mp:V9.2.0 testgegevens medicatiegegevens repo addendum: verschil tussen versies
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| Regel 275: | Regel 275: | ||
|style="background-color: white;"|Werkadres: Dorpsstraat 10 A 1234AA Ons Dorp | |style="background-color: white;"|Werkadres: Dorpsstraat 10 A 1234AA Ons Dorp | ||
|}<section end=ALLMBHS_XXX_Kester /> | |}<section end=ALLMBHS_XXX_Kester /> | ||
==Patiënt | ==Patiënt S. XXX_Jankie== | ||
<section begin= | <section begin=XXX_Jankie /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
| Regel 289: | Regel 289: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Initialen | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|S. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgebruik | |colspan="3"|Naamgebruik | ||
| Regel 299: | Regel 299: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Jankie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999910437 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geboortedatum | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"|8 | |style="background-color: white;"|8 mei 1954 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geslacht | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|}<section end= | |}<section end=XXX_Jankie /><section begin=ALLMBHS_XXX_Jankie /><section begin=MBH_MBH_920_MtdWds /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_MtdWds ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Wisselend doseerschema MBH_920_MtdWds_WDS1 | ||
|-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 320: | Regel 320: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_WDS1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Wisselend doseerschema datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T - 20 dagen om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T'' | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T + 9 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 9 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#UZI-000001111-PeterVanPulver|Zorgverlener: UZI-000001111-PeterVanPulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 351: | Regel 348: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|toelichting WDS in vrije tekst | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Relatie medicatieafspraak | ||
|-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Relatie wisselend doseerschema | ||
|-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_WDS0 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Wisselend doseerschema MBH_920_MtdWds_WDS2 | ||
|-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 412: | Regel 387: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_WDS2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Wisselend doseerschema datum tijd | ||
|style="background-color: white;"|T om 08:00 uur | |style="background-color: white;"|T - 20 dagen om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T'' | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 3 weken'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|3 weken | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Wisselend doseerschema stop type | |||
|style="background-color: white;"|definitief gestopt met medicatie (situatie) (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#UZI-000001111-PeterVanPulver|Zorgverlener: UZI-000001111-PeterVanPulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Reden wijzigen of staken | ||
|style="background-color: white;"| | |style="background-color: white;"|Opname (code = '305335007' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 446: | Regel 421: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T - 20 dagen, gedurende 3 weken, 1 maal per dag 2 stuks, Oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Kopie indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|toelichting WDS in vrije tekst | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 459: | Regel 440: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie wisselend doseerschema | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_MtdWds_WDS1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatietoediening MBH_920_MtdWds_MTD_1 | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_MTD_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Toedienings datum tijd | |||
|style="background-color: white;"|30 jun 2021, om 12:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Afgesproken datum tijd | |||
|style="background-color: white;"|30 jun 2021, om 12:00 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toegediende hoeveelheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aantal | ||
|style="background-color: white;"| | |style="background-color: white;"|2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Eenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Afgesproken hoeveelheid | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-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"| | |colspan="4"|Aantal | ||
|style="background-color: white;"| | |style="background-color: white;"|2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Eenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="5"|Prik plak locatie | ||
|style="background-color: white;"|toch maar oraal gegeven | |||
| | |||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toediener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Mantelzorger | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-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"| | |colspan="3"|Contactpersoon | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#ContactPersoonAnnetteDeVries|Contactpersoon: ContactPersoonAnnetteDeVries]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="5"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|toelichting in vrije tekst | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie medicatieafspraak | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie toedieningsafspraak | ||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie wisselend doseerschema | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_WDS_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.999.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatietoediening MBH_920_MtdWds_MTD_2 | |||
|-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=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_MTD_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="5"|Toedienings datum tijd | ||
|style="background-color: white;"|30 jun 2021, om 16:15 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afgesproken datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|30 jun 2021, om 16:00 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geannuleerd indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toegediende hoeveelheid | ||
|-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=" | |colspan="4"|Aantal | ||
|style="background-color: white;"| | |style="background-color: white;"|2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Eenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afgesproken hoeveelheid | ||
|-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=" | |colspan="4"|Aantal | ||
|style="background-color: white;"| | |style="background-color: white;"|6 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Eenheid | |||
|style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toedieningssnelheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-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"| | |colspan="3"|Nominale waarde | ||
|style="background-color: white;"| | |style="background-color: white;"|3 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Eenheid | ||
|style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Tijdseenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|1 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Prik plak locatie | ||
|style="background-color: white;"| | |style="background-color: white;"|toch maar oraal gegeven | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toediener | ||
|-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=" | |colspan="4"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#UZI-000001111-PeterVanPulver|Zorgverlener: UZI-000001111-PeterVanPulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Medicatie toediening reden van afwijken | ||
|style="background-color: white;"| | |style="background-color: white;"|Behandeling met geneesmiddel stopgezet (situatie) (code = '274512008' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|toelichting in vrije tekst | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie medicatieafspraak | ||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie toedieningsafspraak | ||
|-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"|Identificatie | |||
|style="background-color: white;"|MBH_920_MtdWds_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|colspan="4"| | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie wisselend doseerschema | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_WDS_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.999.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_MtdWds (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatietoediening MBH_920_MtdWds_MTD_3 | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_MTD_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Toedienings datum tijd | |||
|style="background-color: white;"|30 jun 2021, om 16:35 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Afgesproken datum tijd | |||
|style="background-color: white;"|30 jun 2021, om 16:00 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Volgens afspraak indicator | |||
|style="background-color: white;"|Nee | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Geannuleerd indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toegediende hoeveelheid | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Aantal | |||
|style="background-color: white;"|2 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Eenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afgesproken hoeveelheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Aantal | ||
|style="background-color: white;"| | |style="background-color: white;"|6 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Eenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toedieningssnelheid | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Waarde | ||
|-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"| | |colspan="3"|Nominale waarde | ||
|style="background-color: white;"| | |style="background-color: white;"|2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Eenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Tijdseenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|1 minuut | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Prik plak locatie | ||
|style="background-color: white;"| | |style="background-color: white;"|toch maar oraal gegeven | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toediener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Patient | ||
|-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"| | |colspan="3"|Toediener is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="5"|Medicatie toediening reden van afwijken | ||
|style="background-color: white;"|Niet in staat om medicatie te gebruiken (bevinding) (code = '408366001' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|toelichting in vrije tekst | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie medicatieafspraak | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Relatie toedieningsafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|2 | |style="background-color: white;"|MBH_920_MtdWds_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie wisselend doseerschema | ||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds_WDS_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.999.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_MtdWds (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_MtdWds /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="ContactPersoonAnnetteDeVries" title="Intern ID = ContactPersoonAnnetteDeVries">Contactpersoon ContactPersoonAnnetteDeVries</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="3"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Annette de Vries | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Rol | ||
|style="background-color: white;"| | |style="background-color: white;"|Eerste relatie/contactpersoon (code = '01' in codeSystem 'COD821-VEKT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="UZI-000001111-PeterVanPulver" title="Intern ID = UZI-000001111-PeterVanPulver">Zorgverlener UZI-000001111-PeterVanPulver</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Specialisme | |colspan="3"|Specialisme | ||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |colspan="4"|Zorgaanbieder | ||
| Regel 851: | Regel 796: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Zorgaanbieder | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#URA-00001111-HuisartsenpraktijkPulverPartners|Zorgaanbieder: URA-00001111-HuisartsenpraktijkPulverPartners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|<span id=" | |colspan="5"|<span id="URA-00001111-HuisartsenpraktijkPulverPartners" title="Intern ID = URA-00001111-HuisartsenpraktijkPulverPartners">Zorgaanbieder URA-00001111-HuisartsenpraktijkPulverPartners</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="4"| | |rowspan="4"| | ||
| Regel 885: | Regel 810: | ||
|colspan="3"|Adresgegevens | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|}<section end=ALLMBHS_XXX_Jankie /> | |||
==Patiënt S. XXX_Jankie== | |||
<section begin=XXX_Jankie /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | |||
|-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"| | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|S. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Jankie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999910437 [BSN] | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999910437 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geboortedatum | |colspan="4"|Geboortedatum | ||
| Regel 963: | Regel 845: | ||
|colspan="4"|Geslacht | |colspan="4"|Geslacht | ||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|}<section end=XXX_Jankie /><section begin=ALLMBHS_XXX_Jankie /><section begin= | |}<section end=XXX_Jankie /><section begin=ALLMBHS_XXX_Jankie /><section begin=MBH_MBH_920_TestVVs /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_TestVVs ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_arianne_MA | ||
|-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 974: | Regel 856: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_arianne_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|12 dec 2020, om 08:00 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf | |style="background-color: #E3E3E3;;"|''Vanaf 12 dec 2020, tot en met 10 jan 2021, om 23:59'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|12 dec 2020 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|10 jan 2021, om 23:59 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 1.002: | Regel 890: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf | |style="background-color: white;"|Vanaf 12 dec 2020, tot en met 10 jan 2021, om 23:59, 2 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie contact | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|contact#arianne1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.2709) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie zorgepisode | ||
|-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"| | |colspan="3"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|episode#arianne1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.9200) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_TestVVs (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_TestVVs_VV1geannuleerd | ||
|-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 1.041: | Regel 923: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_TestVVs_VV1geannuleerd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 08:53 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geannuleerd indicator | |||
|style="background-color: white;"|Ja | |||
|colspan="4"| | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 1.065: | Regel 936: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|20 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Beoogd verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#URA-01236578-ApoGulleGaper|Zorgaanbieder: URA-01236578-ApoGulleGaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |||
|style="background-color: white;"|MBH_920_TestVVs_MA1 | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_TestVVs (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_inf_pers_MGB | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_inf_pers_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 100 dagen om 07:59:59 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Volgens afspraak indicator | ||
|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=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 130 dagen, tot en met T - 101 dagen'' | |||
|-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=" | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 130 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 101 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatie gebruik stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|definitief gestopt met medicatie (situatie) (code = '113371000146109' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informant | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Contactpersoon | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#ContactPersoonBartJansen|Contactpersoon: ContactPersoonBartJansen]] | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |||
|colspan="5"| | |||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 130 dagen, tot en met T - 101 dagen, 2 maal per dag 1 dosis, inhalatie, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|-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=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_TestVVs (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|colspan="4 | |}<section end=MBH_MBH_920_TestVVs /> | ||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="ContactPersoonBartJansen" title="Intern ID = ContactPersoonBartJansen">Contactpersoon ContactPersoonBartJansen</span> | ||
|-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=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Bart Jansen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Rol | ||
|style="background-color: white;"| | |style="background-color: white;"|Mantelzorger (code = '100001' in codeSystem 'ExtraRolcodes') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|1 | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="URA-01236578-ApoGulleGaper" title="Intern ID = URA-01236578-ApoGulleGaper">Zorgaanbieder URA-01236578-ApoGulleGaper</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 10 A 1234AA Ons Dorp | ||
|}<section end=ALLMBHS_XXX_Jankie /> | |||
==Patiënt B. XXX_Blik== | |||
<section begin=XXX_Blik /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|B. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgebruik | |||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Blik | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999900389 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|13 okt 1963 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|} | |}<section end=XXX_Blik /><section begin=ALLMBHS_XXX_Blik /><section begin=MBH_MBH_920_QA1 /> | ||
====Medicamenteuze behandeling MBH_920_QA1 ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_QA1_MA | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 20 dagen om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T + 9 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
|colspan="4"| | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 20 dagen, tot en met T + 9 dagen, 2 maal per dag 1 stuk, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|stuk | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|1 | |style="background-color: white;"|MBH_920_QA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_QA1_VV | |||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA1_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - 20 dagen om 08:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|60 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Beoogd verstrekker | ||
|-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=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"|MBH_920_QA1_MA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4 | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_QA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_QA1_TA | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_QA1_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak datum tijd | |||
|style="background-color: white;"|T - 20 dagen om 09:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T + 9 dagen'' | |||
|-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"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN PCH TABLET 600MG (code = '641898' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-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"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T + 9 dagen, 2 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 stuk | ||
| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
== | |colspan="5"|Relatie medicatieafspraak | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_QA1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_QA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_QA1_MVE | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_QA1_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieverstrekkings datum tijd | |||
|style="background-color: white;"|T - 20 dagen om 09:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|60 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|IBUPROFEN PCH TABLET 600MG (code = '641898' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA1_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_QA1_MGB | ||
|-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 1.510: | Regel 1.347: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA1_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T - 1 dag om 10:04:23 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T + 9 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 1.532: | Regel 1.375: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Auteur is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|IBUPROFEN PCH TABLET 600MG (code = '641898' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| Regel 1.544: | Regel 1.397: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T + 9 dagen, 2 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 1 stuk | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie toedieningsafspraak | ||
|-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA1_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_QA1 /><section begin=MBH_MBH_920_QA2 /> | ||
====Medicamenteuze behandeling MBH_920_QA2 ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_QA2_MA | ||
|-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 1.577: | Regel 1.425: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 100 dagen om 08:04 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 72 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 100 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 72 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|SENNOSIDEN A+B STROOP 2MG/ML (code = '3379' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|SENNOSIDEN A+B STROOP 2MG/ML (code = '10960' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 72 dagen, 1 maal per dag 10 ml, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 10 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_QA2_VV | ||
|-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 1.622: | Regel 1.478: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - 100 dagen om | |style="background-color: white;"|T - 100 dagen om 08:04 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|300 ml | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|SENNOSIDEN A+B STROOP 2MG/ML (code = '3379' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|SENNOSIDEN A+B STROOP 2MG/ML (code = '10960' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Beoogd verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
| | |} | ||
|colspan=" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_QA2_TA | |||
|-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"|Identificatie | ||
|style="background-color: white;"|MBH_920_QA2_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 100 dagen om 09:04 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 72 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - 100 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 72 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|XPRAEP SIROOP 2MG/ML (code = '101079' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|SENNOSIDEN A+B 2MG/ML (code = '3379' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|SENNOSIDEN A+B 2MG/ML (code = '10960' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 1.679: | Regel 1.557: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 72 dagen, 1 maal per dag 10 ml, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 10 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 1.692: | Regel 1.570: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_QA2_MVE | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_920_QA2_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 100 dagen om 09:04 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|300 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|XPRAEP SIROOP 2MG/ML (code = '101079' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|SENNOSIDEN A+B 2MG/ML (code = '3379' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|SENNOSIDEN A+B 2MG/ML (code = '10960' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_920_QA2_VV | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_QA2_MGB | |||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 68 dagen om 12:13:55 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 72 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 100 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 72 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"|Auteur is patient | ||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|XPRAEP SIROOP 2MG/ML (code = '101079' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|SENNOSIDEN A+B 2MG/ML (code = '3379' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|SENNOSIDEN A+B 2MG/ML (code = '10960' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 72 dagen, 1 maal per dag 10 millimeter, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 10 millimeter | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie toedieningsafspraak | ||
|-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=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MBH_MBH_920_QA2 /><section begin=MBH_MBH_920_QA3 /> | |||
====Medicamenteuze behandeling MBH_920_QA3 ==== | |||
|}<section end= | |||
====Medicamenteuze behandeling | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_QA3_MA | ||
|-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 1.825: | Regel 1.699: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 50 dagen om 08:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, tot en met T - 11 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 11 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 1.849: | Regel 1.723: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '88749' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '130575' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 1.859: | Regel 1.733: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 50 dagen, tot en met T - 11 dagen, 2 maal per dag 50 ml, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 1.865: | Regel 1.739: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag | |style="background-color: white;"|2 maal per dag 50 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_QA3_VV | ||
|-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 1.878: | Regel 1.752: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 50 dagen om 08:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 1.891: | Regel 1.765: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|4000 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '88749' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '130575' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 1.907: | Regel 1.781: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_QA3_TA | ||
|-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 1.920: | Regel 1.794: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 50 dagen om 09:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, tot en met T - 11 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 11 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.944: | Regel 1.818: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|NUTRIDRINK BANAANSMAAK (code = '690090' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '88749' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '130575' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 1.957: | Regel 1.831: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 50 dagen, tot en met T - 11 dagen, 2 maal per dag 50 ml, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 1.963: | Regel 1.837: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag | |style="background-color: white;"|2 maal per dag 50 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 1.970: | Regel 1.844: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_QA3_MVE | ||
|-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 1.983: | Regel 1.857: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 50 dagen om 09:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 1.996: | Regel 1.870: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|4000 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|NUTRIDRINK BANAANSMAAK (code = '690090' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '88749' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '130575' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_QA3_MGB | ||
|-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 2.021: | Regel 1.895: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 9 dagen om 07:59:59 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
| Regel 2.033: | Regel 1.907: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, tot en met T - 11 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 11 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 2.054: | Regel 1.928: | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|NUTRIDRINK BANAANSMAAK (code = '690090' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '88749' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '130575' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 2.071: | Regel 1.945: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 50 dagen, tot en met T - 11 dagen, 2 maal per dag 50 ml, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 2.077: | Regel 1.951: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|2 maal per dag 1 | |style="background-color: white;"|2 maal per dag 50 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_QA3_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie toedieningsafspraak | |colspan="5"|Relatie toedieningsafspraak | ||
| Regel 2.084: | Regel 1.965: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_QA3 /><section begin=MBH_MBH_920_QA4 /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_QA4 ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_QA4_MA | ||
|-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 2.099: | Regel 1.980: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 08:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 10 dagen, tot en met T + 19 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 19 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 2.123: | Regel 2.004: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 2.133: | Regel 2.014: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 10 dagen, tot en met T + 19 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 2.139: | Regel 2.020: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_QA4_VV | ||
|-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 2.152: | Regel 2.033: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 08:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 2.165: | Regel 2.046: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 2.181: | Regel 2.062: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_QA4_TA | ||
|-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 2.194: | Regel 2.075: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 09:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 10 dagen, tot en met T + 19 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 19 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.218: | Regel 2.099: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ASPIRINE TABLET 100MG (code = '202681' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 2.231: | Regel 2.112: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 10 dagen, tot en met T + 19 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 2.237: | Regel 2.118: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 2.244: | Regel 2.125: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_QA4_MVE | ||
|-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 2.257: | Regel 2.138: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 09:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.270: | Regel 2.151: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ASPIRINE TABLET 100MG (code = '202681' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_QA4_MGB | ||
|-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 2.295: | Regel 2.176: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 2 dagen om 08:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
| Regel 2.307: | Regel 2.188: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 10 dagen, tot en met T + 19 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 19 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 2.323: | Regel 2.204: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informant | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Informant is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 2.328: | Regel 2.216: | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 2.345: | Regel 2.230: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 10 dagen, tot en met T + 19 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 2.351: | Regel 2.236: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie medicatieafspraak | ||
|-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"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_QA4 /><section begin=MBH_MBH_920_QA5 /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_QA5 ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_QA5_MA | ||
|-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 2.373: | Regel 2.258: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - 50 dagen om 08: | |style="background-color: white;"|T - 50 dagen om 08:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, | |style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 7 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 2.386: | Regel 2.271: | ||
|style="background-color: white;"|T - 50 dagen | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 2.397: | Regel 2.282: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 2.407: | Regel 2.292: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 50 dagen, | |style="background-color: white;"|Vanaf T - 50 dagen, gedurende 7 dagen, 4 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 2.413: | Regel 2.298: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|4 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_QA5_VV | ||
|-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 2.426: | Regel 2.311: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - 50 dagen om 08: | |style="background-color: white;"|T - 50 dagen om 08:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 2.439: | Regel 2.324: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|56 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 2.455: | Regel 2.340: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_QA5_TA | ||
|-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 2.468: | Regel 2.353: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - 50 dagen om 09: | |style="background-color: white;"|T - 50 dagen om 09:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, | |style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 7 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 2.481: | Regel 2.366: | ||
|style="background-color: white;"|T - 50 dagen | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.492: | Regel 2.377: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL SANDOZ TABLET 500MG (code = '665800' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 2.505: | Regel 2.390: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 50 dagen, | |style="background-color: white;"|Vanaf T - 50 dagen, gedurende 7 dagen, 4 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 2.511: | Regel 2.396: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|4 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 2.518: | Regel 2.403: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_QA5_MVE | ||
|-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 2.531: | Regel 2.416: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - 50 dagen om 09: | |style="background-color: white;"|T - 50 dagen om 09:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.544: | Regel 2.429: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|56 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL SANDOZ TABLET 500MG (code = '665800' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_QA5_MGB | ||
|-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 2.569: | Regel 2.454: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 43 dagen om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
| Regel 2.581: | Regel 2.466: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, | |style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 7 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 2.588: | Regel 2.473: | ||
|style="background-color: white;"|T - 50 dagen | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 2.598: | Regel 2.483: | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Informant | ||
|-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"|Zorgverlener | |colspan="3"|Informant is patient | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL SANDOZ TABLET 500MG (code = '665800' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 2.619: | Regel 2.511: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 50 dagen, | |style="background-color: white;"|Vanaf T - 50 dagen, gedurende 7 dagen, 4 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 2.625: | Regel 2.517: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|4 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie toedieningsafspraak | |colspan="5"|Relatie toedieningsafspraak | ||
| Regel 2.639: | Regel 2.524: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_QA5 /><section begin=MBH_MBH_920_QA6 /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_QA6 ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_QA6_MA | ||
|-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 2.654: | Regel 2.539: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen om 08:18 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, tot en met T + 1 dag'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 2.678: | Regel 2.563: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM TABLET 10MG (code = '353' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 2.688: | Regel 2.573: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 5 dagen, tot en met T + 1 dag, 3 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 2.694: | Regel 2.579: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_QA6_VV | ||
|-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 2.707: | Regel 2.592: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen om 08:18 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 2.720: | Regel 2.605: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|21 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM TABLET 10MG (code = '353' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 2.736: | Regel 2.621: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_QA6_TA | ||
|-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 2.749: | Regel 2.634: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen om 09:18 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, tot en met T + 1 dag'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.773: | Regel 2.658: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM ACTAVIS TABLET 10MG (code = '613401' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM TABLET 10MG (code = '353' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 2.786: | Regel 2.671: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 5 dagen, tot en met T + 1 dag, 3 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 2.792: | Regel 2.677: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 2.799: | Regel 2.684: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_QA6_MVE | ||
|-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 2.812: | Regel 2.697: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen om 09:18 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 2.825: | Regel 2.710: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|21 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM ACTAVIS TABLET 10MG (code = '613401' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM TABLET 10MG (code = '353' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_QA6_MGB | ||
|-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 2.850: | Regel 2.735: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T - 2 dagen om 08: | |style="background-color: white;"|T - 2 dagen om 08:59:59 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
| Regel 2.862: | Regel 2.747: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, tot en met T + 1 dag'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 2.894: | Regel 2.779: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM TABLET 10MG (code = '353' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 2.904: | Regel 2.789: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 5 dagen, tot en met T + 1 dag, 3 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 2.910: | Regel 2.795: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 2.917: | Regel 2.802: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_QA6 /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Apotheek_De_Gulle_Gaper" title="Intern ID = Apotheek_De_Gulle_Gaper">Zorgaanbieder Apotheek_De_Gulle_Gaper</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|} | |}<section end=ALLMBHS_XXX_Blik /> | ||
==Patiënt C. XXX_Brugge== | |||
<section begin=XXX_Brugge /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|C. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Brugge | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999900419 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|16 okt 1963 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | ||
|} | |}<section end=XXX_Brugge /><section begin=ALLMBHS_XXX_Brugge /><section begin=MBH_MBH_920_start_eind /> | ||
====Medicamenteuze behandeling MBH_920_start_eind ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_start_eind_MA | ||
|-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 3.027: | Regel 2.902: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_eind_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 11:20 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 10 dagen, tot en met T - 5 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE TABLET 10MG (code = '6947' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE TABLET 10MG (code = '19429' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 3.064: | Regel 2.936: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 10 dagen, tot en met T - 5 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_start_eind_VV | ||
|-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 3.090: | Regel 2.955: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_eind_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 11:20 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|5 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE TABLET 10MG (code = '6947' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE TABLET 10MG (code = '19429' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Beoogd verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_eind_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_start_eind_TA | ||
|-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 3.128: | Regel 2.997: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_eind_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 12:20 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 10 dagen, tot en met T - 5 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE HCL PCH TABLET 10MG (code = '560308' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE TABLET 10MG (code = '6947' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE TABLET 10MG (code = '19429' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 3.185: | Regel 3.034: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 10 dagen, tot en met T - 5 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie medicatieafspraak | ||
|-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"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_eind_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_start_eind_MVE | ||
|-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 3.213: | Regel 3.060: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_eind_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 12:20 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|5 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|METOCLOPRAMIDE HCL PCH TABLET 10MG (code = '560308' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|METOCLOPRAMIDE TABLET 10MG (code = '6947' in codeSystem 'G-Standaard PRK') | |||
|colspan="4"|Geneesmiddel - | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE TABLET 10MG (code = '19429' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_920_start_eind_VV | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_start_eind_MGB | ||
|-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 3.266: | Regel 3.098: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_eind_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T - 4 dagen om 10:59:59 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 10 dagen, tot en met T - 5 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 10 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - 5 dagen | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 3.277: | Regel 3.126: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Auteur is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE HCL PCH TABLET 10MG (code = '560308' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|METOCLOPRAMIDE TABLET 10MG (code = '6947' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOCLOPRAMIDE TABLET 10MG (code = '19429' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 10 dagen, tot en met T - 5 dagen, 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 stuk | ||
|} | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie toedieningsafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_start_eind_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_start_eind /><section begin=MBH_MBH_920_start_duur /> | |||
====Medicamenteuze behandeling MBH_920_start_duur ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_start_duur_MA | ||
|-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 3.308: | Regel 3.176: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 11:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 3 weken'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|3 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 3.345: | Regel 3.210: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 20 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_start_duur_VV | ||
|-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 3.371: | Regel 3.229: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 11:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"|21 stuks | |style="background-color: white;"|21 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL SANDOZ TABLET 10MG (code = '1506773' in codeSystem 'G-Standaar HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Beoogd verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie medicatieafspraak | |||
|style="background-color: white;"|MBH_920_start_duur_MA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_start_duur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_start_duur_TA | ||
|-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 3.409: | Regel 3.274: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 12:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 3 weken'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|3 weken | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|LISINOPRIL SANDOZ TABLET 10MG (code = '1506773' in codeSystem 'G-Standaar HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
|colspan="4"|Geneesmiddel - | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 3.463: | Regel 3.311: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 20 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 3.469: | Regel 3.317: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 3.476: | Regel 3.324: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_start_duur_MVE | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_920_start_duur_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 20 dagen om 12:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-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=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"|21 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL SANDOZ TABLET 10MG (code = '1506773' in codeSystem 'G-Standaar HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_920_start_duur_VV | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_start_duur_MGB | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_start_duur_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T - 1 dag om 12:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen'' | |||
|-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"|Ingangsdatum | ||
|style="background-color: white;"|T - 20 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Informant | ||
|-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=" | |colspan="3"|Informant is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||
|}<section end= | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
====Medicamenteuze behandeling | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 20 dagen, 1 maal per dag 1 stuk, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_start_duur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_start_duur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_start_duur /><section begin=MBH_MBH_920_chronisch /> | |||
====Medicamenteuze behandeling MBH_920_chronisch ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_chronisch_MA | ||
|-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 3.576: | Regel 3.454: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 30 dagen om 11:32 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 3.600: | Regel 3.475: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 3.610: | Regel 3.485: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 30 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 3.619: | Regel 3.494: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_chronisch_VV | ||
|-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 3.629: | Regel 3.504: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 30 dagen om 11:32 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 3.642: | Regel 3.517: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|21 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 3.658: | Regel 3.533: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_chronisch_VV_extraVVbestaandeMA | ||
|-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 3.671: | Regel 3.546: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch_VV_extraVVbestaandeMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - 10 dagen om | |style="background-color: white;"|T - 10 dagen om 11:35 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Auteur | ||
|-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;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|90 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Beoogd verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder | |||
|style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie medicatieafspraak | |||
|style="background-color: white;"|MBH_920_chronisch_MA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_chronisch_TA | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_chronisch_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak datum tijd | |||
|style="background-color: white;"|T - 30 dagen om 12:32 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen'' | |||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 3.695: | Regel 3.609: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 3.708: | Regel 3.622: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 30 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 3.721: | Regel 3.635: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_chronisch_MVE | ||
|-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 3.734: | Regel 3.648: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om 12: | |style="background-color: white;"|T - 30 dagen om 12:32 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 3.747: | Regel 3.661: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|21 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_chronisch_MVE_extraMVEbestaandeTA | ||
|-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 3.772: | Regel 3.686: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch_MVE_extraMVEbestaandeTA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 12:35 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder | |||
|style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|90 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_chronisch_VV_extraVVbestaandeMA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_chronisch_MGB | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_chronisch_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T - 20 dagen om 11:43:12 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
| Regel 3.784: | Regel 3.736: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 3.809: | Regel 3.758: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 3.822: | Regel 3.771: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 30 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 3.828: | Regel 3.777: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie toedieningsafspraak | |colspan="5"|Relatie toedieningsafspraak | ||
| Regel 3.835: | Regel 3.784: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_chronisch /><section begin=MBH_MBH_920_start_duur2 /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_start_duur2 ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_start_duur2_MA | ||
|-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 3.850: | Regel 3.799: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 60 dagen om 11:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 60 dagen, gedurende 28 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 60 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksduur | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|28 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 3.874: | Regel 3.823: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 3.884: | Regel 3.833: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 60 dagen, gedurende 28 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 3.893: | Regel 3.842: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_start_duur2_VV | ||
|-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 3.903: | Regel 3.852: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om 11:30 uur | |style="background-color: white;"|T - 60 dagen om 11:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 3.916: | Regel 3.865: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|28 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 3.935: | Regel 3.881: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_start_duur2_TA | ||
|-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 3.948: | Regel 3.894: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 60 dagen om 12:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 60 dagen, gedurende 28 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 60 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksduur | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|28 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 3.972: | Regel 3.918: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOZOL TABLET MSR 20MG (code = '1163094' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 3.985: | Regel 3.931: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 60 dagen, gedurende 28 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 3.998: | Regel 3.944: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_start_duur2_TA_techstaken | ||
|-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 4.011: | Regel 3.957: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_TA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak datum tijd | |||
|style="background-color: white;"|T - 50 dagen om 12:30 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 60 dagen, tot en met T - 51 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 60 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 51 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 4.022: | Regel 3.982: | ||
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOZOL TABLET MSR 20MG (code = '1163094' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 60 dagen, tot en met T - 51 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_start_duur2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_start_duur2_TA_anderePRK | ||
|-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 4.049: | Regel 4.023: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_TA_anderePRK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 50 dagen om 12:35 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 18 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 50 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksduur | |||
|style="background-color: white;"|18 dagen | |||
|colspan="3"| | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Reden afspraak | ||
|style="background-color: white;"|Pantozol niet leverbaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOZOL TABLET MSR 20MG (code = '1163094' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 4.100: | Regel 4.063: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 50 dagen, gedurende 18 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 4.113: | Regel 4.076: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_start_duur2_MVE | ||
|-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 4.128: | Regel 4.089: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 60 dagen om 12:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|28 stuks | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOZOL TABLET MSR 20MG (code = '1163094' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_start_duur2_MVE_anderePRK | ||
|-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 4.178: | Regel 4.127: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_MVE_anderePRK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 50 dagen om 12:36 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|28 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOZOL TABLET MSR 20MG (code = '1163094' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_start_duur2_VV | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_start_duur2_MGB | ||
|-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 4.220: | Regel 4.165: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 55 dagen om 15:21:33 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|colspan="4"| | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Informant | ||
|-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"| | |colspan="3"|Informant is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 4.296: | Regel 4.208: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 4.309: | Regel 4.221: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_start_duur2 /><section begin=MBH_MBH_920_dosis_stuks /> | ||
====Medicamenteuze behandeling MBH_920_dosis_stuks ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_dosis_stuks_MA | ||
|-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 4.322: | Regel 4.236: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 130 dagen om 11:35 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 130 dagen, tot en met T - 101 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 130 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 101 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 100UG/DO 60DO DISKUS (code = '45624' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 100UG/DO (code = '92487' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 130 dagen, tot en met T - 101 dagen, 2 maal per dag 1 dosis, inhalatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_dosis_stuks_VV | ||
|-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 4.360: | Regel 4.289: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 130 dagen om 11:35 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 100UG/DO 60DO DISKUS (code = '45624' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 100UG/DO (code = '92487' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Beoogd verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_dosis_stuks_TA | ||
|-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 4.398: | Regel 4.331: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 130 dagen om 12:35 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 130 dagen, tot en met T - 101 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 130 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 101 dagen | |||
|colspan="3"| | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLIXOTIDE DISKUS INHPDR 100MCG 60DO (code = '1029754' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 100UG/DO 60DO DISKUS (code = '45624' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 100UG/DO (code = '92487' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 4.445: | Regel 4.368: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 130 dagen, tot en met T - 101 dagen, 2 maal per dag 1 dosis, inhalatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 dosis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie medicatieafspraak | ||
|-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"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_dosis_stuks_MVE | ||
|-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 4.473: | Regel 4.394: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 130 dagen om 12:35 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLIXOTIDE DISKUS INHPDR 100MCG 60DO (code = '1029754' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 100UG/DO 60DO DISKUS (code = '45624' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|FLUTICASON INHALATIEPOEDER 100UG/DO (code = '92487' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_dosis_stuks_MGB | ||
|-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 4.526: | Regel 4.432: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T - 100 dagen om 07:59:59 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informant | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Informant is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 4.537: | Regel 4.463: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 100UG/DO 60DO DISKUS (code = '45624' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FLUTICASON INHALATIEPOEDER 100UG/DO (code = '92487' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|2 maal per dag 1 dosis, inhalatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|2 maal per dag 1 dosis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Relatie medicatieafspraak | ||
|-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dosis_stuks (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_dosis_stuks /><section begin=MBH_MBH_920_nieuweMBHobvTA /> | ||
====Medicamenteuze behandeling MBH_920_nieuweMBHobvTA ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_nieuweMBHobvTA_TA | ||
|-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 4.568: | Regel 4.503: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_nieuweMBHobvTA_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 10:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 10 dagen, tot en met T - 5 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 4.592: | Regel 4.527: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL APOTEX TABLET 500MG (code = '1026291' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL TABLET 500MG (code = '67903' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL TABLET 500MG (code = '2194' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 4.605: | Regel 4.540: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 10 dagen, tot en met T - 5 dagen, 3 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 4.611: | Regel 4.546: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_nieuweMBHobvTA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_nieuweMBHobvTA_MVE | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_nieuweMBHobvTA_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieverstrekkings datum tijd | |||
|style="background-color: white;"|T - 10 dagen om 10:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|30 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|PARACETAMOL APOTEX TABLET 500MG (code = '1026291' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|PARACETAMOL TABLET 500MG (code = '67903' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|PARACETAMOL TABLET 500MG (code = '2194' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_nieuweMBHobvTA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_nieuweMBHobvTA_MGB | ||
|-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 4.631: | Regel 4.594: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_nieuweMBHobvTA_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T - 3 dagen om 16:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 10 dagen om 10:00 uur, tot en met T - 3 dagen om 16:00 uur'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 10:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 3 dagen om 16:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Auteur is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL APOTEX TABLET 500MG (code = '1026291' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL TABLET 500MG (code = '67903' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL TABLET 500MG (code = '2194' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 4.671: | Regel 4.634: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 10 dagen om 10:00 uur, tot en met T - 3 dagen om 16:00 uur, 3 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie toedieningsafspraak | ||
|-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"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_nieuweMBHobvTA_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_nieuweMBHobvTA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_nieuweMBHobvTA /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | ||
|-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"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|1 | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Apotheek_De_Gulle_Gaper" title="Intern ID = Apotheek_De_Gulle_Gaper">Zorgaanbieder Apotheek_De_Gulle_Gaper</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|} | |}<section end=ALLMBHS_XXX_Brugge /> | ||
==Patiënt M. XXX_Niesing== | |||
<section begin=XXX_Niesing /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|M. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Niesing | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999900845 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|29 okt 1985 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | ||
|} | |}<section end=XXX_Niesing /><section begin=ALLMBHS_XXX_Niesing /><section begin=MBH_MBH_920_HPKvoorschrijven /> | ||
====Medicamenteuze behandeling MBH_920_HPKvoorschrijven ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_HPKvoorschrijven_MA | ||
|-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 4.801: | Regel 4.747: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_HPKvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 170 dagen om 13:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 170 dagen, tot en met T - 21 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 170 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|XARELTO TABLET FILMOMHULD 20MG (code = '2214350' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '100153' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '138363' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 170 dagen, tot en met T - 21 dagen, 1 maal per dag 1 stuk, Oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_HPKvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_HPKvoorschrijven_VV | ||
|-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 4.839: | Regel 4.803: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_HPKvoorschrijven_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 170 dagen om 13:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 4.856: | Regel 4.814: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|150 stuks | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|XARELTO TABLET FILMOMHULD 20MG (code = '2214350' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '100153' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '138363' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Beoogd verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie medicatieafspraak | |||
|style="background-color: white;"|MBH_920_HPKvoorschrijven_MA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_HPKvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_HPKvoorschrijven_TA | ||
|-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 4.910: | Regel 4.848: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_HPKvoorschrijven_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 170 dagen om 14:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 170 dagen, tot en met T - 21 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 170 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|XARELTO TABLET FILMOMHULD 20MG (code = '2214350' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '100153' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '138363' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 4.944: | Regel 4.885: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 170 dagen, tot en met T - 21 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_HPKvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_HPKvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_HPKvoorschrijven_MVE | ||
|-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 4.963: | Regel 4.911: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_HPKvoorschrijven_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 170 dagen om 14:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|150 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|XARELTO TABLET FILMOMHULD 20MG (code = '2214350' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '100153' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '138363' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_HPKvoorschrijven_VV | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_HPKvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_HPKvoorschrijven_MGB | ||
|-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 5.005: | Regel 4.949: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_HPKvoorschrijven_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T om 22:08 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Auteur is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|XARELTO TABLET FILMOMHULD 20MG (code = '2214350' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '100153' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|RIVAROXABAN TABLET 20MG (code = '138363' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 5.042: | Regel 4.999: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, tot en met T, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie toedieningsafspraak | ||
|-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"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_HPKvoorschrijven_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_HPKvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_HPKvoorschrijven /><section begin=MBH_MBH_920_ZINRvoorschrijven /> | ||
====Medicamenteuze behandeling MBH_920_ZINRvoorschrijven ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_ZINRvoorschrijven_MA | ||
|-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 5.068: | Regel 5.027: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_ZINRvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T om 13:05 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 150 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 150 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '14896087' in codeSystem 'G-Standaard ZI-nr') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '685410' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '2941' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '83593' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot en met T + 150 dagen, 1 maal per dag 1 stuk, Oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_ZINRvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_ZINRvoorschrijven_VV | ||
|-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 5.106: | Regel 5.086: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_ZINRvoorschrijven_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 13:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 5.123: | Regel 5.097: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|150 stuks | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '14896087' in codeSystem 'G-Standaard ZI-nr') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '685410' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '2941' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|2 | |style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '83593' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Beoogd verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie medicatieafspraak | |||
|style="background-color: white;"|MBH_920_ZINRvoorschrijven_MA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_ZINRvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_ZINRvoorschrijven_TA | ||
|-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 5.177: | Regel 5.134: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_ZINRvoorschrijven_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 14:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 150 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 150 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 5.201: | Regel 5.158: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '14896087' in codeSystem 'G-Standaard ZI-nr') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '685410' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '2941' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '83593' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 5.214: | Regel 5.174: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, tot en met T + 150 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_ZINRvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_ZINRvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_ZINRvoorschrijven_MVE | ||
|-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 5.233: | Regel 5.200: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_ZINRvoorschrijven_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 14:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 5.246: | Regel 5.213: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|150 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '14896087' in codeSystem 'G-Standaard ZI-nr') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '685410' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '2941' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '83593' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_ZINRvoorschrijven_VV | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_ZINRvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_ZINRvoorschrijven_MGB | ||
|-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 5.268: | Regel 5.241: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_ZINRvoorschrijven_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 22:08 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Volgens afspraak indicator | |||
|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"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - 3 | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 5.295: | Regel 5.278: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '14896087' in codeSystem 'G-Standaard ZI-nr') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|INDAPAMIDE SANDOZ TABLET 2,5MG (code = '685410' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '2941' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|INDAPAMIDE 2,5MG TABLET (code = '83593' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 5.308: | Regel 5.294: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, tot en met T, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 5.314: | Regel 5.300: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie toedieningsafspraak | |colspan="5"|Relatie toedieningsafspraak | ||
| Regel 5.321: | Regel 5.307: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_ZINRvoorschrijven_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_ZINRvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_ZINRvoorschrijven /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
| Regel 5.375: | Regel 5.361: | ||
|colspan="3"|Organisatie naam | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|}<section end= | |}<section end=ALLMBHS_XXX_Niesing /> | ||
==Patiënt M. | ==Patiënt M. XXX_Pherai== | ||
<section begin= | <section begin=XXX_Pherai /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
| Regel 5.400: | Regel 5.386: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Pherai | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999900870 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geboortedatum | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|1 nov 1985 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geslacht | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|}<section end= | |}<section end=XXX_Pherai /><section begin=ALLMBHS_XXX_Pherai /><section begin=MBH_MBH_920_wdsmtd1 /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_wdsmtd1 ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_wdsmtd1_MA | ||
|-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 5.421: | Regel 5.407: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T + 9 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 5.445: | Regel 5.431: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 5.458: | Regel 5.441: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Wisselend doseerschema MBH_920_wdsmtd1_WDS_opstartschema | ||
|-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 5.477: | Regel 5.460: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_WDS_opstartschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Wisselend doseerschema datum tijd | |||
|style="background-color: white;"|T - 20 dagen om 08:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T - 15 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 20 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 15 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 5.488: | Regel 5.482: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="5"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 20 dagen, tot en met T - 15 dagen, eerst gedurende 3 dagen 1 maal per dag om 20:00 2 stuks, dan gedurende 3 dagen 1 maal per dag om 20:00 1 stuk, Oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie 1 | ||
|style="background-color: white;"| | |style="background-color: white;"|eerst gedurende 3 dagen 1 maal per dag om 20:00 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie 2 | ||
|style="background-color: white;"| | |style="background-color: white;"|dan gedurende 3 dagen 1 maal per dag om 20:00 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Relatie medicatieafspraak | ||
|-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Wisselend doseerschema MBH_920_wdsmtd1_WDS_trombosedienst | ||
|-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 5.522: | Regel 5.517: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_WDS_trombosedienst (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Wisselend doseerschema datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 15 dagen om 14:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 14 dagen, tot en met T - 5 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Tanja_de_Bakker|Zorgverlener: Tanja_de_Bakker]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 14 dagen, tot en met T - 5 dagen, cyclus van 5 dagen: steeds eerst gedurende 2 dagen 1 maal per dag 2 stuks 's avonds, dan gedurende 2 dagen 1 maal per dag 2 stuks 's avonds, dan gedurende 1 dag 1 maal per dag 0 stuks 's avonds, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie 1 | ||
|style="background-color: white;"|1 maal per dag 1 | |style="background-color: white;"|eerst gedurende 2 dagen 1 maal per dag 2 stuks 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie 2 | |||
|style="background-color: white;"|dan gedurende 2 dagen 1 maal per dag 2 stuks 's avonds | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie 3 | |||
|style="background-color: white;"|dan gedurende 1 dag 1 maal per dag 0 stuks 's avonds | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Herhaalperiode cyclisch schema | |||
|style="background-color: white;"|5 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 5.572: | Regel 5.567: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie wisselend doseerschema | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_wdsmtd1_WDS_opstartschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Wisselend doseerschema MBH_920_wdsmtd1_WDS_technischestop | ||
|-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 5.585: | Regel 5.587: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_WDS_technischestop (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Wisselend doseerschema datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 7 dagen om 10:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 14 dagen, tot en met T - 7 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Wisselend doseerschema stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Tanja_de_Bakker|Zorgverlener: Tanja_de_Bakker]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Reden wijzigen of staken | |||
|style="background-color: white;"|Gebrek aan geneesmiddeleffect (code = '58848006' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 14 dagen, tot en met T - 7 dagen, cyclus van 5 dagen: steeds eerst gedurende 2 dagen 1 maal per dag 2 stuks 's avonds, dan gedurende 2 dagen 1 maal per dag 2 stuks 's avonds, dan gedurende 1 dag 1 maal per dag 0 stuks 's avonds, Oraal, definitief gestopt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie 1 | |||
|style="background-color: white;"|eerst gedurende 2 dagen 1 maal per dag 2 stuks 's avonds | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie 2 | |||
|style="background-color: white;"|dan gedurende 2 dagen 1 maal per dag 2 stuks 's avonds | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie 3 | |||
|style="background-color: white;"|dan gedurende 1 dag 1 maal per dag 0 stuks 's avonds | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Herhaalperiode cyclisch schema | |||
|style="background-color: white;"|5 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Kopie indicator | |||
|style="background-color: white;"|Nee | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|Dosering aangepast i.v.m. te lage INR waarde. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie wisselend doseerschema | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_WDS_trombosedienst (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Wisselend doseerschema MBH_920_wdsmtd1_WDS_verhoging | ||
|-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 5.623: | Regel 5.669: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_WDS_verhoging (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Wisselend doseerschema datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T - 7 dagen om 10:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T'' | |style="background-color: #E3E3E3;;"|''Vanaf T - 6 dagen, tot en met T + 6 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 6 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 6 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Tanja_de_Bakker|Zorgverlener: Tanja_de_Bakker]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 6 dagen, tot en met T + 6 dagen, cyclus van 5 dagen: steeds eerst gedurende 3 dagen 1 maal per dag om 19:00 2 stuks, dan gedurende 2 dagen 1 maal per dag om 19:00 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie 1 | ||
|style="background-color: white;"| | |style="background-color: white;"|eerst gedurende 3 dagen 1 maal per dag om 19:00 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie 2 | ||
|style="background-color: white;"| | |style="background-color: white;"|dan gedurende 2 dagen 1 maal per dag om 19:00 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Herhaalperiode cyclisch schema | ||
|style="background-color: white;"|5 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Kopie indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"|1 | |style="background-color: white;"|MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie wisselend doseerschema | ||
|-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"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_WDS_trombosedienst (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_wdsmtd1_VV | ||
|-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 5.701: | Regel 5.739: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T - 20 dagen om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |||
|colspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 5.723: | Regel 5.750: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|60 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Beoogd verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_wdsmtd1_TA | ||
|-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 5.760: | Regel 5.781: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T - 20 dagen om 09:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T + 9 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 5.832: | Regel 5.805: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL CF TABLET 1MG (code = '856126' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 5.848: | Regel 5.818: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 5.861: | Regel 5.831: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_wdsmtd1_MVE | ||
|-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 5.874: | Regel 5.844: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T - 20 dagen om 09:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 5.887: | Regel 5.857: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|60 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL CF TABLET 1MG (code = '856126' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatietoediening MBH_920_wdsmtd1_MTD1 | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MTD1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedienings datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T - 20 dagen om 20:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afgesproken datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 20 dagen om 20:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Volgens afspraak indicator | ||
|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=" | |colspan="6"|Toegediende hoeveelheid | ||
|-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=" | |colspan="4"|Aantal | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Eenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afgesproken hoeveelheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Aantal | |||
|style="background-color: white;"|2 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Eenheid | |||
|style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="5"|Toedieningsweg | ||
|style="background-color: white;"|ORAAL (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toediener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Mantelzorger | ||
|-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"| | |colspan="3"|Contactpersoon | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Toos_de_Bakker|Contactpersoon: Toos_de_Bakker]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie wisselend doseerschema | ||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA1_WDS1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatietoediening MBH_920_wdsmtd1_MTD2 | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_920_wdsmtd1_MTD2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedienings datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 19 dagen om 20:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Afgesproken datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 19 dagen om 20:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toegediende hoeveelheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Aantal | ||
|style="background-color: white;"|1 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Eenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Afgesproken hoeveelheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Aantal | ||
|style="background-color: white;"| | |style="background-color: white;"|2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Eenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Toediener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Jantien_Toedien|Zorgverlener: Jantien_Toedien]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatie toediening reden van afwijken | ||
|style="background-color: white;"|Toediening van medicatie geweigerd (code = '406149000' in codeSystem 'SNOMED CT') | |||
| | |||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|-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=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie wisselend doseerschema | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"|1 | |style="background-color: white;"|MBH_920_QA1_WDS1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatietoediening MBH_920_wdsmtd1_MTD3 | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MTD3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Toedienings datum tijd | |||
|style="background-color: white;"|T - 17 dagen om 20:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Afgesproken datum tijd | |||
|style="background-color: white;"|T - 17 dagen om 20:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Volgens afspraak indicator | |||
|style="background-color: white;"|Nee | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geannuleerd indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Toegediende hoeveelheid | ||
|-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=" | |colspan="4"|Aantal | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Eenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Afgesproken hoeveelheid | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="4"|Aantal | ||
|style="background-color: white;"| | |style="background-color: white;"|1 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Eenheid | |||
|style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Prik plak locatie | |||
|style="background-color: white;"|Geprobeerd, maar niet gelukt met de tablet | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Toediener | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Patient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toediener is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Medicatie toediening reden van afwijken | |||
|style="background-color: white;"|Niet in staat om medicatie te gebruiken (code = '408366001' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie medicatieafspraak | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Relatie toedieningsafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|1 | |style="background-color: white;"|MBH_920_QA1_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatietoediening MBH_920_wdsmtd1_MTD4 | ||
|-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 6.134: | Regel 6.118: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MTD4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toegediende hoeveelheid | ||
|-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"| | |colspan="3"|Aantal | ||
|style="background-color: white;"| | |style="background-color: white;"|0 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Eenheid | |||
|style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Toediener | ||
|-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"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Marleen_van_der_Brand|Zorgverlener: Marleen_van_der_Brand]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Medicatie toediening reden van afwijken | ||
|style="background-color: white;"|Zorgafnemer is niet beschikbaar om medicatie in ontvangst te nemen (code = '153241000146104' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie toedieningsafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA1_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie wisselend doseerschema | ||
|-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"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA1_WDS (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |style="background-color: white;"|MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_wdsmtd1 /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Toos_de_Bakker" title="Intern ID = Toos_de_Bakker">Contactpersoon Toos_de_Bakker</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="3"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Toos de Bakker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Rol | ||
|style="background-color: white;"| | |style="background-color: white;"|Mantelzorger (code = '100001' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.1') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | ||
|style="background-color: #E3E3E3;;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Tanja_de_Bakker" title="Intern ID = Tanja_de_Bakker">Zorgverlener Tanja_de_Bakker</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="7"| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|222221111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Tanja de Bakker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Trombosediensten (code = '3400' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Trombosedienst_Ons_Dorp|Zorgaanbieder: Trombosedienst_Ons_Dorp]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Jantien_Toedien" title="Intern ID = Jantien_Toedien">Zorgverlener Jantien_Toedien</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"|222220000 (in identificerend systeem: UZI Personen) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Jantien Toedien | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |||
|colspan="4 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Thuiszorg_Om_en_Bij|Zorgaanbieder: Thuiszorg_Om_en_Bij]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="Marleen_van_der_Brand" title="Intern ID = Marleen_van_der_Brand">Zorgverlener Marleen_van_der_Brand</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|111110000 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Marleen van der Brand | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Thuiszorg_Om_en_Bij|Zorgaanbieder: Thuiszorg_Om_en_Bij]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Trombosedienst_Ons_Dorp" title="Intern ID = Trombosedienst_Ons_Dorp">Zorgaanbieder Trombosedienst_Ons_Dorp</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|11112222 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Trombosedienst Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Afdeling specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Trombosediensten (code = '3400' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|: Kerkstraat 28 d 1332GH Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Apotheek_De_Gulle_Gaper" title="Intern ID = Apotheek_De_Gulle_Gaper">Zorgaanbieder Apotheek_De_Gulle_Gaper</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: URA) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 12 A 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Thuiszorg_Om_en_Bij" title="Intern ID = Thuiszorg_Om_en_Bij">Zorgaanbieder Thuiszorg_Om_en_Bij</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|11110000 (in identificerend systeem: URA) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"|Thuiszorg Om en Bij | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|: Voorstraat 1 1223BA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie type | ||
|style="background-color: white;"| | |style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060') | ||
|} | |}<section end=ALLMBHS_XXX_Pherai /> | ||
==Patiënt C. XXX_Dijk== | |||
<section begin=XXX_Dijk /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|C. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Dijk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999900456 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|20 okt 1963 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | ||
|}<section end=XXX_Dijk /><section begin=ALLMBHS_XXX_Dijk /><section begin=MBH_MBH_920_gestopt /> | |||
====Medicamenteuze behandeling MBH_920_gestopt ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_gestopt_MA | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_gestopt_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 4 maanden om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 4 maanden, tot en met T + 5 maanden'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 4 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 5 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|OMEPRAZOL 20MG CAPSULE MSR (code = '60062' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|OMEPRAZOL 20MG CAPSULE MSR (code = '114529' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 4 maanden, tot en met T + 5 maanden, 1 maal per dag 1 stuk, Oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestopt (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_gestopt_MA_staken | ||
|-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 6.413: | Regel 6.429: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestopt_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 18:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 4 maanden, tot en met T - 10 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 4 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Medicatieafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Reden wijzigen of staken | |||
|style="background-color: white;"|Geneesmiddelinteractie (code = '79899007' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|OMEPRAZOL 20MG CAPSULE MSR (code = '60062' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OMEPRAZOL 20MG CAPSULE MSR (code = '114529' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 4 maanden, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Relatie medicatieafspraak | ||
|-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestopt_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestopt (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_gestopt_TA | ||
|-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 6.455: | Regel 6.495: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestopt_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 4 maanden om 09:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 4 maanden, tot en met T + 5 maanden'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 4 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 5 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 6.479: | Regel 6.519: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|OMEPRAZOL SANDOZ CAPSULE MSR 20MG (code = '1500570' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OMEPRAZOL 20MG CAPSULE MSR (code = '60062' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OMEPRAZOL 20MG CAPSULE MSR (code = '114529' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 6.492: | Regel 6.532: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 4 maanden, tot en met T + 5 maanden, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 6.498: | Regel 6.538: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 6.505: | Regel 6.545: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestopt_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestopt (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_gestopt_TA_staken | ||
|-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 6.518: | Regel 6.558: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestopt_TA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 19:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 4 maanden, tot en met T - 10 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 4 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak stop type | |||
|style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder | |||
|style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|OMEPRAZOL SANDOZ CAPSULE MSR 20MG (code = '1500570' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OMEPRAZOL 20MG CAPSULE MSR (code = '60062' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|OMEPRAZOL 20MG CAPSULE MSR (code = '114529' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 4 maanden, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestopt_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestopt (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_gestopt /><section begin=MBH_MBH_920_gewijzigd /> | ||
====Medicamenteuze behandeling MBH_920_gewijzigd ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_gewijzigd_MA | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigd_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 21 dagen om 08:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 21 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOPROLOL 100MG TB MGA SUC (code = '26190' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOPROLOL 100MG TB MGA SUC (code = '71013' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 21 dagen, 1 maal per dag 1 stuk, Oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|2 | |style="background-color: white;"|MBH_920_gewijzigd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_gewijzigd_MA_wijziging | |||
|-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"| | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigd_MA_wijziging (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 2 dagen om 08:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 2 dagen'' | |||
|-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"|Ingangsdatum | ||
|style="background-color: white;"|T - 2 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Reden wijzigen of staken | |||
|style="background-color: white;"|Gebrek aan geneesmiddeleffect (code = '58848006' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOPROLOL 100MG TB MGA SUC (code = '26190' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOPROLOL 100MG TB MGA SUC (code = '71013' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 2 dagen, 2 maal per dag 1 stuk, Oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|-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=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_gewijzigd_MA_techstaken | ||
|-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 6.632: | Regel 6.736: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigd_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 2 dagen om 08:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 21 dagen, tot en met T - 3 dagen'' | |||
|-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"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 3 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak stop type | |||
|style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
|colspan="4"| | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOPROLOL 100MG TB MGA SUC (code = '26190' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOPROLOL 100MG TB MGA SUC (code = '71013' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 21 dagen, tot en met T - 3 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie medicatieafspraak | ||
|-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"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_gewijzigd_TA | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="4" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigd_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 21 dagen om 09:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 21 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOPROLOLSUCCINAAT MYLAN RET 100 TABL MVA 95MG (code = '2069474' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|METOPROLOL 100MG TB MGA SUC (code = '26190' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|METOPROLOL 100MG TB MGA SUC (code = '71013' in codeSystem 'G-Standaard GPK') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksinstructie | ||
|-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"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 21 dagen, 1 maal per dag 1 stuk, Oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|-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=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigd_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_gewijzigd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|colspan="4 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_gewijzigd_TA_wijziging | ||
|-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 6.792: | Regel 6.859: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigd_TA_wijziging (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 2 dagen om 09:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 2 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 2 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOPROLOLSUCCINAAT MYLAN RET 100 TABL MVA 95MG (code = '2069474' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOPROLOL 100MG TB MGA SUC (code = '26190' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METOPROLOL 100MG TB MGA SUC (code = '71013' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 2 dagen, 2 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie medicatieafspraak | ||
|-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"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigd_MA_wijziging (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_gewijzigd_TA_techstaken | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_920_gewijzigd_TA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 2 dagen om 09:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 21 dagen, tot en met T - 3 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 3 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-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=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|METOPROLOLSUCCINAAT MYLAN RET 100 TABL MVA 95MG (code = '2069474' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|METOPROLOL 100MG TB MGA SUC (code = '26190' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|METOPROLOL 100MG TB MGA SUC (code = '71013' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 21 dagen, tot en met T - 3 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|-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=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigd_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_gewijzigd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_gewijzigd /><section begin=MBH_MBH_920_gewijzigddoorander /> | |||
====Medicamenteuze behandeling MBH_920_gewijzigddoorander ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_gewijzigddoorander_MA_eigen | |||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander_MA_eigen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 60 dagen om 08:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 60 dagen, tot en met T + 14 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - 60 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 60 dagen, tot en met T + 14 dagen, 1 maal per dag 1 stuk, Oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_gewijzigddoorander_MA_wijzigingdoorander | |||
|-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"|Identificatie | ||
|style="background-color: white;"|MBH_920_gewijzigddoorander_MA_wijzigingdoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 3 dagen om 08:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 3 dagen, tot en met T + 30 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 3 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Reden wijzigen of staken | ||
|style="background-color: white;"| | |style="background-color: white;"|Gebrek aan geneesmiddeleffect (code = '58848006' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-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"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 3 dagen, tot en met T + 30 dagen, 1 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Relatie medicatieafspraak | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander_MA_eigen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_gewijzigddoorander_MA_techstakendoorander | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |||
|-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 7.050: | Regel 7.103: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander_MA_techstakendoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 3 dagen om 08:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 60 dagen, tot en met T - 4 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 60 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 4 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak stop type | |||
|style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 7.071: | Regel 7.127: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.084: | Regel 7.140: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 60 dagen, tot en met T - 4 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_gewijzigddoorander_MA_eigen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_gewijzigddoorander_TA | ||
|-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 7.103: | Regel 7.166: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 60 dagen om 09:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 60 dagen, tot en met T + 14 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 60 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE TEVA TABLET FILMOMHULD 10MG (code = '2198088' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.143: | Regel 7.203: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 60 dagen, tot en met T + 14 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 7.156: | Regel 7.216: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander_MA_eigen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_gewijzigddoorander_TA_wijziging | ||
|-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 7.169: | Regel 7.229: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander_TA_wijziging (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 3 dagen om 09:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 3 dagen, tot en met T + 30 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 3 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 7.193: | Regel 7.253: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE TEVA TABLET FILMOMHULD 10MG (code = '2198088' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.206: | Regel 7.266: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 3 dagen, tot en met T + 30 dagen, 1 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 7.212: | Regel 7.272: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 7.219: | Regel 7.279: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander_MA_wijzigingdoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_gewijzigddoorander_TA_techstaken | ||
|-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 7.232: | Regel 7.292: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander_TA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 3 dagen om 09:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 60 dagen, tot en met T - 4 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 60 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 4 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak stop type | |colspan="4"|Toedieningsafspraak stop type | ||
| Regel 7.259: | Regel 7.319: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE TEVA TABLET FILMOMHULD 10MG (code = '2198088' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.272: | Regel 7.332: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 60 dagen, tot en met T - 4 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 7.285: | Regel 7.345: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander_MA_techstakendoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_gewijzigddoorander_MGB_zv | ||
|-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 7.300: | Regel 7.358: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander_MGB_zv (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T - 3 dagen om 08:08 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 60 dagen, tot en met T - 3 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 60 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 3 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 7.319: | Regel 7.386: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | |style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informant | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Informant is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.331: | Regel 7.412: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 60 dagen, tot en met T - 3 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_gewijzigddoorander_MA_eigen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_gewijzigddoorander_MGB_pat | ||
|-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 7.350: | Regel 7.438: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander_MGB_pat (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T om 08:08 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 3 dagen, tot en met T - 1 dag'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 3 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 1 dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 7.368: | Regel 7.465: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Auteur is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.384: | Regel 7.485: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 3 dagen, tot en met T - 1 dag, 1 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 7.397: | Regel 7.498: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander_MA_wijzigingdoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_gewijzigddoorander /><section begin=MBH_MBH_920_onderbroken /> | ||
====Medicamenteuze behandeling MBH_920_onderbroken ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_onderbroken_MA | ||
|-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 7.410: | Regel 7.513: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_onderbroken_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 153 dagen om 08:06 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 153 dagen, tot en met T + 20 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 153 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 7.437: | Regel 7.537: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 20MG TABLET (code = '3387' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 20MG TABLET (code = '10995' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.447: | Regel 7.547: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 153 dagen, tot en met T + 20 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_onderbroken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_onderbroken_MA_onderbreken | ||
|-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 7.473: | Regel 7.566: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_onderbroken_MA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 100 dagen om 18:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 153 dagen, tot en met T - 100 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 153 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - 100 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak stop type | |||
|style="background-color: white;"|tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Reden wijzigen of staken | ||
|style="background-color: white;"| | |style="background-color: white;"|Verrichting gepland (code = '405613005' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 20MG TABLET (code = '3387' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 20MG TABLET (code = '10995' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.507: | Regel 7.606: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 153 dagen, tot en met T - 100 dagen, 1 maal per dag 1 stuk, Oraal, tijdelijk gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 7.520: | Regel 7.619: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_onderbroken_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_onderbroken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_onderbroken_TA | ||
|-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 7.533: | Regel 7.632: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_onderbroken_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 153 dagen om 09:06 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 153 dagen, tot en met T + 20 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 153 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 20 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 7.554: | Regel 7.656: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE CF TABLET 20MG (code = '1099469' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 20MG TABLET (code = '3387' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 20MG TABLET (code = '10995' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.567: | Regel 7.669: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 153 dagen, tot en met T + 20 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 7.573: | Regel 7.675: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 7.580: | Regel 7.682: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_onderbroken_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_onderbroken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_onderbroken_TA_onderbreken | ||
|-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 7.593: | Regel 7.695: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_onderbroken_TA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 100 dagen om 19:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 153 dagen, tot en met T - 100 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 153 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 100 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak stop type | |colspan="4"|Toedieningsafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 7.620: | Regel 7.722: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE CF TABLET 20MG (code = '1099469' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 20MG TABLET (code = '3387' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 20MG TABLET (code = '10995' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.633: | Regel 7.735: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 153 dagen, tot en met T - 100 dagen, 1 maal per dag 1 stuk, Oraal, tijdelijk gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 7.646: | Regel 7.748: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_onderbroken_MA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_onderbroken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_onderbroken /><section begin=MBH_MBH_920_eigen1 /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_eigen1 ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_eigen1_MA | ||
|-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 7.661: | Regel 7.763: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 18:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 9 dagen, tot en met T + 15 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 15 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 7.685: | Regel 7.787: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL 20MG TABLET MSR (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL 20MG TABLET MSR (code = '106275' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.695: | Regel 7.797: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 9 dagen, tot en met T + 15 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 7.704: | Regel 7.806: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_eigen1_TA | ||
|-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 7.714: | Regel 7.816: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen1_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 18:45 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 9 dagen, tot en met T + 15 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 15 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL TEVA TABLET MSR 20MG (code = '2002914' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL 20MG TABLET MSR (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL 20MG TABLET MSR (code = '106275' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.751: | Regel 7.853: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 9 dagen, tot en met T + 15 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 7.757: | Regel 7.859: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 7.764: | Regel 7.866: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_eigen1_MGB_zv | ||
|-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 7.777: | Regel 7.879: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen1_MGB_zv (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T om 08:08 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 9 dagen, tot en met T'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 7.801: | Regel 7.906: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informant | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Informant is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL 20MG TABLET MSR (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL 20MG TABLET MSR (code = '106275' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.814: | Regel 7.933: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 9 dagen, tot en met T, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 7.827: | Regel 7.946: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_eigen1_MGB_pat | ||
|-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 7.840: | Regel 7.959: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen1_MGB_pat (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T om 18:08 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 9 dagen, tot en met T'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Auteur is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL 20MG TABLET MSR (code = '52272' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PANTOPRAZOL 20MG TABLET MSR (code = '106275' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.877: | Regel 8.006: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 9 dagen, tot en met T, 1 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 7.890: | Regel 8.019: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_eigen1 /><section begin=MBH_MBH_920_eigen2 /> | ||
====Medicamenteuze behandeling MBH_920_eigen2 ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_eigen2_MA | ||
|-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 7.903: | Regel 8.034: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 159 dagen om 08:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 159 dagen, gedurende 1 week'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 159 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|1 week | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 7.940: | Regel 8.068: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 159 dagen, gedurende 1 week, 3 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 7.946: | Regel 8.074: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_eigen2_TA | ||
|-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 7.966: | Regel 8.087: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen2_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 159 dagen om 09:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 159 dagen, gedurende 1 week'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 159 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|1 week | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 7.993: | Regel 8.111: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPER SANDOZ TABLET 500MG (code = '802891' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 8.006: | Regel 8.124: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 159 dagen, gedurende 1 week, 3 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 8.019: | Regel 8.137: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_eigen2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_eigen2 /><section begin=MBH_MBH_920_gebruik /> | ||
====Medicamenteuze behandeling MBH_920_gebruik ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_gebruik_MGB | ||
|-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 8.032: | Regel 8.152: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gebruik_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 dag om 08:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
|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"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 10 dagen, tot en met T - 2 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 2 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Auteur is patient | ||
|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"| | |colspan="5"|Geneesmiddel - Product specificatie | ||
|-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"| | |colspan="3"|Product naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Paracetamol 500mg | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 8.086: | Regel 8.190: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 10 dagen, tot en met T - 2 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 8.093: | Regel 8.197: | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gebruik (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_gebruik /><section begin=MBH_MBH_920_andermans /> | ||
====Medicamenteuze behandeling MBH_920_andermans ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_andermans_MA | ||
|-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 8.112: | Regel 8.211: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_andermans_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T - 10 dagen om 18:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 9 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 8.140: | Regel 8.230: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 8.159: | Regel 8.242: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 9 dagen, 2 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_andermans (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_andermans_TA | ||
|-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 8.187: | Regel 8.261: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_andermans_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 19:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 9 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_Jansen_en_Co|Zorgaanbieder: Apotheek_Jansen_en_Co]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN PCH TABLET 600MG (code = '641898' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 8.221: | Regel 8.295: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 9 dagen, 2 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 8.227: | Regel 8.301: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_andermans_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_andermans (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_andermans /><section begin=MBH_MBH_920_toekomstig /> | ||
====Medicamenteuze behandeling MBH_920_toekomstig ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_toekomstig_MA | ||
|-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 8.240: | Regel 8.323: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toekomstig_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 dag om 08:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T + 15 dagen, tot en met T + 51 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 15 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 51 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 8.265: | Regel 8.345: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | |style="background-color: white;"|Zie [[#Marcha_van_Partners|Zorgverlener: Marcha_van_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|DOXYCYCLINE 100MG TABLET (code = '19844' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DOXYCYCLINE 100MG TABLET (code = '22179' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 8.280: | Regel 8.357: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T + 15 dagen, tot en met T + 51 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toekomstig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_toekomstig_TA | ||
|-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 8.306: | Regel 8.376: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toekomstig_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 dag om 09:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T + 15 dagen, tot en met T + 51 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 15 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 51 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 8.330: | Regel 8.400: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|DOXYCYCLINE PCH TABLET 100MG (code = '1141317' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DOXYCYCLINE 100MG TABLET (code = '19844' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DOXYCYCLINE 100MG TABLET (code = '22179' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 8.343: | Regel 8.413: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T + 15 dagen, tot en met T + 51 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 8.356: | Regel 8.426: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toekomstig_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toekomstig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_toekomstig /><section begin=MBH_MBH_920_gestoptandermans /> | ||
====Medicamenteuze behandeling MBH_920_gestoptandermans ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_gestoptandermans_MA | ||
|-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 8.369: | Regel 8.441: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestoptandermans_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T + 7 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 8.409: | Regel 8.475: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T + 7 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestoptandermans (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_gestoptandermans_MA_staken | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |||
|-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 8.437: | Regel 8.494: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestoptandermans_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - 10 dagen om 18: | |style="background-color: white;"|T - 10 dagen om 18:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T - 10 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak stop type | |||
|style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 8.458: | Regel 8.518: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Reden wijzigen of staken | |||
|style="background-color: white;"|Geneesmiddelinteractie (code = '79899007' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 8.471: | Regel 8.534: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 8.478: | Regel 8.541: | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_gestoptandermans_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestoptandermans (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_gestoptandermans_TA | ||
|-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 8.490: | Regel 8.560: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestoptandermans_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 09:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T + 7 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 8.511: | Regel 8.581: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_Jansen_en_Co|Zorgaanbieder: Apotheek_Jansen_en_Co]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|DICLOFENAC NATRIUM SANDOZ RETARD TABLET MGA 100MG (code = '594253' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 8.527: | Regel 8.597: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T + 7 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 8.540: | Regel 8.610: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestoptandermans_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestoptandermans (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_gestoptandermans_TA_staken | ||
|-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 8.553: | Regel 8.623: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestoptandermans_TA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T - 10 dagen om 19:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T - 10 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak stop type | |||
|style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_Jansen_en_Co|Zorgaanbieder: Apotheek_Jansen_en_Co]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|DICLOFENAC NATRIUM SANDOZ RETARD TABLET MGA 100MG (code = '594253' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | |||
|colspan="4"|Geneesmiddel - | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 8.607: | Regel 8.663: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 8.620: | Regel 8.676: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestoptandermans_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_gestoptandermans (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_gestoptandermans /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Marcha_van_Partners" title="Intern ID = Marcha_van_Partners">Zorgverlener Marcha_van_Partners</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001115 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Marcha van Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Itis|Zorgaanbieder: Huisartsenpraktijk_Itis]] | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Huisartsenpraktijk_Itis" title="Intern ID = Huisartsenpraktijk_Itis">Zorgaanbieder Huisartsenpraktijk_Itis</span> | ||
|-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"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00005111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Itis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|1 | |style="background-color: white;"|Werkadres: Langelaan 1 1234ZZ Onze Stad | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Apotheek_De_Gulle_Gaper" title="Intern ID = Apotheek_De_Gulle_Gaper">Zorgaanbieder Apotheek_De_Gulle_Gaper</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: URA) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="Apotheek_Jansen_en_Co" title="Intern ID = Apotheek_Jansen_en_Co">Zorgaanbieder Apotheek_Jansen_en_Co</span> | ||
|-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"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|99901111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek Jansen en Co | ||
|}<section end=ALLMBHS_XXX_Dijk /> | |||
==Patiënt H. XXX_Hoek== | |||
<section begin=XXX_Hoek /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | |||
|-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"| | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|H. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Hoek | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999900638 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|5 nov 1963 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | ||
|} | |}<section end=XXX_Hoek /><section begin=ALLMBHS_XXX_Hoek /><section begin=MBH_MBH_920_contactepisode /> | ||
====Medicamenteuze behandeling MBH_920_contactepisode ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_contactepisode_MA | ||
|-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 8.761: | Regel 8.819: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T + 9 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 8.798: | Regel 8.853: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 8.804: | Regel 8.859: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie contact | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatienummer | |||
|style="background-color: white;"|MBH_920_contactepisode_CONTACT1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.2709) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie zorgepisode | ||
|-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"| | |colspan="3"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_EPISODE1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.9200) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Wisselend doseerschema MBH_920_contactepisode_WDS_opstartschema | ||
|-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 8.826: | Regel 8.886: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_WDS_opstartschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Wisselend doseerschema datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T - 15 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 15 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 8.849: | Regel 8.906: | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 20 dagen, tot en met T - 15 dagen, eerst gedurende 3 dagen 1 maal per dag om 20:00 2 stuks, dan gedurende 3 dagen 1 maal per dag om 20:00 1 stuk, Oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie 1 | |||
|style="background-color: white;"|eerst gedurende 3 dagen 1 maal per dag om 20:00 2 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie 2 | |||
|style="background-color: white;"|dan gedurende 3 dagen 1 maal per dag om 20:00 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Relatie medicatieafspraak | ||
|-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Relatie contact | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_CONTACT1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.2709) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie zorgepisode | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-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"| | |colspan="3"|Identificatienummer | ||
|style="background-color: white;"|1 | |style="background-color: white;"|MBH_920_contactepisode_EPISODE1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.9200) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_contactepisode_VV | ||
|-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 8.885: | Regel 8.957: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|60 stuks | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Beoogd verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_wdsmtd1_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_contactepisode_TA | ||
|-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 8.935: | Regel 8.999: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 09:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 9 dagen'' | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T + 9 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - 9 dagen | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 9 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 8.953: | Regel 9.020: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL CF TABLET 1MG (code = '856126' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 8.969: | Regel 9.036: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 9 dagen, | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 8.975: | Regel 9.042: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 8.982: | Regel 9.049: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_contactepisode_MVE | ||
|-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 8.997: | Regel 9.062: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 09:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|60 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL CF TABLET 1MG (code = '856126' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_contactepisode_MGB | ||
|-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 9.050: | Regel 9.100: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T - 10 dagen om 09:56:05 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T - 9 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 9 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informant | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Informant is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 9.087: | Regel 9.154: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T - 20 dagen, tot en met T - 9 dagen, 1 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 9.100: | Regel 9.167: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie contact | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Identificatienummer | ||
==== | |style="background-color: white;"|MBH_920_contactepisode_CONTACT3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.2709) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie zorgepisode | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatienummer | |||
|style="background-color: white;"|MBH_920_contactepisode_EPISODE1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.9200) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatietoediening MBH_920_contactepisode_MTD1 | ||
|-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 9.115: | Regel 9.194: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_MTD1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedienings datum tijd | |||
|style="background-color: white;"|T - 20 dagen om 20:30 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Afgesproken datum tijd | |||
|style="background-color: white;"|T - 20 dagen om 20:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Toegediende hoeveelheid | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aantal | |||
|style="background-color: white;"|2 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Eenheid | ||
|style="background-color: white;"| | |style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Afgesproken hoeveelheid | ||
|-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"| | |colspan="3"|Aantal | ||
|style="background-color: white;"| | |style="background-color: white;"|2 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Eenheid | |||
|style="background-color: white;"|stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|ORAAL (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Toediener | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 9.139: | Regel 9.236: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Relatie medicatieafspraak | ||
|-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"|Identificatie | ||
|style="background-color: white;"|MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie wisselend doseerschema | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_QA1_WDS1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie contact | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="3"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_contactepisode_CONTACT2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.2709) | ||
|} | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie zorgepisode | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatienummer | |||
|style="background-color: white;"|MBH_920_contactepisode_EPISODE1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.9200) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_contactepisode /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | ||
|-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"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|1 | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Apotheek_De_Gulle_Gaper" title="Intern ID = Apotheek_De_Gulle_Gaper">Zorgaanbieder Apotheek_De_Gulle_Gaper</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"|01236578 (in identificerend systeem: URA) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 12 A 1234AA Ons Dorp | ||
|} | |}<section end=ALLMBHS_XXX_Hoek /> | ||
==Patiënt C. XXX_Coenen== | |||
<section begin=XXX_Coenen /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|C. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgebruik | |||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|XXX_Coenen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999900420 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geboortedatum | |||
|style="background-color: white;"|17 okt 1963 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslacht | |||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
|}<section end=XXX_Coenen /><section begin=ALLMBHS_XXX_Coenen /><section begin=MBH_MBH_920_aanvullendeinstructie /> | |||
====Medicamenteuze behandeling MBH_920_aanvullendeinstructie ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_aanvullendeinstructie_MA | |||
|-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 9.234: | Regel 9.370: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 4 maanden om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 4 maanden, tot en met T + 8 maanden'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 4 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 8 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 4 maanden, tot en met T + 8 maanden, 1 maal per dag 1 stuk, Bij het eten innemen, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Bij het eten innemen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_aanvullendeinstructie_VV | ||
|-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 9.297: | Regel 9.426: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekkingsverzoek datum | |||
|style="background-color: white;"|T - 4 maanden om 08:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|180 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Beoogd verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder | |||
|style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie medicatieafspraak | |||
|style="background-color: white;"|MBH_920_aanvullendeinstructie_MA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_aanvullendeinstructie_TA | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_aanvullendeinstructie_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 4 maanden om 09:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 4 maanden, tot en met T + 8 maanden'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 4 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 8 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 9.321: | Regel 9.489: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 4 maanden, tot en met T + 8 maanden, 1 maal per dag 1 stuk, Bij het eten innemen, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Bij het eten innemen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 9.350: | Regel 9.521: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_aanvullendeinstructie_MVE | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_aanvullendeinstructie_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieverstrekkings datum tijd | |||
|style="background-color: white;"|T - 4 maanden om 09:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|180 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_920_aanvullendeinstructie_VV | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end=MBH_MBH_920_aanvullendeinstructie /><section begin=MBH_MBH_920_toelichting /> | |||
====Medicamenteuze behandeling MBH_920_toelichting ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_toelichting_MA | |||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 21 dagen om 08:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 21 dagen'' | |||
|-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=" | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 21 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|In overleg met specialist | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_toelichting_VV | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_toelichting_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekkingsverzoek datum | |||
|style="background-color: white;"|T - 21 dagen om 08:02 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"|30 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Beoogd verstrekker | ||
|-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=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|Extra verstrekkingsverzoek omdat patient medicatie is kwijtgeraakt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_toelichting_TA | ||
|-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 9.493: | Regel 9.672: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 21 dagen om 09:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 21 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|LASIX TABLET 40MG (code = '220515' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 9.527: | Regel 9.706: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 21 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 9.533: | Regel 9.712: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|In overleg met specialist | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie medicatieafspraak | ||
|-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_toelichting_MVE | ||
|-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 9.560: | Regel 9.735: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 21 dagen om 09:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|LASIX TABLET 40MG (code = '220515' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toelichting | ||
|style="background-color: white;"| | |style="background-color: white;"|Extra verstrekkingsverzoek omdat patient medicatie is kwijtgeraakt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_toelichting_MGB | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_toelichting_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T om 10:14 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 7 dagen, tot en met T - 1 dag'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - 7 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Informant | ||
|-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"| | |colspan="3"|Informant is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 9.641: | Regel 9.817: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|LASIX TABLET 40MG (code = '220515' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 7 dagen, tot en met T - 1 dag, 2 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|2 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|In verband met bijwerking de afgelopen week minder vaak genomen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_toelichting /><section begin=MBH_MBH_920_redenvanvoorschrijven /> | ||
====Medicamenteuze behandeling MBH_920_redenvanvoorschrijven ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_redenvanvoorschrijven_MA | ||
|-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 9.673: | Regel 9.864: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 13 dagen om 08:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 13 dagen, tot en met T + 14 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 13 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Probleem naam | |||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Reumatoide artritis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '141631' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '16918' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 9.710: | Regel 9.901: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 13 dagen, tot en met T + 14 dagen, 1 maal per week 5 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 9.716: | Regel 9.907: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per | |style="background-color: white;"|1 maal per week 5 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_redenvanvoorschrijven_VV | ||
|-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 9.736: | Regel 9.920: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 13 dagen om 08:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|20 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '141631' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '16918' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Beoogd verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_redenvanvoorschrijven_TA | ||
|-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 9.774: | Regel 9.962: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 13 dagen om 09:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 13 dagen, tot en met T + 14 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 13 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|METHOTREXAAT PCH TABLET 2,5MG (code = '1421778' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |||
|colspan="4"|Geneesmiddel - | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 9.828: | Regel 9.999: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 13 dagen, tot en met T + 14 dagen, 1 maal per week 5 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per | |style="background-color: white;"|1 maal per week 5 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 9.841: | Regel 10.012: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_redenvanvoorschrijven_MVE | ||
|-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 9.868: | Regel 10.025: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieverstrekkings datum tijd | |||
|style="background-color: white;"|T - 13 dagen om 09:05 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder | |||
|style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|20 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|METHOTREXAAT PCH TABLET 2,5MG (code = '1421778' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_redenvanvoorschrijven_MGB | |||
|-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"| | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T om 15:05 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruik indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, tot en met T - 2 dagen'' | |||
|-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"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 2 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatie gebruik stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Informant | ||
|-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"| | |colspan="3"|Informant is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '141631' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '16918' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-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"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 5 dagen, tot en met T - 2 dagen, geneesmiddel niet in gebruik, tijdelijk gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Reden wijzigen of stoppen gebruik | |||
|style="background-color: white;"|Verrichting gepland (code = '405613005' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie medicatieafspraak | ||
|-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_redenvanvoorschrijven /><section begin=MBH_MBH_920_aanvullendeinformatiewensen /> | ||
====Medicamenteuze behandeling MBH_920_aanvullendeinformatiewensen ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_aanvullendeinformatiewensen_MA | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 5 dagen om 08:06 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 4 dagen, tot en met T + 5 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 4 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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=" | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-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"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 4 dagen, tot en met T + 5 dagen, 3 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Aanvullende informatie | ||
|style="background-color: white;"|Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_aanvullendeinformatiewensen_VV | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekkingsverzoek datum | |||
|style="background-color: white;"|T - 5 dagen om 08:06 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"|30 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Beoogd verstrekker | ||
|-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=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Aanvullende wensen | ||
|style="background-color: white;"| | |style="background-color: white;"|Bezorgen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2051') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_aanvullendeinformatiewensen_TA | ||
|-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 10.044: | Regel 10.246: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen om 09:06 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 4 | |style="background-color: #E3E3E3;;"|''Vanaf T - 4 dagen, tot en met T + 5 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - 4 | |style="background-color: white;"|T - 4 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|BROXIL CAPSULE 500MG (code = '425087' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 4 | |style="background-color: white;"|Vanaf T - 4 dagen, tot en met T + 5 dagen, 3 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"|1 | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_aanvullendeinformatiewensen_MVE | ||
|-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 10.100: | Regel 10.309: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen om 09:06 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|BROXIL CAPSULE 500MG (code = '425087' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_VV | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_aanvullendeinformatiewensen /><section begin=MBH_MBH_920_Toedieningsweg /> | ||
====Medicamenteuze behandeling MBH_920_Toedieningsweg ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_Toedieningsweg_MA | ||
|-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 10.142: | Regel 10.349: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Toedieningsweg_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen om 08:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, tot en met T + 2 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 2 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '80691' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '79804' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 10.179: | Regel 10.383: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 5 dagen, tot en met T + 2 dagen, 2 maal per dag 1 druppel, In het rechter oog, oculair | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Aanvullende instructie | |colspan="3"|Aanvullende instructie | ||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): | |style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): In het rechter oog | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 druppel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Aanvullende informatie | |||
|style="background-color: white;"|Bewust afwijkende toedieningsweg (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Toedieningsweg (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_Toedieningsweg_VV | ||
|-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 10.208: | Regel 10.408: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Toedieningsweg_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen om 08:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|1 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '80691' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '79804' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Beoogd verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Toedieningsweg_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Toedieningsweg (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_Toedieningsweg_TA | ||
|-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 10.248: | Regel 10.450: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Toedieningsweg_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen om 09:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, tot en met T + 2 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + 2 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|SOFRADEX OORDRUPPELS (code = '644781' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '80691' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '79804' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 5 dagen, tot en met T + 2 dagen, 2 maal per dag 1 druppel, In het rechter oog, oculair | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): In het rechter oog | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 1 druppel | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Toedieningsweg_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Toedieningsweg (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_Toedieningsweg_MVE | ||
|-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 10.301: | Regel 10.516: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Toedieningsweg_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen om 09:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|SOFRADEX OORDRUPPELS (code = '644781' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '80691' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '79804' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_Toedieningsweg_VV | |||
|colspan="4"| | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Toedieningsweg (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_Toedieningsweg /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Bertine_van_Doorn" title="Intern ID = Bertine_van_Doorn">Zorgverlener Bertine_van_Doorn</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"|Bertine van Doorn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | ||
|-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"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|1 | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Apotheek_De_Gulle_Gaper" title="Intern ID = Apotheek_De_Gulle_Gaper">Zorgaanbieder Apotheek_De_Gulle_Gaper</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|} | |}<section end=ALLMBHS_XXX_Coenen /> | ||
==Patiënt C. XXX_Coenen== | |||
<section begin=XXX_Coenen /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|C. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Coenen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999900420 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|17 okt 1963 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
| | |}<section end=XXX_Coenen /><section begin=ALLMBHS_XXX_Coenen /><section begin=MBH_MBH_920_aanvullendeinstructie /> | ||
====Medicamenteuze behandeling MBH_920_aanvullendeinstructie ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_aanvullendeinstructie_MA_staken | ||
|-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 10.450: | Regel 10.641: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T - 10 dagen om 18:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 4 maanden, tot en met T - 10 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 4 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak stop type | |||
|style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 10.478: | Regel 10.666: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Reden wijzigen of staken | |||
|style="background-color: white;"|Geneesmiddelinteractie (code = '79899007' in codeSystem 'SNOMED CT') | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 4 maanden, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Bij het eten innemen, Oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Bij het eten innemen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 10.523: | Regel 10.697: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_aanvullendeinstructie_TA_staken | ||
|-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 10.538: | Regel 10.710: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie_TA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 10 dagen om 19:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 4 maanden, tot en met T - 10 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 4 maanden | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak stop type | |||
|style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_Jansen_en_Co|Zorgaanbieder: Apotheek_Jansen_en_Co]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 4 maanden, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Bij het eten innemen, Oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Bij het eten innemen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_aanvullendeinstructie_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_aanvullendeinstructie /><section begin=MBH_MBH_920_toelichting /> | ||
====Medicamenteuze behandeling MBH_920_toelichting ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_toelichting_MA_wijzigingmetVV | ||
|-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 10.594: | Regel 10.781: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA_wijzigingmetVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 2 dagen om 08:02 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 2 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 2 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 10.606: | Regel 10.801: | ||
|style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Reden wijzigen of staken | ||
|style="background-color: white;"| | |style="background-color: white;"|Gebrek aan geneesmiddeleffect (code = '58848006' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 2 dagen, 1 maal per dag 2 stuks, Oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 2 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Relatie medicatieafspraak | ||
|-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_toelichting_MA_techstaken | ||
|-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 10.636: | Regel 10.841: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 2 dagen om 08:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 21 dagen, tot en met T - 3 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 3 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak stop type | |||
|style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 10.673: | Regel 10.878: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 21 dagen, tot en met T - 3 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 10.686: | Regel 10.891: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_toelichting_VV_extra | ||
|-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 10.699: | Regel 10.904: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_VV_extra (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 2 dagen om 08:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|60 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Beoogd verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA_wijzigingmetVV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_toelichting_TA_wijzigingmetMVE | ||
|-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 10.737: | Regel 10.946: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_TA_wijzigingmetMVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T - 2 dagen om 09:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf | |style="background-color: #E3E3E3;;"|''Vanaf T - 2 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - 2 dagen | |style="background-color: white;"|T - 2 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
|colspan="4"|Geneesmiddel - | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 2 dagen, 1 maal per dag 2 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 10.804: | Regel 10.993: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA_wijzigingmetVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_toelichting_TA_techstaken | ||
|-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 10.819: | Regel 11.006: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_TA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 2 dagen om 09:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 21 dagen, tot en met T - 3 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 3 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak stop type | |||
|style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_Jansen_en_Co|Zorgaanbieder: Apotheek_Jansen_en_Co]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 10.853: | Regel 11.046: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 21 dagen, tot en met T - 3 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_toelichting_MVE_extra | ||
|-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 10.875: | Regel 11.072: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_MVE_extra (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 2 dagen om 09:02 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|60 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toelichting_VV_extra | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_toelichting /><section begin=MBH_MBH_920_redenvanvoorschrijven /> | |||
====Medicamenteuze behandeling MBH_920_redenvanvoorschrijven ==== | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_redenvanvoorschrijven_MA_wijzigingzonderVV | ||
|-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 10.920: | Regel 11.112: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA_wijzigingzonderVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 dag om 08:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 1 dag, tot en met T + 14 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Reden wijzigen of staken | |||
|style="background-color: white;"|Te sterk effect van medicatie (code = '112251000146103' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Probleem naam | |||
|style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Reumatoide artritis | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 10.957: | Regel 11.152: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 1 dag, tot en met T + 14 dagen, 1 maal per week 4 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 10.963: | Regel 11.158: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per week 4 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 10.970: | Regel 11.165: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_redenvanvoorschrijven_MA_techstaken | ||
|-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 10.983: | Regel 11.178: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 1 dag om 08:10 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 13 dagen, tot en met T - 2 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 13 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 2 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Probleem naam | ||
|style="background-color: white;"| | |style="background-color: white;"|overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Reumatoide artritis | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 13 dagen, tot en met T - 2 dagen, 1 maal per week 5 stuks, Oraal, definitief gestopt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per week 5 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_redenvanvoorschrijven_TA_wijzigingzonderMVE | ||
|-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 11.023: | Regel 11.244: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_TA_wijzigingzonderMVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 dag om 09:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 1 dag, tot en met T + 14 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_Jansen_en_Co|Zorgaanbieder: Apotheek_Jansen_en_Co]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METHOTREXAAT PCH TABLET 2,5MG (code = '1421778' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 1 dag, tot en met T + 14 dagen, 1 maal per week 4 stuks, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per week 4 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA_wijzigingzonderVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_redenvanvoorschrijven_TA_techstaken | ||
|-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 11.082: | Regel 11.307: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_TA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |||
|style="background-color: white;"|T - 1 dag om 09:10 uur | |||
|colspan="4"|Toedieningsafspraak datum tijd | |||
|style="background-color: white;"|T - | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 13 dagen, tot en met T - 2 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 13 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 2 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak stop type | |||
|style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 11.145: | Regel 11.331: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_Jansen_en_Co|Zorgaanbieder: Apotheek_Jansen_en_Co]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METHOTREXAAT PCH TABLET 2,5MG (code = '1421778' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 13 dagen, tot en met T - 2 dagen, 1 maal per week 5 stuks, Oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per week 5 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 11.177: | Regel 11.360: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_redenvanvoorschrijven /><section begin=MBH_MBH_920_aanvullendeinformatiewensen /> | ||
====Medicamenteuze behandeling MBH_920_aanvullendeinformatiewensen ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_aanvullendeinformatiewensen_MA_onderbreken | ||
|-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 11.190: | Regel 11.375: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_MA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 dag om 18:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 4 dagen, tot en met T - 1 dag'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 4 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 1 dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak stop type | |||
|style="background-color: white;"|tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Bertine_van_Doorn|Zorgverlener: Bertine_van_Doorn]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Reden wijzigen of staken | ||
|style="background-color: white;"| | |style="background-color: white;"|Opname in instelling (code = '305335007' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 4 dagen, tot en met T - 1 dag, 3 maal per dag 1 stuk, Oraal, tijdelijk gestopt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|3 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Aanvullende informatie | |||
|style="background-color: white;"|Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_aanvullendeinformatiewensen_TA_onderbreken | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_TA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak datum tijd | |||
|style="background-color: white;"|T - 1 dag om 19:12 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 4 dagen, tot en met T - 1 dag'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 4 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Zorgaanbieder | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder | |||
|style="background-color: white;"|Zie [[#Apotheek_Jansen_en_Co|Zorgaanbieder: Apotheek_Jansen_en_Co]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|BROXIL CAPSULE 500MG (code = '425087' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 4 dagen, tot en met T - 1 dag, 3 maal per dag 1 stuk, Oraal, tijdelijk gestopt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|3 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_aanvullendeinformatiewensen_MA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_aanvullendeinformatiewensen /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Bertine_van_Doorn" title="Intern ID = Bertine_van_Doorn">Zorgverlener Bertine_van_Doorn</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Bertine van Doorn | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Specialisme | |||
|style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Zorgaanbieder | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 11.259: | Regel 11.541: | ||
|colspan="3"|Adresgegevens | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Apotheek_Jansen_en_Co" title="Intern ID = Apotheek_Jansen_en_Co">Zorgaanbieder Apotheek_Jansen_en_Co</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|99901111 (in identificerend systeem: URA) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Organisatie naam | |||
|style="background-color: white;"|Apotheek Jansen en Co | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|<span id="Apotheek_De_Gulle_Gaper" title="Intern ID = Apotheek_De_Gulle_Gaper">Zorgaanbieder Apotheek_De_Gulle_Gaper</span> | |colspan="5"|<span id="Apotheek_De_Gulle_Gaper" title="Intern ID = Apotheek_De_Gulle_Gaper">Zorgaanbieder Apotheek_De_Gulle_Gaper</span> | ||
| Regel 11.270: | Regel 11.562: | ||
|style="background-color: white;"|Apotheek De Gulle Gaper | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|}<section end=ALLMBHS_XXX_Coenen /> | |}<section end=ALLMBHS_XXX_Coenen /> | ||
==Patiënt | ==Patiënt E. XXX_Doppen== | ||
<section begin= | <section begin=XXX_Doppen /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
| Regel 11.284: | Regel 11.576: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Initialen | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|E. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Naamgebruik | |colspan="3"|Naamgebruik | ||
| Regel 11.294: | Regel 11.586: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Achternaam | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Doppen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatienummer | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999900511 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geboortedatum | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|24 okt 1963 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geslacht | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | ||
|}<section end= | |}<section end=XXX_Doppen /><section begin=ALLMBHS_XXX_Doppen /><section begin=MBH_MBH_920_Lengte_Gewicht /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_Lengte_Gewicht ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_Lengte_Gewicht_MA_1 | ||
|-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 11.315: | Regel 11.607: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 jaar om 07:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 1 jaar'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 11.339: | Regel 11.625: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 1 jaar, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_Lengte_Gewicht_MA_onderbreken | ||
|-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 11.384: | Regel 11.657: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_MA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 80 dagen om 15:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 1 jaar, tot en met T - 80 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 80 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Reden wijzigen of staken | |||
|style="background-color: white;"|Verrichting gepland (code = '405613005' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 1 jaar, tot en met T - 80 dagen, 1 maal per dag 1 stuk, Oraal, tijdelijk gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 11.440: | Regel 11.710: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_Lengte_Gewicht_VV_1 | ||
|-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 11.455: | Regel 11.723: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 jaar om 07:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |||
|colspan="5"| | |||
|-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"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|180 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Beoogd verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"|MBH_920_Lengte_Gewicht_MA_1 | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_Lengte_Gewicht_TA_1 | ||
|-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 11.515: | Regel 11.765: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 jaar om 08:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 1 jaar'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
|colspan="4"|Geneesmiddel - | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 11.552: | Regel 11.799: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 1 jaar, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 11.565: | Regel 11.812: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_Lengte_Gewicht_TA_onderbreken | ||
|-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 11.578: | Regel 11.825: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_TA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toedieningsafspraak datum tijd | |||
|style="background-color: white;"|T - 80 dagen om 16:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 1 jaar, tot en met T - 80 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 1 jaar | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 80 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_Jansen_en_Co|Zorgaanbieder: Apotheek_Jansen_en_Co]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 1 jaar, tot en met T - 80 dagen, 1 maal per dag 1 stuk, Oraal, tijdelijk gestopt | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Relatie medicatieafspraak | ||
|-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_MA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_Lengte_Gewicht_MVE_1 | ||
|-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 11.620: | Regel 11.888: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 1 jaar om 08:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 11.639: | Regel 11.899: | ||
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|180 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_920_Lengte_Gewicht_VV_1 | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_Lengte_Gewicht /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Organisatie naam | |||
|style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Apotheek_De_Gulle_Gaper" title="Intern ID = Apotheek_De_Gulle_Gaper">Zorgaanbieder Apotheek_De_Gulle_Gaper</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Apotheek_Jansen_en_Co" title="Intern ID = Apotheek_Jansen_en_Co">Zorgaanbieder Apotheek_Jansen_en_Co</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|99901111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek Jansen en Co | ||
|} | |}<section end=ALLMBHS_XXX_Doppen /> | ||
==Patiënt E. XXX_Doppen== | |||
<section begin=XXX_Doppen /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|E. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Doppen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|999900511 [BSN] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|24 okt 1963 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | ||
|}<section end=XXX_Doppen /><section begin=ALLMBHS_XXX_Doppen /><section begin=MBH_MBH_920_Lengte_Gewicht_2 /> | |||
====Medicamenteuze behandeling MBH_920_Lengte_Gewicht_2 ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_Lengte_Gewicht_2_MA | |||
|-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"|Identificatie | |||
|style="background-color: white;"|MBH_920_Lengte_Gewicht_2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - 1 | |style="background-color: white;"|T - 1 jaar om 07:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 1 | |style="background-color: #E3E3E3;;"|''Vanaf T - 1 jaar, tot en met T - 120 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - 1 | |style="background-color: white;"|T - 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 120 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 11.807: | Regel 12.044: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 11.826: | Regel 12.057: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 1 | |style="background-color: white;"|Vanaf T - 1 jaar, tot en met T - 120 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_Lengte_Gewicht_2_VV | ||
|-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 11.852: | Regel 12.076: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_2_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - 1 | |style="background-color: white;"|T - 1 jaar om 07:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |||
|colspan="5"| | |||
|-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"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|125 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Beoogd verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"|MBH_920_Lengte_Gewicht_2_MA | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_Lengte_Gewicht_2_TA | ||
|-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 11.918: | Regel 12.118: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_2_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - 1 | |style="background-color: white;"|T - 1 jaar om 08:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 1 | |style="background-color: #E3E3E3;;"|''Vanaf T - 1 jaar, tot en met T - 120 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - 1 | |style="background-color: white;"|T - 1 jaar | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T - 120 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 11.939: | Regel 12.139: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 11.955: | Regel 12.152: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 1 | |style="background-color: white;"|Vanaf T - 1 jaar, tot en met T - 120 dagen, 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 11.968: | Regel 12.165: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_Lengte_Gewicht_2_MVE | ||
|-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 11.981: | Regel 12.178: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_2_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - 1 | |style="background-color: white;"|T - 1 jaar om 08:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 12.005: | Regel 12.188: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|125 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4 | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_920_Lengte_Gewicht_2_VV | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_Lengte_Gewicht_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_Lengte_Gewicht_2 /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Peter van Pulver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | ||
|-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"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|3 | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Apotheek_De_Gulle_Gaper" title="Intern ID = Apotheek_De_Gulle_Gaper">Zorgaanbieder Apotheek_De_Gulle_Gaper</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: URA) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Organisatie naam | |||
|style="background-color: white;"|Apotheek De Gulle Gaper | |||
|}<section end=ALLMBHS_XXX_Doppen /> | |||
==Patiënt M. XXX_Raamsdonk== | |||
<section begin=XXX_Raamsdonk /> | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|M. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Raamsdonk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999900924 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geboortedatum | |||
|style="background-color: white;"|6 nov 1985 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | ||
|} | |}<section end=XXX_Raamsdonk /><section begin=ALLMBHS_XXX_Raamsdonk /><section begin=MBH_MBH_920_volgens_afspraak /> | ||
====Medicamenteuze behandeling MBH_920_volgens_afspraak ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_volgens_afspraak_MA | ||
|-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 12.118: | Regel 12.300: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 10:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 10 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '86991' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '129720' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 12.158: | Regel 12.334: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 20 dagen, gedurende 10 dagen, 1 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_volgens_afspraak_VV | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_volgens_afspraak_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekkingsverzoek datum | |||
|style="background-color: white;"|T - 20 dagen om 10:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|20 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '86991' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '129720' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Beoogd verstrekker | ||
|-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=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"|MBH_920_volgens_afspraak_MA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_volgens_afspraak_TA | |||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 20 dagen om 10:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 10 dagen'' | |||
|-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"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|PRADAXA CAPSULE 110MG (code = '1929461' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '86991' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '129720' in codeSystem 'G-Standaard GPK') | |||
|style="background- | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 10 dagen, 1 maal per dag 2 stuks, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|-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=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_volgens_afspraak_MVE | ||
|-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 12.281: | Regel 12.458: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_volgens_afspraak_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 10:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|20 stuks | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PRADAXA CAPSULE 110MG (code = '1929461' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '86991' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '129720' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_volgens_afspraak_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_volgens_afspraak_MGB | ||
|-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 12.331: | Regel 12.496: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_volgens_afspraak_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T - 5 dagen om 18:20:05 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 10 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 12.356: | Regel 12.524: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Auteur is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PRADAXA CAPSULE 110MG (code = '1929461' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '86991' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '129720' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 12.371: | Regel 12.546: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 20 dagen, gedurende 10 dagen, 1 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie | |colspan="5"|Relatie toedieningsafspraak | ||
|-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"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_volgens_afspraak /><section begin=MBH_MBH_920_niet_volgens_afspraak /> | ||
====Medicamenteuze behandeling MBH_920_niet_volgens_afspraak ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_niet_volgens_afspraak_MA | ||
|-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 12.397: | Regel 12.574: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_niet_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 30 dagen om 15:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 30 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|SIMVASTATINE TABLET FO 20MG (code = '67814' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|SIMVASTATINE TABLET FO 20MG (code = '116580' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 30 dagen, 1 maal per dag 2 stuks, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 2 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_niet_volgens_afspraak_VV | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_niet_volgens_afspraak_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekkingsverzoek datum | |||
|style="background-color: white;"|T - 30 dagen om 15:30 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 12.410: | Regel 12.637: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|90 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|SIMVASTATINE TABLET FO 20MG (code = '67814' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|SIMVASTATINE TABLET FO 20MG (code = '116580' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 12.426: | Regel 12.653: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_niet_volgens_afspraak_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_niet_volgens_afspraak_TA | ||
|-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 12.439: | Regel 12.666: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_niet_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 30 dagen om 16:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 12.460: | Regel 12.687: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|SIMVASTATINE SANDOZ TABLET FILMOMHULD 20MG (code = '1592661' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|SIMVASTATINE TABLET FO 20MG (code = '67814' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|SIMVASTATINE TABLET FO 20MG (code = '116580' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 12.473: | Regel 12.700: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 30 dagen, 1 maal per dag 2 stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 2 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 12.486: | Regel 12.713: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_niet_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_niet_volgens_afspraak_MVE | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_niet_volgens_afspraak_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieverstrekkings datum tijd | |||
|style="background-color: white;"|T - 30 dagen om 16:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder | |||
|style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|90 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|SIMVASTATINE SANDOZ TABLET FILMOMHULD 20MG (code = '1592661' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|SIMVASTATINE TABLET FO 20MG (code = '67814' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|SIMVASTATINE TABLET FO 20MG (code = '116580' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_niet_volgens_afspraak_VV | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_niet_volgens_afspraak_MGB | |||
|-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 12.499: | Regel 12.764: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_niet_volgens_afspraak_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T - 19 dagen om 10:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen, tot en met T - 20 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Auteur is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|SIMVASTATINE TABLET FO 20MG (code = '67814' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|SIMVASTATINE TABLET FO 20MG (code = '116580' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 12.536: | Regel 12.811: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 30 dagen, tot en met T - 20 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 12.549: | Regel 12.824: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_niet_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_niet_volgens_afspraak /><section begin=MBH_MBH_920_geen_gebruik_niet_volgens_afspraak /> | ||
====Medicamenteuze behandeling MBH_920_geen_gebruik_niet_volgens_afspraak ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_geen_gebruik_niet_volgens_afspraak_MA | ||
|-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 12.562: | Regel 12.839: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 14 dagen om 12:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 14 dagen'' | |||
|-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"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 14 dagen, 1 maal per dag 1 stuk, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_geen_gebruik_niet_volgens_afspraak_VV | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekkingsverzoek datum | |||
|style="background-color: white;"|T - 14 dagen om 12:30 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|90 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Beoogd verstrekker | ||
|-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=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak_MA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_geen_gebruik_niet_volgens_afspraak_TA | |||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 14 dagen om 13:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - 14 dagen'' | |||
|-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"|Ingangsdatum | ||
|style="background-color: white;"|T - 14 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|HYDROCHLOORTHIAZIDE ACTAVIS TABLET 12,5MG (code = '2438429' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
|style="background- | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 14 dagen, 1 maal per dag 1 stuk, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|-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=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_geen_gebruik_niet_volgens_afspraak_MVE | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieverstrekkings datum tijd | |||
|style="background-color: white;"|T - 14 dagen om 13:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgaanbieder | |||
|style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|90 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|HYDROCHLOORTHIAZIDE ACTAVIS TABLET 12,5MG (code = '2438429' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak_VV | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_geen_gebruik_niet_volgens_afspraak_MGB | ||
|-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 12.697: | Regel 13.029: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T - 4 dagen om 08:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Nee | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 6 dagen, tot en met T - 5 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 6 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 5 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatie gebruik stop type | |||
|style="background-color: white;"|tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 12.721: | Regel 13.069: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE ACTAVIS TABLET 12,5MG (code = '2438429' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 6 dagen, tot en met T - 5 dagen, geneesmiddel niet in gebruik, tijdelijk gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie toedieningsafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-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"| | |colspan="3"|Identificatie | ||
|style="background-color: white;"|1 | |style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_geen_gebruik_niet_volgens_afspraak /><section begin=MBH_MBH_920_geen_gebruik_volgens_afspraak /> | ||
====Medicamenteuze behandeling MBH_920_geen_gebruik_volgens_afspraak ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_geen_gebruik_volgens_afspraak_MA | ||
|-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 12.750: | Regel 13.104: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 100 dagen om 08:30 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 100 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 12.761: | Regel 13.123: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_geen_gebruik_volgens_afspraak_stopMA | ||
|-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 12.792: | Regel 13.154: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_stopMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen om 08:20:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 20 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 100 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak stop type | |||
|style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Reden wijzigen of staken | |||
|style="background-color: white;"|Drug treatment not indicated (situation) (code = '183966005' in codeSystem 'SNOMED CT') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 12.826: | Regel 13.194: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 20 dagen, 1 maal per dag 1 stuk, oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
| Regel 12.839: | Regel 13.207: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_geen_gebruik_volgens_afspraak_VV | ||
|-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 12.852: | Regel 13.220: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 100 dagen om 08:30 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|90 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Beoogd verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder | |||
|style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_geen_gebruik_volgens_afspraak_TA | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 100 dagen om 09:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-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"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T - 100 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-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=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|HYDROCHLOORTHIAZIDE ACTAVIS TABLET 12,5MG (code = '2438429' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-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"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Relatie medicatieafspraak | ||
|-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=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_geen_gebruik_volgens_afspraak_stopTA | ||
|-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 12.974: | Regel 13.322: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_stopTA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T - 20 dagen om | |style="background-color: white;"|T - 20 dagen om 08:20:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 20 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - 100 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T - 20 dagen | |style="background-color: white;"|T - 20 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsafspraak stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE ACTAVIS TABLET 12,5MG (code = '2438429' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 13.008: | Regel 13.362: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 20 dagen, 1 maal per dag 1 stuk, oraal, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 13.014: | Regel 13.368: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 2 | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_stopMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_geen_gebruik_volgens_afspraak_MVE | ||
|-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 13.027: | Regel 13.388: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 100 dagen om 09:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|90 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE ACTAVIS TABLET 12,5MG (code = '2438429' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_VV | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_geen_gebruik_volgens_afspraak_MGB | ||
|-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 13.069: | Regel 13.426: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T - 10 dagen om 12:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Nee | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 19 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 19 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Medicatie gebruik stop type | ||
|style="background-color: white;"| | |style="background-color: white;"|definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Auteur is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 19 dagen, geneesmiddel niet in gebruik, definitief gestopt | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 13.119: | Regel 13.480: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak_stopMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_geen_gebruik_volgens_afspraak /><section begin=MBH_MBH_920_zelfzorgmedicatie /> | ||
====Medicamenteuze behandeling MBH_920_zelfzorgmedicatie ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_zelfzorgmedicatie_MA | ||
|-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 13.132: | Regel 13.495: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zelfzorgmedicatie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T - 79 dagen om 08:30 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T - 90 dagen, gedurende 30 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T - 90 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"| | |style="background-color: white;"|30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETIRIZINE TABLET 10MG (code = '26298' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETIRIZINE TABLET 10MG (code = '71218' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T - 90 dagen, gedurende 30 dagen, 1 maal per dag 1 stuk, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Toelichting | |||
|style="background-color: white;"|Patiënt koopt zelfzorgmedicatie bij drogist. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatiegebruik | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zelfzorgmedicatie_MBG (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zelfzorgmedicatie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_zelfzorgmedicatie_MBG | ||
|-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 13.170: | Regel 13.558: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zelfzorgmedicatie_MBG (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 80 dagen om 20:30:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
|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"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T - | |style="background-color: #E3E3E3;;"|''Vanaf T - 90 dagen, gedurende 10 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T - 90 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksduur | |colspan="3"|Gebruiksduur | ||
|style="background-color: white;"|10 dagen | |style="background-color: white;"|10 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 13.207: | Regel 13.585: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PREVALIN ALLERSTOP CETIRIZINE TABLET FILMOMH 10MG (code = '2497905' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETIRIZINE TABLET 10MG (code = '26298' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETIRIZINE TABLET 10MG (code = '71218' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 13.220: | Regel 13.598: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T - | |style="background-color: white;"|Vanaf T - 90 dagen, gedurende 10 dagen, 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 13.226: | Regel 13.604: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |style="background-color: white;"|1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zelfzorgmedicatie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_zelfzorgmedicatie /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Naamgegevens | ||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | ||
|-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"| | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"|1 | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Apotheek_De_Gulle_Gaper" title="Intern ID = Apotheek_De_Gulle_Gaper">Zorgaanbieder Apotheek_De_Gulle_Gaper</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder identificatienummer | |||
|style="background-color: white;"|01236578 (in identificerend systeem: URA) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek De Gulle Gaper | ||
|} | |}<section end=ALLMBHS_XXX_Raamsdonk /> | ||
==Patiënt G. XXX_Hemsbergen== | |||
<section begin=XXX_Hemsbergen /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|G. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Hemsbergen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999900602 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|2 nov 1963 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|} | |}<section end=XXX_Hemsbergen /><section begin=ALLMBHS_XXX_Hemsbergen /><section begin=MBH_MBH_920_variabelefrequentie /> | ||
====Medicamenteuze behandeling MBH_920_variabelefrequentie ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_variabelefrequentie_MA | ||
|-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 13.340: | Regel 13.704: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 16 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 16 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 13.374: | Regel 13.738: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, tot en met T + 16 dagen, maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_variabelefrequentie_VV | ||
|-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 13.400: | Regel 13.757: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 08:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"|90 stuks | |style="background-color: white;"|90 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Beoogd verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_variabelefrequentie_TA | ||
|-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 13.438: | Regel 13.799: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 09:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 16 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 16 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
|colspan="4"|Geneesmiddel - | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 13.485: | Regel 13.836: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, tot en met T + 16 dagen, maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 13.498: | Regel 13.849: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_variabelefrequentie_MVE | ||
|-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 13.513: | Regel 13.862: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 09:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|90 stuks | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_variabelefrequentie_MGB | ||
|-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 13.563: | Regel 13.900: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 16 dagen om 16:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 16 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 16 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Informant | ||
|-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"| | |colspan="3"|Informant is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 13.639: | Regel 13.954: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, tot en met T + 16 dagen, maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 13.652: | Regel 13.967: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie toedieningsafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_variabelefrequentie_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelefrequentie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_variabelefrequentie /><section begin=MBH_MBH_920_interval /> | ||
====Medicamenteuze behandeling MBH_920_interval ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_interval_MA | ||
|-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 13.665: | Regel 13.989: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_interval_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 08:04 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T'' | |||
|-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"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, iedere 8 uur 1 stuk , let op! Tijden exact aanhouden., Oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|iedere 8 uur 1 stuk , let op! Tijden exact aanhouden. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_interval (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_interval_VV | ||
|-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 13.703: | Regel 14.039: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_interval_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 08:04 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |||
|colspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 13.734: | Regel 14.050: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|90 stuks | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Beoogd verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |||
|style="background-color: white;"|MBH_920_interval_MA | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_interval (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_interval_TA | ||
|-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 13.778: | Regel 14.081: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_interval_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 09:04 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPER SANDOZ TABLET 500MG (code = '802891' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 13.809: | Regel 14.115: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, iedere 8 uur 1 stuk , let op! Tijden exact aanhouden., Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 | |style="background-color: white;"|iedere 8 uur 1 stuk , let op! Tijden exact aanhouden. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_interval_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_interval (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_interval_MVE | ||
|-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 13.828: | Regel 14.141: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_interval_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 09:04 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|90 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPER SANDOZ TABLET 500MG (code = '802891' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_interval_VV | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_interval (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_interval_MGB | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_interval_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T + 16 dagen om 23:59:59 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 16 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 16 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 13.853: | Regel 14.207: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informant | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Informant is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 13.868: | Regel 14.233: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, tot en met T + 16 dagen, iedere 8 uur 1 stuk , let op! Tijden exact aanhouden., Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|iedere 8 uur 1 stuk , let op! Tijden exact aanhouden. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 13.881: | Regel 14.246: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_interval_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_interval (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_interval /><section begin=MBH_MBH_920_variabelehoeveelheid /> | ||
====Medicamenteuze behandeling MBH_920_variabelehoeveelheid ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_variabelehoeveelheid_MA | ||
|-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 13.894: | Regel 14.261: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T om 08:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 28 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingangsdatum | |||
|style="background-color: white;"|T | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 28 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot en met T + 28 dagen, 3 maal per dag stuks, oraal | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|3 maal per dag stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_variabelehoeveelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_variabelehoeveelheid_VV | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_variabelehoeveelheid_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekkingsverzoek datum | |||
|style="background-color: white;"|T om 08:10 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 13.907: | Regel 14.327: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|100 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 13.920: | Regel 14.340: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_variabelehoeveelheid_TA | ||
|-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 13.936: | Regel 14.356: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 09:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 28 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T - | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 28 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 13.954: | Regel 14.377: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOLUM TABLET 500MG (code = '244716' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 13.970: | Regel 14.393: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, tot en met T + 28 dagen, 3 maal per dag stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G- | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 13.983: | Regel 14.406: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_variabelehoeveelheid_MVE | ||
|-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 13.996: | Regel 14.419: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 09:10 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 14.020: | Regel 14.429: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|100 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOLUM TABLET 500MG (code = '244716' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"|MBH_920_variabelehoeveelheid_VV | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_variabelehoeveelheid_MGB | ||
|-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 14.062: | Regel 14.457: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 14 dagen om 23:59:59 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Gebruik indicator | ||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Volgens afspraak indicator | |||
|colspan="4"|Volgens afspraak indicator | |||
|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"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 14 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 14.128: | Regel 14.485: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informant | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Informant is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 14.133: | Regel 14.497: | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, tot en met T + 14 dagen, 3 maal per dag stuks, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Toedieningsweg | |||
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Doseerinstructie | |||
|style="background-color: white;"|3 maal per dag stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 14.154: | Regel 14.524: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_variabelehoeveelheid /><section begin=MBH_MBH_920_zonderkeerdosis /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_zonderkeerdosis ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_zonderkeerdosis_MA | ||
|-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 14.169: | Regel 14.539: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonderkeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 08:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 28 dagen'' | ||
|-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"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 28 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T | |style="background-color: white;"|Vanaf T, tot en met T + 28 dagen, 3 maal per dag, aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonderkeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_zonderkeerdosis_VV | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_920_zonderkeerdosis_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"| | |style="background-color: white;"|T om 08:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Auteur | ||
|-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=" | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"|1 stuk | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Beoogd verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgaanbieder | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonderkeerdosis_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_zonderkeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|colspan=" | |} | ||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_zonderkeerdosis_TA | ||
|-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 14.315: | Regel 14.637: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonderkeerdosis_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 09:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 28 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 14.329: | Regel 14.651: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 28 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 28 dagen, 3 maal per dag, aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|maal per dag 1 | |style="background-color: white;"|3 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_zonderkeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonderkeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_zonderkeerdosis_MVE | ||
|-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 14.368: | Regel 14.703: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonderkeerdosis_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 09:12 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_zonderkeerdosis_VV | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonderkeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_zonderkeerdosis_MGB | ||
|-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 14.410: | Regel 14.741: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonderkeerdosis_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T + 21 dagen om 23:59:59 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 21 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 14.424: | Regel 14.761: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Voorschrijver | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informant | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Informant is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="5"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Omschrijving | |||
|style="background-color: white;"|Vanaf T, tot en met T + 21 dagen, 3 maal per dag, aanbrengen, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|maal per dag | |style="background-color: white;"|3 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 14.460: | Regel 14.811: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonderkeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonderkeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_zonderkeerdosis /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="7"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Apotheek_de_Gulle_Gaper" title="Intern ID = Apotheek_de_Gulle_Gaper">Zorgaanbieder Apotheek_de_Gulle_Gaper</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|} | |}<section end=ALLMBHS_XXX_Hemsbergen /> | ||
==Patiënt G. XXX_Hemsbergen== | |||
<section begin=XXX_Hemsbergen /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="6"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Initialen | |||
|style="background-color: white;"|G. | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgebruik | |||
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Hemsbergen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999900602 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geboortedatum | |||
|style="background-color: white;"|2 nov 1963 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geslacht | ||
|style="background-color: white;"| | |style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | ||
|}<section end=XXX_Hemsbergen /><section begin=ALLMBHS_XXX_Hemsbergen /><section begin=MBH_MBH_920_bijzonderekeerdosis /> | |||
====Medicamenteuze behandeling MBH_920_bijzonderekeerdosis ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_bijzonderekeerdosis_MA | |||
|-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"| | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T om 08:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 28 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 14.531: | Regel 14.925: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 28 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 14.555: | Regel 14.935: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 14.565: | Regel 14.945: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 28 dagen, 2 maal per dag 0.5 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|maal per dag | |style="background-color: white;"|2 maal per dag 0.5 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_bijzonderekeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_bijzonderekeerdosis_VV | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |||
|-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 14.600: | Regel 14.964: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 14.663: | Regel 14.977: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 14.679: | Regel 14.993: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_bijzonderekeerdosis_TA | ||
|-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 14.692: | Regel 15.006: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T'' | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 28 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 28 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 14.713: | Regel 15.030: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|NAPROXEN APOTEX TABLET 500MG (code = '1137778' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 14.726: | Regel 15.043: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T, tot en met T + 28 dagen, 2 maal per dag 0.5 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 0.5 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 14.739: | Regel 15.056: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_bijzonderekeerdosis_MVE | ||
|-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 14.752: | Regel 15.069: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 14.765: | Regel 15.082: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|NAPROXEN APOTEX TABLET 500MG (code = '1137778' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_bijzonderekeerdosis_MGB | ||
|-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 14.790: | Regel 15.107: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen om 23:59:59 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
| Regel 14.802: | Regel 15.119: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 14 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 14.810: | Regel 15.127: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 14.818: | Regel 15.135: | ||
|colspan="3"|Zorgverlener | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 14.834: | Regel 15.144: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 14.844: | Regel 15.154: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 14 dagen, 2 maal per dag 0.5 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag 0.5 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 14.857: | Regel 15.167: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_bijzonderekeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_bijzonderekeerdosis /><section begin=MBH_MBH_920_variabelehoeveelheid2 /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_variabelehoeveelheid2 ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_variabelehoeveelheid2_MA | ||
|-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 14.872: | Regel 15.182: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:18 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
| Regel 14.896: | Regel 15.206: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '72664' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '119903' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + 28 dagen, | |style="background-color: white;"|Vanaf T, tot en met T + 28 dagen, 2 maal per dag ml, Eerst oplossen in water, mond spoelen, daarna uitspugen, OROMUCOSAAL | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|OROMUCOSAAL (code = '34' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_variabelehoeveelheid2_VV | ||
|-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 14.925: | Regel 15.241: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:18 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 14.938: | Regel 15.254: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|450 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '72664' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '119903' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 14.954: | Regel 15.270: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_variabelehoeveelheid2_TA | ||
|-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 14.967: | Regel 15.283: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:18 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
| Regel 14.991: | Regel 15.307: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|WATERSTOFPEROXIDE 3% CONC VOOR MONDSP FNA MR (code = '261815' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '72994' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '119903' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + 28 dagen, | |style="background-color: white;"|Vanaf T, tot en met T + 28 dagen, 2 maal per dag ml, Eerst oplossen in water, mond spoelen, daarna uitspugen, OROMUCOSAAL | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|OROMUCOSAAL (code = '34' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 15.017: | Regel 15.339: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_variabelehoeveelheid2_MVE | ||
|-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 15.030: | Regel 15.352: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:18 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 15.043: | Regel 15.365: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|450 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|WATERSTOFPEROXIDE 3% CONC VOOR MONDSP FNA MR (code = '261815' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '72994' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '119903' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_variabelehoeveelheid2_MGB | ||
|-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 15.068: | Regel 15.390: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 21 dagen om 23:59:59 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
| Regel 15.080: | Regel 15.402: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 21 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 15.088: | Regel 15.410: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 15.112: | Regel 15.434: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '72664' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '119903' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 21 dagen, 2 maal per dag ml, Eerst oplossen in water, mond spoelen, daarna uitspugen, OROMUCOSAAL | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|OROMUCOSAAL (code = '34' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 15.135: | Regel 15.463: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheid2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_variabelehoeveelheid2 /><section begin=MBH_MBH_920_tijdstippen_flexibel /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_tijdstippen_flexibel ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_tijdstippen_flexibel_MA | ||
|-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 15.150: | Regel 15.478: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:24 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 14 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 15.164: | Regel 15.492: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 15.174: | Regel 15.502: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 14 dagen, elke dag om 08:00, 14:00 en 20:00 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_tijdstippen_flexibel_VV | ||
|-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 15.206: | Regel 15.531: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:24 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 15.219: | Regel 15.544: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|42 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 15.235: | Regel 15.560: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_tijdstippen_flexibel_TA | ||
|-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 15.248: | Regel 15.573: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:24 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 14 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 15.262: | Regel 15.587: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 15.272: | Regel 15.597: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE HCL PCH TABLET 500MG (code = '693332' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 14 dagen, elke dag om 08:00, 14:00 en 20:00 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 15.301: | Regel 15.623: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_tijdstippen_flexibel_MVE | ||
|-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 15.314: | Regel 15.636: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:24 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 15.327: | Regel 15.649: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|42 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE HCL PCH TABLET 500MG (code = '693332' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_tijdstippen_flexibel_MGB | ||
|-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 15.352: | Regel 15.674: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen om 23:59:59 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
| Regel 15.364: | Regel 15.686: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 14 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 15.372: | Regel 15.694: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 15.396: | Regel 15.718: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 14 dagen, elke dag om 08:00, 14:00 en 20:00 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 15.422: | Regel 15.741: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_tijdstippen_flexibel /><section begin=MBH_MBH_920_weekdagen /> | ||
====Medicamenteuze behandeling MBH_920_weekdagen ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_weekdagen_MA | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_weekdagen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T om 08:25 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 70 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 70 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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=" | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '109398' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, tot en met T + 70 dagen, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Aanvullende instructie | ||
|style="background-color: white;"| | |style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Aanvullende instructie | ||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|op maandag, woensdag en vrijdag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_weekdagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_weekdagen_VV | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_920_weekdagen_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"| | |style="background-color: white;"|T om 08:25 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Auteur | ||
|-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=" | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '109398' in codeSystem 'G-Standaard GPK') | ||
| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
==== | |colspan="5"|Beoogd verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgaanbieder | |||
|style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Relatie medicatieafspraak | |||
|style="background-color: white;"|MBH_920_weekdagen_MA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_weekdagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_weekdagen_TA | ||
|-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 15.522: | Regel 15.857: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_weekdagen_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 09:25 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 70 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 15.536: | Regel 15.871: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 70 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ALDARA CREME 50MG/G IN SACHET (code = '1198521' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '109398' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 70 dagen, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|2 | |style="background-color: white;"|op maandag, woensdag en vrijdag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_weekdagen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_weekdagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_weekdagen_MVE | ||
|-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 15.575: | Regel 15.926: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_weekdagen_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 09:25 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"|30 stuks | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ALDARA CREME 50MG/G IN SACHET (code = '1198521' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '109398' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_weekdagen_VV | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_weekdagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_weekdagen_MGB | ||
|-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 15.617: | Regel 15.964: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_weekdagen_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T + 14 dagen om 23:59:59 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 14 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 15.631: | Regel 15.984: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informant | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Informant is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|IMIQUIMOD 50MG/G CREME (code = '109398' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 14 dagen, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Aanvullende instructie | |||
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|op maandag, woensdag en vrijdag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 15.667: | Regel 16.037: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_weekdagen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_weekdagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_weekdagen /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="7"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Apotheek_de_Gulle_Gaper" title="Intern ID = Apotheek_de_Gulle_Gaper">Zorgaanbieder Apotheek_de_Gulle_Gaper</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|} | |}<section end=ALLMBHS_XXX_Hemsbergen /> | ||
==Patiënt G. XXX_Hemsbergen== | |||
<section begin=XXX_Hemsbergen /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|G. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Hemsbergen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999900602 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"|2 nov 1963 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geslacht | |||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
|}<section end=XXX_Hemsbergen /><section begin=ALLMBHS_XXX_Hemsbergen /><section begin=MBH_MBH_920_dagdeel /> | |||
====Medicamenteuze behandeling MBH_920_dagdeel ==== | |||
|colspan="4"| | |||
|style="background-color: white;"| | |||
|}<section end= | |||
====Medicamenteuze behandeling | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_dagdeel_MA | ||
|-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 15.793: | Regel 16.137: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:27 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 15.817: | Regel 16.158: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '123129' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T, 1 stuk 's avonds, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 stuk 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_dagdeel_VV | ||
|-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 15.852: | Regel 16.187: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:27 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 15.865: | Regel 16.200: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|60 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '123129' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 15.881: | Regel 16.216: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_dagdeel_TA | ||
|-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 15.894: | Regel 16.229: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:27 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 15.918: | Regel 16.250: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '123129' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T, 1 stuk 's avonds, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 stuk 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 15.950: | Regel 16.276: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_dagdeel_MVE | ||
|-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 15.963: | Regel 16.289: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:27 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 15.976: | Regel 16.302: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|60 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '123129' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_dagdeel_MGB | ||
|-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 16.001: | Regel 16.327: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen om 23:59:59 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
| Regel 16.013: | Regel 16.339: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 14 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 16.021: | Regel 16.347: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 16.045: | Regel 16.371: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|EZETIMIB/SIMVASTATINE 10/20 (code = '123129' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 14 dagen, 1 stuk 's avonds, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 stuk 's avonds | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 16.074: | Regel 16.394: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_dagdeel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_dagdeel /><section begin=MBH_MBH_920_cyclischschema /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_cyclischschema ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_cyclischschema_MA | ||
|-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 16.089: | Regel 16.409: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:33 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 16.113: | Regel 16.430: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 16.129: | Regel 16.446: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Herhaalperiode cyclisch schema | |||
|style="background-color: white;"|28 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_cyclischschema_VV | ||
|-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 16.142: | Regel 16.462: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:33 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 16.155: | Regel 16.475: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|126 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 16.171: | Regel 16.491: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_cyclischschema_TA | ||
|-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 16.184: | Regel 16.504: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:33 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 16.208: | Regel 16.525: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 16.227: | Regel 16.541: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Herhaalperiode cyclisch schema | |||
|style="background-color: white;"|28 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 16.234: | Regel 16.551: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_cyclischschema_MVE | ||
|-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 16.247: | Regel 16.564: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:33 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 16.260: | Regel 16.577: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|126 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MARVELON TABLET (code = '416681' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_cyclischschema_MGB | ||
|-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 16.285: | Regel 16.602: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
| Regel 16.329: | Regel 16.646: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="5"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + 14 dagen, | |style="background-color: white;"|Vanaf T, tot en met T + 14 dagen, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 16.345: | Regel 16.662: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Herhaalperiode cyclisch schema | |||
|style="background-color: white;"|28 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 16.352: | Regel 16.672: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_cyclischschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_cyclischschema /><section begin=MBH_MBH_920_afbouwschema /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_afbouwschema ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_afbouwschema_MA | ||
|-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 16.367: | Regel 16.687: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:40 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 41 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 16.381: | Regel 16.701: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 41 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 16.391: | Regel 16.711: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 16.401: | Regel 16.721: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 41 dagen, eerst gedurende 2 weken 1 maal per dag 3 gram, dan gedurende 3 weken 1 maal per dag 2 gram, dan gedurende 6 dagen 1 maal per dag 1 gram, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie 1 | ||
|style="background-color: white;"| | |style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie 2 | ||
|style="background-color: white;"| | |style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie 3 | ||
|style="background-color: white;"| | |style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_afbouwschema_VV | ||
|-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 16.426: | Regel 16.746: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:40 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 16.439: | Regel 16.759: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|90 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 16.455: | Regel 16.775: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_afbouwschema_TA | ||
|-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 16.468: | Regel 16.788: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:40 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 41 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 16.482: | Regel 16.802: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 41 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 16.492: | Regel 16.812: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|AFFUSINE CREME 20MG/G (code = '2292556' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 16.505: | Regel 16.825: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 41 dagen, eerst gedurende 2 weken 1 maal per dag 3 gram, dan gedurende 3 weken 1 maal per dag 2 gram, dan gedurende 6 dagen 1 maal per dag 1 gram, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie 1 | ||
|style="background-color: white;"| | |style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie 2 | ||
|style="background-color: white;"| | |style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie 3 | ||
|style="background-color: white;"| | |style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 16.524: | Regel 16.844: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_afbouwschema_MVE | ||
|-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 16.537: | Regel 16.857: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:40 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 16.550: | Regel 16.870: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|90 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|AFFUSINE CREME 20MG/G (code = '2292556' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_afbouwschema_MGB | ||
|-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 16.575: | Regel 16.895: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 21 dagen om 23:59:59 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
| Regel 16.587: | Regel 16.907: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 21 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 16.595: | Regel 16.915: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 16.619: | Regel 16.939: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 16.629: | Regel 16.949: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 21 dagen, eerst gedurende 2 weken 1 maal per dag 3 gram, dan gedurende 3 weken 1 maal per dag 2 gram, dan gedurende 6 dagen 1 maal per dag 1 gram, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie 1 | ||
|style="background-color: white;"| | |style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie 2 | ||
|style="background-color: white;"| | |style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie 3 | ||
|style="background-color: white;"| | |style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 16.648: | Regel 16.968: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_afbouwschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_afbouwschema /><section begin=MBH_MBH_920_variabelehoeveelheidenmaximum /> | ||
====Medicamenteuze behandeling MBH_920_variabelehoeveelheidenmaximum ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_variabelehoeveelheidenmaximum_MA | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T om 08:45 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 21 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 21 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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=" | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-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"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, tot en met T + 21 dagen, Bij hoest stuks , maximaal 6 stuks per dag, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|Bij hoest stuks , maximaal 6 stuks per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|colspan=" | |} | ||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_variabelehoeveelheidenmaximum_VV | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekkingsverzoek datum | |||
|style="background-color: white;"|T om 08:45 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|120 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|G | |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Beoogd verstrekker | ||
|-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=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|2 | |style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_variabelehoeveelheidenmaximum_TA | ||
|-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 16.748: | Regel 17.078: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 09:45 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T'' | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 21 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 21 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 16.779: | Regel 17.115: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T, tot en met T + 21 dagen, Bij hoest stuks , maximaal 6 stuks per dag, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 16.785: | Regel 17.121: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 | |style="background-color: white;"|Bij hoest stuks , maximaal 6 stuks per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_variabelehoeveelheidenmaximum_MVE | ||
|-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 16.798: | Regel 17.141: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 09:45 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|120 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum_VV | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_variabelehoeveelheidenmaximum_MGB | ||
|-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 16.840: | Regel 17.179: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T + 21 dagen om 23:59:59 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T'' | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 21 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 21 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Informant | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Informant is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Auteur | |||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 16.874: | Regel 17.233: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T, tot en met T + 21 dagen, Bij hoest stuks , maximaal 6 stuks per dag, oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
| Regel 16.880: | Regel 17.239: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|Bij hoest stuks , maximaal 6 stuks per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 16.887: | Regel 17.246: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_variabelehoeveelheidenmaximum (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_variabelehoeveelheidenmaximum /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgverlener identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Apotheek_de_Gulle_Gaper" title="Intern ID = Apotheek_de_Gulle_Gaper">Zorgaanbieder Apotheek_de_Gulle_Gaper</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|} | |}<section end=ALLMBHS_XXX_Hemsbergen /> | ||
==Patiënt G. XXX_Hemsbergen== | |||
<section begin=XXX_Hemsbergen /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Naamgegevens | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|G. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslachtsnaam | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Achternaam | |||
|style="background-color: white;"|XXX_Hemsbergen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatienummer | |||
|style="background-color: white;"|999900602 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geboortedatum | |||
|style="background-color: white;"|2 nov 1963 | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geslacht | |||
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
|}<section end=XXX_Hemsbergen /><section begin=ALLMBHS_XXX_Hemsbergen /><section begin=MBH_MBH_920_toedieningssnelheid /> | |||
====Medicamenteuze behandeling MBH_920_toedieningssnelheid ==== | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_toedieningssnelheid_MA | |||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |||
|colspan="4" width="25%"| Gegevenselement | |||
|| Waarde | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_toedieningssnelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T om 08:47 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 8 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 16.958: | Regel 17.360: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 8 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 16.982: | Regel 17.370: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '134538' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 16.992: | Regel 17.380: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 8 dagen, toedieningssnelheid: ml per uur, parenteraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|toedieningssnelheid: ml per uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_toedieningssnelheid_VV | ||
|-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 17.020: | Regel 17.399: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:47 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Auteur | ||
|-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"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|100 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '134538' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 17.102: | Regel 17.428: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_toedieningssnelheid_TA | ||
|-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 17.115: | Regel 17.441: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:47 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T'' | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 8 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Einddatum | |||
|style="background-color: white;"|T + 8 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 17.136: | Regel 17.465: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MORFINEHYDROCHLORIDE 1ML= 5MG EPI CAS 100ML FNA MR (code = '779288' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '134538' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T, tot en met T + 8 dagen, toedieningssnelheid: ml per uur, parenteraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|toedieningssnelheid: ml per uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 17.162: | Regel 17.491: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_toedieningssnelheid_MVE | ||
|-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 17.175: | Regel 17.504: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:47 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 17.188: | Regel 17.517: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|100 ml | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MORFINEHYDROCHLORIDE 1ML= 5MG EPI CAS 100ML FNA MR (code = '779288' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '134538' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_toedieningssnelheid_MGB | ||
|-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 17.213: | Regel 17.542: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 8 dagen om 23:59:59 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
| Regel 17.225: | Regel 17.554: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 8 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 17.233: | Regel 17.562: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 8 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 17.257: | Regel 17.586: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '134538' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 8 dagen, toedieningssnelheid: ml per uur, parenteraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|toedieningssnelheid: ml per uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 17.283: | Regel 17.609: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningssnelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_toedieningssnelheid /><section begin=MBH_MBH_920_toedieningsduur /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_toedieningsduur ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_toedieningsduur_MA | ||
|-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 17.298: | Regel 17.624: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:49 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 17.322: | Regel 17.645: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T, 1 maal per dag 1 stuk, transdermaal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_toedieningsduur_VV | ||
|-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 17.357: | Regel 17.674: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:49 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 17.370: | Regel 17.687: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 17.386: | Regel 17.703: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_toedieningsduur_TA | ||
|-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 17.399: | Regel 17.716: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:49 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T | |style="background-color: #E3E3E3;;"|''Vanaf T'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Ingangsdatum | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 17.423: | Regel 17.737: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, | |style="background-color: white;"|Vanaf T, 1 maal per dag 1 stuk, transdermaal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 17.455: | Regel 17.763: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_toedieningsduur_MVE | ||
|-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 17.468: | Regel 17.776: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:49 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 17.481: | Regel 17.789: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|30 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_toedieningsduur_MGB | ||
|-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 17.506: | Regel 17.814: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen om 12:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
|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"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 14 dagen om 12:00 uur'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 17.526: | Regel 17.831: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen om 12:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 17.550: | Regel 17.855: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 14 dagen om 12:00 uur, 1 maal per dag 1 stuk, transdermaal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag 1 stuk | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 17.579: | Regel 17.878: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_toedieningsduur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_toedieningsduur /><section begin=MBH_MBH_920_zonodig /> | ||
====Medicamenteuze behandeling | ====Medicamenteuze behandeling MBH_920_zonodig ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_zonodig_MA | ||
|-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 17.594: | Regel 17.893: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieafspraak datum tijd | |colspan="4"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:57 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 27 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 17.608: | Regel 17.907: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 27 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 17.618: | Regel 17.917: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR 100MG TAB (code = '3956' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 17.628: | Regel 17.927: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 27 dagen, Zo nodig 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|Zo nodig 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_zonodig_VV | ||
|-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 17.647: | Regel 17.946: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekkingsverzoek datum | |colspan="4"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om 08: | |style="background-color: white;"|T om 08:57 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Auteur | |colspan="5"|Auteur | ||
| Regel 17.660: | Regel 17.959: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Te verstrekken hoeveelheid | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|14 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR 100MG TAB (code = '3956' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Beoogd verstrekker | |colspan="5"|Beoogd verstrekker | ||
| Regel 17.676: | Regel 17.975: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie medicatieafspraak | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_zonodig_TA | ||
|-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 17.689: | Regel 17.988: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Toedieningsafspraak datum tijd | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:57 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 27 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 17.703: | Regel 18.002: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 27 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 17.713: | Regel 18.012: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ASPIRINE TABLET 100MG (code = '202681' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR 100MG TAB (code = '3956' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 17.726: | Regel 18.025: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 27 dagen, Zo nodig 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|Zo nodig 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 17.739: | Regel 18.038: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_zonodig_MVE | ||
|-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 17.752: | Regel 18.051: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatieverstrekkings datum tijd | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om 09: | |style="background-color: white;"|T om 09:57 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |colspan="5"|Verstrekker | ||
| Regel 17.765: | Regel 18.064: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Verstrekte hoeveelheid | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|14 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ASPIRINE TABLET 100MG (code = '202681' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR 100MG TAB (code = '3956' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |colspan="4"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_zonodig_MGB | ||
|-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 17.790: | Regel 18.089: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Medicatiegebruik datum tijd | |colspan="4"|Medicatiegebruik datum tijd | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen om 23:59:59 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruik indicator | |colspan="4"|Gebruik indicator | ||
| Regel 17.802: | Regel 18.101: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 14 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 17.810: | Regel 18.109: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 14 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Voorschrijver | |colspan="5"|Voorschrijver | ||
| Regel 17.834: | Regel 18.133: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR 100MG TAB (code = '3956' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 17.844: | Regel 18.143: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 14 dagen, Zo nodig 1 maal per dag 1 stuk, Oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|Zo nodig 1 maal per dag 1 stuk | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 17.857: | Regel 18.156: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_zonodig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|}<section end= | |}<section end=MBH_MBH_920_zonodig /><section begin=MBH_MBH_920_tijdstippen_niet_flexibel /> | ||
====Medicamenteuze behandeling MBH_920_tijdstippen_niet_flexibel ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieafspraak MBH_920_tijdstippen_niet_flexibel_MA | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatieafspraak datum tijd | |||
|style="background-color: white;"|T om 09:15 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 7 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 7 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Voorschrijver | ||
|-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=" | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - primaire code | |||
|style="background-color: white;"|METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Geneesmiddel - generiekere code | |||
|style="background-color: white;"|METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksinstructie | ||
|-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"| | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, tot en met T + 7 dagen, elke dag om 09:00, 12:00 en 15:00 1 stuk , let op! Tijden exact aanhouden., oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|elke dag om 09:00, 12:00 en 15:00 1 stuk , let op! Tijden exact aanhouden. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|colspan=" | |} | ||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Verstrekkingsverzoek MBH_920_tijdstippen_niet_flexibel_VV | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Identificatie | |||
|style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Verstrekkingsverzoek datum | |||
|style="background-color: white;"|T om 09:15 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"|21 stuks | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"|G | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Beoogd verstrekker | ||
|-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=" | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"|2 | |style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Toedieningsafspraak MBH_920_tijdstippen_niet_flexibel_TA | ||
|-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 17.957: | Regel 18.266: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 10:15 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Verstrekker | |||
|colspan="5"| | |||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
| Regel 17.991: | Regel 18.289: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|elke dag om 09:00, 12:00 en 15:00 1 stuk , let op! Tijden exact aanhouden., oraal | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Toedieningsweg | |colspan="3"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|elke dag om 09:00, 12:00 en 15:00 1 stuk , let op! Tijden exact aanhouden. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Identificatie | |||
|style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatieverstrekking MBH_920_tijdstippen_niet_flexibel_MVE | ||
|-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 18.010: | Regel 18.315: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 10:17 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Verstrekker | ||
|-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"| | |colspan="3"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_de_Gulle_Gaper|Zorgaanbieder: Apotheek_de_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|21 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE HCL PCH TABLET 500MG (code = '693332' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"|METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel_VV | |||
|colspan="4"|Relatie | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Medicatiegebruik MBH_920_tijdstippen_niet_flexibel_MGB | ||
|-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 18.052: | Regel 18.353: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Identificatie | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T + 7 dagen om 16:00 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksperiode | |colspan="4"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 7 dagen om 15:00 uur'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="3"| | |rowspan="3"| | ||
| Regel 18.066: | Regel 18.373: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Einddatum | |colspan="3"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 7 dagen om 15:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Zorgverlener | |||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Informant | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="2"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Informant is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Auteur | ||
|-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"| | |colspan="3"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - primaire code | |colspan="4"|Geneesmiddel - primaire code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geneesmiddel - generiekere code | |colspan="4"|Geneesmiddel - generiekere code | ||
|style="background-color: white;"| | |style="background-color: white;"|METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Gebruiksinstructie | |colspan="5"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Omschrijving | |colspan="3"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T, tot en met T + 7 dagen om 15:00 uur, elke dag om 09:00, 12:00 en 15:00 1 stuk , let op! Tijden exact aanhouden. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Doseerinstructie | |colspan="3"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|elke dag om 09:00, 12:00 en 15:00 1 stuk , let op! Tijden exact aanhouden. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie medicatieafspraak | |colspan="5"|Relatie medicatieafspraak | ||
| Regel 18.102: | Regel 18.417: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Identificatie | |colspan="3"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|MBH identificatie | |colspan="4"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_tijdstippen_niet_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_tijdstippen_niet_flexibel /> | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Bouwstenen | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Peter_van_Pulver" title="Intern ID = Peter_van_Pulver">Zorgverlener Peter_van_Pulver</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="7"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Zorgverlener identificatienummer | |||
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Naamgegevens | |||
|style="background-color: white;"|Peter van Pulver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Specialisme | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Huisartsenpraktijk_Pulver_en_Partners|Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Huisartsenpraktijk_Pulver_en_Partners" title="Intern ID = Huisartsenpraktijk_Pulver_en_Partners">Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|00001111 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Huisartsenpraktijk Pulver & Partners | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Adresgegevens | ||
|style="background-color: white;"| | |style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|<span id="Apotheek_de_Gulle_Gaper" title="Intern ID = Apotheek_de_Gulle_Gaper">Zorgaanbieder Apotheek_de_Gulle_Gaper</span> | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Zorgaanbieder identificatienummer | ||
|style="background-color: white;"| | |style="background-color: white;"|01236578 (in identificerend systeem: URA) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Organisatie naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Apotheek de Gulle Gaper | ||
|} | |}<section end=ALLMBHS_XXX_Hemsbergen /> | ||
==Patiënt G. XXX_Hess== | |||
<section begin=XXX_Hess /> | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="5" | Patiënt | ||
|-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 | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Naamgegevens | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="6"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Initialen | ||
|style="background-color: white;"| | |style="background-color: white;"|G. | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Naamgebruik | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geslachtsnaam | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="2"|Achternaam | ||
|style="background-color: white;"| | |style="background-color: white;"|XXX_Hess | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Identificatienummer | ||
|style="background-color: white;"|999900614 [BSN] | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Geboortedatum | ||
|style="background-color: white;"| | |style="background-color: white;"|3 nov 1963 | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Geslacht | |||
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
|}<section end=XXX_Hess /><section begin=ALLMBHS_XXX_Hess /><section begin=MBH_MBH_920_magistraalalleingredienten /> | |||
====Medicamenteuze behandeling MBH_920_magistraalalleingredienten ==== | |||
|colspan="4"| | |||
|style="background-color: white;"| | |||
| | |||
====Medicamenteuze behandeling | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak MBH_920_magistraalalleingredienten_MA | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalalleingredienten_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 12:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T'' | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 31 dagen'' | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Einddatum | |||
|style="background-color: white;"|T + 31 dagen | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Voorschrijver | ||
|-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=" | |colspan="4"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Product naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, tot en met T + 31 dagen, Zo nodig, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|Zo nodig | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_magistraalalleingredienten (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|colspan="5 | |||
|style="background-color: white;"| | |||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Verstrekkingsverzoek MBH_920_magistraalalleingredienten_VV | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalalleingredienten_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 12:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|-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=" | |colspan="4"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|100 ml | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - Product specificatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="11"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Product naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Omschrijving | |||
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Beoogd verstrekker | ||
|-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=" | |colspan="4"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|style="background-color: white;"|MBH_920_magistraalalleingredienten_MA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalalleingredienten (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak MBH_920_magistraalalleingredienten_TA | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalalleingredienten_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 13:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 31 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 31 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Zorgaanbieder | ||
|style="background-color: | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="11"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Product naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Ingredient | |||
|style=" | |||
|colspan=" | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Ingredient | ||
|-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"| | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, tot en met T + 31 dagen, Zo nodig, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|Zo nodig | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie medicatieafspraak | ||
|-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"| | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalalleingredienten_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|MBH identificatie | |||
|style="background-color: white;"|MBH_920_magistraalalleingredienten (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|} | |||
{| class="wikitable" width="85%" | |||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieverstrekking MBH_920_magistraalalleingredienten_MVE | |||
|-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=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalalleingredienten_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"| | |style="background-color: white;"|T om 13:00 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Verstrekte hoeveelheid | |||
|style="background-color: white;"|100 ml | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Product naam | |||
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Omschrijving | |||
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="3"|Ingredient code | |||
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Sterkte | ||
|style="background-color: white;"| per | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalalleingredienten_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalalleingredienten (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatiegebruik MBH_920_magistraalalleingredienten_MGB | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalalleingredienten_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T om 21:53 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T | |style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T'' | ||
|-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=" | |colspan="4"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Voorschrijver | ||
|-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=" | |colspan="4"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Auteur is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - Product specificatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="11"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Product naam | |||
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, tot en met T, 2 maal per dag, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|2 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie toedieningsafspraak | ||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalalleingredienten_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"|MBH_920_magistraalalleingredienten (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
|}<section end=MBH_MBH_920_magistraalalleingredienten /><section begin=MBH_MBH_920_magistraalactieveingredient /> | |||
====Medicamenteuze behandeling MBH_920_magistraalactieveingredient ==== | |||
|style="background-color: white;"| | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak MBH_920_magistraalactieveingredient_MA | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 12:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T + 1 dag, tot en met T + 70 dagen'' | ||
|-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=" | |colspan="4"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 70 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Voorschrijver | ||
|-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=" | |colspan="4"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Product naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vaseline 20% in cetomacrogolcrème FNA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Titel: Vaseline 20% in cetomacrogolcrème FNA Regel 1: cetomacrogolcreme 80 gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="3"|Ingredient code | ||
|style="background-color: white;"|CETOMACROGOLCREME FNA (code = '457590' in codeSystem 'G-Standaard HPK') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Gebruiksinstructie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T + 1 dag, tot en met T + 70 dagen, 1 maal per dag, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Verstrekkingsverzoek MBH_920_magistraalactieveingredient_VV | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 12:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|-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=" | |colspan="4"|Zorgverlener | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Te verstrekken hoeveelheid | |||
|style="background-color: white;"|100 gram | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Product naam | |||
|style="background-color: white;"|Vaseline 20% in cetomacrogolcrème FNA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Omschrijving | |||
|style="background-color: white;"|Titel: Vaseline 20% in cetomacrogolcrème FNA Regel 1: cetomacrogolcreme 80 gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETOMACROGOLCREME FNA (code = '457590' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Beoogd verstrekker | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie medicatieafspraak | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient_MA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak MBH_920_magistraalactieveingredient_TA | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Toedieningsafspraak datum tijd | ||
|style="background-color: white;"|T | |style="background-color: white;"|T om 13:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + | |style="background-color: #E3E3E3;;"|''Vanaf T + 1 dag, tot en met T + 70 dagen'' | ||
|-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=" | |colspan="4"|Ingangsdatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T + 1 dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Einddatum | ||
|style="background-color: white;"|T + | |style="background-color: white;"|T + 70 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Verstrekker | ||
|-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=" | |colspan="4"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - Product specificatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Product naam | |||
|style="background-color: white;"|Vaseline 20% in cetomacrogolcrème FNA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Titel: Vaseline 20% in cetomacrogolcrème FNA Regel 1: cetomacrogolcreme 80 gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETOMACROGOLCREME FNA (code = '457590' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-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=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + | |style="background-color: white;"|Vanaf T + 1 dag, tot en met T + 70 dagen, 1 maal per dag, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie medicatieafspraak | ||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieverstrekking MBH_920_magistraalactieveingredient_MVE | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 13:05 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - Product specificatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="7"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Product naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vaseline 20% in cetomacrogolcrème FNA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Titel: Vaseline 20% in cetomacrogolcrème FNA Regel 1: cetomacrogolcreme 80 gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETOMACROGOLCREME FNA (code = '457590' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Relatie verstrekkingsverzoek | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient_VV | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatiegebruik MBH_920_magistraalactieveingredient_MGB | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T om 22:08 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Volgens afspraak indicator | ||
|style="background-color: white;"| | |style="background-color: white;"|Nee | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Zorgverlener | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|-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=" | |colspan="4"|Auteur is patient | ||
|style="background-color: white;"| | |style="background-color: white;"|Ja | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="7"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Product naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Vaseline 20% in cetomacrogolcrème FNA | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Titel: Vaseline 20% in cetomacrogolcrème FNA Regel 1: cetomacrogolcreme 80 gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Ingredient | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|CETOMACROGOLCREME FNA (code = '457590' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-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=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, tot en met T, 3 maal per dag, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|3 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie toedieningsafspraak | ||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraalactieveingredient (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |}<section end=MBH_MBH_920_magistraalactieveingredient /><section begin=MBH_MBH_920_magistraal90miljoennr /> | ||
====Medicamenteuze behandeling MBH_920_magistraal90miljoennr ==== | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieafspraak MBH_920_magistraal90miljoennr_MA | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraal90miljoennr_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Medicatieafspraak datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 12:08 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 30 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Voorschrijver | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Zorgverlener | ||
|style="background-color: | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Product code | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen artikel: ureumzalf (code = '90000001' in codeSystem '2.16.840.1.113883.2.4.3.11.9999.77.90000000.1.1111') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Product naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Ingredient | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|T | |style="background-color: white;"|Vanaf T, tot en met T + 30 dagen, 1 maal per dag, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"|1 maal per dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraal90miljoennr (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
| | |} | ||
|colspan="5"| | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Verstrekkingsverzoek MBH_920_magistraal90miljoennr_VV | |||
|-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="5"|Identificatie | ||
|style="background-color: white;"|MBH_920_magistraal90miljoennr_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekkingsverzoek datum | ||
|style="background-color: white;"| | |style="background-color: white;"|T om 12:08 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Auteur | ||
|-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=" | |colspan="4"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Te verstrekken hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Geneesmiddel - Product specificatie | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="8"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Product code | |||
|style="background-color: white;"|Eigen artikel: ureumzalf (code = '90000001' in codeSystem '2.16.840.1.113883.2.4.3.11.9999.77.90000000.1.1111') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Product naam | |||
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Ingredient | ||
|-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"| | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Beoogd verstrekker | ||
|-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=" | |colspan="4"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Relatie medicatieafspraak | |||
|style="background-color: white;"|MBH_920_magistraal90miljoennr_MA | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraal90miljoennr (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan=" | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Toedieningsafspraak MBH_920_magistraal90miljoennr_TA | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan=" | |colspan="5" width="25%"| Gegevenselement | ||
|| Waarde | || Waarde | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Identificatie | |||
|style="background-color: white;"|MBH_920_magistraal90miljoennr_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Toedieningsafspraak datum tijd | |||
|style="background-color: white;"|T om 13:08 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Gebruiksperiode | ||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T + 30 dagen'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="3"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Ingangsdatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Einddatum | ||
|style="background-color: white;"| | |style="background-color: white;"|T + 30 dagen | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Verstrekker | ||
|-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=" | |colspan="4"|Zorgaanbieder | ||
|style="background-color: white;"|Zie [[# | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Geneesmiddel - Product specificatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Product code | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen artikel: ureumzalf (code = '90000001' in codeSystem '2.16.840.1.113883.2.4.3.11.9999.77.90000000.1.1111') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Product naam | ||
|style="background-color: white;"| | |style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Ingredient | ||
|-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"| | |colspan="3"|Ingredient code | ||
|style="background-color: white;"| | |style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"| | |colspan="3"|Sterkte | ||
|style="background-color: white;"| | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="4"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| | |colspan="4"|Omschrijving | ||
|style="background-color: white;"|Vanaf T, tot en met T + 30 dagen, 1 maal per dag, cutaan | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"|G | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Doseerinstructie | ||
|style="background-color: white;"| | |style="background-color: white;"|1 maal per dag | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Relatie medicatieafspraak | ||
|-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=" | |colspan="4"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraal90miljoennr_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraal90miljoennr (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |||
|} | |||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatieverstrekking MBH_920_magistraal90miljoennr_MVE | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="5" width="25%"| Gegevenselement | |colspan="5" width="25%"| Gegevenselement | ||
| Regel 19.128: | Regel 19.443: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Identificatie | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraal90miljoennr_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"| | |colspan="5"|Medicatieverstrekkings datum tijd | ||
|style="background-color: white;"|T om | |style="background-color: white;"|T om 13:08 uur | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Verstrekker | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="2"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Zorgaanbieder | ||
|style="background-color: white;"| | |style="background-color: white;"|Zie [[#Apotheek_De_Gulle_Gaper|Zorgaanbieder: Apotheek_De_Gulle_Gaper]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="5"|Verstrekte hoeveelheid | ||
|style="background-color: white;"| | |style="background-color: white;"|100 gram | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"| | |colspan="6"|Geneesmiddel - Product specificatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"| | |colspan="4"|Product code | ||
|style="background-color: white;"| | |style="background-color: white;"|Eigen artikel: ureumzalf (code = '90000001' in codeSystem '2.16.840.1.113883.2.4.3.11.9999.77.90000000.1.1111') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Product naam | |colspan="4"|Product naam | ||
| Regel 19.170: | Regel 19.480: | ||
|colspan="3"|Sterkte | |colspan="3"|Sterkte | ||
|style="background-color: white;"| per | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Relatie verstrekkingsverzoek | |||
|style="background-color: white;"|MBH_920_magistraal90miljoennr_VV | |||
|colspan=" | |||
|style="background-color: white;"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|MBH identificatie | |colspan="5"|MBH identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraal90miljoennr (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
|} | |} | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="6" | Medicatiegebruik MBH_920_magistraal90miljoennr_MGB | ||
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="5" width="25%"| Gegevenselement | |colspan="5" width="25%"| Gegevenselement | ||
| Regel 19.205: | Regel 19.495: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="5"|Identificatie | |colspan="5"|Identificatie | ||
|style="background-color: white;"| | |style="background-color: white;"|MBH_920_magistraal90miljoennr_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Medicatiegebruik datum tijd | |||
|style="background-color: white;"|T om 23:01 uur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruik indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Volgens afspraak indicator | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="5"|Gebruiksperiode | |||
|style="background-color: #E3E3E3;;"|''Vanaf T, tot en met T'' | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|rowspan="3"| | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Ingangsdatum | |||
|style="background-color: white;"|T | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Einddatum | ||
|style="background-color: white;"|T | |style="background-color: white;"|T | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"| | |colspan="6"|Voorschrijver | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan="2"| | |rowspan="2"| | ||
| Regel 19.216: | Regel 19.523: | ||
|colspan="4"|Zorgverlener | |colspan="4"|Zorgverlener | ||
|style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | |style="background-color: white;"|Zie [[#Peter_van_Pulver|Zorgverlener: Peter_van_Pulver]] | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="6"|Auteur | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |rowspan="2"| | ||
|style="background-color: white;"| | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Auteur is patient | |||
|style="background-color: white;"|Ja | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Geneesmiddel - Product specificatie | |colspan="6"|Geneesmiddel - Product specificatie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="8"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |||
|colspan="4"|Product code | |||
|style="background-color: white;"|Eigen artikel: ureumzalf (code = '90000001' in codeSystem '2.16.840.1.113883.2.4.3.11.9999.77.90000000.1.1111') | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Product naam | |colspan="4"|Product naam | ||
| Regel 19.240: | Regel 19.554: | ||
|style="background-color: white;"| per | |style="background-color: white;"| per | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="6"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|rowspan=" | |rowspan="4"| | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Omschrijving | ||
|style="background-color: white;"| | |style="background-color: white;"|Vanaf T, tot en met T, 1 maal per dag, cutaan | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan=" | |colspan="4"|Toedieningsweg | ||
|style="background-color: white;"| | |style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag | |||
|colspan="4"|Doseerinstructie | |||
|style="background-color: white;"|1 maal per dag | |||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="6"|Relatie toedieningsafspraak | |colspan="6"|Relatie toedieningsafspraak | ||
Versie van 24 sep 2021 11:13
__NUMBEREDHEADINGS__
Addenda voor inhoudelijke gegevens
Patiënt B. van XXX_Kester
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | B. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Voorvoegsels | van | |||
| Achternaam | XXX_Kester | |||
| Identificatienummer | 999911557 [BSN] | |||
| Geboortedatum | 2 aug 1954 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_mg_example-1-KST
| Verstrekkingsverzoek MBH_920_mg_example-1_VV1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_mg_example-1_VV1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:53 uur | |||
| Geannuleerd indicator | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: UZI-000001111-PeterVanPulver | |||
| Te verstrekken hoeveelheid | 20 stuks | |||
| Geneesmiddel - primaire code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: URA-01236578-ApoGulleGaper | |||
| Relatie medicatieafspraak | MBH_920_mg_example-1_MA1 | |||
| MBH identificatie | MBH_920_mg_example-1-KST (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_mg_example-2
| Wisselend doseerschema MBH_920_mg_example-2-WDS-1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_mg_example-2-WDS-1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| Wisselend doseerschema datum tijd | T - 20 dagen om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T - 15 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T - 15 dagen | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: UZI-000001111-PeterVanPulver | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T - 15 dagen, eerst gedurende 7 dagen 1 maal per dag om 20:00 1 stuk, dan gedurende 3 dagen 1 maal per dag om 20:00 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie 1 | eerst gedurende 7 dagen 1 maal per dag om 20:00 1 stuk | |||
| Doseerinstructie 2 | dan gedurende 3 dagen 1 maal per dag om 20:00 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_QA1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_mg_example-2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_mg_example-3
| Medicatietoediening MBH_920_mg_example-3-MTD-1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_mg_example-3-MTD-1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | |||
| Toedienings datum tijd | T - 30 dagen om 10:30 uur | |||
| Afgesproken datum tijd | T - 30 dagen om 10:00 uur | |||
| Volgens afspraak indicator | Ja | |||
| Toegediende hoeveelheid | ||||
| Aantal | 1 | |||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
| Afgesproken hoeveelheid | ||||
| Aantal | 4 | |||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
| Toedieningsweg | ORAAL (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Toediener | ||||
| Zorgverlener | Zie Zorgverlener: UZI-000001111-PeterVanPulver | |||
| Geneesmiddel - primaire code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_QA1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie wisselend doseerschema | ||||
| Identificatie | MBH_920_QA1_WDS1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| MBH identificatie | MBH_920_mg_example-3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener UZI-000001111-PeterVanPulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: URA-00001111-HuisartsenpraktijkPulverPartners | |||
| Zorgaanbieder URA-00001111-HuisartsenpraktijkPulverPartners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder URA-01236578-ApoGulleGaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Adresgegevens | Werkadres: Dorpsstraat 10 A 1234AA Ons Dorp | |||
Patiënt S. XXX_Jankie
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | S. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Jankie | |||
| Identificatienummer | 999910437 [BSN] | |||
| Geboortedatum | 8 mei 1954 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_MtdWds
| Wisselend doseerschema MBH_920_MtdWds_WDS1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_MtdWds_WDS1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| Wisselend doseerschema datum tijd | T - 20 dagen om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T + 9 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T + 9 dagen | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: UZI-000001111-PeterVanPulver | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Kopie indicator | Nee | |||
| Toelichting | toelichting WDS in vrije tekst | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_MtdWds_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie wisselend doseerschema | ||||
| Identificatie | MBH_920_MtdWds_WDS0 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| MBH identificatie | MBH_920_MtdWds (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Wisselend doseerschema MBH_920_MtdWds_WDS2 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_MtdWds_WDS2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| Wisselend doseerschema datum tijd | T - 20 dagen om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, gedurende 3 weken | |||
| Ingangsdatum | T - 20 dagen | |||
| Gebruiksduur | 3 weken | |||
| Wisselend doseerschema stop type | definitief gestopt met medicatie (situatie) (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: UZI-000001111-PeterVanPulver | |||
| Reden wijzigen of staken | Opname (code = '305335007' in codeSystem 'SNOMED CT') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, gedurende 3 weken, 1 maal per dag 2 stuks, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Kopie indicator | Ja | |||
| Toelichting | toelichting WDS in vrije tekst | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_MtdWds_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie wisselend doseerschema | ||||
| Identificatie | MBH_920_MtdWds_WDS1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| MBH identificatie | MBH_920_MtdWds (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatietoediening MBH_920_MtdWds_MTD_1 | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_MtdWds_MTD_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | ||||
| Toedienings datum tijd | 30 jun 2021, om 12:35 | ||||
| Afgesproken datum tijd | 30 jun 2021, om 12:00 | ||||
| Volgens afspraak indicator | Ja | ||||
| Toegediende hoeveelheid | |||||
| Aantal | 2 | ||||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||||
| Afgesproken hoeveelheid | |||||
| Aantal | 2 | ||||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Prik plak locatie | toch maar oraal gegeven | ||||
| Toediener | |||||
| Mantelzorger | |||||
| Contactpersoon | Zie Contactpersoon: ContactPersoonAnnetteDeVries | ||||
| Geneesmiddel - primaire code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | ||||
| Toelichting | toelichting in vrije tekst | ||||
| Relatie medicatieafspraak | |||||
| Identificatie | MBH_920_MtdWds_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||
| Relatie toedieningsafspraak | |||||
| Identificatie | MBH_920_MtdWds_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Relatie wisselend doseerschema | |||||
| Identificatie | MBH_920_MtdWds_WDS_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.999.1) | ||||
| MBH identificatie | MBH_920_MtdWds (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Medicatietoediening MBH_920_MtdWds_MTD_2 | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_MtdWds_MTD_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | ||||
| Toedienings datum tijd | 30 jun 2021, om 16:15 | ||||
| Afgesproken datum tijd | 30 jun 2021, om 16:00 | ||||
| Volgens afspraak indicator | Nee | ||||
| Geannuleerd indicator | Ja | ||||
| Toegediende hoeveelheid | |||||
| Aantal | 2 | ||||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||||
| Afgesproken hoeveelheid | |||||
| Aantal | 6 | ||||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Toedieningssnelheid | |||||
| Waarde | |||||
| Nominale waarde | 3 | ||||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||||
| Tijdseenheid | 1 uur | ||||
| Prik plak locatie | toch maar oraal gegeven | ||||
| Toediener | |||||
| Zorgverlener | Zie Zorgverlener: UZI-000001111-PeterVanPulver | ||||
| Medicatie toediening reden van afwijken | Behandeling met geneesmiddel stopgezet (situatie) (code = '274512008' in codeSystem 'SNOMED CT') | ||||
| Geneesmiddel - primaire code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | ||||
| Toelichting | toelichting in vrije tekst | ||||
| Relatie medicatieafspraak | |||||
| Identificatie | MBH_920_MtdWds_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||
| Relatie toedieningsafspraak | |||||
| Identificatie | MBH_920_MtdWds_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Relatie wisselend doseerschema | |||||
| Identificatie | MBH_920_MtdWds_WDS_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.999.1) | ||||
| MBH identificatie | MBH_920_MtdWds (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Medicatietoediening MBH_920_MtdWds_MTD_3 | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_MtdWds_MTD_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | ||||
| Toedienings datum tijd | 30 jun 2021, om 16:35 | ||||
| Afgesproken datum tijd | 30 jun 2021, om 16:00 | ||||
| Volgens afspraak indicator | Nee | ||||
| Geannuleerd indicator | Ja | ||||
| Toegediende hoeveelheid | |||||
| Aantal | 2 | ||||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||||
| Afgesproken hoeveelheid | |||||
| Aantal | 6 | ||||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Toedieningssnelheid | |||||
| Waarde | |||||
| Nominale waarde | 2 | ||||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||||
| Tijdseenheid | 1 minuut | ||||
| Prik plak locatie | toch maar oraal gegeven | ||||
| Toediener | |||||
| Patient | |||||
| Toediener is patient | Ja | ||||
| Medicatie toediening reden van afwijken | Niet in staat om medicatie te gebruiken (bevinding) (code = '408366001' in codeSystem 'SNOMED CT') | ||||
| Geneesmiddel - primaire code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | ||||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | ||||
| Toelichting | toelichting in vrije tekst | ||||
| Relatie medicatieafspraak | |||||
| Identificatie | MBH_920_MtdWds_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||
| Relatie toedieningsafspraak | |||||
| Identificatie | MBH_920_MtdWds_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Relatie wisselend doseerschema | |||||
| Identificatie | MBH_920_MtdWds_WDS_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.999.1) | ||||
| MBH identificatie | MBH_920_MtdWds (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Contactpersoon ContactPersoonAnnetteDeVries | ||||
| Naamgegevens | Annette de Vries | |||
| Rol | Eerste relatie/contactpersoon (code = '01' in codeSystem 'COD821-VEKT') | |||
| Zorgverlener UZI-000001111-PeterVanPulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: URA-00001111-HuisartsenpraktijkPulverPartners | |||
| Zorgaanbieder URA-00001111-HuisartsenpraktijkPulverPartners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
Patiënt S. XXX_Jankie
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | S. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Jankie | |||
| Identificatienummer | 999910437 [BSN] | |||
| Geboortedatum | 8 mei 1954 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_TestVVs
| Medicatieafspraak MBH_920_arianne_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_arianne_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | 12 dec 2020, om 08:00 | |||
| Gebruiksperiode | Vanaf 12 dec 2020, tot en met 10 jan 2021, om 23:59 | |||
| Ingangsdatum | 12 dec 2020 | |||
| Einddatum | 10 jan 2021, om 23:59 | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf 12 dec 2020, tot en met 10 jan 2021, om 23:59, 2 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 1 stuk | |||
| Relatie contact | ||||
| Identificatienummer | contact#arianne1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.2709) | |||
| Relatie zorgepisode | ||||
| Identificatienummer | episode#arianne1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.9200) | |||
| MBH identificatie | MBH_920_TestVVs (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_TestVVs_VV1geannuleerd | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_TestVVs_VV1geannuleerd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:53 uur | |||
| Geannuleerd indicator | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 20 stuks | |||
| Geneesmiddel - primaire code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: URA-01236578-ApoGulleGaper | |||
| Relatie medicatieafspraak | MBH_920_TestVVs_MA1 | |||
| MBH identificatie | MBH_920_TestVVs (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_inf_pers_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_inf_pers_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 100 dagen om 07:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 130 dagen, tot en met T - 101 dagen | |||
| Ingangsdatum | T - 130 dagen | |||
| Einddatum | T - 101 dagen | |||
| Medicatie gebruik stop type | definitief gestopt met medicatie (situatie) (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Contactpersoon | Zie Contactpersoon: ContactPersoonBartJansen | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 130 dagen, tot en met T - 101 dagen, 2 maal per dag 1 dosis, inhalatie, definitief gestopt | |||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 2 maal per dag 1 dosis | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_dosis_stuks_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_TestVVs (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Contactpersoon ContactPersoonBartJansen | ||||
| Naamgegevens | Bart Jansen | |||
| Rol | Mantelzorger (code = '100001' in codeSystem 'ExtraRolcodes') | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder URA-01236578-ApoGulleGaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
| Adresgegevens | Werkadres: Dorpsstraat 10 A 1234AA Ons Dorp | |||
Patiënt B. XXX_Blik
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | B. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Blik | |||
| Identificatienummer | 999900389 [BSN] | |||
| Geboortedatum | 13 okt 1963 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_QA1
| Medicatieafspraak MBH_920_QA1_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 20 dagen om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T + 9 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T + 9 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T + 9 dagen, 2 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_QA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_QA1_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA1_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 20 dagen om 08:00 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_QA1_MA | |||
| MBH identificatie | MBH_920_QA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_QA1_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA1_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 20 dagen om 09:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T + 9 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T + 9 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | IBUPROFEN PCH TABLET 600MG (code = '641898' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T + 9 dagen, 2 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_QA1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_QA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_QA1_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA1_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 20 dagen om 09:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | IBUPROFEN PCH TABLET 600MG (code = '641898' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_QA1_VV | |||
| MBH identificatie | MBH_920_QA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_QA1_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA1_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 1 dag om 10:04:23 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T + 9 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T + 9 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | IBUPROFEN PCH TABLET 600MG (code = '641898' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T + 9 dagen, 2 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 2 maal per dag 1 stuk | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_QA1_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| MBH identificatie | MBH_920_QA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_QA2
| Medicatieafspraak MBH_920_QA2_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 100 dagen om 08:04 uur | |||
| Gebruiksperiode | Vanaf T - 100 dagen, tot en met T - 72 dagen | |||
| Ingangsdatum | T - 100 dagen | |||
| Einddatum | T - 72 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | SENNOSIDEN A+B STROOP 2MG/ML (code = '3379' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | SENNOSIDEN A+B STROOP 2MG/ML (code = '10960' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 100 dagen, tot en met T - 72 dagen, 1 maal per dag 10 ml, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 10 ml | |||
| MBH identificatie | MBH_920_QA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_QA2_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA2_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 100 dagen om 08:04 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 300 ml | |||
| Geneesmiddel - primaire code | SENNOSIDEN A+B STROOP 2MG/ML (code = '3379' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | SENNOSIDEN A+B STROOP 2MG/ML (code = '10960' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_QA2_MA | |||
| MBH identificatie | MBH_920_QA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_QA2_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA2_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 100 dagen om 09:04 uur | |||
| Gebruiksperiode | Vanaf T - 100 dagen, tot en met T - 72 dagen | |||
| Ingangsdatum | T - 100 dagen | |||
| Einddatum | T - 72 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | XPRAEP SIROOP 2MG/ML (code = '101079' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | SENNOSIDEN A+B 2MG/ML (code = '3379' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | SENNOSIDEN A+B 2MG/ML (code = '10960' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 100 dagen, tot en met T - 72 dagen, 1 maal per dag 10 ml, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 10 ml | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_QA2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_QA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_QA2_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA2_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Medicatieverstrekkings datum tijd | T - 100 dagen om 09:04 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 300 ml | |||
| Geneesmiddel - primaire code | XPRAEP SIROOP 2MG/ML (code = '101079' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | SENNOSIDEN A+B 2MG/ML (code = '3379' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | SENNOSIDEN A+B 2MG/ML (code = '10960' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_QA2_VV | |||
| MBH identificatie | MBH_920_QA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_QA2_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA2_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 68 dagen om 12:13:55 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 100 dagen, tot en met T - 72 dagen | |||
| Ingangsdatum | T - 100 dagen | |||
| Einddatum | T - 72 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | XPRAEP SIROOP 2MG/ML (code = '101079' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | SENNOSIDEN A+B 2MG/ML (code = '3379' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | SENNOSIDEN A+B 2MG/ML (code = '10960' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 100 dagen, tot en met T - 72 dagen, 1 maal per dag 10 millimeter, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 10 millimeter | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_QA2_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| MBH identificatie | MBH_920_QA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_QA3
| Medicatieafspraak MBH_920_QA3_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA3_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 50 dagen om 08:10 uur | |||
| Gebruiksperiode | Vanaf T - 50 dagen, tot en met T - 11 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Einddatum | T - 11 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '88749' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '130575' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, tot en met T - 11 dagen, 2 maal per dag 50 ml, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 50 ml | |||
| MBH identificatie | MBH_920_QA3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_QA3_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA3_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 50 dagen om 08:10 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 4000 ml | |||
| Geneesmiddel - primaire code | VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '88749' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '130575' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_QA3_MA | |||
| MBH identificatie | MBH_920_QA3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_QA3_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA3_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 50 dagen om 09:10 uur | |||
| Gebruiksperiode | Vanaf T - 50 dagen, tot en met T - 11 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Einddatum | T - 11 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | NUTRIDRINK BANAANSMAAK (code = '690090' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '88749' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '130575' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, tot en met T - 11 dagen, 2 maal per dag 50 ml, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 50 ml | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_QA3_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_QA3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_QA3_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA3_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Medicatieverstrekkings datum tijd | T - 50 dagen om 09:10 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 4000 ml | |||
| Geneesmiddel - primaire code | NUTRIDRINK BANAANSMAAK (code = '690090' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '88749' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '130575' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_QA3_VV | |||
| MBH identificatie | MBH_920_QA3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_QA3_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA3_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 9 dagen om 07:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 50 dagen, tot en met T - 11 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Einddatum | T - 11 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | NUTRIDRINK BANAANSMAAK (code = '690090' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '88749' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | VLOEIBARE VOEDING MET O.A. VITAMINE K (code = '130575' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, tot en met T - 11 dagen, 2 maal per dag 50 ml, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 2 maal per dag 50 ml | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_QA3_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_QA3_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| MBH identificatie | MBH_920_QA3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_QA4
| Medicatieafspraak MBH_920_QA4_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA4_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 10 dagen om 08:12 uur | |||
| Gebruiksperiode | Vanaf T - 10 dagen, tot en met T + 19 dagen | |||
| Ingangsdatum | T - 10 dagen | |||
| Einddatum | T + 19 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 10 dagen, tot en met T + 19 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_QA4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_QA4_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA4_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 10 dagen om 08:12 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_QA4_MA | |||
| MBH identificatie | MBH_920_QA4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_QA4_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA4_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 10 dagen om 09:12 uur | |||
| Gebruiksperiode | Vanaf T - 10 dagen, tot en met T + 19 dagen | |||
| Ingangsdatum | T - 10 dagen | |||
| Einddatum | T + 19 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ASPIRINE TABLET 100MG (code = '202681' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 10 dagen, tot en met T + 19 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_QA4_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_QA4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_QA4_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA4_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 10 dagen om 09:12 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | ASPIRINE TABLET 100MG (code = '202681' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_QA4_VV | |||
| MBH identificatie | MBH_920_QA4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_QA4_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA4_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 2 dagen om 08:12 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 10 dagen, tot en met T + 19 dagen | |||
| Ingangsdatum | T - 10 dagen | |||
| Einddatum | T + 19 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLET 100MG (code = '3956' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 10 dagen, tot en met T + 19 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_QA4_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_QA4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_QA5
| Medicatieafspraak MBH_920_QA5_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA5_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 50 dagen om 08:15 uur | |||
| Gebruiksperiode | Vanaf T - 50 dagen, gedurende 7 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Gebruiksduur | 7 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, gedurende 7 dagen, 4 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 4 maal per dag 2 stuks | |||
| MBH identificatie | MBH_920_QA5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_QA5_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA5_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 50 dagen om 08:15 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 56 stuks | |||
| Geneesmiddel - primaire code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_QA5_MA | |||
| MBH identificatie | MBH_920_QA5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_QA5_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA5_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 50 dagen om 09:15 uur | |||
| Gebruiksperiode | Vanaf T - 50 dagen, gedurende 7 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Gebruiksduur | 7 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | PARACETAMOL SANDOZ TABLET 500MG (code = '665800' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, gedurende 7 dagen, 4 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 4 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_QA5_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_QA5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_QA5_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA5_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Medicatieverstrekkings datum tijd | T - 50 dagen om 09:15 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 56 stuks | |||
| Geneesmiddel - primaire code | PARACETAMOL SANDOZ TABLET 500MG (code = '665800' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_QA5_VV | |||
| MBH identificatie | MBH_920_QA5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_QA5_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA5_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 43 dagen om 08:00 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 50 dagen, gedurende 7 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Gebruiksduur | 7 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | PARACETAMOL SANDOZ TABLET 500MG (code = '665800' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, gedurende 7 dagen, 4 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 4 maal per dag 2 stuks | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_QA5_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| MBH identificatie | MBH_920_QA5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_QA6
| Medicatieafspraak MBH_920_QA6_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA6_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 5 dagen om 08:18 uur | |||
| Gebruiksperiode | Vanaf T - 5 dagen, tot en met T + 1 dag | |||
| Ingangsdatum | T - 5 dagen | |||
| Einddatum | T + 1 dag | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | OXAZEPAM TABLET 10MG (code = '353' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 5 dagen, tot en met T + 1 dag, 3 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_QA6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_QA6_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA6_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 5 dagen om 08:18 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | OXAZEPAM TABLET 10MG (code = '353' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_QA6_MA | |||
| MBH identificatie | MBH_920_QA6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_QA6_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA6_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 5 dagen om 09:18 uur | |||
| Gebruiksperiode | Vanaf T - 5 dagen, tot en met T + 1 dag | |||
| Ingangsdatum | T - 5 dagen | |||
| Einddatum | T + 1 dag | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | OXAZEPAM ACTAVIS TABLET 10MG (code = '613401' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | OXAZEPAM TABLET 10MG (code = '353' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 5 dagen, tot en met T + 1 dag, 3 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_QA6_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_QA6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_QA6_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA6_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 5 dagen om 09:18 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | OXAZEPAM ACTAVIS TABLET 10MG (code = '613401' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | OXAZEPAM TABLET 10MG (code = '353' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_QA6_VV | |||
| MBH identificatie | MBH_920_QA6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_QA6_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_QA6_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 2 dagen om 08:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 5 dagen, tot en met T + 1 dag | |||
| Ingangsdatum | T - 5 dagen | |||
| Einddatum | T + 1 dag | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | OXAZEPAM TABLET 10MG (code = '353' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 5 dagen, tot en met T + 1 dag, 3 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_QA6_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_QA6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
Patiënt C. XXX_Brugge
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | C. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Brugge | |||
| Identificatienummer | 999900419 [BSN] | |||
| Geboortedatum | 16 okt 1963 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_start_eind
| Medicatieafspraak MBH_920_start_eind_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_eind_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 10 dagen om 11:20 uur | |||
| Gebruiksperiode | Vanaf T - 10 dagen, tot en met T - 5 dagen | |||
| Ingangsdatum | T - 10 dagen | |||
| Einddatum | T - 5 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | METOCLOPRAMIDE TABLET 10MG (code = '6947' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METOCLOPRAMIDE TABLET 10MG (code = '19429' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 10 dagen, tot en met T - 5 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_start_eind_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_eind_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 10 dagen om 11:20 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 5 stuks | |||
| Geneesmiddel - primaire code | METOCLOPRAMIDE TABLET 10MG (code = '6947' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METOCLOPRAMIDE TABLET 10MG (code = '19429' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_start_eind_MA | |||
| MBH identificatie | MBH_920_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_start_eind_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_eind_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 10 dagen om 12:20 uur | |||
| Gebruiksperiode | Vanaf T - 10 dagen, tot en met T - 5 dagen | |||
| Ingangsdatum | T - 10 dagen | |||
| Einddatum | T - 5 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | METOCLOPRAMIDE HCL PCH TABLET 10MG (code = '560308' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | METOCLOPRAMIDE TABLET 10MG (code = '6947' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METOCLOPRAMIDE TABLET 10MG (code = '19429' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 10 dagen, tot en met T - 5 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_start_eind_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_start_eind_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_eind_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 12:20 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 5 stuks | |||
| Geneesmiddel - primaire code | METOCLOPRAMIDE HCL PCH TABLET 10MG (code = '560308' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | METOCLOPRAMIDE TABLET 10MG (code = '6947' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METOCLOPRAMIDE TABLET 10MG (code = '19429' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_start_eind_VV | |||
| MBH identificatie | MBH_920_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_start_eind_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_eind_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 4 dagen om 10:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 10 dagen, tot en met T - 5 dagen | |||
| Ingangsdatum | T - 10 dagen | |||
| Einddatum | T - 5 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | METOCLOPRAMIDE HCL PCH TABLET 10MG (code = '560308' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | METOCLOPRAMIDE TABLET 10MG (code = '6947' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METOCLOPRAMIDE TABLET 10MG (code = '19429' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 10 dagen, tot en met T - 5 dagen, 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 stuk | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_start_eind_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| MBH identificatie | MBH_920_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_start_duur
| Medicatieafspraak MBH_920_start_duur_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 20 dagen om 11:30 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, gedurende 3 weken | |||
| Ingangsdatum | T - 20 dagen | |||
| Gebruiksduur | 3 weken | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_start_duur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_start_duur_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 11:30 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | LISINOPRIL SANDOZ TABLET 10MG (code = '1506773' in codeSystem 'G-Standaar HPK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_start_duur_MA | |||
| MBH identificatie | MBH_920_start_duur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_start_duur_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 20 dagen om 12:30 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, gedurende 3 weken | |||
| Ingangsdatum | T - 20 dagen | |||
| Gebruiksduur | 3 weken | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | LISINOPRIL SANDOZ TABLET 10MG (code = '1506773' in codeSystem 'G-Standaar HPK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_start_duur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_start_duur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_start_duur_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 20 dagen om 12:30 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | LISINOPRIL SANDOZ TABLET 10MG (code = '1506773' in codeSystem 'G-Standaar HPK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_start_duur_VV | |||
| MBH identificatie | MBH_920_start_duur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_start_duur_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 1 dag om 12:00 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 20 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_start_duur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_start_duur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_chronisch
| Medicatieafspraak MBH_920_chronisch_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_chronisch_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 30 dagen om 11:32 uur | |||
| Gebruiksperiode | Vanaf T - 30 dagen | |||
| Ingangsdatum | T - 30 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 30 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_chronisch_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_chronisch_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 30 dagen om 11:32 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_chronisch_MA | |||
| MBH identificatie | MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_chronisch_VV_extraVVbestaandeMA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_chronisch_VV_extraVVbestaandeMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 10 dagen om 11:35 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_chronisch_MA | |||
| MBH identificatie | MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_chronisch_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_chronisch_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 30 dagen om 12:32 uur | |||
| Gebruiksperiode | Vanaf T - 30 dagen | |||
| Ingangsdatum | T - 30 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 30 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_chronisch_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_chronisch_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_chronisch_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 30 dagen om 12:32 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_chronisch_VV | |||
| MBH identificatie | MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_chronisch_MVE_extraMVEbestaandeTA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_chronisch_MVE_extraMVEbestaandeTA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 10 dagen om 12:35 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_chronisch_VV_extraVVbestaandeMA | |||
| MBH identificatie | MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_chronisch_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_chronisch_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 20 dagen om 11:43:12 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 30 dagen | |||
| Ingangsdatum | T - 30 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | ROTER APC TABLET (code = '202185' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 30 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_chronisch_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| MBH identificatie | MBH_920_chronisch (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_start_duur2
| Medicatieafspraak MBH_920_start_duur2_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 60 dagen om 11:30 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen, gedurende 28 dagen | |||
| Ingangsdatum | T - 60 dagen | |||
| Gebruiksduur | 28 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, gedurende 28 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_start_duur2_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur2_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 60 dagen om 11:30 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 28 stuks | |||
| Geneesmiddel - primaire code | PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_start_duur2_MA | |||
| MBH identificatie | MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_start_duur2_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur2_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 60 dagen om 12:30 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen, gedurende 28 dagen | |||
| Ingangsdatum | T - 60 dagen | |||
| Gebruiksduur | 28 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | PANTOZOL TABLET MSR 20MG (code = '1163094' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, gedurende 28 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_start_duur2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_start_duur2_TA_techstaken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur2_TA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 50 dagen om 12:30 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen, tot en met T - 51 dagen | |||
| Ingangsdatum | T - 60 dagen | |||
| Einddatum | T - 51 dagen | |||
| Toedieningsafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | PANTOZOL TABLET MSR 20MG (code = '1163094' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, tot en met T - 51 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_start_duur2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_start_duur2_TA_anderePRK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur2_TA_anderePRK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 50 dagen om 12:35 uur | |||
| Gebruiksperiode | Vanaf T - 50 dagen, gedurende 18 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Gebruiksduur | 18 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Reden afspraak | Pantozol niet leverbaar | |||
| Geneesmiddel - primaire code | PANTOZOL TABLET MSR 20MG (code = '1163094' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, gedurende 18 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_start_duur2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_start_duur2_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur2_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 60 dagen om 12:30 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 28 stuks | |||
| Geneesmiddel - primaire code | PANTOZOL TABLET MSR 20MG (code = '1163094' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_start_duur2_VV | |||
| MBH identificatie | MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_start_duur2_MVE_anderePRK | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur2_MVE_anderePRK (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 50 dagen om 12:36 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 28 stuks | |||
| Geneesmiddel - primaire code | PANTOZOL TABLET MSR 20MG (code = '1163094' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_start_duur2_VV | |||
| MBH identificatie | MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_start_duur2_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_start_duur2_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 55 dagen om 15:21:33 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | PANTOPRAZOL TABLET MSR 20MG (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL TABLET MSR 20MG (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_start_duur2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_start_duur2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_dosis_stuks
| Medicatieafspraak MBH_920_dosis_stuks_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_dosis_stuks_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 130 dagen om 11:35 uur | |||
| Gebruiksperiode | Vanaf T - 130 dagen, tot en met T - 101 dagen | |||
| Ingangsdatum | T - 130 dagen | |||
| Einddatum | T - 101 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | FLUTICASON INHALATIEPOEDER 100UG/DO 60DO DISKUS (code = '45624' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FLUTICASON INHALATIEPOEDER 100UG/DO (code = '92487' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 130 dagen, tot en met T - 101 dagen, 2 maal per dag 1 dosis, inhalatie | |||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 2 maal per dag 1 dosis | |||
| MBH identificatie | MBH_920_dosis_stuks (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_dosis_stuks_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_dosis_stuks_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 130 dagen om 11:35 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 1 stuk | |||
| Geneesmiddel - primaire code | FLUTICASON INHALATIEPOEDER 100UG/DO 60DO DISKUS (code = '45624' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FLUTICASON INHALATIEPOEDER 100UG/DO (code = '92487' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_dosis_stuks_MA | |||
| MBH identificatie | MBH_920_dosis_stuks (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_dosis_stuks_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_dosis_stuks_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 130 dagen om 12:35 uur | |||
| Gebruiksperiode | Vanaf T - 130 dagen, tot en met T - 101 dagen | |||
| Ingangsdatum | T - 130 dagen | |||
| Einddatum | T - 101 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | FLIXOTIDE DISKUS INHPDR 100MCG 60DO (code = '1029754' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FLUTICASON INHALATIEPOEDER 100UG/DO 60DO DISKUS (code = '45624' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FLUTICASON INHALATIEPOEDER 100UG/DO (code = '92487' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 130 dagen, tot en met T - 101 dagen, 2 maal per dag 1 dosis, inhalatie | |||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 2 maal per dag 1 dosis | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_dosis_stuks_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_dosis_stuks (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_dosis_stuks_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_dosis_stuks_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 130 dagen om 12:35 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 1 stuk | |||
| Geneesmiddel - primaire code | FLIXOTIDE DISKUS INHPDR 100MCG 60DO (code = '1029754' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FLUTICASON INHALATIEPOEDER 100UG/DO 60DO DISKUS (code = '45624' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FLUTICASON INHALATIEPOEDER 100UG/DO (code = '92487' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_dosis_stuks_VV | |||
| MBH identificatie | MBH_920_dosis_stuks (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_dosis_stuks_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_dosis_stuks_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 100 dagen om 07:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | FLUTICASON INHALATIEPOEDER 100UG/DO 60DO DISKUS (code = '45624' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FLUTICASON INHALATIEPOEDER 100UG/DO (code = '92487' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | 2 maal per dag 1 dosis, inhalatie | |||
| Toedieningsweg | inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 2 maal per dag 1 dosis | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_dosis_stuks_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_dosis_stuks (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_nieuweMBHobvTA
| Toedieningsafspraak MBH_920_nieuweMBHobvTA_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_nieuweMBHobvTA_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 10 dagen om 10:00 uur | |||
| Gebruiksperiode | Vanaf T - 10 dagen, tot en met T - 5 dagen | |||
| Ingangsdatum | T - 10 dagen | |||
| Einddatum | T - 5 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | PARACETAMOL APOTEX TABLET 500MG (code = '1026291' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL TABLET 500MG (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL TABLET 500MG (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 10 dagen, tot en met T - 5 dagen, 3 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 3 maal per dag 2 stuks | |||
| MBH identificatie | MBH_920_nieuweMBHobvTA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_nieuweMBHobvTA_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_nieuweMBHobvTA_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekkings datum tijd | T - 10 dagen om 10:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | PARACETAMOL APOTEX TABLET 500MG (code = '1026291' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL TABLET 500MG (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL TABLET 500MG (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| MBH identificatie | MBH_920_nieuweMBHobvTA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_nieuweMBHobvTA_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_nieuweMBHobvTA_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 3 dagen om 16:00 uur | |||
| Gebruik indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 10 dagen om 10:00 uur, tot en met T - 3 dagen om 16:00 uur | |||
| Ingangsdatum | T - 10 dagen om 10:00 uur | |||
| Einddatum | T - 3 dagen om 16:00 uur | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | PARACETAMOL APOTEX TABLET 500MG (code = '1026291' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL TABLET 500MG (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL TABLET 500MG (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 10 dagen om 10:00 uur, tot en met T - 3 dagen om 16:00 uur, 3 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 3 maal per dag 2 stuks | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_nieuweMBHobvTA_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| MBH identificatie | MBH_920_nieuweMBHobvTA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
Patiënt M. XXX_Niesing
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | M. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Niesing | |||
| Identificatienummer | 999900845 [BSN] | |||
| Geboortedatum | 29 okt 1985 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_HPKvoorschrijven
| Medicatieafspraak MBH_920_HPKvoorschrijven_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_HPKvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 170 dagen om 13:00 uur | |||
| Gebruiksperiode | Vanaf T - 170 dagen, tot en met T - 21 dagen | |||
| Ingangsdatum | T - 170 dagen | |||
| Einddatum | T - 21 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | XARELTO TABLET FILMOMHULD 20MG (code = '2214350' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | RIVAROXABAN TABLET 20MG (code = '100153' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | RIVAROXABAN TABLET 20MG (code = '138363' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 170 dagen, tot en met T - 21 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_HPKvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_HPKvoorschrijven_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_HPKvoorschrijven_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 170 dagen om 13:00 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 150 stuks | |||
| Geneesmiddel - primaire code | XARELTO TABLET FILMOMHULD 20MG (code = '2214350' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | RIVAROXABAN TABLET 20MG (code = '100153' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | RIVAROXABAN TABLET 20MG (code = '138363' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_HPKvoorschrijven_MA | |||
| MBH identificatie | MBH_920_HPKvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_HPKvoorschrijven_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_HPKvoorschrijven_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 170 dagen om 14:00 uur | |||
| Gebruiksperiode | Vanaf T - 170 dagen, tot en met T - 21 dagen | |||
| Ingangsdatum | T - 170 dagen | |||
| Einddatum | T - 21 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | XARELTO TABLET FILMOMHULD 20MG (code = '2214350' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | RIVAROXABAN TABLET 20MG (code = '100153' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | RIVAROXABAN TABLET 20MG (code = '138363' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 170 dagen, tot en met T - 21 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_HPKvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_HPKvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_HPKvoorschrijven_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_HPKvoorschrijven_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 170 dagen om 14:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 150 stuks | |||
| Geneesmiddel - primaire code | XARELTO TABLET FILMOMHULD 20MG (code = '2214350' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | RIVAROXABAN TABLET 20MG (code = '100153' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | RIVAROXABAN TABLET 20MG (code = '138363' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_HPKvoorschrijven_VV | |||
| MBH identificatie | MBH_920_HPKvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_HPKvoorschrijven_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_HPKvoorschrijven_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T om 22:08 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T | |||
| Ingangsdatum | T | |||
| Einddatum | T | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | XARELTO TABLET FILMOMHULD 20MG (code = '2214350' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | RIVAROXABAN TABLET 20MG (code = '100153' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | RIVAROXABAN TABLET 20MG (code = '138363' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_HPKvoorschrijven_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| MBH identificatie | MBH_920_HPKvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_ZINRvoorschrijven
| Medicatieafspraak MBH_920_ZINRvoorschrijven_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_ZINRvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 13:05 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 150 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 150 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | INDAPAMIDE SANDOZ TABLET 2,5MG (code = '14896087' in codeSystem 'G-Standaard ZI-nr') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE SANDOZ TABLET 2,5MG (code = '685410' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE 2,5MG TABLET (code = '2941' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE 2,5MG TABLET (code = '83593' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 150 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_ZINRvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_ZINRvoorschrijven_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_ZINRvoorschrijven_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 13:05 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 150 stuks | |||
| Geneesmiddel - primaire code | INDAPAMIDE SANDOZ TABLET 2,5MG (code = '14896087' in codeSystem 'G-Standaard ZI-nr') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE SANDOZ TABLET 2,5MG (code = '685410' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE 2,5MG TABLET (code = '2941' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE 2,5MG TABLET (code = '83593' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_ZINRvoorschrijven_MA | |||
| MBH identificatie | MBH_920_ZINRvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_ZINRvoorschrijven_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_ZINRvoorschrijven_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 14:05 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 150 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 150 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | INDAPAMIDE SANDOZ TABLET 2,5MG (code = '14896087' in codeSystem 'G-Standaard ZI-nr') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE SANDOZ TABLET 2,5MG (code = '685410' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE 2,5MG TABLET (code = '2941' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE 2,5MG TABLET (code = '83593' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 150 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_ZINRvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_ZINRvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_ZINRvoorschrijven_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_ZINRvoorschrijven_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 14:05 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 150 stuks | |||
| Geneesmiddel - primaire code | INDAPAMIDE SANDOZ TABLET 2,5MG (code = '14896087' in codeSystem 'G-Standaard ZI-nr') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE SANDOZ TABLET 2,5MG (code = '685410' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE 2,5MG TABLET (code = '2941' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE 2,5MG TABLET (code = '83593' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_ZINRvoorschrijven_VV | |||
| MBH identificatie | MBH_920_ZINRvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_ZINRvoorschrijven_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_ZINRvoorschrijven_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T om 22:08 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T | |||
| Ingangsdatum | T | |||
| Einddatum | T | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | INDAPAMIDE SANDOZ TABLET 2,5MG (code = '14896087' in codeSystem 'G-Standaard ZI-nr') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE SANDOZ TABLET 2,5MG (code = '685410' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE 2,5MG TABLET (code = '2941' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | INDAPAMIDE 2,5MG TABLET (code = '83593' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_ZINRvoorschrijven_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| MBH identificatie | MBH_920_ZINRvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
Patiënt M. XXX_Pherai
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | M. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Pherai | |||
| Identificatienummer | 999900870 [BSN] | |||
| Geboortedatum | 1 nov 1985 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_wdsmtd1
| Medicatieafspraak MBH_920_wdsmtd1_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 20 dagen om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T + 9 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T + 9 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| MBH identificatie | MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Wisselend doseerschema MBH_920_wdsmtd1_WDS_opstartschema | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wdsmtd1_WDS_opstartschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| Wisselend doseerschema datum tijd | T - 20 dagen om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T - 15 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T - 15 dagen | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T - 15 dagen, eerst gedurende 3 dagen 1 maal per dag om 20:00 2 stuks, dan gedurende 3 dagen 1 maal per dag om 20:00 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie 1 | eerst gedurende 3 dagen 1 maal per dag om 20:00 2 stuks | |||
| Doseerinstructie 2 | dan gedurende 3 dagen 1 maal per dag om 20:00 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Wisselend doseerschema MBH_920_wdsmtd1_WDS_trombosedienst | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wdsmtd1_WDS_trombosedienst (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| Wisselend doseerschema datum tijd | T - 15 dagen om 14:30 uur | |||
| Gebruiksperiode | Vanaf T - 14 dagen, tot en met T - 5 dagen | |||
| Ingangsdatum | T - 14 dagen | |||
| Einddatum | T - 5 dagen | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Tanja_de_Bakker | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 14 dagen, tot en met T - 5 dagen, cyclus van 5 dagen: steeds eerst gedurende 2 dagen 1 maal per dag 2 stuks 's avonds, dan gedurende 2 dagen 1 maal per dag 2 stuks 's avonds, dan gedurende 1 dag 1 maal per dag 0 stuks 's avonds, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie 1 | eerst gedurende 2 dagen 1 maal per dag 2 stuks 's avonds | |||
| Doseerinstructie 2 | dan gedurende 2 dagen 1 maal per dag 2 stuks 's avonds | |||
| Doseerinstructie 3 | dan gedurende 1 dag 1 maal per dag 0 stuks 's avonds | |||
| Herhaalperiode cyclisch schema | 5 dagen | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie wisselend doseerschema | ||||
| Identificatie | MBH_920_wdsmtd1_WDS_opstartschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| MBH identificatie | MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Wisselend doseerschema MBH_920_wdsmtd1_WDS_technischestop | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wdsmtd1_WDS_technischestop (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| Wisselend doseerschema datum tijd | T - 7 dagen om 10:30 uur | |||
| Gebruiksperiode | Vanaf T - 14 dagen, tot en met T - 7 dagen | |||
| Ingangsdatum | T - 14 dagen | |||
| Einddatum | T - 7 dagen | |||
| Wisselend doseerschema stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Tanja_de_Bakker | |||
| Reden wijzigen of staken | Gebrek aan geneesmiddeleffect (code = '58848006' in codeSystem 'SNOMED CT') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 14 dagen, tot en met T - 7 dagen, cyclus van 5 dagen: steeds eerst gedurende 2 dagen 1 maal per dag 2 stuks 's avonds, dan gedurende 2 dagen 1 maal per dag 2 stuks 's avonds, dan gedurende 1 dag 1 maal per dag 0 stuks 's avonds, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie 1 | eerst gedurende 2 dagen 1 maal per dag 2 stuks 's avonds | |||
| Doseerinstructie 2 | dan gedurende 2 dagen 1 maal per dag 2 stuks 's avonds | |||
| Doseerinstructie 3 | dan gedurende 1 dag 1 maal per dag 0 stuks 's avonds | |||
| Herhaalperiode cyclisch schema | 5 dagen | |||
| Kopie indicator | Nee | |||
| Toelichting | Dosering aangepast i.v.m. te lage INR waarde. | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie wisselend doseerschema | ||||
| Identificatie | MBH_920_wdsmtd1_WDS_trombosedienst (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| MBH identificatie | MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Wisselend doseerschema MBH_920_wdsmtd1_WDS_verhoging | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wdsmtd1_WDS_verhoging (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| Wisselend doseerschema datum tijd | T - 7 dagen om 10:30 uur | |||
| Gebruiksperiode | Vanaf T - 6 dagen, tot en met T + 6 dagen | |||
| Ingangsdatum | T - 6 dagen | |||
| Einddatum | T + 6 dagen | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Tanja_de_Bakker | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 6 dagen, tot en met T + 6 dagen, cyclus van 5 dagen: steeds eerst gedurende 3 dagen 1 maal per dag om 19:00 2 stuks, dan gedurende 2 dagen 1 maal per dag om 19:00 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie 1 | eerst gedurende 3 dagen 1 maal per dag om 19:00 2 stuks | |||
| Doseerinstructie 2 | dan gedurende 2 dagen 1 maal per dag om 19:00 1 stuk | |||
| Herhaalperiode cyclisch schema | 5 dagen | |||
| Kopie indicator | Nee | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie wisselend doseerschema | ||||
| Identificatie | MBH_920_wdsmtd1_WDS_trombosedienst (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| MBH identificatie | MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_wdsmtd1_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wdsmtd1_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 20 dagen om 08:00 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_wdsmtd1_MA | |||
| MBH identificatie | MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_wdsmtd1_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wdsmtd1_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 20 dagen om 09:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T + 9 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T + 9 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL CF TABLET 1MG (code = '856126' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_wdsmtd1_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wdsmtd1_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 20 dagen om 09:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL CF TABLET 1MG (code = '856126' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_wdsmtd1_VV | |||
| MBH identificatie | MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatietoediening MBH_920_wdsmtd1_MTD1 | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_wdsmtd1_MTD1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | ||||
| Toedienings datum tijd | T - 20 dagen om 20:30 uur | ||||
| Afgesproken datum tijd | T - 20 dagen om 20:00 uur | ||||
| Volgens afspraak indicator | Ja | ||||
| Toegediende hoeveelheid | |||||
| Aantal | 1 | ||||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||||
| Afgesproken hoeveelheid | |||||
| Aantal | 2 | ||||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||||
| Toedieningsweg | ORAAL (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Toediener | |||||
| Mantelzorger | |||||
| Contactpersoon | Zie Contactpersoon: Toos_de_Bakker | ||||
| Geneesmiddel - primaire code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||||
| Relatie medicatieafspraak | |||||
| Identificatie | MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||
| Relatie wisselend doseerschema | |||||
| Identificatie | MBH_920_QA1_WDS1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | ||||
| MBH identificatie | MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Medicatietoediening MBH_920_wdsmtd1_MTD2 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wdsmtd1_MTD2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | |||
| Toedienings datum tijd | T - 19 dagen om 20:00 uur | |||
| Afgesproken datum tijd | T - 19 dagen om 20:00 uur | |||
| Volgens afspraak indicator | Nee | |||
| Toegediende hoeveelheid | ||||
| Aantal | 1 | |||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
| Afgesproken hoeveelheid | ||||
| Aantal | 2 | |||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Toediener | ||||
| Zorgverlener | Zie Zorgverlener: Jantien_Toedien | |||
| Medicatie toediening reden van afwijken | Toediening van medicatie geweigerd (code = '406149000' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie wisselend doseerschema | ||||
| Identificatie | MBH_920_QA1_WDS1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| MBH identificatie | MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatietoediening MBH_920_wdsmtd1_MTD3 | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_wdsmtd1_MTD3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | ||||
| Toedienings datum tijd | T - 17 dagen om 20:00 uur | ||||
| Afgesproken datum tijd | T - 17 dagen om 20:00 uur | ||||
| Volgens afspraak indicator | Nee | ||||
| Geannuleerd indicator | Ja | ||||
| Toegediende hoeveelheid | |||||
| Aantal | 1 | ||||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||||
| Afgesproken hoeveelheid | |||||
| Aantal | 1 | ||||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | ||||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Prik plak locatie | Geprobeerd, maar niet gelukt met de tablet | ||||
| Toediener | |||||
| Patient | |||||
| Toediener is patient | Ja | ||||
| Medicatie toediening reden van afwijken | Niet in staat om medicatie te gebruiken (code = '408366001' in codeSystem 'SNOMED CT') | ||||
| Geneesmiddel - primaire code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | ||||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | ||||
| Relatie medicatieafspraak | |||||
| Identificatie | MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||
| Relatie toedieningsafspraak | |||||
| Identificatie | MBH_920_QA1_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| MBH identificatie | MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Medicatietoediening MBH_920_wdsmtd1_MTD4 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wdsmtd1_MTD4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | |||
| Volgens afspraak indicator | Nee | |||
| Toegediende hoeveelheid | ||||
| Aantal | 0 | |||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Toediener | ||||
| Zorgverlener | Zie Zorgverlener: Marleen_van_der_Brand | |||
| Medicatie toediening reden van afwijken | Zorgafnemer is niet beschikbaar om medicatie in ontvangst te nemen (code = '153241000146104' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_QA1_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Relatie wisselend doseerschema | ||||
| Identificatie | MBH_920_QA1_WDS (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| MBH identificatie | MBH_920_wdsmtd1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Contactpersoon Toos_de_Bakker | ||||
| Naamgegevens | Toos de Bakker | |||
| Rol | Mantelzorger (code = '100001' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.1') | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgverlener Tanja_de_Bakker | ||||
| Zorgverlener identificatienummer | 222221111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Tanja de Bakker | |||
| Specialisme | Trombosediensten (code = '3400' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Trombosedienst_Ons_Dorp | |||
| Zorgverlener Jantien_Toedien | ||||
| Zorgverlener identificatienummer | 222220000 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Jantien Toedien | |||
| Specialisme | Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Thuiszorg_Om_en_Bij | |||
| Zorgverlener Marleen_van_der_Brand | ||||
| Zorgverlener identificatienummer | 111110000 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Marleen van der Brand | |||
| Specialisme | Verpleegkundigen, niet nader gespecificeerd (code = '9100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Thuiszorg_Om_en_Bij | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Trombosedienst_Ons_Dorp | ||||
| Zorgaanbieder identificatienummer | 11112222 (in identificerend systeem: URA) | |||
| Organisatie naam | Trombosedienst Ons Dorp | |||
| Afdeling specialisme | Trombosediensten (code = '3400' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Adresgegevens | : Kerkstraat 28 d 1332GH Ons Dorp | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Adresgegevens | Werkadres: Dorpsstraat 12 A 1234AA Ons Dorp | |||
| Zorgaanbieder Thuiszorg_Om_en_Bij | ||||
| Zorgaanbieder identificatienummer | 11110000 (in identificerend systeem: URA) | |||
| Organisatie naam | Thuiszorg Om en Bij | |||
| Adresgegevens | : Voorstraat 1 1223BA Ons Dorp | |||
| Organisatie type | Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060') | |||
Patiënt C. XXX_Dijk
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | C. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Dijk | |||
| Identificatienummer | 999900456 [BSN] | |||
| Geboortedatum | 20 okt 1963 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_gestopt
| Medicatieafspraak MBH_920_gestopt_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gestopt_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 4 maanden om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 4 maanden, tot en met T + 5 maanden | |||
| Ingangsdatum | T - 4 maanden | |||
| Einddatum | T + 5 maanden | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | OMEPRAZOL 20MG CAPSULE MSR (code = '60062' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OMEPRAZOL 20MG CAPSULE MSR (code = '114529' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 maanden, tot en met T + 5 maanden, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_gestopt (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_gestopt_MA_staken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gestopt_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 10 dagen om 18:00 uur | |||
| Gebruiksperiode | Vanaf T - 4 maanden, tot en met T - 10 dagen | |||
| Ingangsdatum | T - 4 maanden | |||
| Einddatum | T - 10 dagen | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Reden wijzigen of staken | Geneesmiddelinteractie (code = '79899007' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | OMEPRAZOL 20MG CAPSULE MSR (code = '60062' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OMEPRAZOL 20MG CAPSULE MSR (code = '114529' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 maanden, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gestopt_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gestopt (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_gestopt_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gestopt_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 4 maanden om 09:00 uur | |||
| Gebruiksperiode | Vanaf T - 4 maanden, tot en met T + 5 maanden | |||
| Ingangsdatum | T - 4 maanden | |||
| Einddatum | T + 5 maanden | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | OMEPRAZOL SANDOZ CAPSULE MSR 20MG (code = '1500570' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | OMEPRAZOL 20MG CAPSULE MSR (code = '60062' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OMEPRAZOL 20MG CAPSULE MSR (code = '114529' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 maanden, tot en met T + 5 maanden, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gestopt_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gestopt (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_gestopt_TA_staken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gestopt_TA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 10 dagen om 19:00 uur | |||
| Gebruiksperiode | Vanaf T - 4 maanden, tot en met T - 10 dagen | |||
| Ingangsdatum | T - 4 maanden | |||
| Einddatum | T - 10 dagen | |||
| Toedieningsafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | OMEPRAZOL SANDOZ CAPSULE MSR 20MG (code = '1500570' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | OMEPRAZOL 20MG CAPSULE MSR (code = '60062' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OMEPRAZOL 20MG CAPSULE MSR (code = '114529' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 maanden, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gestopt_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gestopt (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_gewijzigd
| Medicatieafspraak MBH_920_gewijzigd_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigd_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 21 dagen om 08:02 uur | |||
| Gebruiksperiode | Vanaf T - 21 dagen | |||
| Ingangsdatum | T - 21 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | METOPROLOL 100MG TB MGA SUC (code = '26190' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METOPROLOL 100MG TB MGA SUC (code = '71013' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 21 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_gewijzigd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_gewijzigd_MA_wijziging | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigd_MA_wijziging (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 2 dagen om 08:02 uur | |||
| Gebruiksperiode | Vanaf T - 2 dagen | |||
| Ingangsdatum | T - 2 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Reden wijzigen of staken | Gebrek aan geneesmiddeleffect (code = '58848006' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | METOPROLOL 100MG TB MGA SUC (code = '26190' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METOPROLOL 100MG TB MGA SUC (code = '71013' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 2 dagen, 2 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gewijzigd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_gewijzigd_MA_techstaken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigd_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 2 dagen om 08:02 uur | |||
| Gebruiksperiode | Vanaf T - 21 dagen, tot en met T - 3 dagen | |||
| Ingangsdatum | T - 21 dagen | |||
| Einddatum | T - 3 dagen | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | METOPROLOL 100MG TB MGA SUC (code = '26190' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METOPROLOL 100MG TB MGA SUC (code = '71013' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 21 dagen, tot en met T - 3 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gewijzigd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_gewijzigd_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigd_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 21 dagen om 09:02 uur | |||
| Gebruiksperiode | Vanaf T - 21 dagen | |||
| Ingangsdatum | T - 21 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | METOPROLOLSUCCINAAT MYLAN RET 100 TABL MVA 95MG (code = '2069474' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | METOPROLOL 100MG TB MGA SUC (code = '26190' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METOPROLOL 100MG TB MGA SUC (code = '71013' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 21 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gewijzigd_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gewijzigd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_gewijzigd_TA_wijziging | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigd_TA_wijziging (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 2 dagen om 09:02 uur | |||
| Gebruiksperiode | Vanaf T - 2 dagen | |||
| Ingangsdatum | T - 2 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | METOPROLOLSUCCINAAT MYLAN RET 100 TABL MVA 95MG (code = '2069474' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | METOPROLOL 100MG TB MGA SUC (code = '26190' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METOPROLOL 100MG TB MGA SUC (code = '71013' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 2 dagen, 2 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gewijzigd_MA_wijziging (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gewijzigd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_gewijzigd_TA_techstaken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigd_TA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 2 dagen om 09:02 uur | |||
| Gebruiksperiode | Vanaf T - 21 dagen, tot en met T - 3 dagen | |||
| Ingangsdatum | T - 21 dagen | |||
| Einddatum | T - 3 dagen | |||
| Toedieningsafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | METOPROLOLSUCCINAAT MYLAN RET 100 TABL MVA 95MG (code = '2069474' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | METOPROLOL 100MG TB MGA SUC (code = '26190' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METOPROLOL 100MG TB MGA SUC (code = '71013' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 21 dagen, tot en met T - 3 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gewijzigd_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gewijzigd (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_gewijzigddoorander
| Medicatieafspraak MBH_920_gewijzigddoorander_MA_eigen | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigddoorander_MA_eigen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 60 dagen om 08:05 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen, tot en met T + 14 dagen | |||
| Ingangsdatum | T - 60 dagen | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, tot en met T + 14 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_gewijzigddoorander_MA_wijzigingdoorander | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigddoorander_MA_wijzigingdoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 3 dagen om 08:10 uur | |||
| Gebruiksperiode | Vanaf T - 3 dagen, tot en met T + 30 dagen | |||
| Ingangsdatum | T - 3 dagen | |||
| Einddatum | T + 30 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Reden wijzigen of staken | Gebrek aan geneesmiddeleffect (code = '58848006' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 3 dagen, tot en met T + 30 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gewijzigddoorander_MA_eigen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_gewijzigddoorander_MA_techstakendoorander | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigddoorander_MA_techstakendoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 3 dagen om 08:10 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen, tot en met T - 4 dagen | |||
| Ingangsdatum | T - 60 dagen | |||
| Einddatum | T - 4 dagen | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, tot en met T - 4 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gewijzigddoorander_MA_eigen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_gewijzigddoorander_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigddoorander_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 60 dagen om 09:05 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen, tot en met T + 14 dagen | |||
| Ingangsdatum | T - 60 dagen | |||
| Einddatum | T + 14 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ATORVASTATINE TEVA TABLET FILMOMHULD 10MG (code = '2198088' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, tot en met T + 14 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gewijzigddoorander_MA_eigen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_gewijzigddoorander_TA_wijziging | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigddoorander_TA_wijziging (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 3 dagen om 09:10 uur | |||
| Gebruiksperiode | Vanaf T - 3 dagen, tot en met T + 30 dagen | |||
| Ingangsdatum | T - 3 dagen | |||
| Einddatum | T + 30 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ATORVASTATINE TEVA TABLET FILMOMHULD 10MG (code = '2198088' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 3 dagen, tot en met T + 30 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gewijzigddoorander_MA_wijzigingdoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_gewijzigddoorander_TA_techstaken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigddoorander_TA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 3 dagen om 09:10 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen, tot en met T - 4 dagen | |||
| Ingangsdatum | T - 60 dagen | |||
| Einddatum | T - 4 dagen | |||
| Toedieningsafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ATORVASTATINE TEVA TABLET FILMOMHULD 10MG (code = '2198088' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, tot en met T - 4 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gewijzigddoorander_MA_techstakendoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_gewijzigddoorander_MGB_zv | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigddoorander_MGB_zv (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 3 dagen om 08:08 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 60 dagen, tot en met T - 3 dagen | |||
| Ingangsdatum | T - 60 dagen | |||
| Einddatum | T - 3 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, tot en met T - 3 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gewijzigddoorander_MA_eigen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_gewijzigddoorander_MGB_pat | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gewijzigddoorander_MGB_pat (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T om 08:08 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 3 dagen, tot en met T - 1 dag | |||
| Ingangsdatum | T - 3 dagen | |||
| Einddatum | T - 1 dag | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | ATORVASTATINE 10MG TABLET (code = '98604' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ATORVASTATINE 10MG TABLET (code = '137197' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 3 dagen, tot en met T - 1 dag, 1 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gewijzigddoorander_MA_wijzigingdoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gewijzigddoorander (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_onderbroken
| Medicatieafspraak MBH_920_onderbroken_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_onderbroken_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 153 dagen om 08:06 uur | |||
| Gebruiksperiode | Vanaf T - 153 dagen, tot en met T + 20 dagen | |||
| Ingangsdatum | T - 153 dagen | |||
| Einddatum | T + 20 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | FUROSEMIDE 20MG TABLET (code = '3387' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 20MG TABLET (code = '10995' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 153 dagen, tot en met T + 20 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_onderbroken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_onderbroken_MA_onderbreken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_onderbroken_MA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 100 dagen om 18:12 uur | |||
| Gebruiksperiode | Vanaf T - 153 dagen, tot en met T - 100 dagen | |||
| Ingangsdatum | T - 153 dagen | |||
| Einddatum | T - 100 dagen | |||
| Medicatieafspraak stop type | tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Reden wijzigen of staken | Verrichting gepland (code = '405613005' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | FUROSEMIDE 20MG TABLET (code = '3387' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 20MG TABLET (code = '10995' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 153 dagen, tot en met T - 100 dagen, 1 maal per dag 1 stuk, Oraal, tijdelijk gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_onderbroken_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_onderbroken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_onderbroken_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_onderbroken_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 153 dagen om 09:06 uur | |||
| Gebruiksperiode | Vanaf T - 153 dagen, tot en met T + 20 dagen | |||
| Ingangsdatum | T - 153 dagen | |||
| Einddatum | T + 20 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | FUROSEMIDE CF TABLET 20MG (code = '1099469' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 20MG TABLET (code = '3387' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 20MG TABLET (code = '10995' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 153 dagen, tot en met T + 20 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_onderbroken_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_onderbroken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_onderbroken_TA_onderbreken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_onderbroken_TA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 100 dagen om 19:12 uur | |||
| Gebruiksperiode | Vanaf T - 153 dagen, tot en met T - 100 dagen | |||
| Ingangsdatum | T - 153 dagen | |||
| Einddatum | T - 100 dagen | |||
| Toedieningsafspraak stop type | tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | FUROSEMIDE CF TABLET 20MG (code = '1099469' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 20MG TABLET (code = '3387' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 20MG TABLET (code = '10995' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 153 dagen, tot en met T - 100 dagen, 1 maal per dag 1 stuk, Oraal, tijdelijk gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_onderbroken_MA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_onderbroken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_eigen1
| Medicatieafspraak MBH_920_eigen1_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_eigen1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 10 dagen om 18:05 uur | |||
| Gebruiksperiode | Vanaf T - 9 dagen, tot en met T + 15 dagen | |||
| Ingangsdatum | T - 9 dagen | |||
| Einddatum | T + 15 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | PANTOPRAZOL 20MG TABLET MSR (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL 20MG TABLET MSR (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 9 dagen, tot en met T + 15 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_eigen1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_eigen1_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_eigen1_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 10 dagen om 18:45 uur | |||
| Gebruiksperiode | Vanaf T - 9 dagen, tot en met T + 15 dagen | |||
| Ingangsdatum | T - 9 dagen | |||
| Einddatum | T + 15 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | PANTOPRAZOL TEVA TABLET MSR 20MG (code = '2002914' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL 20MG TABLET MSR (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL 20MG TABLET MSR (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 9 dagen, tot en met T + 15 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_eigen1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_eigen1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_eigen1_MGB_zv | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_eigen1_MGB_zv (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T om 08:08 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 9 dagen, tot en met T | |||
| Ingangsdatum | T - 9 dagen | |||
| Einddatum | T | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | PANTOPRAZOL 20MG TABLET MSR (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL 20MG TABLET MSR (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 9 dagen, tot en met T, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_eigen1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_eigen1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_eigen1_MGB_pat | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_eigen1_MGB_pat (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T om 18:08 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 9 dagen, tot en met T | |||
| Ingangsdatum | T - 9 dagen | |||
| Einddatum | T | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | PANTOPRAZOL 20MG TABLET MSR (code = '52272' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PANTOPRAZOL 20MG TABLET MSR (code = '106275' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 9 dagen, tot en met T, 1 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_eigen1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_eigen1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_eigen2
| Medicatieafspraak MBH_920_eigen2_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_eigen2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 159 dagen om 08:15 uur | |||
| Gebruiksperiode | Vanaf T - 159 dagen, gedurende 1 week | |||
| Ingangsdatum | T - 159 dagen | |||
| Gebruiksduur | 1 week | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 159 dagen, gedurende 1 week, 3 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_eigen2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_eigen2_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_eigen2_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 159 dagen om 09:15 uur | |||
| Gebruiksperiode | Vanaf T - 159 dagen, gedurende 1 week | |||
| Ingangsdatum | T - 159 dagen | |||
| Gebruiksduur | 1 week | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | AMOXICILLINE DISPER SANDOZ TABLET 500MG (code = '802891' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 159 dagen, gedurende 1 week, 3 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_eigen2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_eigen2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_gebruik
| Medicatiegebruik MBH_920_gebruik_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gebruik_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 1 dag om 08:12 uur | |||
| Gebruik indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 10 dagen, tot en met T - 2 dagen | |||
| Ingangsdatum | T - 10 dagen | |||
| Einddatum | T - 2 dagen | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - Product specificatie | ||||
| Product naam | Paracetamol 500mg | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 10 dagen, tot en met T - 2 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_gebruik (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_andermans
| Medicatieafspraak MBH_920_andermans_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_andermans_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 10 dagen om 18:15 uur | |||
| Gebruiksperiode | Vanaf T - 9 dagen | |||
| Ingangsdatum | T - 9 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 9 dagen, 2 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_andermans (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_andermans_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_andermans_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 10 dagen om 19:05 uur | |||
| Gebruiksperiode | Vanaf T - 9 dagen | |||
| Ingangsdatum | T - 9 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_Jansen_en_Co | |||
| Geneesmiddel - primaire code | IBUPROFEN PCH TABLET 600MG (code = '641898' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '17469' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IBUPROFEN TABLET 600MG (code = '42080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 9 dagen, 2 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_andermans_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_andermans (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_toekomstig
| Medicatieafspraak MBH_920_toekomstig_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toekomstig_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 1 dag om 08:15 uur | |||
| Gebruiksperiode | Vanaf T + 15 dagen, tot en met T + 51 dagen | |||
| Ingangsdatum | T + 15 dagen | |||
| Einddatum | T + 51 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | DOXYCYCLINE 100MG TABLET (code = '19844' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DOXYCYCLINE 100MG TABLET (code = '22179' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T + 15 dagen, tot en met T + 51 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_toekomstig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_toekomstig_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toekomstig_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 1 dag om 09:15 uur | |||
| Gebruiksperiode | Vanaf T + 15 dagen, tot en met T + 51 dagen | |||
| Ingangsdatum | T + 15 dagen | |||
| Einddatum | T + 51 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | DOXYCYCLINE PCH TABLET 100MG (code = '1141317' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | DOXYCYCLINE 100MG TABLET (code = '19844' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DOXYCYCLINE 100MG TABLET (code = '22179' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T + 15 dagen, tot en met T + 51 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toekomstig_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toekomstig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_gestoptandermans
| Medicatieafspraak MBH_920_gestoptandermans_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gestoptandermans_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 20 dagen om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T + 7 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T + 7 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T + 7 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_gestoptandermans (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_gestoptandermans_MA_staken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gestoptandermans_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 10 dagen om 18:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T - 10 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T - 10 dagen | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Reden wijzigen of staken | Geneesmiddelinteractie (code = '79899007' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gestoptandermans_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gestoptandermans (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_gestoptandermans_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gestoptandermans_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 20 dagen om 09:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T + 7 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T + 7 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_Jansen_en_Co | |||
| Geneesmiddel - primaire code | DICLOFENAC NATRIUM SANDOZ RETARD TABLET MGA 100MG (code = '594253' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T + 7 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gestoptandermans_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gestoptandermans (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_gestoptandermans_TA_staken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_gestoptandermans_TA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 10 dagen om 19:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T - 10 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T - 10 dagen | |||
| Toedieningsafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_Jansen_en_Co | |||
| Geneesmiddel - primaire code | DICLOFENAC NATRIUM SANDOZ RETARD TABLET MGA 100MG (code = '594253' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_gestoptandermans_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_gestoptandermans (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Marcha_van_Partners | ||||
| Zorgverlener identificatienummer | 000001115 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Marcha van Partners | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Itis | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Itis | ||||
| Zorgaanbieder identificatienummer | 00005111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Itis | |||
| Adresgegevens | Werkadres: Langelaan 1 1234ZZ Onze Stad | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_Jansen_en_Co | ||||
| Zorgaanbieder identificatienummer | 99901111 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek Jansen en Co | |||
Patiënt H. XXX_Hoek
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | H. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Hoek | |||
| Identificatienummer | 999900638 [BSN] | |||
| Geboortedatum | 5 nov 1963 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_contactepisode
| Medicatieafspraak MBH_920_contactepisode_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_contactepisode_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 20 dagen om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T + 9 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T + 9 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie contact | ||||
| Identificatienummer | MBH_920_contactepisode_CONTACT1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.2709) | |||
| Relatie zorgepisode | ||||
| Identificatienummer | MBH_920_contactepisode_EPISODE1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.9200) | |||
| MBH identificatie | MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Wisselend doseerschema MBH_920_contactepisode_WDS_opstartschema | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_contactepisode_WDS_opstartschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| Wisselend doseerschema datum tijd | T - 20 dagen om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T - 15 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T - 15 dagen | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T - 15 dagen, eerst gedurende 3 dagen 1 maal per dag om 20:00 2 stuks, dan gedurende 3 dagen 1 maal per dag om 20:00 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie 1 | eerst gedurende 3 dagen 1 maal per dag om 20:00 2 stuks | |||
| Doseerinstructie 2 | dan gedurende 3 dagen 1 maal per dag om 20:00 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie contact | ||||
| Identificatienummer | MBH_920_contactepisode_CONTACT1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.2709) | |||
| Relatie zorgepisode | ||||
| Identificatienummer | MBH_920_contactepisode_EPISODE1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.9200) | |||
| MBH identificatie | MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_contactepisode_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_contactepisode_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 20 dagen om 08:00 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_wdsmtd1_MA | |||
| MBH identificatie | MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_contactepisode_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_contactepisode_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 20 dagen om 09:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T + 9 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T + 9 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL CF TABLET 1MG (code = '856126' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_contactepisode_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_contactepisode_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_contactepisode_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 20 dagen om 09:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL CF TABLET 1MG (code = '856126' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_contactepisode_VV | |||
| MBH identificatie | MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_contactepisode_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_contactepisode_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 10 dagen om 09:56:05 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 20 dagen, tot en met T - 9 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Einddatum | T - 9 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, tot en met T - 9 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_contactepisode_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie contact | ||||
| Identificatienummer | MBH_920_contactepisode_CONTACT3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.2709) | |||
| Relatie zorgepisode | ||||
| Identificatienummer | MBH_920_contactepisode_EPISODE1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.9200) | |||
| MBH identificatie | MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatietoediening MBH_920_contactepisode_MTD1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_contactepisode_MTD1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.18629005.1) | |||
| Toedienings datum tijd | T - 20 dagen om 20:30 uur | |||
| Afgesproken datum tijd | T - 20 dagen om 20:00 uur | |||
| Volgens afspraak indicator | Ja | |||
| Toegediende hoeveelheid | ||||
| Aantal | 2 | |||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
| Afgesproken hoeveelheid | ||||
| Aantal | 2 | |||
| Eenheid | stuk (code = '245' in codeSystem 'G-Standaard thesaurus basiseenheden') | |||
| Toedieningsweg | ORAAL (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Toediener | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACENOCOUMAROL TABLET 1MG (code = '7323' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACENOCOUMAROL TABLET 1MG (code = '20303' in codeSystem 'G-Standaard GPK') | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wdsmtd1_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie wisselend doseerschema | ||||
| Identificatie | MBH_920_QA1_WDS1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.632.1) | |||
| Relatie contact | ||||
| Identificatienummer | MBH_920_contactepisode_CONTACT2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.2709) | |||
| Relatie zorgepisode | ||||
| Identificatienummer | MBH_920_contactepisode_EPISODE1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.66.9200) | |||
| MBH identificatie | MBH_920_contactepisode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Adresgegevens | Werkadres: Dorpsstraat 12 A 1234AA Ons Dorp | |||
Patiënt C. XXX_Coenen
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | C. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Coenen | |||
| Identificatienummer | 999900420 [BSN] | |||
| Geboortedatum | 17 okt 1963 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_aanvullendeinstructie
| Medicatieafspraak MBH_920_aanvullendeinstructie_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinstructie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 4 maanden om 08:00 uur | |||
| Gebruiksperiode | Vanaf T - 4 maanden, tot en met T + 8 maanden | |||
| Ingangsdatum | T - 4 maanden | |||
| Einddatum | T + 8 maanden | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 maanden, tot en met T + 8 maanden, 1 maal per dag 1 stuk, Bij het eten innemen, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Bij het eten innemen | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_aanvullendeinstructie_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinstructie_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 4 maanden om 08:00 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Te verstrekken hoeveelheid | 180 stuks | |||
| Geneesmiddel - primaire code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_aanvullendeinstructie_MA | |||
| MBH identificatie | MBH_920_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_aanvullendeinstructie_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinstructie_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 4 maanden om 09:00 uur | |||
| Gebruiksperiode | Vanaf T - 4 maanden, tot en met T + 8 maanden | |||
| Ingangsdatum | T - 4 maanden | |||
| Einddatum | T + 8 maanden | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 maanden, tot en met T + 8 maanden, 1 maal per dag 1 stuk, Bij het eten innemen, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Bij het eten innemen | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_aanvullendeinstructie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_aanvullendeinstructie_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinstructie_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 4 maanden om 09:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 180 stuks | |||
| Geneesmiddel - primaire code | ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_aanvullendeinstructie_VV | |||
| MBH identificatie | MBH_920_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_toelichting
| Medicatieafspraak MBH_920_toelichting_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 21 dagen om 08:02 uur | |||
| Gebruiksperiode | Vanaf T - 21 dagen | |||
| Ingangsdatum | T - 21 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 21 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Toelichting | In overleg met specialist | |||
| MBH identificatie | MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_toelichting_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 21 dagen om 08:02 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Te verstrekken hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Toelichting | Extra verstrekkingsverzoek omdat patient medicatie is kwijtgeraakt | |||
| Relatie medicatieafspraak | MBH_920_toelichting_MA | |||
| MBH identificatie | MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_toelichting_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 21 dagen om 09:02 uur | |||
| Gebruiksperiode | Vanaf T - 21 dagen | |||
| Ingangsdatum | T - 21 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | LASIX TABLET 40MG (code = '220515' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 21 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Toelichting | In overleg met specialist | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_toelichting_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 21 dagen om 09:02 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | LASIX TABLET 40MG (code = '220515' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Toelichting | Extra verstrekkingsverzoek omdat patient medicatie is kwijtgeraakt | |||
| Relatie verstrekkingsverzoek | MBH_920_toelichting_VV | |||
| MBH identificatie | MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_toelichting_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T om 10:14 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Nee | |||
| Gebruiksperiode | Vanaf T - 7 dagen, tot en met T - 1 dag | |||
| Ingangsdatum | T - 7 dagen | |||
| Einddatum | T - 1 dag | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | LASIX TABLET 40MG (code = '220515' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 7 dagen, tot en met T - 1 dag, 2 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 2 maal per dag 1 stuk | |||
| Toelichting | In verband met bijwerking de afgelopen week minder vaak genomen | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_redenvanvoorschrijven
| Medicatieafspraak MBH_920_redenvanvoorschrijven_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 13 dagen om 08:05 uur | |||
| Gebruiksperiode | Vanaf T - 13 dagen, tot en met T + 14 dagen | |||
| Ingangsdatum | T - 13 dagen | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Probleem naam | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Reumatoide artritis | |||
| Geneesmiddel - primaire code | Methotrexaat tablet 2,5mg (code = '141631' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '16918' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 13 dagen, tot en met T + 14 dagen, 1 maal per week 5 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per week 5 stuks | |||
| MBH identificatie | MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_redenvanvoorschrijven_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_redenvanvoorschrijven_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 13 dagen om 08:05 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Te verstrekken hoeveelheid | 20 stuks | |||
| Geneesmiddel - primaire code | Methotrexaat tablet 2,5mg (code = '141631' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '16918' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_redenvanvoorschrijven_MA | |||
| MBH identificatie | MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_redenvanvoorschrijven_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_redenvanvoorschrijven_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 13 dagen om 09:05 uur | |||
| Gebruiksperiode | Vanaf T - 13 dagen, tot en met T + 14 dagen | |||
| Ingangsdatum | T - 13 dagen | |||
| Einddatum | T + 14 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | METHOTREXAAT PCH TABLET 2,5MG (code = '1421778' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 13 dagen, tot en met T + 14 dagen, 1 maal per week 5 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per week 5 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_redenvanvoorschrijven_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_redenvanvoorschrijven_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 13 dagen om 09:05 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 20 stuks | |||
| Geneesmiddel - primaire code | METHOTREXAAT PCH TABLET 2,5MG (code = '1421778' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_redenvanvoorschrijven_VV | |||
| MBH identificatie | MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_redenvanvoorschrijven_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_redenvanvoorschrijven_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T om 15:05 uur | |||
| Gebruik indicator | Nee | |||
| Volgens afspraak indicator | Nee | |||
| Gebruiksperiode | Vanaf T - 5 dagen, tot en met T - 2 dagen | |||
| Ingangsdatum | T - 5 dagen | |||
| Einddatum | T - 2 dagen | |||
| Medicatie gebruik stop type | tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | Methotrexaat tablet 2,5mg (code = '141631' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '16918' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 5 dagen, tot en met T - 2 dagen, geneesmiddel niet in gebruik, tijdelijk gestopt | |||
| Reden wijzigen of stoppen gebruik | Verrichting gepland (code = '405613005' in codeSystem 'SNOMED CT') | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_aanvullendeinformatiewensen
| Medicatieafspraak MBH_920_aanvullendeinformatiewensen_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinformatiewensen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 5 dagen om 08:06 uur | |||
| Gebruiksperiode | Vanaf T - 4 dagen, tot en met T + 5 dagen | |||
| Ingangsdatum | T - 4 dagen | |||
| Einddatum | T + 5 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 dagen, tot en met T + 5 dagen, 3 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| Aanvullende informatie | Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | |||
| MBH identificatie | MBH_920_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_aanvullendeinformatiewensen_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinformatiewensen_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 5 dagen om 08:06 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Te verstrekken hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Aanvullende wensen | Bezorgen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2051') | |||
| Relatie medicatieafspraak | MBH_920_aanvullendeinformatiewensen_MA | |||
| MBH identificatie | MBH_920_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_aanvullendeinformatiewensen_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinformatiewensen_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 5 dagen om 09:06 uur | |||
| Gebruiksperiode | Vanaf T - 4 dagen, tot en met T + 5 dagen | |||
| Ingangsdatum | T - 4 dagen | |||
| Einddatum | T + 5 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | BROXIL CAPSULE 500MG (code = '425087' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 dagen, tot en met T + 5 dagen, 3 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_aanvullendeinformatiewensen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_aanvullendeinformatiewensen_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinformatiewensen_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 5 dagen om 09:06 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | BROXIL CAPSULE 500MG (code = '425087' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_aanvullendeinformatiewensen_VV | |||
| MBH identificatie | MBH_920_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_Toedieningsweg
| Medicatieafspraak MBH_920_Toedieningsweg_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Toedieningsweg_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 5 dagen om 08:15 uur | |||
| Gebruiksperiode | Vanaf T - 5 dagen, tot en met T + 2 dagen | |||
| Ingangsdatum | T - 5 dagen | |||
| Einddatum | T + 2 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '80691' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '79804' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 5 dagen, tot en met T + 2 dagen, 2 maal per dag 1 druppel, In het rechter oog, oculair | |||
| Toedieningsweg | oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): In het rechter oog | |||
| Doseerinstructie | 2 maal per dag 1 druppel | |||
| Aanvullende informatie | Bewust afwijkende toedieningsweg (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | |||
| MBH identificatie | MBH_920_Toedieningsweg (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_Toedieningsweg_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Toedieningsweg_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 5 dagen om 08:15 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Te verstrekken hoeveelheid | 1 ml | |||
| Geneesmiddel - primaire code | DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '80691' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '79804' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_Toedieningsweg_MA | |||
| MBH identificatie | MBH_920_Toedieningsweg (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_Toedieningsweg_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Toedieningsweg_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 5 dagen om 09:15 uur | |||
| Gebruiksperiode | Vanaf T - 5 dagen, tot en met T + 2 dagen | |||
| Ingangsdatum | T - 5 dagen | |||
| Einddatum | T + 2 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | SOFRADEX OORDRUPPELS (code = '644781' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '80691' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '79804' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 5 dagen, tot en met T + 2 dagen, 2 maal per dag 1 druppel, In het rechter oog, oculair | |||
| Toedieningsweg | oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): In het rechter oog | |||
| Doseerinstructie | 2 maal per dag 1 druppel | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_Toedieningsweg_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_Toedieningsweg (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_Toedieningsweg_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Toedieningsweg_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 5 dagen om 09:15 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 1 stuk | |||
| Geneesmiddel - primaire code | SOFRADEX OORDRUPPELS (code = '644781' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '80691' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DEXAMETHASON/FRAMYCETINE/GRAMICIDINE OORDR (code = '79804' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_Toedieningsweg_VV | |||
| MBH identificatie | MBH_920_Toedieningsweg (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Bertine_van_Doorn | ||||
| Zorgverlener identificatienummer | 000001112 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Bertine van Doorn | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
Patiënt C. XXX_Coenen
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | C. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Coenen | |||
| Identificatienummer | 999900420 [BSN] | |||
| Geboortedatum | 17 okt 1963 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_aanvullendeinstructie
| Medicatieafspraak MBH_920_aanvullendeinstructie_MA_staken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinstructie_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 10 dagen om 18:00 uur | |||
| Gebruiksperiode | Vanaf T - 4 maanden, tot en met T - 10 dagen | |||
| Ingangsdatum | T - 4 maanden | |||
| Einddatum | T - 10 dagen | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Reden wijzigen of staken | Geneesmiddelinteractie (code = '79899007' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 maanden, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Bij het eten innemen, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Bij het eten innemen | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_aanvullendeinstructie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_aanvullendeinstructie_TA_staken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinstructie_TA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 10 dagen om 19:00 uur | |||
| Gebruiksperiode | Vanaf T - 4 maanden, tot en met T - 10 dagen | |||
| Ingangsdatum | T - 4 maanden | |||
| Einddatum | T - 10 dagen | |||
| Toedieningsafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_Jansen_en_Co | |||
| Geneesmiddel - primaire code | ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 maanden, tot en met T - 10 dagen, 1 maal per dag 1 stuk, Bij het eten innemen, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Bij het eten innemen | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_aanvullendeinstructie_MA_staken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_aanvullendeinstructie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_toelichting
| Medicatieafspraak MBH_920_toelichting_MA_wijzigingmetVV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_MA_wijzigingmetVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 2 dagen om 08:02 uur | |||
| Gebruiksperiode | Vanaf T - 2 dagen | |||
| Ingangsdatum | T - 2 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Reden wijzigen of staken | Gebrek aan geneesmiddeleffect (code = '58848006' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 2 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_toelichting_MA_techstaken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 2 dagen om 08:02 uur | |||
| Gebruiksperiode | Vanaf T - 21 dagen, tot en met T - 3 dagen | |||
| Ingangsdatum | T - 21 dagen | |||
| Einddatum | T - 3 dagen | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 21 dagen, tot en met T - 3 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toelichting_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_toelichting_VV_extra | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_VV_extra (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 2 dagen om 08:02 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Te verstrekken hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_toelichting_MA_wijzigingmetVV | |||
| MBH identificatie | MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_toelichting_TA_wijzigingmetMVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_TA_wijzigingmetMVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 2 dagen om 09:02 uur | |||
| Gebruiksperiode | Vanaf T - 2 dagen | |||
| Ingangsdatum | T - 2 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 2 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toelichting_MA_wijzigingmetVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_toelichting_TA_techstaken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_TA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 2 dagen om 09:02 uur | |||
| Gebruiksperiode | Vanaf T - 21 dagen, tot en met T - 3 dagen | |||
| Ingangsdatum | T - 21 dagen | |||
| Einddatum | T - 3 dagen | |||
| Toedieningsafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_Jansen_en_Co | |||
| Geneesmiddel - primaire code | FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 21 dagen, tot en met T - 3 dagen, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toelichting_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_toelichting_MVE_extra | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toelichting_MVE_extra (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 2 dagen om 09:02 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_toelichting_VV_extra | |||
| MBH identificatie | MBH_920_toelichting (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_redenvanvoorschrijven
| Medicatieafspraak MBH_920_redenvanvoorschrijven_MA_wijzigingzonderVV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_redenvanvoorschrijven_MA_wijzigingzonderVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 1 dag om 08:10 uur | |||
| Gebruiksperiode | Vanaf T - 1 dag, tot en met T + 14 dagen | |||
| Ingangsdatum | T - 1 dag | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Reden wijzigen of staken | Te sterk effect van medicatie (code = '112251000146103' in codeSystem 'SNOMED CT') | |||
| Probleem naam | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Reumatoide artritis | |||
| Geneesmiddel - primaire code | Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 1 dag, tot en met T + 14 dagen, 1 maal per week 4 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per week 4 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_redenvanvoorschrijven_MA_techstaken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_redenvanvoorschrijven_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 1 dag om 08:10 uur | |||
| Gebruiksperiode | Vanaf T - 13 dagen, tot en met T - 2 dagen | |||
| Ingangsdatum | T - 13 dagen | |||
| Einddatum | T - 2 dagen | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Probleem naam | overig (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Reumatoide artritis | |||
| Geneesmiddel - primaire code | Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 13 dagen, tot en met T - 2 dagen, 1 maal per week 5 stuks, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per week 5 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_redenvanvoorschrijven_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_redenvanvoorschrijven_TA_wijzigingzonderMVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_redenvanvoorschrijven_TA_wijzigingzonderMVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 1 dag om 09:10 uur | |||
| Gebruiksperiode | Vanaf T - 1 dag, tot en met T + 14 dagen | |||
| Ingangsdatum | T - 1 dag | |||
| Einddatum | T + 14 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_Jansen_en_Co | |||
| Geneesmiddel - primaire code | METHOTREXAAT PCH TABLET 2,5MG (code = '1421778' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 1 dag, tot en met T + 14 dagen, 1 maal per week 4 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per week 4 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_redenvanvoorschrijven_MA_wijzigingzonderVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_redenvanvoorschrijven_TA_techstaken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_redenvanvoorschrijven_TA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 1 dag om 09:10 uur | |||
| Gebruiksperiode | Vanaf T - 13 dagen, tot en met T - 2 dagen | |||
| Ingangsdatum | T - 13 dagen | |||
| Einddatum | T - 2 dagen | |||
| Toedieningsafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_Jansen_en_Co | |||
| Geneesmiddel - primaire code | METHOTREXAAT PCH TABLET 2,5MG (code = '1421778' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '6009' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Methotrexaat tablet 2,5mg (code = '42609' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 13 dagen, tot en met T - 2 dagen, 1 maal per week 5 stuks, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per week 5 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_redenvanvoorschrijven_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_redenvanvoorschrijven (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_aanvullendeinformatiewensen
| Medicatieafspraak MBH_920_aanvullendeinformatiewensen_MA_onderbreken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinformatiewensen_MA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 1 dag om 18:12 uur | |||
| Gebruiksperiode | Vanaf T - 4 dagen, tot en met T - 1 dag | |||
| Ingangsdatum | T - 4 dagen | |||
| Einddatum | T - 1 dag | |||
| Medicatieafspraak stop type | tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Reden wijzigen of staken | Opname in instelling (code = '305335007' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 dagen, tot en met T - 1 dag, 3 maal per dag 1 stuk, Oraal, tijdelijk gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| Aanvullende informatie | Bewust hoge dosering (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050') | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_aanvullendeinformatiewensen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_aanvullendeinformatiewensen_TA_onderbreken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_aanvullendeinformatiewensen_TA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 1 dag om 19:12 uur | |||
| Gebruiksperiode | Vanaf T - 4 dagen, tot en met T - 1 dag | |||
| Ingangsdatum | T - 4 dagen | |||
| Einddatum | T - 1 dag | |||
| Toedieningsafspraak stop type | tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_Jansen_en_Co | |||
| Geneesmiddel - primaire code | BROXIL CAPSULE 500MG (code = '425087' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 4 dagen, tot en met T - 1 dag, 3 maal per dag 1 stuk, Oraal, tijdelijk gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_aanvullendeinformatiewensen_MA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_aanvullendeinformatiewensen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Bertine_van_Doorn | ||||
| Zorgverlener identificatienummer | 000001112 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Bertine van Doorn | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_Jansen_en_Co | ||||
| Zorgaanbieder identificatienummer | 99901111 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek Jansen en Co | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
Patiënt E. XXX_Doppen
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | E. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Doppen | |||
| Identificatienummer | 999900511 [BSN] | |||
| Geboortedatum | 24 okt 1963 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_Lengte_Gewicht
| Medicatieafspraak MBH_920_Lengte_Gewicht_MA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 1 jaar om 07:05 uur | |||
| Gebruiksperiode | Vanaf T - 1 jaar | |||
| Ingangsdatum | T - 1 jaar | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 1 jaar, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_Lengte_Gewicht (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_Lengte_Gewicht_MA_onderbreken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_MA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 80 dagen om 15:00 uur | |||
| Gebruiksperiode | Vanaf T - 1 jaar, tot en met T - 80 dagen | |||
| Ingangsdatum | T - 1 jaar | |||
| Einddatum | T - 80 dagen | |||
| Medicatieafspraak stop type | tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Reden wijzigen of staken | Verrichting gepland (code = '405613005' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 1 jaar, tot en met T - 80 dagen, 1 maal per dag 1 stuk, Oraal, tijdelijk gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_Lengte_Gewicht_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_Lengte_Gewicht (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_Lengte_Gewicht_VV_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 1 jaar om 07:05 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 180 stuks | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_Lengte_Gewicht_MA_1 | |||
| MBH identificatie | MBH_920_Lengte_Gewicht (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_Lengte_Gewicht_TA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 1 jaar om 08:05 uur | |||
| Gebruiksperiode | Vanaf T - 1 jaar | |||
| Ingangsdatum | T - 1 jaar | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 1 jaar, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_Lengte_Gewicht_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_Lengte_Gewicht (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_Lengte_Gewicht_TA_onderbreken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_TA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 80 dagen om 16:00 uur | |||
| Gebruiksperiode | Vanaf T - 1 jaar, tot en met T - 80 dagen | |||
| Ingangsdatum | T - 1 jaar | |||
| Einddatum | T - 80 dagen | |||
| Toedieningsafspraak stop type | tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_Jansen_en_Co | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 1 jaar, tot en met T - 80 dagen, 1 maal per dag 1 stuk, Oraal, tijdelijk gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_Lengte_Gewicht_MA_onderbreken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_Lengte_Gewicht (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_Lengte_Gewicht_MVE_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 1 jaar om 08:05 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 180 stuks | |||
| Geneesmiddel - primaire code | ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_Lengte_Gewicht_VV_1 | |||
| MBH identificatie | MBH_920_Lengte_Gewicht (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
| Zorgaanbieder Apotheek_Jansen_en_Co | ||||
| Zorgaanbieder identificatienummer | 99901111 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek Jansen en Co | |||
Patiënt E. XXX_Doppen
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | E. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Doppen | |||
| Identificatienummer | 999900511 [BSN] | |||
| Geboortedatum | 24 okt 1963 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_Lengte_Gewicht_2
| Medicatieafspraak MBH_920_Lengte_Gewicht_2_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 1 jaar om 07:05 uur | |||
| Gebruiksperiode | Vanaf T - 1 jaar, tot en met T - 120 dagen | |||
| Ingangsdatum | T - 1 jaar | |||
| Einddatum | T - 120 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 1 jaar, tot en met T - 120 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_Lengte_Gewicht_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_Lengte_Gewicht_2_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_2_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 1 jaar om 07:05 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 125 stuks | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_Lengte_Gewicht_2_MA | |||
| MBH identificatie | MBH_920_Lengte_Gewicht_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_Lengte_Gewicht_2_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_2_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 1 jaar om 08:05 uur | |||
| Gebruiksperiode | Vanaf T - 1 jaar, tot en met T - 120 dagen | |||
| Ingangsdatum | T - 1 jaar | |||
| Einddatum | T - 120 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 1 jaar, tot en met T - 120 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_Lengte_Gewicht_2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_Lengte_Gewicht_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_Lengte_Gewicht_2_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_Lengte_Gewicht_2_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 1 jaar om 08:05 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 125 stuks | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_Lengte_Gewicht_2_VV | |||
| MBH identificatie | MBH_920_Lengte_Gewicht_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
Patiënt M. XXX_Raamsdonk
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | M. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Raamsdonk | |||
| Identificatienummer | 999900924 [BSN] | |||
| Geboortedatum | 6 nov 1985 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_volgens_afspraak
| Medicatieafspraak MBH_920_volgens_afspraak_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 20 dagen om 10:00 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, gedurende 10 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Gebruiksduur | 10 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '86991' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '129720' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, gedurende 10 dagen, 1 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| MBH identificatie | MBH_920_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_volgens_afspraak_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_volgens_afspraak_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 20 dagen om 10:00 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 20 stuks | |||
| Geneesmiddel - primaire code | DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '86991' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '129720' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_volgens_afspraak_MA | |||
| MBH identificatie | MBH_920_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_volgens_afspraak_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 20 dagen om 10:30 uur | |||
| Gebruiksperiode | Vanaf T - 20 dagen, gedurende 10 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Gebruiksduur | 10 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | PRADAXA CAPSULE 110MG (code = '1929461' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '86991' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '129720' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, gedurende 10 dagen, 1 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_volgens_afspraak_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_volgens_afspraak_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 20 dagen om 10:30 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 20 stuks | |||
| Geneesmiddel - primaire code | PRADAXA CAPSULE 110MG (code = '1929461' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '86991' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '129720' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_volgens_afspraak_VV | |||
| MBH identificatie | MBH_920_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_volgens_afspraak_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_volgens_afspraak_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 5 dagen om 18:20:05 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 20 dagen, gedurende 10 dagen | |||
| Ingangsdatum | T - 20 dagen | |||
| Gebruiksduur | 10 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | PRADAXA CAPSULE 110MG (code = '1929461' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '86991' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DABIGATRAN ETEXILAAT CAPSULE 110MG (code = '129720' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 20 dagen, gedurende 10 dagen, 1 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| MBH identificatie | MBH_920_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_niet_volgens_afspraak
| Medicatieafspraak MBH_920_niet_volgens_afspraak_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_niet_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 30 dagen om 15:30 uur | |||
| Gebruiksperiode | Vanaf T - 30 dagen | |||
| Ingangsdatum | T - 30 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | SIMVASTATINE TABLET FO 20MG (code = '67814' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | SIMVASTATINE TABLET FO 20MG (code = '116580' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 30 dagen, 1 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| MBH identificatie | MBH_920_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_niet_volgens_afspraak_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_niet_volgens_afspraak_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 30 dagen om 15:30 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | SIMVASTATINE TABLET FO 20MG (code = '67814' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | SIMVASTATINE TABLET FO 20MG (code = '116580' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_niet_volgens_afspraak_MA | |||
| MBH identificatie | MBH_920_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_niet_volgens_afspraak_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_niet_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 30 dagen om 16:00 uur | |||
| Gebruiksperiode | Vanaf T - 30 dagen | |||
| Ingangsdatum | T - 30 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | SIMVASTATINE SANDOZ TABLET FILMOMHULD 20MG (code = '1592661' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | SIMVASTATINE TABLET FO 20MG (code = '67814' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | SIMVASTATINE TABLET FO 20MG (code = '116580' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 30 dagen, 1 maal per dag 2 stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_niet_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_niet_volgens_afspraak_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_niet_volgens_afspraak_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 30 dagen om 16:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | SIMVASTATINE SANDOZ TABLET FILMOMHULD 20MG (code = '1592661' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | SIMVASTATINE TABLET FO 20MG (code = '67814' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | SIMVASTATINE TABLET FO 20MG (code = '116580' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_niet_volgens_afspraak_VV | |||
| MBH identificatie | MBH_920_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_niet_volgens_afspraak_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_niet_volgens_afspraak_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 19 dagen om 10:00 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Nee | |||
| Gebruiksperiode | Vanaf T - 30 dagen, tot en met T - 20 dagen | |||
| Ingangsdatum | T - 30 dagen | |||
| Einddatum | T - 20 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | SIMVASTATINE TABLET FO 20MG (code = '67814' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | SIMVASTATINE TABLET FO 20MG (code = '116580' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 30 dagen, tot en met T - 20 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_niet_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_geen_gebruik_niet_volgens_afspraak
| Medicatieafspraak MBH_920_geen_gebruik_niet_volgens_afspraak_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_geen_gebruik_niet_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 14 dagen om 12:30 uur | |||
| Gebruiksperiode | Vanaf T - 14 dagen | |||
| Ingangsdatum | T - 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 14 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_geen_gebruik_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_geen_gebruik_niet_volgens_afspraak_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_geen_gebruik_niet_volgens_afspraak_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 14 dagen om 12:30 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_geen_gebruik_niet_volgens_afspraak_MA | |||
| MBH identificatie | MBH_920_geen_gebruik_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_geen_gebruik_niet_volgens_afspraak_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_geen_gebruik_niet_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 14 dagen om 13:00 uur | |||
| Gebruiksperiode | Vanaf T - 14 dagen | |||
| Ingangsdatum | T - 14 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | HYDROCHLOORTHIAZIDE ACTAVIS TABLET 12,5MG (code = '2438429' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 14 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_geen_gebruik_niet_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_geen_gebruik_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_geen_gebruik_niet_volgens_afspraak_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_geen_gebruik_niet_volgens_afspraak_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 14 dagen om 13:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | HYDROCHLOORTHIAZIDE ACTAVIS TABLET 12,5MG (code = '2438429' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_geen_gebruik_niet_volgens_afspraak_VV | |||
| MBH identificatie | MBH_920_geen_gebruik_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_geen_gebruik_niet_volgens_afspraak_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_geen_gebruik_niet_volgens_afspraak_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 4 dagen om 08:00 uur | |||
| Gebruik indicator | Nee | |||
| Volgens afspraak indicator | Nee | |||
| Gebruiksperiode | Vanaf T - 6 dagen, tot en met T - 5 dagen | |||
| Ingangsdatum | T - 6 dagen | |||
| Einddatum | T - 5 dagen | |||
| Medicatie gebruik stop type | tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | HYDROCHLOORTHIAZIDE ACTAVIS TABLET 12,5MG (code = '2438429' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 6 dagen, tot en met T - 5 dagen, geneesmiddel niet in gebruik, tijdelijk gestopt | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_geen_gebruik_niet_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| MBH identificatie | MBH_920_geen_gebruik_niet_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_geen_gebruik_volgens_afspraak
| Medicatieafspraak MBH_920_geen_gebruik_volgens_afspraak_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_geen_gebruik_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 100 dagen om 08:30 uur | |||
| Gebruiksperiode | Vanaf T - 100 dagen | |||
| Ingangsdatum | T - 100 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_geen_gebruik_volgens_afspraak_stopMA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_geen_gebruik_volgens_afspraak_stopMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 20 dagen om 08:20:05 uur | |||
| Gebruiksperiode | Vanaf T - 100 dagen, tot en met T - 20 dagen | |||
| Ingangsdatum | T - 100 dagen | |||
| Einddatum | T - 20 dagen | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Reden wijzigen of staken | Drug treatment not indicated (situation) (code = '183966005' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 100 dagen, tot en met T - 20 dagen, 1 maal per dag 1 stuk, oraal, definitief gestopt | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_geen_gebruik_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_geen_gebruik_volgens_afspraak_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_geen_gebruik_volgens_afspraak_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 100 dagen om 08:30 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_geen_gebruik_volgens_afspraak_MA | |||
| MBH identificatie | MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_geen_gebruik_volgens_afspraak_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_geen_gebruik_volgens_afspraak_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 100 dagen om 09:00 uur | |||
| Gebruiksperiode | Vanaf T - 100 dagen | |||
| Ingangsdatum | T - 100 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | HYDROCHLOORTHIAZIDE ACTAVIS TABLET 12,5MG (code = '2438429' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_geen_gebruik_volgens_afspraak_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_geen_gebruik_volgens_afspraak_stopTA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_geen_gebruik_volgens_afspraak_stopTA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 20 dagen om 08:20:05 uur | |||
| Gebruiksperiode | Vanaf T - 100 dagen, tot en met T - 20 dagen | |||
| Ingangsdatum | T - 100 dagen | |||
| Einddatum | T - 20 dagen | |||
| Toedieningsafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | HYDROCHLOORTHIAZIDE ACTAVIS TABLET 12,5MG (code = '2438429' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 100 dagen, tot en met T - 20 dagen, 1 maal per dag 1 stuk, oraal, definitief gestopt | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_geen_gebruik_volgens_afspraak_stopMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_geen_gebruik_volgens_afspraak_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_geen_gebruik_volgens_afspraak_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 100 dagen om 09:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | HYDROCHLOORTHIAZIDE ACTAVIS TABLET 12,5MG (code = '2438429' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_geen_gebruik_volgens_afspraak_VV | |||
| MBH identificatie | MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_geen_gebruik_volgens_afspraak_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_geen_gebruik_volgens_afspraak_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 10 dagen om 12:00 uur | |||
| Gebruik indicator | Nee | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 19 dagen | |||
| Ingangsdatum | T - 19 dagen | |||
| Medicatie gebruik stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '76333' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | HYDROCHLOORTHIAZIDE TABLET 12,5MG (code = '122602' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 19 dagen, geneesmiddel niet in gebruik, definitief gestopt | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_geen_gebruik_volgens_afspraak_stopMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_geen_gebruik_volgens_afspraak (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_zelfzorgmedicatie
| Medicatieafspraak MBH_920_zelfzorgmedicatie_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_zelfzorgmedicatie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 79 dagen om 08:30 uur | |||
| Gebruiksperiode | Vanaf T - 90 dagen, gedurende 30 dagen | |||
| Ingangsdatum | T - 90 dagen | |||
| Gebruiksduur | 30 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | CETIRIZINE TABLET 10MG (code = '26298' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CETIRIZINE TABLET 10MG (code = '71218' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 90 dagen, gedurende 30 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Toelichting | Patiënt koopt zelfzorgmedicatie bij drogist. | |||
| Relatie medicatiegebruik | ||||
| Identificatie | MBH_920_zelfzorgmedicatie_MBG (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| MBH identificatie | MBH_920_zelfzorgmedicatie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_zelfzorgmedicatie_MBG | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_zelfzorgmedicatie_MBG (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T - 80 dagen om 20:30:10 uur | |||
| Gebruik indicator | Ja | |||
| Gebruiksperiode | Vanaf T - 90 dagen, gedurende 10 dagen | |||
| Ingangsdatum | T - 90 dagen | |||
| Gebruiksduur | 10 dagen | |||
| Auteur | ||||
| Auteur is patient | Ja | |||
| Geneesmiddel - primaire code | PREVALIN ALLERSTOP CETIRIZINE TABLET FILMOMH 10MG (code = '2497905' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | CETIRIZINE TABLET 10MG (code = '26298' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CETIRIZINE TABLET 10MG (code = '71218' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 90 dagen, gedurende 10 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_zelfzorgmedicatie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
Patiënt G. XXX_Hemsbergen
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | G. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Hemsbergen | |||
| Identificatienummer | 999900602 [BSN] | |||
| Geboortedatum | 2 nov 1963 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_variabelefrequentie
| Medicatieafspraak MBH_920_variabelefrequentie_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelefrequentie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:00 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 16 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 16 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 16 dagen, maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_variabelefrequentie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_variabelefrequentie_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelefrequentie_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:00 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_variabelefrequentie_MA | |||
| MBH identificatie | MBH_920_variabelefrequentie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_variabelefrequentie_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelefrequentie_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:00 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 16 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 16 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 16 dagen, maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_variabelefrequentie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_variabelefrequentie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_variabelefrequentie_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelefrequentie_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_variabelefrequentie_VV | |||
| MBH identificatie | MBH_920_variabelefrequentie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_variabelefrequentie_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelefrequentie_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 16 dagen om 16:00 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 16 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 16 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 16 dagen, maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_variabelefrequentie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Relatie toedieningsafspraak | ||||
| Identificatie | MBH_920_variabelefrequentie_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| MBH identificatie | MBH_920_variabelefrequentie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_interval
| Medicatieafspraak MBH_920_interval_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_interval_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:04 uur | |||
| Gebruiksperiode | Vanaf T | |||
| Ingangsdatum | T | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, iedere 8 uur 1 stuk , let op! Tijden exact aanhouden., Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | iedere 8 uur 1 stuk , let op! Tijden exact aanhouden. | |||
| MBH identificatie | MBH_920_interval (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_interval_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_interval_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:04 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_interval_MA | |||
| MBH identificatie | MBH_920_interval (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_interval_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_interval_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:04 uur | |||
| Gebruiksperiode | Vanaf T | |||
| Ingangsdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | AMOXICILLINE DISPER SANDOZ TABLET 500MG (code = '802891' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, iedere 8 uur 1 stuk , let op! Tijden exact aanhouden., Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | iedere 8 uur 1 stuk , let op! Tijden exact aanhouden. | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_interval_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_interval (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_interval_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_interval_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:04 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | AMOXICILLINE DISPER SANDOZ TABLET 500MG (code = '802891' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_interval_VV | |||
| MBH identificatie | MBH_920_interval (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_interval_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_interval_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 16 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 16 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 16 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | AMOXICILLINE DISPERTABLET 500MG (code = '68519' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | AMOXICILLINE DISPERTABLET 500MG (code = '117080' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 16 dagen, iedere 8 uur 1 stuk , let op! Tijden exact aanhouden., Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | iedere 8 uur 1 stuk , let op! Tijden exact aanhouden. | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_interval_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_interval (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_variabelehoeveelheid
| Medicatieafspraak MBH_920_variabelehoeveelheid_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:10 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 28 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 28 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 28 dagen, 3 maal per dag stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag stuks | |||
| MBH identificatie | MBH_920_variabelehoeveelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_variabelehoeveelheid_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheid_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:10 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 100 stuks | |||
| Geneesmiddel - primaire code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_variabelehoeveelheid_MA | |||
| MBH identificatie | MBH_920_variabelehoeveelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_variabelehoeveelheid_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheid_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:10 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 28 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 28 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | PARACETAMOLUM TABLET 500MG (code = '244716' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 28 dagen, 3 maal per dag stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_variabelehoeveelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_variabelehoeveelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_variabelehoeveelheid_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheid_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:10 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 100 stuks | |||
| Geneesmiddel - primaire code | PARACETAMOLUM TABLET 500MG (code = '244716' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_variabelehoeveelheid_VV | |||
| MBH identificatie | MBH_920_variabelehoeveelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_variabelehoeveelheid_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheid_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 14 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 14 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 14 dagen, 3 maal per dag stuks, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_variabelehoeveelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_variabelehoeveelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_zonderkeerdosis
| Medicatieafspraak MBH_920_zonderkeerdosis_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_zonderkeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:12 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 28 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 28 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 28 dagen, 3 maal per dag, aanbrengen, cutaan | |||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | 3 maal per dag | |||
| MBH identificatie | MBH_920_zonderkeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_zonderkeerdosis_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_zonderkeerdosis_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:12 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 1 stuk | |||
| Geneesmiddel - primaire code | Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_zonderkeerdosis_MA | |||
| MBH identificatie | MBH_920_zonderkeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_zonderkeerdosis_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_zonderkeerdosis_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:12 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 28 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 28 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 28 dagen, 3 maal per dag, aanbrengen, cutaan | |||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | 3 maal per dag | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_zonderkeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_zonderkeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_zonderkeerdosis_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_zonderkeerdosis_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:12 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 1 stuk | |||
| Geneesmiddel - primaire code | CETOMACROGOLCREME MET 10% VASELINE FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_zonderkeerdosis_VV | |||
| MBH identificatie | MBH_920_zonderkeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_zonderkeerdosis_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_zonderkeerdosis_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 21 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 21 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 21 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | Cetomacrogolcreme met vaseline 10% (code = '92789' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Cetomacrogolcreme met vaseline 10% (code = '133329' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 21 dagen, 3 maal per dag, aanbrengen, cutaan | |||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | 3 maal per dag | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_zonderkeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_zonderkeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_de_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
Patiënt G. XXX_Hemsbergen
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | G. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Hemsbergen | |||
| Identificatienummer | 999900602 [BSN] | |||
| Geboortedatum | 2 nov 1963 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_bijzonderekeerdosis
| Medicatieafspraak MBH_920_bijzonderekeerdosis_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_bijzonderekeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:15 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 28 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 28 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 28 dagen, 2 maal per dag 0.5 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 0.5 stuk | |||
| MBH identificatie | MBH_920_bijzonderekeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_bijzonderekeerdosis_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_bijzonderekeerdosis_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:15 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_bijzonderekeerdosis_MA | |||
| MBH identificatie | MBH_920_bijzonderekeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_bijzonderekeerdosis_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_bijzonderekeerdosis_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:15 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 28 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 28 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | NAPROXEN APOTEX TABLET 500MG (code = '1137778' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 28 dagen, 2 maal per dag 0.5 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 0.5 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_bijzonderekeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_bijzonderekeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_bijzonderekeerdosis_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_bijzonderekeerdosis_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:15 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | NAPROXEN APOTEX TABLET 500MG (code = '1137778' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_bijzonderekeerdosis_VV | |||
| MBH identificatie | MBH_920_bijzonderekeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_bijzonderekeerdosis_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_bijzonderekeerdosis_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 14 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 14 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 14 dagen, 2 maal per dag 0.5 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 2 maal per dag 0.5 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_bijzonderekeerdosis_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_bijzonderekeerdosis (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_variabelehoeveelheid2
| Medicatieafspraak MBH_920_variabelehoeveelheid2_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheid2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:18 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 28 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 28 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '72664' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '119903' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 28 dagen, 2 maal per dag ml, Eerst oplossen in water, mond spoelen, daarna uitspugen, OROMUCOSAAL | |||
| Toedieningsweg | OROMUCOSAAL (code = '34' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Aanvullende instructie | mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | 2 maal per dag ml | |||
| MBH identificatie | MBH_920_variabelehoeveelheid2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_variabelehoeveelheid2_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheid2_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:18 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 450 ml | |||
| Geneesmiddel - primaire code | WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '72664' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '119903' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_variabelehoeveelheid2_MA | |||
| MBH identificatie | MBH_920_variabelehoeveelheid2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_variabelehoeveelheid2_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheid2_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:18 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 28 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 28 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | WATERSTOFPEROXIDE 3% CONC VOOR MONDSP FNA MR (code = '261815' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '72994' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '119903' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 28 dagen, 2 maal per dag ml, Eerst oplossen in water, mond spoelen, daarna uitspugen, OROMUCOSAAL | |||
| Toedieningsweg | OROMUCOSAAL (code = '34' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Aanvullende instructie | mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | 2 maal per dag ml | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_variabelehoeveelheid2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_variabelehoeveelheid2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_variabelehoeveelheid2_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheid2_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:18 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 450 ml | |||
| Geneesmiddel - primaire code | WATERSTOFPEROXIDE 3% CONC VOOR MONDSP FNA MR (code = '261815' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '72994' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '119903' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_variabelehoeveelheid2_VV | |||
| MBH identificatie | MBH_920_variabelehoeveelheid2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_variabelehoeveelheid2_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheid2_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 21 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 21 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 21 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '72664' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | WATERSTOFPEROXIDE CONC VOOR MONDSPOELING 30MG/ML (code = '119903' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 21 dagen, 2 maal per dag ml, Eerst oplossen in water, mond spoelen, daarna uitspugen, OROMUCOSAAL | |||
| Toedieningsweg | OROMUCOSAAL (code = '34' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Aanvullende instructie | mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | 2 maal per dag ml | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_variabelehoeveelheid2_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_variabelehoeveelheid2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_tijdstippen_flexibel
| Medicatieafspraak MBH_920_tijdstippen_flexibel_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_tijdstippen_flexibel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:24 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 14 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 14 dagen, elke dag om 08:00, 14:00 en 20:00 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | elke dag om 08:00, 14:00 en 20:00 1 stuk | |||
| MBH identificatie | MBH_920_tijdstippen_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_tijdstippen_flexibel_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_tijdstippen_flexibel_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:24 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 42 stuks | |||
| Geneesmiddel - primaire code | METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_tijdstippen_flexibel_MA | |||
| MBH identificatie | MBH_920_tijdstippen_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_tijdstippen_flexibel_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_tijdstippen_flexibel_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:24 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 14 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 14 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | METFORMINE HCL PCH TABLET 500MG (code = '693332' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 14 dagen, elke dag om 08:00, 14:00 en 20:00 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | elke dag om 08:00, 14:00 en 20:00 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_tijdstippen_flexibel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_tijdstippen_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_tijdstippen_flexibel_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_tijdstippen_flexibel_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:24 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 42 stuks | |||
| Geneesmiddel - primaire code | METFORMINE HCL PCH TABLET 500MG (code = '693332' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_tijdstippen_flexibel_VV | |||
| MBH identificatie | MBH_920_tijdstippen_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_tijdstippen_flexibel_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_tijdstippen_flexibel_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 14 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 14 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 14 dagen, elke dag om 08:00, 14:00 en 20:00 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | elke dag om 08:00, 14:00 en 20:00 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_tijdstippen_flexibel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_tijdstippen_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_weekdagen
| Medicatieafspraak MBH_920_weekdagen_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_weekdagen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:25 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 70 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 70 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IMIQUIMOD 50MG/G CREME (code = '109398' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 70 dagen, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, cutaan | |||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | op maandag, woensdag en vrijdag | |||
| MBH identificatie | MBH_920_weekdagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_weekdagen_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_weekdagen_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:25 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IMIQUIMOD 50MG/G CREME (code = '109398' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_weekdagen_MA | |||
| MBH identificatie | MBH_920_weekdagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_weekdagen_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_weekdagen_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:25 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 70 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 70 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ALDARA CREME 50MG/G IN SACHET (code = '1198521' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IMIQUIMOD 50MG/G CREME (code = '109398' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 70 dagen, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, cutaan | |||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | op maandag, woensdag en vrijdag | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_weekdagen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_weekdagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_weekdagen_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_weekdagen_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:25 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | ALDARA CREME 50MG/G IN SACHET (code = '1198521' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IMIQUIMOD 50MG/G CREME (code = '109398' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_weekdagen_VV | |||
| MBH identificatie | MBH_920_weekdagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_weekdagen_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_weekdagen_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 14 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 14 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | IMIQUIMOD 50MG/G CREME (code = '55050' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | IMIQUIMOD 50MG/G CREME (code = '109398' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 14 dagen, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, cutaan | |||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Aanvullende instructie | voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Aanvullende instructie | aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst') | |||
| Doseerinstructie | op maandag, woensdag en vrijdag | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_weekdagen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_weekdagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_de_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
Patiënt G. XXX_Hemsbergen
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | G. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Hemsbergen | |||
| Identificatienummer | 999900602 [BSN] | |||
| Geboortedatum | 2 nov 1963 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_dagdeel
| Medicatieafspraak MBH_920_dagdeel_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_dagdeel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:27 uur | |||
| Gebruiksperiode | Vanaf T | |||
| Ingangsdatum | T | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE 10/20 (code = '123129' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, 1 stuk 's avonds, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 stuk 's avonds | |||
| MBH identificatie | MBH_920_dagdeel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_dagdeel_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_dagdeel_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:27 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE 10/20 (code = '123129' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_dagdeel_MA | |||
| MBH identificatie | MBH_920_dagdeel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_dagdeel_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_dagdeel_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:27 uur | |||
| Gebruiksperiode | Vanaf T | |||
| Ingangsdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE 10/20 (code = '123129' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, 1 stuk 's avonds, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 stuk 's avonds | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_dagdeel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_dagdeel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_dagdeel_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_dagdeel_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:27 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 60 stuks | |||
| Geneesmiddel - primaire code | INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE 10/20 (code = '123129' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_dagdeel_VV | |||
| MBH identificatie | MBH_920_dagdeel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_dagdeel_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_dagdeel_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 14 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 14 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | EZETIMIB/SIMVASTATINE 10/20 (code = '77038' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | EZETIMIB/SIMVASTATINE 10/20 (code = '123129' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 14 dagen, 1 stuk 's avonds, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 stuk 's avonds | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_dagdeel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_dagdeel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_cyclischschema
| Medicatieafspraak MBH_920_cyclischschema_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_cyclischschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:33 uur | |||
| Gebruiksperiode | Vanaf T | |||
| Ingangsdatum | T | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | gedurende 21 dagen 1 maal per dag 1 stuk | |||
| Herhaalperiode cyclisch schema | 28 dagen | |||
| MBH identificatie | MBH_920_cyclischschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_cyclischschema_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_cyclischschema_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:33 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 126 stuks | |||
| Geneesmiddel - primaire code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_cyclischschema_MA | |||
| MBH identificatie | MBH_920_cyclischschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_cyclischschema_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_cyclischschema_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:33 uur | |||
| Gebruiksperiode | Vanaf T | |||
| Ingangsdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | gedurende 21 dagen 1 maal per dag 1 stuk | |||
| Herhaalperiode cyclisch schema | 28 dagen | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_cyclischschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_cyclischschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_cyclischschema_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_cyclischschema_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:33 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 126 stuks | |||
| Geneesmiddel - primaire code | MARVELON TABLET (code = '416681' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_cyclischschema_VV | |||
| MBH identificatie | MBH_920_cyclischschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_cyclischschema_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_cyclischschema_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 14 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 14 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 14 dagen, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | gedurende 21 dagen 1 maal per dag 1 stuk | |||
| Herhaalperiode cyclisch schema | 28 dagen | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_cyclischschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_cyclischschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_afbouwschema
| Medicatieafspraak MBH_920_afbouwschema_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_afbouwschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:40 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 41 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 41 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 41 dagen, eerst gedurende 2 weken 1 maal per dag 3 gram, dan gedurende 3 weken 1 maal per dag 2 gram, dan gedurende 6 dagen 1 maal per dag 1 gram, cutaan | |||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie 1 | eerst gedurende 2 weken 1 maal per dag 3 gram | |||
| Doseerinstructie 2 | dan gedurende 3 weken 1 maal per dag 2 gram | |||
| Doseerinstructie 3 | dan gedurende 6 dagen 1 maal per dag 1 gram | |||
| MBH identificatie | MBH_920_afbouwschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_afbouwschema_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_afbouwschema_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:40 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 90 gram | |||
| Geneesmiddel - primaire code | Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_afbouwschema_MA | |||
| MBH identificatie | MBH_920_afbouwschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_afbouwschema_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_afbouwschema_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:40 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 41 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 41 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | AFFUSINE CREME 20MG/G (code = '2292556' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 41 dagen, eerst gedurende 2 weken 1 maal per dag 3 gram, dan gedurende 3 weken 1 maal per dag 2 gram, dan gedurende 6 dagen 1 maal per dag 1 gram, cutaan | |||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie 1 | eerst gedurende 2 weken 1 maal per dag 3 gram | |||
| Doseerinstructie 2 | dan gedurende 3 weken 1 maal per dag 2 gram | |||
| Doseerinstructie 3 | dan gedurende 6 dagen 1 maal per dag 1 gram | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_afbouwschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_afbouwschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_afbouwschema_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_afbouwschema_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:40 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 90 gram | |||
| Geneesmiddel - primaire code | AFFUSINE CREME 20MG/G (code = '2292556' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_afbouwschema_VV | |||
| MBH identificatie | MBH_920_afbouwschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_afbouwschema_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_afbouwschema_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 21 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 21 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 21 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | Fusidinezuur creme 20mg/g (code = '16705' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Fusidinezuur creme 20mg/g (code = '73466' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 21 dagen, eerst gedurende 2 weken 1 maal per dag 3 gram, dan gedurende 3 weken 1 maal per dag 2 gram, dan gedurende 6 dagen 1 maal per dag 1 gram, cutaan | |||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie 1 | eerst gedurende 2 weken 1 maal per dag 3 gram | |||
| Doseerinstructie 2 | dan gedurende 3 weken 1 maal per dag 2 gram | |||
| Doseerinstructie 3 | dan gedurende 6 dagen 1 maal per dag 1 gram | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_afbouwschema_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_afbouwschema (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_variabelehoeveelheidenmaximum
| Medicatieafspraak MBH_920_variabelehoeveelheidenmaximum_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheidenmaximum_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:45 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 21 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 21 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 21 dagen, Bij hoest stuks , maximaal 6 stuks per dag, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | Bij hoest stuks , maximaal 6 stuks per dag | |||
| MBH identificatie | MBH_920_variabelehoeveelheidenmaximum (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_variabelehoeveelheidenmaximum_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheidenmaximum_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:45 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 120 stuks | |||
| Geneesmiddel - primaire code | CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_variabelehoeveelheidenmaximum_MA | |||
| MBH identificatie | MBH_920_variabelehoeveelheidenmaximum (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_variabelehoeveelheidenmaximum_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheidenmaximum_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:45 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 21 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 21 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 21 dagen, Bij hoest stuks , maximaal 6 stuks per dag, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | Bij hoest stuks , maximaal 6 stuks per dag | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_variabelehoeveelheidenmaximum_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_variabelehoeveelheidenmaximum (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_variabelehoeveelheidenmaximum_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheidenmaximum_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:45 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 120 stuks | |||
| Geneesmiddel - primaire code | CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_variabelehoeveelheidenmaximum_VV | |||
| MBH identificatie | MBH_920_variabelehoeveelheidenmaximum (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_variabelehoeveelheidenmaximum_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_variabelehoeveelheidenmaximum_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 21 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 21 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 21 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 21 dagen, Bij hoest stuks , maximaal 6 stuks per dag, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | Bij hoest stuks , maximaal 6 stuks per dag | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_variabelehoeveelheidenmaximum_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_variabelehoeveelheidenmaximum (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_de_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
Patiënt G. XXX_Hemsbergen
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | G. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Hemsbergen | |||
| Identificatienummer | 999900602 [BSN] | |||
| Geboortedatum | 2 nov 1963 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_toedieningssnelheid
| Medicatieafspraak MBH_920_toedieningssnelheid_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toedieningssnelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:47 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 8 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 8 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '134538' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 8 dagen, toedieningssnelheid: ml per uur, parenteraal | |||
| Toedieningsweg | parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | toedieningssnelheid: ml per uur | |||
| MBH identificatie | MBH_920_toedieningssnelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_toedieningssnelheid_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toedieningssnelheid_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:47 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 100 ml | |||
| Geneesmiddel - primaire code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '134538' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_toedieningssnelheid_MA | |||
| MBH identificatie | MBH_920_toedieningssnelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_toedieningssnelheid_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toedieningssnelheid_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:47 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 8 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 8 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | MORFINEHYDROCHLORIDE 1ML= 5MG EPI CAS 100ML FNA MR (code = '779288' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '134538' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 8 dagen, toedieningssnelheid: ml per uur, parenteraal | |||
| Toedieningsweg | parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | toedieningssnelheid: ml per uur | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toedieningssnelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toedieningssnelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_toedieningssnelheid_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toedieningssnelheid_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:47 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 100 ml | |||
| Geneesmiddel - primaire code | MORFINEHYDROCHLORIDE 1ML= 5MG EPI CAS 100ML FNA MR (code = '779288' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '134538' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_toedieningssnelheid_VV | |||
| MBH identificatie | MBH_920_toedieningssnelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_toedieningssnelheid_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toedieningssnelheid_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatiegebruik datum tijd | T + 8 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 8 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 8 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MORFINE INFVLST 5MG/ML CAS 100ML (code = '134538' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 8 dagen, toedieningssnelheid: ml per uur, parenteraal | |||
| Toedieningsweg | parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | toedieningssnelheid: ml per uur | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toedieningssnelheid_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toedieningssnelheid (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_toedieningsduur
| Medicatieafspraak MBH_920_toedieningsduur_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toedieningsduur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:49 uur | |||
| Gebruiksperiode | Vanaf T | |||
| Ingangsdatum | T | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, 1 maal per dag 1 stuk, transdermaal | |||
| Toedieningsweg | transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_toedieningsduur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_toedieningsduur_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toedieningsduur_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:49 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_toedieningsduur_MA | |||
| MBH identificatie | MBH_920_toedieningsduur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_toedieningsduur_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toedieningsduur_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:49 uur | |||
| Gebruiksperiode | Vanaf T | |||
| Ingangsdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, 1 maal per dag 1 stuk, transdermaal | |||
| Toedieningsweg | transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toedieningsduur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toedieningsduur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_toedieningsduur_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toedieningsduur_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:49 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_toedieningsduur_VV | |||
| MBH identificatie | MBH_920_toedieningsduur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_toedieningsduur_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_toedieningsduur_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatiegebruik datum tijd | T + 14 dagen om 12:00 uur | |||
| Gebruik indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 14 dagen om 12:00 uur | |||
| Ingangsdatum | T | |||
| Einddatum | T + 14 dagen om 12:00 uur | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 14 dagen om 12:00 uur, 1 maal per dag 1 stuk, transdermaal | |||
| Toedieningsweg | transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_toedieningsduur_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_toedieningsduur (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_zonodig
| Medicatieafspraak MBH_920_zonodig_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_zonodig_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 08:57 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 27 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 27 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR 100MG TAB (code = '3956' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 27 dagen, Zo nodig 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | Zo nodig 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_zonodig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_zonodig_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_zonodig_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 08:57 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 14 stuks | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR 100MG TAB (code = '3956' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_zonodig_MA | |||
| MBH identificatie | MBH_920_zonodig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_zonodig_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_zonodig_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 09:57 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 27 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 27 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ASPIRINE TABLET 100MG (code = '202681' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR 100MG TAB (code = '3956' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 27 dagen, Zo nodig 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | Zo nodig 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_zonodig_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_zonodig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_zonodig_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_zonodig_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 09:57 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 14 stuks | |||
| Geneesmiddel - primaire code | ASPIRINE TABLET 100MG (code = '202681' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR 100MG TAB (code = '3956' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_zonodig_VV | |||
| MBH identificatie | MBH_920_zonodig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_zonodig_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_zonodig_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 14 dagen om 23:59:59 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 14 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 14 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | ACETYLSALICYLZUUR 100MG TAB (code = '3956' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR TABLET 100MG (code = '12548' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 14 dagen, Zo nodig 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | Zo nodig 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_zonodig_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_zonodig (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_tijdstippen_niet_flexibel
| Medicatieafspraak MBH_920_tijdstippen_niet_flexibel_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_tijdstippen_niet_flexibel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 09:15 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 7 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 7 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 7 dagen, elke dag om 09:00, 12:00 en 15:00 1 stuk , let op! Tijden exact aanhouden., oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | elke dag om 09:00, 12:00 en 15:00 1 stuk , let op! Tijden exact aanhouden. | |||
| MBH identificatie | MBH_920_tijdstippen_niet_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_tijdstippen_niet_flexibel_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_tijdstippen_niet_flexibel_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 09:15 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_tijdstippen_niet_flexibel_MA | |||
| MBH identificatie | MBH_920_tijdstippen_niet_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_tijdstippen_niet_flexibel_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_tijdstippen_niet_flexibel_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 10:15 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Geneesmiddel - primaire code | METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | elke dag om 09:00, 12:00 en 15:00 1 stuk , let op! Tijden exact aanhouden., oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | elke dag om 09:00, 12:00 en 15:00 1 stuk , let op! Tijden exact aanhouden. | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_tijdstippen_niet_flexibel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_tijdstippen_niet_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_tijdstippen_niet_flexibel_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_tijdstippen_niet_flexibel_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 10:17 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_de_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | METFORMINE HCL PCH TABLET 500MG (code = '693332' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_tijdstippen_niet_flexibel_VV | |||
| MBH identificatie | MBH_920_tijdstippen_niet_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatiegebruik MBH_920_tijdstippen_niet_flexibel_MGB | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_tijdstippen_niet_flexibel_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | |||
| Medicatiegebruik datum tijd | T + 7 dagen om 16:00 uur | |||
| Gebruik indicator | Ja | |||
| Volgens afspraak indicator | Ja | |||
| Gebruiksperiode | Vanaf T, tot en met T + 7 dagen om 15:00 uur | |||
| Ingangsdatum | T | |||
| Einddatum | T + 7 dagen om 15:00 uur | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Informant | ||||
| Informant is patient | Ja | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | METFORMINE 500MG TABLET (code = '1090' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | METFORMINE 500MG TABLET (code = '3816' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 7 dagen om 15:00 uur, elke dag om 09:00, 12:00 en 15:00 1 stuk , let op! Tijden exact aanhouden. | |||
| Doseerinstructie | elke dag om 09:00, 12:00 en 15:00 1 stuk , let op! Tijden exact aanhouden. | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_tijdstippen_niet_flexibel_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_tijdstippen_niet_flexibel (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_de_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek de Gulle Gaper | |||
Patiënt G. XXX_Hess
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | G. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Hess | |||
| Identificatienummer | 999900614 [BSN] | |||
| Geboortedatum | 3 nov 1963 | |||
| Geslacht | Man (code = 'M' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_magistraalalleingredienten
| Medicatieafspraak MBH_920_magistraalalleingredienten_MA | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraalalleingredienten_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||
| Medicatieafspraak datum tijd | T om 12:00 uur | ||||
| Gebruiksperiode | Vanaf T, tot en met T + 31 dagen | ||||
| Ingangsdatum | T | ||||
| Einddatum | T + 31 dagen | ||||
| Voorschrijver | |||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | ||||
| Geneesmiddel - Product specificatie | |||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||
| Ingredient | |||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Ingredient | |||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, tot en met T + 31 dagen, Zo nodig, cutaan | ||||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | Zo nodig | ||||
| MBH identificatie | MBH_920_magistraalalleingredienten (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Verstrekkingsverzoek MBH_920_magistraalalleingredienten_VV | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraalalleingredienten_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||||
| Verstrekkingsverzoek datum | T om 12:00 uur | ||||
| Auteur | |||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | ||||
| Te verstrekken hoeveelheid | 100 ml | ||||
| Geneesmiddel - Product specificatie | |||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||
| Ingredient | |||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Ingredient | |||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Beoogd verstrekker | |||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | ||||
| Relatie medicatieafspraak | MBH_920_magistraalalleingredienten_MA | ||||
| MBH identificatie | MBH_920_magistraalalleingredienten (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak MBH_920_magistraalalleingredienten_TA | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraalalleingredienten_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Toedieningsafspraak datum tijd | T om 13:00 uur | ||||
| Gebruiksperiode | Vanaf T, tot en met T + 31 dagen | ||||
| Ingangsdatum | T | ||||
| Einddatum | T + 31 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | ||||
| Geneesmiddel - Product specificatie | |||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||
| Ingredient | |||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Ingredient | |||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, tot en met T + 31 dagen, Zo nodig, cutaan | ||||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen') | ||||
| Doseerinstructie | Zo nodig | ||||
| Relatie medicatieafspraak | |||||
| Identificatie | MBH_920_magistraalalleingredienten_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||
| MBH identificatie | MBH_920_magistraalalleingredienten (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Medicatieverstrekking MBH_920_magistraalalleingredienten_MVE | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraalalleingredienten_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||||
| Medicatieverstrekkings datum tijd | T om 13:00 uur | ||||
| Verstrekker | |||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | ||||
| Verstrekte hoeveelheid | 100 ml | ||||
| Geneesmiddel - Product specificatie | |||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||
| Ingredient | |||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Ingredient | |||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Relatie verstrekkingsverzoek | MBH_920_magistraalalleingredienten_VV | ||||
| MBH identificatie | MBH_920_magistraalalleingredienten (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Medicatiegebruik MBH_920_magistraalalleingredienten_MGB | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraalalleingredienten_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||
| Medicatiegebruik datum tijd | T om 21:53 uur | ||||
| Gebruik indicator | Ja | ||||
| Volgens afspraak indicator | Ja | ||||
| Gebruiksperiode | Vanaf T, tot en met T | ||||
| Ingangsdatum | T | ||||
| Einddatum | T | ||||
| Voorschrijver | |||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | ||||
| Auteur | |||||
| Auteur is patient | Ja | ||||
| Geneesmiddel - Product specificatie | |||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||
| Ingredient | |||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Ingredient | |||||
| Ingredient code | EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, tot en met T, 2 maal per dag, cutaan | ||||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 2 maal per dag | ||||
| Relatie toedieningsafspraak | |||||
| Identificatie | MBH_920_magistraalalleingredienten_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||
| MBH identificatie | MBH_920_magistraalalleingredienten (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
Medicamenteuze behandeling MBH_920_magistraalactieveingredient
| Medicatieafspraak MBH_920_magistraalactieveingredient_MA | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraalactieveingredient_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||
| Medicatieafspraak datum tijd | T om 12:05 uur | ||||
| Gebruiksperiode | Vanaf T + 1 dag, tot en met T + 70 dagen | ||||
| Ingangsdatum | T + 1 dag | ||||
| Einddatum | T + 70 dagen | ||||
| Voorschrijver | |||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | ||||
| Geneesmiddel - Product specificatie | |||||
| Product naam | Vaseline 20% in cetomacrogolcrème FNA | ||||
| Omschrijving | Titel: Vaseline 20% in cetomacrogolcrème FNA Regel 1: cetomacrogolcreme 80 gr | ||||
| Ingredient | |||||
| Ingredient code | CETOMACROGOLCREME FNA (code = '457590' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T + 1 dag, tot en met T + 70 dagen, 1 maal per dag, cutaan | ||||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag | ||||
| MBH identificatie | MBH_920_magistraalactieveingredient (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Verstrekkingsverzoek MBH_920_magistraalactieveingredient_VV | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraalactieveingredient_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||||
| Verstrekkingsverzoek datum | T om 12:05 uur | ||||
| Auteur | |||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | ||||
| Te verstrekken hoeveelheid | 100 gram | ||||
| Geneesmiddel - Product specificatie | |||||
| Product naam | Vaseline 20% in cetomacrogolcrème FNA | ||||
| Omschrijving | Titel: Vaseline 20% in cetomacrogolcrème FNA Regel 1: cetomacrogolcreme 80 gr | ||||
| Ingredient | |||||
| Ingredient code | CETOMACROGOLCREME FNA (code = '457590' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Beoogd verstrekker | |||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | ||||
| Relatie medicatieafspraak | MBH_920_magistraalactieveingredient_MA | ||||
| MBH identificatie | MBH_920_magistraalactieveingredient (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak MBH_920_magistraalactieveingredient_TA | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraalactieveingredient_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Toedieningsafspraak datum tijd | T om 13:05 uur | ||||
| Gebruiksperiode | Vanaf T + 1 dag, tot en met T + 70 dagen | ||||
| Ingangsdatum | T + 1 dag | ||||
| Einddatum | T + 70 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | ||||
| Geneesmiddel - Product specificatie | |||||
| Product naam | Vaseline 20% in cetomacrogolcrème FNA | ||||
| Omschrijving | Titel: Vaseline 20% in cetomacrogolcrème FNA Regel 1: cetomacrogolcreme 80 gr | ||||
| Ingredient | |||||
| Ingredient code | CETOMACROGOLCREME FNA (code = '457590' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T + 1 dag, tot en met T + 70 dagen, 1 maal per dag, cutaan | ||||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag | ||||
| Relatie medicatieafspraak | |||||
| Identificatie | MBH_920_magistraalactieveingredient_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||
| MBH identificatie | MBH_920_magistraalactieveingredient (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Medicatieverstrekking MBH_920_magistraalactieveingredient_MVE | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraalactieveingredient_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||||
| Medicatieverstrekkings datum tijd | T om 13:05 uur | ||||
| Verstrekker | |||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | ||||
| Verstrekte hoeveelheid | 100 gram | ||||
| Geneesmiddel - Product specificatie | |||||
| Product naam | Vaseline 20% in cetomacrogolcrème FNA | ||||
| Omschrijving | Titel: Vaseline 20% in cetomacrogolcrème FNA Regel 1: cetomacrogolcreme 80 gr | ||||
| Ingredient | |||||
| Ingredient code | CETOMACROGOLCREME FNA (code = '457590' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Relatie verstrekkingsverzoek | MBH_920_magistraalactieveingredient_VV | ||||
| MBH identificatie | MBH_920_magistraalactieveingredient (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Medicatiegebruik MBH_920_magistraalactieveingredient_MGB | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraalactieveingredient_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||
| Medicatiegebruik datum tijd | T om 22:08 uur | ||||
| Gebruik indicator | Ja | ||||
| Volgens afspraak indicator | Nee | ||||
| Gebruiksperiode | Vanaf T, tot en met T | ||||
| Ingangsdatum | T | ||||
| Einddatum | T | ||||
| Voorschrijver | |||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | ||||
| Auteur | |||||
| Auteur is patient | Ja | ||||
| Geneesmiddel - Product specificatie | |||||
| Product naam | Vaseline 20% in cetomacrogolcrème FNA | ||||
| Omschrijving | Titel: Vaseline 20% in cetomacrogolcrème FNA Regel 1: cetomacrogolcreme 80 gr | ||||
| Ingredient | |||||
| Ingredient code | CETOMACROGOLCREME FNA (code = '457590' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, tot en met T, 3 maal per dag, cutaan | ||||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 3 maal per dag | ||||
| Relatie toedieningsafspraak | |||||
| Identificatie | MBH_920_magistraalactieveingredient_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| MBH identificatie | MBH_920_magistraalactieveingredient (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
Medicamenteuze behandeling MBH_920_magistraal90miljoennr
| Medicatieafspraak MBH_920_magistraal90miljoennr_MA | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraal90miljoennr_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||
| Medicatieafspraak datum tijd | T om 12:08 uur | ||||
| Gebruiksperiode | Vanaf T, tot en met T + 30 dagen | ||||
| Ingangsdatum | T | ||||
| Einddatum | T + 30 dagen | ||||
| Voorschrijver | |||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | ||||
| Geneesmiddel - Product specificatie | |||||
| Product code | Eigen artikel: ureumzalf (code = '90000001' in codeSystem '2.16.840.1.113883.2.4.3.11.9999.77.90000000.1.1111') | ||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||
| Ingredient | |||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, tot en met T + 30 dagen, 1 maal per dag, cutaan | ||||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag | ||||
| MBH identificatie | MBH_920_magistraal90miljoennr (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Verstrekkingsverzoek MBH_920_magistraal90miljoennr_VV | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraal90miljoennr_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | ||||
| Verstrekkingsverzoek datum | T om 12:08 uur | ||||
| Auteur | |||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | ||||
| Te verstrekken hoeveelheid | 100 gram | ||||
| Geneesmiddel - Product specificatie | |||||
| Product code | Eigen artikel: ureumzalf (code = '90000001' in codeSystem '2.16.840.1.113883.2.4.3.11.9999.77.90000000.1.1111') | ||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||
| Ingredient | |||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Beoogd verstrekker | |||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | ||||
| Relatie medicatieafspraak | MBH_920_magistraal90miljoennr_MA | ||||
| MBH identificatie | MBH_920_magistraal90miljoennr (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Toedieningsafspraak MBH_920_magistraal90miljoennr_TA | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraal90miljoennr_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| Toedieningsafspraak datum tijd | T om 13:08 uur | ||||
| Gebruiksperiode | Vanaf T, tot en met T + 30 dagen | ||||
| Ingangsdatum | T | ||||
| Einddatum | T + 30 dagen | ||||
| Verstrekker | |||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | ||||
| Geneesmiddel - Product specificatie | |||||
| Product code | Eigen artikel: ureumzalf (code = '90000001' in codeSystem '2.16.840.1.113883.2.4.3.11.9999.77.90000000.1.1111') | ||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||
| Ingredient | |||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, tot en met T + 30 dagen, 1 maal per dag, cutaan | ||||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag | ||||
| Relatie medicatieafspraak | |||||
| Identificatie | MBH_920_magistraal90miljoennr_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | ||||
| MBH identificatie | MBH_920_magistraal90miljoennr (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Medicatieverstrekking MBH_920_magistraal90miljoennr_MVE | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraal90miljoennr_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | ||||
| Medicatieverstrekkings datum tijd | T om 13:08 uur | ||||
| Verstrekker | |||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | ||||
| Verstrekte hoeveelheid | 100 gram | ||||
| Geneesmiddel - Product specificatie | |||||
| Product code | Eigen artikel: ureumzalf (code = '90000001' in codeSystem '2.16.840.1.113883.2.4.3.11.9999.77.90000000.1.1111') | ||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||
| Ingredient | |||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Relatie verstrekkingsverzoek | MBH_920_magistraal90miljoennr_VV | ||||
| MBH identificatie | MBH_920_magistraal90miljoennr (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Medicatiegebruik MBH_920_magistraal90miljoennr_MGB | |||||
| Gegevenselement | Waarde | ||||
| Identificatie | MBH_920_magistraal90miljoennr_MGB (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1) | ||||
| Medicatiegebruik datum tijd | T om 23:01 uur | ||||
| Gebruik indicator | Ja | ||||
| Volgens afspraak indicator | Ja | ||||
| Gebruiksperiode | Vanaf T, tot en met T | ||||
| Ingangsdatum | T | ||||
| Einddatum | T | ||||
| Voorschrijver | |||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | ||||
| Auteur | |||||
| Auteur is patient | Ja | ||||
| Geneesmiddel - Product specificatie | |||||
| Product code | Eigen artikel: ureumzalf (code = '90000001' in codeSystem '2.16.840.1.113883.2.4.3.11.9999.77.90000000.1.1111') | ||||
| Product naam | Ureum 10% in eucerine cum aqua 100gr | ||||
| Omschrijving | Titel: Ureum 10% in eucerine cum aqua 100gr Regel: UREUM 10gr Regel: EUCERINE MET WATER FAGRON ad 100gr | ||||
| Ingredient | |||||
| Ingredient code | UREUM (code = '15219127' in codeSystem 'G-Standaard HPK') | ||||
| Sterkte | per | ||||
| Gebruiksinstructie | |||||
| Omschrijving | Vanaf T, tot en met T, 1 maal per dag, cutaan | ||||
| Toedieningsweg | cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | ||||
| Doseerinstructie | 1 maal per dag | ||||
| Relatie toedieningsafspraak | |||||
| Identificatie | MBH_920_magistraal90miljoennr_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | ||||
| MBH identificatie | MBH_920_magistraal90miljoennr (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
Patiënt L. van XXX_Meijs
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | L. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Voorvoegsels | van | |||
| Achternaam | XXX_Meijs | |||
| Identificatienummer | 999900808 [BSN] | |||
| Geboortedatum | 26 okt 1985 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_VVandermansMA
| Medicatieafspraak MBH_920_VVandermansMA_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_VVandermansMA_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 14 dagen om 09:00 uur | |||
| Gebruiksperiode | Vanaf T - 14 dagen, tot en met T + 6 dagen | |||
| Ingangsdatum | T - 14 dagen | |||
| Einddatum | T + 6 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 14 dagen, tot en met T + 6 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_VVandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_VVandermansMA_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_VVandermansMA_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 09:00 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Te verstrekken hoeveelheid | 6 stuks | |||
| Geneesmiddel - primaire code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_VVandermansMA_MA | |||
| MBH identificatie | MBH_920_VVandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_VVandermansMA_andermansVV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_VVandermansMA_andermansVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 14 dagen om 09:00 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Te verstrekken hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_VVandermansMA_MA | |||
| MBH identificatie | MBH_920_VVandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_MVEandermansTA_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_MVEandermansTA_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 14 dagen om 10:00 uur | |||
| Gebruiksperiode | Vanaf T - 14 dagen, tot en met T + 6 dagen | |||
| Ingangsdatum | T - 14 dagen | |||
| Einddatum | T + 6 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | DICLOFENAC NATRIUM SANDOZ RETARD TABLET MGA 100MG (code = '594253' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 14 dagen, tot en met T + 6 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_VVandermansMA_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_VVandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_MVEandermansTA_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_MVEandermansTA_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 10:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 6 stuks | |||
| Geneesmiddel - primaire code | DICLOFENAC NATRIUM SANDOZ RETARD TABLET MGA 100MG (code = '594253' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_VVandermansMA_VV | |||
| MBH identificatie | MBH_920_VVandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_MVEandermansTA_andermansMVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_MVEandermansTA_andermansMVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 14 dagen om 10:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | DICLOFENAC NATRIUM SANDOZ RETARD TABLET MGA 100MG (code = '594253' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '8052' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | DICLOFENAC NATRIUM TABLET MGA 100MG (code = '22268' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_VVandermansMA_andermansVV | |||
| MBH identificatie | MBH_920_VVandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_stakenandermansMA
| Medicatieafspraak MBH_920_stakenandermansMA_MA2 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_stakenandermansMA_MA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 09:05 uur | |||
| Gebruiksperiode | Vanaf T - 5 dagen, tot en met T | |||
| Ingangsdatum | T - 5 dagen | |||
| Einddatum | T | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Reden wijzigen of staken | Drug treatment not indicated (situation) (code = '183966005' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 5 dagen, tot en met T, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_stakenandermansMA_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_stakenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_stakenandermansMA_MA1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_stakenandermansMA_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 5 dagen om 08:45 uur | |||
| Gebruiksperiode | Vanaf T - 5 dagen, tot en met T + 15 dagen | |||
| Ingangsdatum | T - 5 dagen | |||
| Einddatum | T + 15 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 5 dagen, tot en met T + 15 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_stakenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_stakenandermansMA_andermansVV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_stakenandermansMA_andermansVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 5 dagen om 08:45 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Te verstrekken hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_stakenandermansMA_MA1 | |||
| MBH identificatie | MBH_920_stakenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_stakenandermansTA_TA2 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_stakenandermansTA_TA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 10:05 uur | |||
| Gebruiksperiode | Vanaf T - 5 dagen, tot en met T | |||
| Ingangsdatum | T - 5 dagen | |||
| Einddatum | T | |||
| Toedieningsafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 5 dagen, tot en met T, 1 maal per dag 1 stuk, Oraal, definitief gestopt | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_stakenandermansMA_MA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_stakenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_stakenandermansTA_TA1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_stakenandermansTA_TA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 5 dagen om 09:45 uur | |||
| Gebruiksperiode | Vanaf T - 5 dagen, tot en met T + 15 dagen | |||
| Ingangsdatum | T - 5 dagen | |||
| Einddatum | T + 15 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 5 dagen, tot en met T + 15 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_stakenandermansMA_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_stakenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_stakenandermansTA_andermansMVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_stakenandermansTA_andermansMVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 5 dagen om 09:45 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 21 stuks | |||
| Geneesmiddel - primaire code | ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_stakenandermansMA_andermansVV | |||
| MBH identificatie | MBH_920_stakenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_onderbrekenandermansMA
| Medicatieafspraak MBH_920_onderbrekenandermansMA_MA2 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_onderbrekenandermansMA_MA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 09:07 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen, tot en met T | |||
| Ingangsdatum | T - 60 dagen | |||
| Einddatum | T | |||
| Medicatieafspraak stop type | tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Reden wijzigen of staken | Verrichting gepland (code = '405613005' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | APACOF 250/250/50MG TABLET (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, tot en met T, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_onderbrekenandermansMA_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_onderbrekenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_onderbrekenandermansMA_MA1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_onderbrekenandermansMA_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 60 dagen om 09:00 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen, tot en met T + 29 dagen | |||
| Ingangsdatum | T - 60 dagen | |||
| Einddatum | T + 29 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | APACOF 250/250/50MG TABLET (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, tot en met T + 29 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_onderbrekenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_onderbrekenandermansMA_andermansVV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_onderbrekenandermansMA_andermansVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 60 dagen om 09:00 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Te verstrekken hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | APACOF 250/250/50MG TABLET (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_onderbrekenandermansMA_MA1 | |||
| MBH identificatie | MBH_920_onderbrekenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_onderbrekenandermansTA_TA2 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_onderbrekenandermansTA_TA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 10:07 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen, tot en met T | |||
| Ingangsdatum | T - 60 dagen | |||
| Einddatum | T | |||
| Toedieningsafspraak stop type | tijdelijk gestopt met medicatie (code = '113381000146106' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | APC APOTEX TABLET (code = '795097' in codeSystem 'G-Sandaard HPK') | |||
| Geneesmiddel - generiekere code | APACOF 250/250/50MG TABLET (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, tot en met T, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_onderbrekenandermansMA_MA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_onderbrekenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_onderbrekenandermansTA_TA1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_onderbrekenandermansTA_TA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 60 dagen om 10:00 uur | |||
| Gebruiksperiode | Vanaf T - 60 dagen, tot en met T + 29 dagen | |||
| Ingangsdatum | T - 60 dagen | |||
| Einddatum | T + 29 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | APC APOTEX TABLET (code = '795097' in codeSystem 'G-Sandaard HPK') | |||
| Geneesmiddel - generiekere code | APACOF 250/250/50MG TABLET (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 60 dagen, tot en met T + 29 dagen, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_onderbrekenandermansMA_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_onderbrekenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_onderbrekenandermansTA_andermansMVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_onderbrekenandermansTA_andermansMVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 60 dagen om 10:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 90 stuks | |||
| Geneesmiddel - primaire code | APC APOTEX TABLET (code = '795097' in codeSystem 'G-Sandaard HPK') | |||
| Geneesmiddel - generiekere code | APACOF 250/250/50MG TABLET (code = '3891' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | ACETYLSALICYLZUUR/PARACETAMOL/COF TAB 250/250/50MG (code = '61433' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_onderbrekenandermansMA_andermansVV | |||
| MBH identificatie | MBH_920_onderbrekenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_wijzigenandermansMA
| Medicatieafspraak MBH_920_wijzigenandermansMA_MA1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wijzigenandermansMA_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 7 dagen om 07:50 uur | |||
| Gebruiksperiode | Vanaf T - 7 dagen, tot en met T + 13 dagen | |||
| Ingangsdatum | T - 7 dagen | |||
| Einddatum | T + 13 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 7 dagen, tot en met T + 13 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| MBH identificatie | MBH_920_wijzigenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_wijzigenandermansMA_MA_techstaken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wijzigenandermansMA_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 09:10 uur | |||
| Gebruiksperiode | Vanaf T - 7 dagen, tot en met T - 1 dag | |||
| Ingangsdatum | T - 7 dagen | |||
| Einddatum | T - 1 dag | |||
| Medicatieafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 7 dagen, tot en met T - 1 dag, 1 maal per dag 2 stuks, oraal, definitief gestopt | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wijzigenandermansMA_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_wijzigenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_wijzigenandermansMA_MA2 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wijzigenandermansMA_MA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 09:10 uur | |||
| Gebruiksperiode | Vanaf T | |||
| Ingangsdatum | T | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Peter_van_Pulver | |||
| Reden wijzigen of staken | Te sterk effect van medicatie (code = '112251000146103' in codeSystem 'SNOMED CT') | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wijzigenandermansMA_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_wijzigenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_wijzigenandermansMA_andermansVV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wijzigenandermansMA_andermansVV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 7 dagen om 07:50 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Marcha_van_Partners | |||
| Te verstrekken hoeveelheid | 42 stuks | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_wijzigenandermansMA_MA1 | |||
| MBH identificatie | MBH_920_wijzigenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_wijzigenandermansTA_TA1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wijzigenandermansTA_TA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 7 dagen om 08:50 uur | |||
| Gebruiksperiode | Vanaf T - 7 dagen, tot en met T + 13 dagen | |||
| Ingangsdatum | T - 7 dagen | |||
| Einddatum | T + 13 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | FUROSEMIDE MYLAN TABLET 40MG (code = '1529587' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 7 dagen, tot en met T + 13 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wijzigenandermansMA_MA1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_wijzigenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_wijzigenandermansTA_TA_techstaken | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wijzigenandermansTA_TA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 10:10 uur | |||
| Gebruiksperiode | Vanaf T - 7 dagen, tot en met T - 1 dag | |||
| Ingangsdatum | T - 7 dagen | |||
| Einddatum | T - 1 dag | |||
| Toedieningsafspraak stop type | definitief gestopt met medicatie (code = '113371000146109' in codeSystem 'SNOMED CT') | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | FUROSEMIDE MYLAN TABLET 40MG (code = '1529587' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 7 dagen, tot en met T - 1 dag, 1 maal per dag 2 stuks, oraal, definitief gestopt | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wijzigenandermansMA_MA_techstaken (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_wijzigenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_wijzigenandermansTA_TA2 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wijzigenandermansTA_TA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 10:10 uur | |||
| Gebruiksperiode | Vanaf T | |||
| Ingangsdatum | T | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | FUROSEMIDE MYLAN TABLET 40MG (code = '1529587' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, 1 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_wijzigenandermansMA_MA2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_wijzigenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_wijzigenandermansTA_andermansMVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_wijzigenandermansTA_andermansMVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 7 dagen om 08:50 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 42 stuks | |||
| Geneesmiddel - primaire code | FUROSEMIDE MYLAN TABLET 40MG (code = '1529587' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_wijzigenandermansMA_andermansVV | |||
| MBH identificatie | MBH_920_wijzigenandermansMA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Marcha_van_Partners | ||||
| Zorgverlener identificatienummer | 000001115 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Marcha van Partners | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Itis | |||
| Zorgverlener Peter_van_Pulver | ||||
| Zorgverlener identificatienummer | 000001111 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Peter van Pulver | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Itis | ||||
| Zorgaanbieder identificatienummer | 00005111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Itis | |||
| Adresgegevens | Werkadres: Langelaan 1 1234ZZ Onze Stad | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||
Patiënt M. XXX_Nederveen
| Patiënt | ||||
| Gegevenselement | Waarde | |||
| Naamgegevens | ||||
| Initialen | M. | |||
| Naamgebruik | Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4') | |||
| Geslachtsnaam | ||||
| Achternaam | XXX_Nederveen | |||
| Identificatienummer | 999900833 [BSN] | |||
| Geboortedatum | 28 okt 1985 | |||
| Geslacht | Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender') | |||
Medicamenteuze behandeling MBH_920_logistiekeverbruiksperiode_start_eind
| Medicatieafspraak MBH_920_logistiekeverbruiksperiode_start_eind_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_start_eind_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 11:00 uur | |||
| Gebruiksperiode | Vanaf T + 10 dagen, tot en met T + 12 maanden | |||
| Ingangsdatum | T + 10 dagen | |||
| Einddatum | T + 12 maanden | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T + 10 dagen, tot en met T + 12 maanden, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieafspraak MBH_920_logistiekeverbruiksperiode_start_eind_MA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_start_eind_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 10:59:59 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 9 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 9 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_logistiekeverbruiksperiode_start_eind_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_start_eind_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 11:00 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Aantal herhalingen | 3 | |||
| Geneesmiddel - primaire code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Verbruiksperiode | Vanaf T + 10 dagen, tot en met T + 6 maanden | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_logistiekeverbruiksperiode_start_eind_MA | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_logistiekeverbruiksperiode_start_eind_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_start_eind_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 12:00 uur | |||
| Gebruiksperiode | Vanaf T + 10 dagen, tot en met T + 12 maanden | |||
| Ingangsdatum | T + 10 dagen | |||
| Einddatum | T + 12 maanden | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T + 10 dagen, tot en met T + 12 maanden, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_logistiekeverbruiksperiode_start_eind_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_logistiekeverbruiksperiode_start_eind_TA_1 | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_start_eind_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 11:59:59 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 9 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 9 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 9 dagen, 1 maal per dag 2 stuks, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 2 stuks | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_logistiekeverbruiksperiode_start_eind_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_logistiekeverbruiksperiode_start_eind_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_start_eind_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 12:00 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 100 stuks | |||
| Geneesmiddel - primaire code | ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '49484' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | Acetylsalicylzuur tabletmsr 100mg (code = '103039' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_logistiekeverbruiksperiode_start_eind_VV | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_start_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_herhalingen
| Medicatieafspraak MBH_920_herhalingen_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_herhalingen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 50 dagen om 11:05 uur | |||
| Gebruiksperiode | Vanaf T - 50 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_herhalingen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_herhalingen_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_herhalingen_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 50 dagen om 11:05 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Te verstrekken hoeveelheid | 30 stuks | |||
| Aantal herhalingen | 5 | |||
| Geneesmiddel - primaire code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_herhalingen_MA | |||
| MBH identificatie | MBH_920_herhalingen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_herhalingen_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_herhalingen_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 50 dagen om 12:05 uur | |||
| Gebruiksperiode | Vanaf T - 50 dagen | |||
| Ingangsdatum | T - 50 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | FUROSEMIDE APOTEX TABLET 40MG (code = '1127047' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 50 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_herhalingen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_herhalingen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_herhalingen_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_herhalingen_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 50 dagen om 12:05 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | FUROSEMIDE APOTEX TABLET 40MG (code = '1127047' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '5967' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FUROSEMIDE 40MG TABLET (code = '16810' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_herhalingen_VV | |||
| MBH identificatie | MBH_920_herhalingen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_afleverlocatie
| Medicatieafspraak MBH_920_afleverlocatie_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_afleverlocatie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 11:07 uur | |||
| Gebruiksperiode | Vanaf T + 1 dag, tot en met T + 10 dagen | |||
| Ingangsdatum | T + 1 dag | |||
| Einddatum | T + 10 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T + 1 dag, tot en met T + 10 dagen, 3 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_afleverlocatie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_afleverlocatie_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_afleverlocatie_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 11:07 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Te verstrekken hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Afleverlocatie | Dorpsrand 200,1256ZZ Ons Dorp | |||
| Relatie medicatieafspraak | MBH_920_afleverlocatie_MA | |||
| MBH identificatie | MBH_920_afleverlocatie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_afleverlocatie_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_afleverlocatie_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 12:07 uur | |||
| Gebruiksperiode | Vanaf T + 1 dag, tot en met T + 10 dagen | |||
| Ingangsdatum | T + 1 dag | |||
| Einddatum | T + 10 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | BROXIL CAPSULE 500MG (code = '425087' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T + 1 dag, tot en met T + 10 dagen, 3 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen') | |||
| Doseerinstructie | 3 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_afleverlocatie_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_afleverlocatie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_afleverlocatie_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_afleverlocatie_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 12:07 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 30 stuks | |||
| Geneesmiddel - primaire code | BROXIL CAPSULE 500MG (code = '425087' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE CAPSULE 500MG (code = '17205' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | FENETICILLINE 500MG CAPSULE (code = '41092' in codeSystem 'G-Standaard GPK') | |||
| Afleverlocatie | Dorpsrand 200,1256ZZ Ons Dorp | |||
| Relatie verstrekkingsverzoek | MBH_920_afleverlocatie_VV | |||
| MBH identificatie | MBH_920_afleverlocatie (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_logistiekeverbruiksperiode_eind
| Medicatieafspraak MBH_920_logistiekeverbruiksperiode_eind_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_eind_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T - 9 dagen om 11:01 uur | |||
| Gebruiksperiode | Vanaf T - 9 dagen, tot en met T + 200 dagen | |||
| Ingangsdatum | T - 9 dagen | |||
| Einddatum | T + 200 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 9 dagen, tot en met T + 200 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_logistiekeverbruiksperiode_eind_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_eind_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T - 9 dagen om 11:01 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Verbruiksperiode | tot en met T + 200 dagen | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_logistiekeverbruiksperiode_eind_MA | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_logistiekeverbruiksperiode_eind_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_eind_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T - 9 dagen om 12:01 uur | |||
| Gebruiksperiode | Vanaf T - 9 dagen, tot en met T + 200 dagen | |||
| Ingangsdatum | T - 9 dagen | |||
| Einddatum | T + 200 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T - 9 dagen, tot en met T + 200 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_logistiekeverbruiksperiode_eind_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_logistiekeverbruiksperiode_eind_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_eind_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T - 9 dagen om 12:01 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 100 stuks | |||
| Geneesmiddel - primaire code | MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_logistiekeverbruiksperiode_eind_VV | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_eind (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_logistiekeverbruiksperiode_duur_dagen
| Medicatieafspraak MBH_920_logistiekeverbruiksperiode_duur_dagen_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_duur_dagen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 11:02 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 150 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 150 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 150 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_duur_dagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_logistiekeverbruiksperiode_duur_dagen_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_duur_dagen_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 11:02 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Verbruiksperiode | gedurende 50 dagen | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Relatie medicatieafspraak | MBH_920_logistiekeverbruiksperiode_duur_dagen_MA | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_duur_dagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Toedieningsafspraak MBH_920_logistiekeverbruiksperiode_duur_dagen_TA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_duur_dagen_TA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1) | |||
| Toedieningsafspraak datum tijd | T om 12:02 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 150 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 150 dagen | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Geneesmiddel - primaire code | PARACETAMOL PCH TABLET 500MG (code = '768901' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 150 dagen, 1 maal per dag 1 stuk, Oraal | |||
| Toedieningsweg | Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 1 maal per dag 1 stuk | |||
| Relatie medicatieafspraak | ||||
| Identificatie | MBH_920_logistiekeverbruiksperiode_duur_dagen_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_duur_dagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Medicatieverstrekking MBH_920_logistiekeverbruiksperiode_duur_dagen_MVE | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_logistiekeverbruiksperiode_duur_dagen_MVE (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1) | |||
| Medicatieverstrekkings datum tijd | T om 12:02 uur | |||
| Verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Verstrekte hoeveelheid | 100 stuks | |||
| Verbruiksduur | 50 dagen | |||
| Geneesmiddel - primaire code | PARACETAMOL PCH TABLET 500MG (code = '768901' in codeSystem 'G-Standaard HPK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK') | |||
| Relatie verstrekkingsverzoek | MBH_920_logistiekeverbruiksperiode_duur_dagen_VV | |||
| MBH identificatie | MBH_920_logistiekeverbruiksperiode_duur_dagen (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
Medicamenteuze behandeling MBH_920_financiele_indicatiecode
| Medicatieafspraak MBH_920_financiele_indicatiecode_MA | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_financiele_indicatiecode_MA (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1) | |||
| Medicatieafspraak datum tijd | T om 11:35 uur | |||
| Gebruiksperiode | Vanaf T, tot en met T + 13 dagen | |||
| Ingangsdatum | T | |||
| Einddatum | T + 13 dagen | |||
| Voorschrijver | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Geneesmiddel - primaire code | OXAZEPAM 10MG TABLET (code = '353' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | |||
| Gebruiksinstructie | ||||
| Omschrijving | Vanaf T, tot en met T + 13 dagen, 4 maal per dag 1 stuk, oraal | |||
| Toedieningsweg | oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)') | |||
| Doseerinstructie | 4 maal per dag 1 stuk | |||
| MBH identificatie | MBH_920_financiele_indicatiecode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Verstrekkingsverzoek MBH_920_financiele_indicatiecode_VV | ||||
| Gegevenselement | Waarde | |||
| Identificatie | MBH_920_financiele_indicatiecode_VV (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1) | |||
| Verstrekkingsverzoek datum | T om 11:35 uur | |||
| Auteur | ||||
| Zorgverlener | Zie Zorgverlener: Bertine_van_Doorn | |||
| Te verstrekken hoeveelheid | 56 stuks | |||
| Geneesmiddel - primaire code | OXAZEPAM 10MG TABLET (code = '353' in codeSystem 'G-Standaard PRK') | |||
| Geneesmiddel - generiekere code | OXAZEPAM TABLET 10MG (code = '1023' in codeSystem 'G-Standaard GPK') | |||
| Beoogd verstrekker | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Apotheek_De_Gulle_Gaper | |||
| Financiele indicatiecode | (code = 'OTH' in codeSystem 'NullFlavor'): B2 | |||
| Relatie medicatieafspraak | MBH_920_financiele_indicatiecode_MA | |||
| MBH identificatie | MBH_920_financiele_indicatiecode (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | |||
| Bouwstenen | ||||
| Gegevenselement | Waarde | |||
| Zorgverlener Bertine_van_Doorn | ||||
| Zorgverlener identificatienummer | 000001112 (in identificerend systeem: UZI Personen) | |||
| Naamgegevens | Bertine van Doorn | |||
| Specialisme | Huisartsen, niet nader gespecificeerd (code = '0100' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)') | |||
| Zorgaanbieder | ||||
| Zorgaanbieder | Zie Zorgaanbieder: Huisartsenpraktijk_Pulver_en_Partners | |||
| Zorgaanbieder Huisartsenpraktijk_Pulver_en_Partners | ||||
| Zorgaanbieder identificatienummer | 00001111 (in identificerend systeem: URA) | |||
| Organisatie naam | Huisartsenpraktijk Pulver & Partners | |||
| Adresgegevens | Werkadres: Dorpsstraat 1 1234AA Ons Dorp | |||
| Zorgaanbieder Apotheek_De_Gulle_Gaper | ||||
| Zorgaanbieder identificatienummer | 01236578 (in identificerend systeem: URA) | |||
| Organisatie naam | Apotheek De Gulle Gaper | |||