Schedelomvang
Schedelomvang waarde 22.5 cm
Schedelomvang datum tijd 7 maa 2020 13:23
Apgar score na 1 min
Apgar score totaal 1
Apgar score na 5 min
Apgar score totaal 5
Nsp h arterieel 7.05 ph
Be -12.0 mmol/l
Problematiek kind
Geboortetrauma
Problemen aanwezig? Nee
Ademhalingsondersteuning
Ademhalingsondersteuning? Ja
Verrichting
Verrichting start datum 7 maa 2020 13:35
Verrichting eind datum 3 mei 2020 12:00
Verrichting type Oxygen therapy using high flow oxygen nasal cannula (procedure) (code = '57485005:424226004=426854004' in codeSystem 'SNOMED CT')
Verrichting
Verrichting start datum 3 mei 2020 12:00
Verrichting eind datum 5 mei 2020 10:00
Verrichting type Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
O2 op dag 28? Ja
Respiratoir
Problemen aanwezig? Ja
Probleem
Probleem naam Respiratory distress syndrome in the newborn (disorder) (code = '46775006' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Aanvang Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
Medicatie
Stimulatie ademhaling COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
Surfactant NATUURLIJKE FOSFOLIPIDEN - LONGSURFACTANTS (code = 'R07AA02' in codeSystem 'ATC-NL')
Medicatie
Stimulatie ademhaling DOXAPRAM (code = 'R07AB01' in codeSystem 'ATC-NL')
Circulatoir
Problemen aanwezig? Ja
Probleem
Probleem naam Patent ductus arteriosus (disorder) (code = '83330001' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type Drug therapy for patent ductus arteriosus (procedure) (code = '58801000146104' in codeSystem 'SNOMED CT')
Infectieus
Problemen aanwezig? Ja
Probleem
Probleem naam Suspected sepsis (situation) (code = '9331000146100' in codeSystem 'SNOMED CT')
Probleem begin datum 8 maa 2020
Probleem eind datum 11 maa 2020
Verificatie status Werk (code = '415684004' in codeSystem 'SNOMED CT')
Aanvang Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
Microorganisme sepsis meningitis Other, specify (code = 'OTH' in codeSystem 'HL7 NullFlavor'): abc
Lijnsepsis? Nee
Onset vroege neonatale periode (kwalificatiewaarde) (code = '303114002' in codeSystem 'SNOMED CT')
Antibiotica eerste 3 dagen? Ja
Gastrointestinaal
Problemen aanwezig? Ja
Verrichting
Verrichting type Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
Hematologisch
Problemen aanwezig? Ja
Verrichting
Verrichting type Transfusion for anemia (procedure) (code = '59071000146107' in codeSystem 'SNOMED CT')
Metabool en endocrien
Problemen aanwezig? Ja
Probleem
Probleem naam hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
Neurologisch
Problemen aanwezig? Nee
Zintuigen
Problemen aanwezig? Ja
Probleem
Probleem naam Retinopathy of prematurity stage 2 - intraretinal ridge (disorder) (code = '408848001' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Rop screening verricht? Ja
Rop screening afgesloten? Ja
Aabr verricht? Ja
Aabr afwijkend? Ja
Bera verricht? Nee
Congenitale aandoeningen
Problemen aanwezig? Nee
Ontslagoverplaatsing
Nog opgenomen? Nee
Bestemming kind Discharge to other hospital (procedure) (code = '115851000146108' in codeSystem 'SNOMED CT')
Lichamelijk onderzoek
Lichaamsgewicht
Gewicht waarde 1740 gram
Gewicht datum tijd 5 mei 2020 09:00
Schedelomvang
Schedelomvang meetmethode Meten van schedelomvang m.b.v. meetlint (code = '31551000146109' in codeSystem 'SNOMED CT')
Schedelomvang waarde 30 cm
Schedelomvang datum tijd 5 mei 2020 09:01
Voeding kind niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
Mortaliteit
Overlijden lt12 uur na opname nicu? Nee
Overleden op verloskamer? Nee
Staken icbehandeling? Nee
Follow up
Na ontslag
O2 op dag 28? Nee
Gradatie bpd niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
Zintuigen
Problemen aanwezig? NullFlavor: UNK

1.2 Scenario Testscenario 2: geb.trauma + neurologisch + anat afw + overlijden

1.2.1 Documentgegevens

Documentgegevens
Gegevenselement Waarde
Identificatie 0000 (in identificerend systeem: abc123)
Document datum
Set identificatie 0000 (in identificerend systeem: abc123)
Versienummer 2
Software naam XIS
Verificatie zorgverlener
Geverifieerd door zorgverlener? Ja
Verificatie datum

1.2.2 Zorgaanbieder

Zorgaanbieder
Gegevenselement Waarde
Zorgaanbieder identificatienummer 0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)

1.2.3 Zorgverlener

Zorgverlener
Gegevenselement Waarde
Zorgverlener identificatienummer 0000 (in identificerend systeem: UZI Personen)
Naamgegevens
Voornamen Hans Paul
Initialen H.P.
Roepnaam Hans
Naamgebruik Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam
Achternaam Pieterse

1.2.4 Vrouw

Vrouw
Gegevenselement Waarde
Demografische gegevens
Patient
Identificatienummer (in identificerend systeem: BSN)
Geboortedatum 1994

1.2.5 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Graviditeit 3
Pariteit voor deze zwangerschap 2
Complicaties tijdens zwangerschap
Complicaties zwangerschap? Ja
Probleem
Probleem naam hypertensieve aandoening (aandoening) (code = '38341003' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Magnesiumsulfaat Nee
Antenatale steroiden gegeven? NullFlavor: NA

1.2.6 Kind

Kind
Gegevenselement Waarde
Demografische gegevens
Patient
Identificatienummer 123 (in identificerend systeem: 1.2.3.999)
Geboortedatum 26 mei 2020 10:44
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Nee
Overlijdens indicator Ja
Datum overlijden 26 mei 2020 21:00
Bevallingsgegevens
Zwangerschapsduur 254 dagen
Aantal geboren kinderen 1
Type partus Primair (code = '177141003' in codeSystem 'SNOMED CT')
Locatie partus Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
Zorgaanbieder
Zorgaanbieder identificatienummer 234 (in identificerend systeem: AGB-Z)
Organisatie naam UMC Papendorp
Ondersteuning opvang
Verrichting
Verrichting type endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
Opname gegevens
Opname
Opname datum 26 mei 2020
Ic opname? Ja
Heropname? Nee
Herkomst kind In-hospital admission from obstetrical ward (procedure) (code = '59151000146103' in codeSystem 'SNOMED CT')
Opname indicatie Perinatal asphyxia (disorder) (code = '281578009' in codeSystem 'SNOMED CT')
Opname indicatie Infant in poor condition at birth (finding) (code = '276707008' in codeSystem 'SNOMED CT')
Opname indicatie Congenital disease (disorder) (code = '66091009' in codeSystem 'SNOMED CT')
Ontslag datum 26 mei 2020
Onderzoek
Lichaamsgewicht
Gewicht waarde 3870 g
Gewicht datum tijd 26 mei 2020 11:01
Lichaamstemperatuur
Temperatuur waarde 36.1 graden celsius
Temperatuur datum tijd 26 mei 2020 11:02
Temperatuur type Rectale temperatuur (code = '307047009' in codeSystem 'SNOMED CT')
Apgar score na 1 min
Apgar score totaal 0
Apgar score na 5 min
Apgar score totaal 2
Problematiek kind
Geboortetrauma
Problemen aanwezig? Ja
Probleem
Probleem naam Spinal cord injury due to birth trauma (disorder) (code = '698500002' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Ademhalingsondersteuning
Ademhalingsondersteuning? Ja
Verrichting
Verrichting start datum 26 mei 2020 11:16
Verrichting type Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
O2 op dag 28? NullFlavor: NA
Respiratoir
Problemen aanwezig? Nee
Circulatoir
Problemen aanwezig? Ja
Probleem
Probleem naam Neonatal hypotension (disorder) (code = '276519002' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Infectieus
Problemen aanwezig? Ja
Gastrointestinaal
Problemen aanwezig? Nee
Hematologisch
Problemen aanwezig? Ja
Metabool en endocrien
Problemen aanwezig? Nee
Neurologisch
Problemen aanwezig? Ja
Probleem
Probleem naam Neonatal encephalopathy (disorder) (code = '95628005' in codeSystem 'SNOMED CT')
Ernst encefalopathie Ernstig (code = '24484000' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Probleem
Probleem naam asfyxie bij geboorte (code = '413654009' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Probleem
Probleem naam Intraventricular (nontraumatic) hemorrhage, grade 2, of fetus and newborn (disorder) (code = '206396002' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type echografische beeldvorming van hoofd (verrichting) (code = '241449005' in codeSystem 'SNOMED CT')
Zintuigen
Problemen aanwezig? NullFlavor: UNK
Congenitale aandoeningen
Problemen aanwezig? Ja
Aangeboren anatomische afwijkingen majorsyndromen
Probleem
Probleem naam Overige congenitale afwijkingen zenuwstelsel (code = '09' in codeSystem '2.16.840.1.113883.2.4.4.13.8')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Ontslagoverplaatsing
Nog opgenomen? Nee
Voeding kind niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
Mortaliteit
Overlijden lt12 uur na opname nicu? Ja
Overleden op verloskamer? Nee
Oorzaak overlijden multiorgaanfalen (aandoening) (code = '57653000' in codeSystem 'SNOMED CT')
Staken icbehandeling? Ja

1.3 Scenario Testscenario 3: stofwisselingsziekte

1.3.1 Documentgegevens

Documentgegevens
Gegevenselement Waarde
Identificatie 0000 (in identificerend systeem: abc123)
Document datum 22 sep 2021 09:00
Set identificatie 0000 (in identificerend systeem: abc123)
Versienummer 3
Software naam XIS
Verificatie zorgverlener
Geverifieerd door zorgverlener? Nee
Verificatie datum

1.3.2 Zorgaanbieder

Zorgaanbieder
Gegevenselement Waarde
Zorgaanbieder identificatienummer 0000 (in identificerend systeem: AGB-Z)
Zorgaanbieder identificatienummer (in identificerend systeem: URA)

1.3.3 Zorgverlener

Zorgverlener
Gegevenselement Waarde
Zorgverlener identificatienummer 0000 (in identificerend systeem: AGB-Z)
Naamgegevens
Voornamen Hans Peter
Initialen HP
Roepnaam Hans
Naamgebruik Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
Geslachtsnaam
Voorvoegsels van de
Achternaam Velde

1.3.4 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Graviditeit 4
Pariteit voor deze zwangerschap 2
Complicaties tijdens zwangerschap
Complicaties zwangerschap? Ja
Antenatale steroiden gegeven? Ja
Antenatale steroiden Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')

1.3.5 Kind

Kind
Gegevenselement Waarde
Demografische gegevens
Patient
Identificatienummer 123 (in identificerend systeem: 1.2.3.999)
Geboortedatum 2 jul 2020 06:55
Geslacht Ongedifferentieerd (code = 'UN' in codeSystem 'HL7 AdministrativeGender')
Overlijdens indicator Nee
Bevallingsgegevens
Zwangerschapsduur 215 dagen
Aantal geboren kinderen 1
Type partus Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
Locatie partus Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
Opname gegevens
Opname
Opname datum 16 sep 2020
Ic opname? Nee
Heropname? Ja
Herkomst kind Hospital admission from home or birth center (procedure) (code = '59141000146101' in codeSystem 'SNOMED CT')
Opname indicatie Other (code = 'OTH' in codeSystem 'HL7 NullFlavor'): vaccinatie onder observatie
Ontslag datum 16 sep 2020
Onderzoek
Lichaamslengte
Lengte waarde 43 cm
Lengte datum tijd 16 sep 2020 09:30
Lichaamsgewicht
Gewicht waarde 1800 g
Gewicht datum tijd 16 sep 2020 09:30
Lichaamstemperatuur
Temperatuur waarde 37.1
Temperatuur datum tijd 16 sep 2020 09:30
Schedelomvang
Schedelomvang waarde 31 centimeter
Schedelomvang datum tijd 16 sep 2020 09:32
Nsp h arterieel 7.35 ph
Be 0.0 mmol/l
Problematiek kind
Congenitale aandoeningen
Problemen aanwezig? Ja
Stofwisselingsziekten
Probleem
Probleem naam stoornis van mineraalstofwisseling (aandoening) (code = '45744005' in codeSystem 'SNOMED CT')
Verificatie status Differentiaal (code = '410590009' in codeSystem 'SNOMED CT')
Ontslagoverplaatsing
Nog opgenomen? Nee
Bestemming kind Discharge to home (procedure) (code = '306689006' in codeSystem 'SNOMED CT')
Voeding kind moedermelk (substantie) (code = '226789007' in codeSystem 'SNOMED CT')
Ondersteuning bij ontslag naar huis monitoren met cardiotachometer (regime/therapie) (code = '63818009' in codeSystem 'SNOMED CT')
Mortaliteit
Overlijden lt12 uur na opname nicu? NullFlavor: NA
Overleden op verloskamer? Nee
Staken icbehandeling? NullFlavor: NA

1.4 Scenario Testscenario 4: gastro + chirurgie

1.4.1 Documentgegevens

Documentgegevens
Gegevenselement Waarde
Identificatie 0000
Document datum 22 sep 2021 10:00
Set identificatie 0000
Versienummer 1
Software naam InformatieSysteemX
Verificatie zorgverlener
Geverifieerd door zorgverlener? NullFlavor: NI
Verificatie datum

1.4.2 Zorgaanbieder

Zorgaanbieder
Gegevenselement Waarde
Zorgaanbieder identificatienummer 0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)

1.4.3 Vrouw

Vrouw
Gegevenselement Waarde
Demografische gegevens
Patient
Identificatienummer (in identificerend systeem: BSN)
Geboortedatum

1.4.4 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Graviditeit 1
Pariteit voor deze zwangerschap 0

1.4.5 Kind

Kind
Gegevenselement Waarde
Demografische gegevens
Patient
Identificatienummer 123 (in identificerend systeem: 1.2.3.999)
Geboortedatum 13 aug 2020 13:00
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Ja
Rangnummer kind 2
Overlijdens indicator Nee
Bevallingsgegevens
Zwangerschapsduur 236 dagen
Aantal geboren kinderen 2
Type partus Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
Locatie partus Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
Ondersteuning opvang
Verrichting
Verrichting type Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
Opname gegevens
Opname
Opname datum 20 aug 2020
Ic opname? Ja
Heropname? Ja
Herkomst kind Hospital admission, transfer from other hospital or health care facility (procedure) (code = '4563007' in codeSystem 'SNOMED CT')
Zorgaanbieder
Zorgaanbieder identificatienummer 0000 (in identificerend systeem: 2.16.840.1.113883.2.4.3.22.93.2)
Organisatie naam AZ Papendorp
Opname indicatie Other (code = 'OTH' in codeSystem 'HL7 NullFlavor'): abc
Ontslag datum 28 okt 2020
Onderzoek
Lichaamslengte
Lengte waarde 43 cm
Lengte datum tijd 16 sep 2020 09:30
Lichaamsgewicht
Gewicht waarde 1530 g
Gewicht datum tijd 20 aug 2020 09:30
Problematiek kind
Geboortetrauma
Problemen aanwezig? Nee
Ademhalingsondersteuning
Ademhalingsondersteuning? Ja
Verrichting
Verrichting type Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
O2 op dag 28? Nee
Respiratoir
Problemen aanwezig? Ja
Probleem
Probleem naam Bronchopulmonary dysplasia of newborn (disorder) (code = '67569000' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Medicatie
Stimulatie ademhaling COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
Circulatoir
Problemen aanwezig? Ja
Probleem
Probleem naam Neonatal hypotension (disorder) (code = '276519002' in codeSystem 'SNOMED CT')
Infectieus
Problemen aanwezig? Ja
Probleem
Probleem naam neonatale sepsis (aandoening) (code = '206376005' in codeSystem 'SNOMED CT')
Microorganisme sepsis meningitis Listeria monocytogenes (organism) (code = '36094007' in codeSystem 'SNOMED CT')
Lijnsepsis? Ja
Onset late neonatale periode (kwalificatiewaarde) (code = '303115001' in codeSystem 'SNOMED CT')
Antibiotica eerste 3 dagen? NullFlavor: NA
Infuus
Infuuskatheter
Medisch hulpmiddel
Begin datum 20 aug 2020 10:00
Einddatum 22 okt 2020 09:00
Gastrointestinaal
Problemen aanwezig? Ja
Probleem
Probleem naam Necrotizing enterocolitis in fetus OR newborn - Bell stage IIIA (disorder) (code = '21941000146103' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type Laparotomy (procedure) (code = '86481000' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
Hematologisch
Problemen aanwezig? Ja
Verrichting
Verrichting type Transfusion for anemia (procedure) (code = '59071000146107' in codeSystem 'SNOMED CT')
Metabool en endocrien
Problemen aanwezig? Ja
Probleem
Probleem naam hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
Verificatie status Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
Probleem
Probleem naam Hypoglycemia (disorder) (code = '302866003' in codeSystem 'SNOMED CT')
Verificatie status Differentiaal (code = '410590009' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type Intravenous infusion of glucose in hypoglycemia (procedure) (code = '109091000146105' in codeSystem 'SNOMED CT')
Zintuigen
Problemen aanwezig? NullFlavor: NI
Congenitale aandoeningen
Problemen aanwezig? Ja
Chirurgische ingrepen
Verrichting
Verrichting type Endoscopie van oesofagus (verrichting) (code = '49230008' in codeSystem 'SNOMED CT')
Ontslagoverplaatsing
Nog opgenomen? Nee
Bestemming kind Discharge to other location within hospital premises (procedure) (code = '115841000146105' in codeSystem 'SNOMED CT')
Lichamelijk onderzoek
Lichaamsgewicht
Gewicht waarde 2800 gram
Gewicht datum tijd 28 okt 2020 15:00
Voeding kind niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
Mortaliteit
Overlijden lt12 uur na opname nicu? Nee
Overleden op verloskamer? Nee

1.5 Scenario Testscenario 5: zintuigen + FU

1.5.1 Documentgegevens

Documentgegevens
Gegevenselement Waarde
Identificatie 0000
Document datum 22 sep 2021 11:00
Set identificatie 0000
Versienummer 1
Software naam InformatieSysteemX
Verificatie zorgverlener
Geverifieerd door zorgverlener? Ja
Verificatie datum 22 sep 2021 10:00

1.5.2 Zorgaanbieder

Zorgaanbieder
Gegevenselement Waarde
Zorgaanbieder identificatienummer

1.5.3 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Graviditeit 5
Pariteit voor deze zwangerschap 4
Complicaties tijdens zwangerschap
Complicaties zwangerschap? Ja
Probleem
Probleem naam preterm en prematuur gebroken vliezen (aandoening) (code = '312974005' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Magnesiumsulfaat Ja
Antenatale steroiden gegeven? Ja
Antenatale steroiden Complete steroid therapy for fetal lung maturation (procedure) (code = '255594003434601000124108' in codeSystem 'SNOMED CT')

1.5.4 Kind

Kind
Gegevenselement Waarde
Demografische gegevens
Patient
Identificatienummer 123 (in identificerend systeem: 1.2.3.999)
Geboortedatum 2 feb 2020 14:00
Geslacht Onbekend (code = 'UNK' in codeSystem 'HL7 NullFlavor')
Meerling indicator Nee
Overlijdens indicator Nee
Bevallingsgegevens
Zwangerschapsduur 177 dagen
Type partus Sectio Caesarea (code = '11466000' in codeSystem 'SNOMED CT')
Locatie partus Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
Ondersteuning opvang
Verrichting
Verrichting type Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type endotracheale ademhalingsondersteuning (verrichting) (code = '182686001' in codeSystem 'SNOMED CT')
Opname gegevens
Opname
Opname datum 2 feb 2020 14:30
Ic opname? Ja
Heropname? Nee
Herkomst kind Hospital admission, transfer from other hospital or health care facility (procedure) (code = '4563007' in codeSystem 'SNOMED CT')
Opname indicatie Finding of length of gestation (finding) (code = '366323009' in codeSystem 'SNOMED CT')
Ontslag datum 17 jun 2020 12:00
Onderzoek
Lichaamsgewicht
Gewicht waarde 710 g
Gewicht datum tijd 2 feb 2020 14:30
Lichaamstemperatuur
Temperatuur waarde 36.7
Temperatuur datum tijd 2 feb 2020 14:35
Toelichting geen bijzonderheden
Temperatuur type Orale temperatuur (onder de tong) (code = '415945006' in codeSystem 'SNOMED CT')
Schedelomvang
Schedelomvang waarde 25.5
Schedelomvang datum tijd 2 feb 2020 14:35
Apgar score na 1 min
Apgar score totaal 1
Apgar score na 5 min
Apgar score totaal 4
Nsp h arterieel 7.21 ph
Be -11 mmol/l
Problematiek kind
Geboortetrauma
Problemen aanwezig? Nee
Ademhalingsondersteuning
Ademhalingsondersteuning? Ja
Verrichting
Verrichting type toedienen van zuurstof via neusbril (verrichting) (code = '371907003' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type Oxygen therapy using high flow oxygen nasal cannula (procedure) (code = '57485005:424226004=426854004' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type Continuous positive airway pressure ventilation treatment (procedure) (code = '47545007' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type Noninvasive ventilation (procedure) (code = '428311008' in codeSystem 'SNOMED CT')
O2 op dag 28? Ja
Respiratoir
Problemen aanwezig? Ja
Probleem
Probleem naam Respiratory distress syndrome in the newborn (disorder) (code = '46775006' in codeSystem 'SNOMED CT')
Probleem begin datum 1 maa 2020 08:00
Aanvang Health care facility where patient is registered (environment) (code = '58841000146101' in codeSystem 'SNOMED CT')
Probleem
Probleem naam Bronchopulmonary dysplasia of newborn - grade 3 (disorder) (code = '22041000146108' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type Extracorporeal membrane oxygenation (procedure) (code = '233573008' in codeSystem 'SNOMED CT')
Medicatie
Stimulatie ademhaling COFFEINE (code = 'N06BC01' in codeSystem 'ATC-NL')
Surfactant NATUURLIJKE FOSFOLIPIDEN - LONGSURFACTANTS (code = 'R07AA02' in codeSystem 'ATC-NL')
Systemische steroiden CORTICOSTEROIDEN VOOR SYSTEMISCH GEBRUIK - SYSTEMISCHE HORMOONPREPARATEN, EXCL GESLACHTSHORMONEN (code = 'H02' in codeSystem 'ATC-NL')
Medicatie
Stimulatie ademhaling DOXAPRAM (code = 'R07AB01' in codeSystem 'ATC-NL')
Circulatoir
Problemen aanwezig? Ja
Probleem
Probleem naam Low blood pressure (disorder) (code = '45007003' in codeSystem 'SNOMED CT')
Infectieus
Problemen aanwezig? Ja
Probleem
Probleem naam neonatale sepsis (aandoening) (code = '206376005' in codeSystem 'SNOMED CT')
Lijnsepsis? Nee
Onset vroege neonatale periode (kwalificatiewaarde) (code = '303114002' in codeSystem 'SNOMED CT')
Probleem
Probleem naam urineweginfectie (aandoening) (code = '68566005' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Probleem
Probleem naam Neonatal pneumonia (disorder) (code = '233619008' in codeSystem 'SNOMED CT')
Antibiotica eerste 3 dagen? Ja
Infuus
Infuuskatheter
Medisch hulpmiddel
Begin datum 2 feb 2020 17:00
Einddatum 5 maa 2020 08:00
Gastrointestinaal
Problemen aanwezig? Ja
Verrichting
Verrichting type Total parenteral nutrition (procedure) (code = '225372007' in codeSystem 'SNOMED CT')
Hematologisch
Problemen aanwezig? Ja
Verrichting
Verrichting type Treatment for trombocytopenia (procedure) (code = '59091000146106' in codeSystem 'SNOMED CT')
Metabool en endocrien
Problemen aanwezig? Ja
Probleem
Probleem naam hyperbilirubinemie (aandoening) (code = '14783006' in codeSystem 'SNOMED CT')
Probleem
Probleem naam Hypoglycemia (disorder) (code = '302866003' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type Phototherapy of newborn (procedure) (code = '35683002' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type Intravenous infusion of glucose in hypoglycemia (procedure) (code = '109091000146105' in codeSystem 'SNOMED CT')
Neurologisch
Problemen aanwezig? Ja
Verrichting
Verrichting type echografische beeldvorming van hoofd (verrichting) (code = '241449005' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type 'magnetic resonance imaging' van hoofd (verrichting) (code = '241601008' in codeSystem 'SNOMED CT')
Zintuigen
Problemen aanwezig? Ja
Probleem
Probleem naam Plus disease (disorder) (code = '56341000146109' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Rop screening verricht? Ja
Rop screening afgesloten? Nee
Aabr verricht? Ja
Aabr afwijkend? Ja
Bera verricht? Ja
Bera
Bera afwijkend? Ja
Bera lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')
Ontslagoverplaatsing
Nog opgenomen? Nee
Bestemming kind Discharge to other hospital (procedure) (code = '115851000146108' in codeSystem 'SNOMED CT')
Lichamelijk onderzoek
Lichaamsgewicht
Gewicht waarde 4 kg
Gewicht datum tijd 17 jun 2020 09:00
Schedelomvang
Schedelomvang meetmethode Meten van schedelomvang m.b.v. echografisch onderzoek (code = '31561000146107' in codeSystem 'SNOMED CT')
Schedelomvang waarde 34.6
Schedelomvang datum tijd 16 jun 2020 10:20
Voeding kind niet van toepassing (code = 'NA' in codeSystem 'HL7 NullFlavor')
Mortaliteit
Overlijden lt12 uur na opname nicu? Nee
Overleden op verloskamer? Nee
Follow up
Na ontslag
O2 op dag 28? Nee
Gradatie bpd Bronchopulmonary dysplasia of newborn - grade 1 (disorder) (code = '22021000146102' in codeSystem 'SNOMED CT')
Zintuigen
Problemen aanwezig? Ja
Probleem
Probleem naam Plus disease (disorder) (code = '56341000146109' in codeSystem 'SNOMED CT')
Verificatie status Bevestigd (code = '410605003' in codeSystem 'SNOMED CT')
Rop screening verricht? Ja
Rop screening afgesloten? Ja
Aabr verricht? Ja
Aabr afwijkend? Ja
Bera verricht? Ja
Bera
Bera afwijkend? Ja
Bera lateraliteit Links (code = '7771000' in codeSystem 'SNOMED CT')

1.6 Scenario Testscenario 6: overleden op verloskamer

1.6.1 Documentgegevens

Documentgegevens
Gegevenselement Waarde
Verificatie zorgverlener
Geverifieerd door zorgverlener? Ja
Verificatie datum

1.6.2 Zorgaanbieder

Zorgaanbieder
Gegevenselement Waarde
Zorgaanbieder identificatienummer

1.6.3 Vrouw

Vrouw
Gegevenselement Waarde
Demografische gegevens
Patient
Identificatienummer 000000000 (in identificerend systeem: BSN)
Geboortedatum 12 dec 1991

1.6.4 Zwangerschapsgegevens

Zwangerschapsgegevens
Gegevenselement Waarde
Graviditeit 2
Pariteit voor deze zwangerschap 1
Complicaties tijdens zwangerschap
Complicaties zwangerschap? Nee

1.6.5 Kind

Kind
Gegevenselement Waarde
Demografische gegevens
Patient
Identificatienummer 123 (in identificerend systeem: 1.2.3.999)
Geboortedatum 27 nov 2020 13:20
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Meerling indicator Nee
Overlijdens indicator Ja
Datum overlijden 27 nov 2020 19:00
Bevallingsgegevens
Zwangerschapsduur 266 dagen
Aantal geboren kinderen 1
Type partus Vaginale kunstverlossing (code = '3311000146109' in codeSystem 'SNOMED CT')
Locatie partus Birth in hospital (finding) (code = '56321000146103' in codeSystem 'SNOMED CT')
Ondersteuning opvang
Verrichting
Verrichting type Oxygen therapy (procedure) (code = '57485005' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type mechanische thoraxcompressies (verrichting) (code = '33631000146101' in codeSystem 'SNOMED CT')
Verrichting
Verrichting type injectie van adrenaline (verrichting) (code = '313191000' in codeSystem 'SNOMED CT')
Opname gegevens
Opname
Opname datum 27 nov 2020
Ic opname? NullFlavor: NA
Heropname? NullFlavor: NA
Ontslag datum 27 nov 2020 19:00
Onderzoek
Lichaamsgewicht
Gewicht waarde 3100 g
Gewicht datum tijd 27 nov 2020 13:30
Apgar score na 1 min
Apgar score totaal 1
Apgar score na 5 min
Apgar score totaal 1
Nsp h arterieel 7.13 ph
Be -6.9 mmol/l
Problematiek kind
Ademhalingsondersteuning
Ademhalingsondersteuning? NullFlavor: NI
Circulatoir
Problemen aanwezig? Nee
Infectieus
Problemen aanwezig? Nee
Hematologisch
Problemen aanwezig? Nee
Zintuigen
Problemen aanwezig? Nee
Congenitale aandoeningen
Problemen aanwezig? Nee
Mortaliteit
Overlijden lt12 uur na opname nicu? NullFlavor: NA
Overleden op verloskamer? Ja
Oorzaak overlijden ernstige asfyxie bij geboorte (aandoening) (code = '57284007' in codeSystem 'SNOMED CT')
Staken icbehandeling? NullFlavor: NA