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Regel 1: Regel 1:
 +
{{anchor|tabel1}}
 +
{| class="wikitable" "cellpadding="10"
 +
|+Tabel 1. Overzicht situaties specifieke en generieke MBH-id voor EVS en AIS
 +
|-
 +
! style="text-align:left;"|Situatie
 +
! style="text-align:left;"|EVS
 +
! style="text-align:left;"|AIS
 +
! style="text-align:left;"|ETDR
 +
|-
 +
! style="text-align:left;"|Migreren van actuele en recent gestopte medicatie
 +
| style="background-color: white;vertical-align:top;"|Specifieke MBH-id||Generieke MBH-id
 +
| style="background-color: white;vertical-align:top;"|Generieke MBH-id
 +
|-
 +
! style="text-align:left;"|Migreren van historische medicatie
 +
| style="background-color: white;vertical-align:top;"|Generieke MBH-id||Generieke MBH-id
 +
| style="background-color: white;vertical-align:top;"|Generieke MBH-id
 +
|-
 +
! style="text-align:left;"|Starten van nieuwe MBH
 +
| style="background-color: white;vertical-align:top;"|Specieke MBH-id||Generieke MBH-id<ref>AIS initieert in principe géén specifieke MBH-id. Alleen wanneer er geen PRK is, maakt het AIS een specifieke MBH-id aan (zie paragraaf [[#Bijzondere situaties|Bijzondere situaties]]).</ref>
 +
| style="background-color: white;vertical-align:top;"|Generieke MBH-id
  
−
__NUMBEREDHEADINGS__
+
|-
−
{{DISPLAYTITLE:Raadplegen medicatiegegevens 9.0.7: addendum inhoudelijke gegevens kwalificatie}}
 
−
 
 
−
=Addenda voor inhoudelijke gegevens=
 
−
==Patiënt J. XXX_Amaya==
 
−
<section begin=XXX_Amaya />
 
−
{| 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;"|J.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Naamgebruik
 
−
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Achternaam
 
−
|style="background-color: white;"|XXX_Amaya
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|999911764 [BSN]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|51107 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|6 aug 1964
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 
−
|}<section end=XXX_Amaya /><section begin=ALLMBHS_XXX_Amaya /><section begin=MBH_MBH_513_1 />
 
−
====Medicamenteuze behandeling MBH_513_1 ====
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_513_1_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_513_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 1 dag om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 1 dag, gedurende 1 jaar''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 1 dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|1 jaar
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geannuleerd indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|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="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 1 dag, gedurende 1 jaar, 10 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|10 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_513_1_MA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_513_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:00 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 1 jaar''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|1 jaar
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Bertine van  Doorn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|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="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_513_1_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_513_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T om 12:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 1 jaar''
 
−
|-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;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|1 jaar
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|ASPIRINE PROTECT EC TABLET MSR 100MG (code = '1110837' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '49484' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|ACETYLSALICYLZUUR TABLETMSR 100MG (code = '103039' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 1 jaar, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_513_1_MA_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_513_1 /><section begin=MBH_MBH_513_2 />
 
−
====Medicamenteuze behandeling MBH_513_2 ====
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_513_2_MA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_513_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 14:32 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar afspraak of gebruik: TA
 
−
|style="background-color: white;"|MBH_513_2_TA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Hans van  Doorn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-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;"|Ziekenhuis Stitswerd
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Reden wijzigen of staken
 
−
|style="background-color: white;"|Opname (code = '305335007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Toelichting
 
−
|style="background-color: white;"|Toedieningsafspraak van apotheker ontvangen, geen medicatieafspraak van voorschrijver ontvangen. Deze nieuwe medicatieafspraak is gebaseerd op de toedieningsafspraak: MBH_513_2_TA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verstrekkingsverzoek MBH_513_2_VV_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_513_2_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum
 
−
|style="background-color: white;"|T om 14:32 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Auteur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Hans van  Doorn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|style="background-color: white;"|99901111 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Organisatie naam
 
−
|style="background-color: white;"|Ziekenhuis Stitswerd
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Te verstrekken hoeveelheid
 
−
|style="background-color: white;"|30 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Beoogd verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|Apotheek De Gulle Gaper
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Toelichting
 
−
|style="background-color: white;"|Extra verstrekkingsverzoek omdat patiënt de medicatie is kwijt geraakt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_513_2_MA_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_513_2_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_513_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 7 dagen om 14:52 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 7 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 7 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Reden afspraak
 
−
|style="background-color: white;"|Opname
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 7 dagen, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_513_2_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verstrekking MBH_513_2_MVE_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_513_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanschrijfdatum
 
−
|style="background-color: white;"|T om 14:32 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Verstrekte hoeveelheid
 
−
|style="background-color: white;"|30 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|FUROSEMIDE ACTAVIS TABLET 40MG (code = '571148' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar verstrekkingsverzoek
 
−
|style="background-color: white;"|MBH_513_2_VV_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_513_2_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_513_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 2 dagen om 15:39 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|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;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 2 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Hans van  Doorn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|style="background-color: white;"|99901111 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Organisatie naam
 
−
|style="background-color: white;"|Ziekenhuis Stitswerd
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Informant
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Zorgverlener  :  Hans van Doorn  - Medisch specialisten, inwendige geneeskunde.  Ziekenhuis Stitswerd
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 2 dagen, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_513_2_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_513_2_MGB_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_513_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 20:40 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 1 dag''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 1 dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Hans van  Doorn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|style="background-color: white;"|99901111 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Organisatie naam
 
−
|style="background-color: white;"|Ziekenhuis Stitswerd
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Informant
 
−
|style="background-color: white;"|Persoon:  M. XXX_Amaya  - Mantelzorger. 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Zorgverlener  :  Hans van Doorn  - Medisch specialisten, inwendige geneeskunde.  Ziekenhuis Stitswerd
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 1 dag, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_513_2_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatie gebruik MBH_513_2_MGB_3
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatie
 
−
|style="background-color: white;"|MBH_513_2_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Registratiedatum
 
−
|style="background-color: white;"|T om 21:39 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"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Informant
 
−
|style="background-color: white;"|Zorgverlener  :  Peter van Pulver  - Huisartsen, niet nader gespecificeerd.  Huisartsenpraktijk Pulver & Partners
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Auteur
 
−
|style="background-color: white;"|Zorgaanbieder  :  Ziekenhuis Stitswerd 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '5967' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUROSEMIDE TABLET 40MG (code = '16810' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, 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"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_513_2_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_513_2 /><section begin=MBH_MBH_5132_2 />
 
−
====Medicamenteuze behandeling MBH_5132_2 ====
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatie gebruik MBH_5132_2_MGB_1
 
−
|-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_5132_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Registratiedatum
 
−
|style="background-color: white;"|T om 20:59 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"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gebruiksduur
 
−
|style="background-color: white;"|1 dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|TEMAZEPAM APOTEX TABLET 10MG (code = '13806769' in codeSystem 'G-Standaard ZI-nummer')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TEMAZEPAM APOTEX TABLET 10MG (code = '677965' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TEMAZEPAM TABLET 10MG (code = '32956' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TEMAZEPAM TABLET 10MG (code = '84190' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 1 dag, 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"|Gerelateerde verstrekking
 
−
|style="background-color: white;"|MBH_5132_2_MVE_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|MBH identificatie
 
−
|style="background-color: white;"|MBH_5132_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_5132_2 /><section begin=MBH_MBH_513_3 />
 
−
====Medicamenteuze behandeling MBH_513_3 ====
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_513_3_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_513_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 14:32 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 28 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|28 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar afspraak of gebruik: MGB
 
−
|style="background-color: white;"|MBH_513_3_MGB_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Hans van  Doorn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-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;"|Ziekenhuis Stitswerd
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Reden van voorschrijven
 
−
|style="background-color: white;"|Andere maligniteit bloed/lymfestelsel (code = 'B74' in codeSystem 'De Nederlandse editie van International Classification of Primary Care ICPC-1-NL')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 28 dagen, 1 maal per week 5 stuks, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per week 5 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_513_3_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_513_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 3 dagen om 20:59 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 8 dagen, tot en met T - 3 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 8 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T - 3 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|999001112 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Hans van  Doorn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Specialisme
 
−
|style="background-color: white;"|Medisch specialisten, inwendige geneeskunde (code = '0313' in codeSystem 'COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|style="background-color: white;"|99901111 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Organisatie naam
 
−
|style="background-color: white;"|Ziekenhuis Stitswerd
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '6009' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|METHOTREXAAT TABLET 2,5MG (code = '42609' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 8 dagen, tot en met T - 3 dagen, 1 maal per week 5 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per week 5 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Reden gebruik
 
−
|style="background-color: white;"|Lymfekanker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Toelichting
 
−
|style="background-color: white;"|Tabletten wat lastig door te slikken, maar het lukt uiteindelijk wel.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_513_3 /><section begin=MBH_MBH_513_4 />
 
−
====Medicamenteuze behandeling MBH_513_4 ====
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_513_4_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_513_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 5 dagen om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, gedurende 10 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 5 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|10 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|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="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|3 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Lichaamslengte
 
−
|style="background-color: white;"|155 cm. Gemeten: T - 5 dagen om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Lichaamsgewicht
 
−
|style="background-color: white;"|54 kg. Gemeten: T - 5 dagen om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|Toelichting
 
−
|style="background-color: white;"|In overleg met specialist
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verstrekkingsverzoek MBH_513_4_VV_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_513_4_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum
 
−
|style="background-color: white;"|T - 5 dagen om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Auteur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Te verstrekken hoeveelheid
 
−
|style="background-color: white;"|40 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|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="7"|Beoogd verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|Apotheek De Gulle Gaper
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afleverlocatie
 
−
|style="background-color: white;"|Huisadres patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Aanvullende wensen
 
−
|style="background-color: white;"|Bezorgen (code = '3' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2051')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_513_4_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_513_4_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_513_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 5 dagen om 09:45 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, gedurende 10 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 5 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|10 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|AMOXICILLINE 500MG CAPSULE (code = '5223' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|AMOXICILLINE 500MG CAPSULE (code = '15423' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 5 dagen, gedurende 10 dagen, 3 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|3 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanvullende informatie
 
−
|style="background-color: white;"|Gebruiksinstructie gegeven (code = '10' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2053')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toelichting
 
−
|style="background-color: white;"|Wegens niet leverbaar zijn van Broxil
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_513_4_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verstrekking MBH_513_4_MVE_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_513_4_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum
 
−
|style="background-color: white;"|T - 5 dagen om 09:45 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Verstrekte hoeveelheid
 
−
|style="background-color: white;"|30 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|AMOXICILLINE PCH CAPSULE 500MG (code = '646083' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|AMOXICILLINE 500MG CAPSULE (code = '5223' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|AMOXICILLINE 500MG CAPSULE (code = '15423' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afleverlocatie
 
−
|style="background-color: white;"|Huisadres patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanvullende informatie
 
−
|style="background-color: white;"|Aantal bewust gewijzigd (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2052')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toelichting
 
−
|style="background-color: white;"|Patiënt gaf aan nog wat op voorraad te hebben, wens patiënt om minder te verstrekken.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar verstrekkingsverzoek
 
−
|style="background-color: white;"|MBH_513_4_VV_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatie gebruik MBH_513_4_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatie
 
−
|style="background-color: white;"|MBH_513_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Registratiedatum
 
−
|style="background-color: white;"|T - 4 dagen om 22:35 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;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, tot en met T - 4 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 - 5 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Einddatum
 
−
|style="background-color: white;"|T - 4 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-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 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 - 5 dagen, tot en met T - 4 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"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_513_4_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatie gebruik MBH_513_4_MGB_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatie
 
−
|style="background-color: white;"|MBH_513_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Registratiedatum
 
−
|style="background-color: white;"|T - 3 dagen om 22:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gebruik indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 3 dagen, gedurende 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 - 3 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gebruiksduur
 
−
|style="background-color: white;"|1 dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Stoptype
 
−
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-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 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="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 3 dagen, gedurende 1 dag, geneesmiddel niet in gebruik, tijdelijk gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_513_4_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|MBH identificatie
 
−
|style="background-color: white;"|MBH_513_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_513_4 /><section end=ALLMBHS_XXX_Amaya />
 
−
==Patiënt Pauline P. XXX_Bourgonje==
 
−
<section begin=XXX_Bourgonje />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="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="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Voornamen
 
−
|style="background-color: white;"|Pauline
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Initialen
 
−
|style="background-color: white;"|P.
 
−
|-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_Bourgonje
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|999911296 [BSN]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|12102 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|1 aug 1964
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
−
|}<section end=XXX_Bourgonje /><section begin=ALLMBHS_XXX_Bourgonje /><section begin=MBH_MBH_123_1 />
 
−
====Medicamenteuze behandeling MBH_123_1 ====
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_123_1_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_123_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 7 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 7 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 7 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Bertine van  Doorn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|99001111 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Organisatie naam
 
−
|style="background-color: white;"|Huisartsenpraktijk Stitswerd Oost
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 7 dagen, zo nodig 2 maal per dag, aanbrengen, Cutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanvullende instructie
 
−
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|zo nodig 2 maal per dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verstrekkingsverzoek MBH_123_1_VV_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_123_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum
 
−
|style="background-color: white;"|T - 7 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Auteur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Bertine van  Doorn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|style="background-color: white;"|99001111 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Organisatie naam
 
−
|style="background-color: white;"|Huisartsenpraktijk Stitswerd Oost
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Te verstrekken hoeveelheid
 
−
|style="background-color: white;"|100 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Beoogd verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|Apotheek De Gulle Gaper
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_123_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_123_1_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_123_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 7 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 7 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 7 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Cetomacrogolcreme met 10% vaseline FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 7 dagen, zo nodig 2 maal per dag, aanbrengen, Cutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aanvullende instructie
 
−
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|zo nodig 2 maal per dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_123_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verstrekking MBH_123_1_MVE_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_123_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum
 
−
|style="background-color: white;"|T - 7 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Verstrekte hoeveelheid
 
−
|style="background-color: white;"|100 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Cetomacrogolcreme met 10% vaseline FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar verstrekkingsverzoek
 
−
|style="background-color: white;"|MBH_123_1_VV_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_123_1_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_123_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 4 dagen om 20:58 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 5 dagen, gedurende 2 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 5 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|2 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001112 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Bertine van  Doorn
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|style="background-color: white;"|99001111 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Organisatie naam
 
−
|style="background-color: white;"|Huisartsenpraktijk Stitswerd Oost
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-StandaardGPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 5 dagen, gedurende 2 dagen, 2 maal per dag, aanbrengen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanvullende instructie
 
−
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_123_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_123_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_123_1 /><section end=ALLMBHS_XXX_Bourgonje />
 
−
==Patiënt J. XXX_Cnossen==
 
−
<section begin=XXX_Cnossen />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="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;"|J.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Naamgebruik
 
−
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Achternaam
 
−
|style="background-color: white;"|XXX_Cnossen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|999911740 [BSN]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|31105 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|4 aug 1964
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 
−
|}<section end=XXX_Cnossen /><section begin=ALLMBHS_XXX_Cnossen /><section begin=MBH_MBH_313_1 />
 
−
====Medicamenteuze behandeling MBH_313_1 ====
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_313_1_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 100 dagen om 12:11 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|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;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 100 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 dosis, inhalatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 dosis
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_313_1_MA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 60 dagen om 13:54 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 59 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 100 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T - 59 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Stoptype
 
−
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|John de  Vries
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Reden wijzigen of staken
 
−
|style="background-color: white;"|Toedieningsweg voldoet niet (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 59 dagen, 1 maal per dag 1 dosis, inhalatie, definitief gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 dosis
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_313_1_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_313_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 100 dagen om 12:11 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|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;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 100 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 dosis, inhalatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 dosis
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_313_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_313_1_TA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_313_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 60 dagen om 13:54 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 59 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 100 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Einddatum
 
−
|style="background-color: white;"|T - 59 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Stoptype
 
−
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|SPIRIVA INHALPDR 18MCG (code = '1476866' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '59919' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 59 dagen, 1 maal per dag 1 dosis, inhalatie, definitief gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 dosis
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_313_1_MA_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_313_1_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 100 dagen om 12:11 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|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;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 100 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 dosis, inhalatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|inhalatie (code = '62' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 dosis
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_313_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_313_1_MGB_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 60 dagen om 15:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 60 dagen om 07:00 uur''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 60 dagen om 07:00 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Stoptype
 
−
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|John de  Vries
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Tiotropium inhalatiecapsule 18ug (code = '59919' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIOTROPIUM 18UG INHALCAPS (code = '115371' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 60 dagen om 07:00 uur, geneesmiddel niet in gebruik, definitief gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_313_1_MA_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_313_1 /><section begin=MBH_MBH_313_2 />
 
−
====Medicamenteuze behandeling MBH_313_2 ====
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_313_2_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 500 dagen om 10:19 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 500 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 500 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 500 dagen, 1 maal per dag 1 druppel, in beide ogen, oculair
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanvullende instructie
 
−
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 druppel
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_313_2_MA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_2_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 366 dagen om 17:54 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 500 dagen, tot en met T - 366 dagen om 17:00 uur''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 500 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T - 366 dagen om 17:00 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Stoptype
 
−
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|John de  Vries
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Reden wijzigen of staken
 
−
|style="background-color: white;"|Toedieningsweg voldoet niet (code = '8' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 500 dagen, tot en met T - 366 dagen om 17:00 uur, 1 maal per dag 1 druppel, in beide ogen, oculair, definitief gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanvullende instructie
 
−
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 druppel
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_313_2_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_313_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 500 dagen om 10:19 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 500 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 500 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 500 dagen, 1 maal per dag 1 druppel, in beide ogen, oculair
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aanvullende instructie
 
−
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 druppel
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_313_2_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_313_2_TA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_313_2_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 366 dagen om 17:54 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 500 dagen, tot en met T - 366 dagen om 17:00 uur''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 500 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Einddatum
 
−
|style="background-color: white;"|T - 366 dagen om 17:00 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Stoptype
 
−
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|LATANOPROST/TIMOLOL SDZ OOGDR 0,05/5MG/ML FL 2,5ML (code = '2226294' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 500 dagen, tot en met T - 366 dagen om 17:00 uur, 1 maal per dag 1 druppel, in beide ogen, oculair, definitief gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aanvullende instructie
 
−
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 druppel
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_313_2_MA_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_313_2_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 500 dagen om 10:19 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 500 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 500 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 500 dagen, 1 maal per dag 1 druppel, in beide ogen, oculair
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|oculair (code = '7' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanvullende instructie
 
−
|style="background-color: white;"|in beide ogen (code = '1026' in codeSystem 'NHG tabel 25 aanvullende teksten')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 druppel
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_313_2_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_313_2_MGB_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_2_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 365 dagen om 17:54 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 366 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 366 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Stoptype
 
−
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|John de  Vries
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Timolol/Latanoprost oogdr 5mg/50ug/ml fl 2,5ml (code = '60526' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|TIMOL/LATA 5MG/50UG/ML OOGD (code = '114251' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 366 dagen, geneesmiddel niet in gebruik, definitief gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_313_2_MA_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_313_2 /><section begin=MBH_MBH_313_3 />
 
−
====Medicamenteuze behandeling MBH_313_3 ====
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_313_3_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 100 dagen om 12:11 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|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;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 100 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal
 
−
|-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"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_313_3_MA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_3_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 4 dagen om 13:54 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 5 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 100 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T - 5 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Stoptype
 
−
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|John de  Vries
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 5 dagen, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt
 
−
|-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"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_313_3_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_313_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 100 dagen om 12:30 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|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;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 100 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_313_3_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_313_3_TA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_313_3_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 4 dagen om 14:54 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 100 dagen, tot en met T - 5 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 100 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Einddatum
 
−
|style="background-color: white;"|T - 5 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Stoptype
 
−
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM CF SACHET 100MG (code = '1113534' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 100 dagen, tot en met T - 5 dagen, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_313_3_MA_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_313_3_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 100 dagen om 14:11 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|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;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 100 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 100 dagen, 1 maal per dag 1 stuk, oraal
 
−
|-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"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_313_3_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_313_3_MGB_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_3_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 4 dagen om 13:54 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 4 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 4 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Stoptype
 
−
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|John de  Vries
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '13072' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|CARBASALAATCALCIUM 100MG PO (code = '82562' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 4 dagen, geneesmiddel niet in gebruik, tijdelijk gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_313_3_MA_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_313_3 /><section begin=MBH_MBH_313_4 />
 
−
====Medicamenteuze behandeling MBH_313_4 ====
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_313_4_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 300 dagen om 14:23 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 300 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 300 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 300 dagen, 1 maal per dag 1 stuk, oraal
 
−
|-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"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_313_4_MA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_4_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 222 dagen om 08:54 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 300 dagen, tot en met T - 223 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 300 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T - 223 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Stoptype
 
−
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|John de  Vries
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 300 dagen, tot en met T - 223 dagen, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt
 
−
|-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"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_313_4_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_313_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 300 dagen om 15:23 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 300 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 300 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 300 dagen, 1 maal per dag 1 stuk, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_313_4_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_313_4_TA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_313_4_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 222 dagen om 09:54 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 300 dagen, tot en met T - 223 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 300 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Einddatum
 
−
|style="background-color: white;"|T - 223 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Stoptype
 
−
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|OMEPRAZOL SANDOZ MUT TABLET MSR 40MG (code = '2124971' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 300 dagen, tot en met T - 223 dagen, 1 maal per dag 1 stuk, oraal, tijdelijk gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_313_4_MA_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_313_4_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 300 dagen om 17:23 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 300 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 300 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 300 dagen, 1 maal per dag 1 stuk, oraal, geneesmiddel niet in gebruik
 
−
|-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"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_313_4_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_313_4_MGB_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_313_4_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 222 dagen om 19:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 222 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 222 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Stoptype
 
−
|style="background-color: white;"|Tijdelijk (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|John de  Vries
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Omeprazol tablet MSR 40mg (code = '88803' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|OMEPRAZOL 40MG TABLET MSR (code = '130621' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 222 dagen, geneesmiddel niet in gebruik, tijdelijk gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_313_4_MA_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_313_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_313_4 /><section end=ALLMBHS_XXX_Cnossen />
 
−
==Patiënt R. XXX_Dirksz==
 
−
<section begin=XXX_Dirksz />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="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;"|R.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Naamgebruik
 
−
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Achternaam
 
−
|style="background-color: white;"|XXX_Dirksz
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|999911326 [BSN]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|11101 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|1 aug 1964
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 
−
|}<section end=XXX_Dirksz /><section begin=ALLMBHS_XXX_Dirksz /><section begin=MBH_MBH_113_1 />
 
−
====Medicamenteuze behandeling MBH_113_1 ====
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_113_1_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_113_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 50 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, tot en met T - 20 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 50 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T - 20 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 50 dagen, tot en met T - 20 dagen, zo nodig 1 maal per dag 1 stuk, Rectaal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verstrekkingsverzoek MBH_113_1_VV_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_113_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum
 
−
|style="background-color: white;"|T - 50 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Auteur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Te verstrekken hoeveelheid
 
−
|style="background-color: white;"|30 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Beoogd verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|Apotheek De Gulle Gaper
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_113_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_113_1_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_113_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 50 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, tot en met T - 20 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 50 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Einddatum
 
−
|style="background-color: white;"|T - 20 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 50 dagen, tot en met T - 20 dagen, zo nodig 1 maal per dag 1 stuk, Rectaal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_113_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verstrekking MBH_113_1_MVE_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_113_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum
 
−
|style="background-color: white;"|T - 50 dagen om 12:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Verstrekte hoeveelheid
 
−
|style="background-color: white;"|30 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|PRIMPERAN ZETPIL 20MG (code = '229709' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar verstrekkingsverzoek
 
−
|style="background-color: white;"|MBH_113_1_VV_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_113_1_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_113_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 48 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 48 dagen, gedurende 1 dag''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 48 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|1 dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Metoclopramide zetpil 20mg (code = '6939' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|METOCLOPRAMIDE 20MG ZETPIL (code = '63630' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 48 dagen, gedurende 1 dag, zo nodig 1 maal per dag 1 stuk, Rectaal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Rectaal (code = '12' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|zo nodig 1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_113_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_113_1 /><section begin=MBH_MBH_113_2 />
 
−
====Medicamenteuze behandeling MBH_113_2 ====
 
−
 
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_113_2_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_113_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 30 dagen om 14:55 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen, tot en met T - 9 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T - 9 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 30 dagen, tot en met T - 9 dagen, 1 maal per dag 1 stuk, Oraal
 
−
|-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"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verstrekkingsverzoek MBH_113_2_VV_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_113_2_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum
 
−
|style="background-color: white;"|T - 30 dagen om 14:55 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Auteur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Te verstrekken hoeveelheid
 
−
|style="background-color: white;"|21 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="7"|Beoogd verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|Apotheek De Gulle Gaper
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_113_2_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
 
|}
 
|}
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_113_2_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_113_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 30 dagen om 14:55 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen, tot en met T - 9 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Einddatum
 
−
|style="background-color: white;"|T - 9 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 30 dagen, tot en met T - 9 dagen, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_113_2_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verstrekking MBH_113_2_MVE_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_113_2_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum
 
−
|style="background-color: white;"|T - 30 dagen om 15:55 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Verstrekte hoeveelheid
 
−
|style="background-color: white;"|25 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '71587' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar verstrekkingsverzoek
 
−
|style="background-color: white;"|MBH_113_2_VV_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_113_2_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_113_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 13 dagen om 14:55 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 30 dagen, gedurende 3 weken''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|3 weken
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|ZESTRIL TABLET 10MG (code = '615560' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|LISINOPRIL 10MG TABLET (code = '26638' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 30 dagen, gedurende 3 weken, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="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"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_113_2_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_113_2 /><section begin=MBH_MBH_113_3 />
 
−
====Medicamenteuze behandeling MBH_113_3 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_113_3_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_113_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 30 dagen om 14:57 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|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="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 30 dagen, 1 maal per dag 1 stuk, Oraal
 
−
|-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"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verstrekkingsverzoek MBH_113_3_VV_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_113_3_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum
 
−
|style="background-color: white;"|T - 30 dagen om 14:57 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Auteur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Te verstrekken hoeveelheid
 
−
|style="background-color: white;"|21 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Beoogd verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|Apotheek De Gulle Gaper
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_113_3_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_113_3_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_113_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 30 dagen om 14:57 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|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="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|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="5"|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="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 30 dagen, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (tabel 7)')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_113_3_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verstrekking MBH_113_3_MVE_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_113_3_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum
 
−
|style="background-color: white;"|T - 30 dagen om 15:56 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Verstrekte hoeveelheid
 
−
|style="background-color: white;"|21 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|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="5"|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="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar verstrekkingsverzoek
 
−
|style="background-color: white;"|MBH_113_3_VV_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_113_3_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_113_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 29 dagen om 14:57 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 29 dagen, tot en met T - 8 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 29 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T - 8 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|APACOF 250/250/50MG TABLET (code = '61433' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 29 dagen, tot en met T - 8 dagen, 1 maal per dag 1 stuk, Oraal
 
−
|-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"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_113_3_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_113_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_113_3 /><section end=ALLMBHS_XXX_Dirksz />
 
−
==Patiënt R. XXX_Gobee==
 
−
<section begin=XXX_Gobee />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="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;"|R.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Naamgebruik
 
−
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Achternaam
 
−
|style="background-color: white;"|XXX_Gobee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|999911314 [BSN]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|21104 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|1 aug 1964
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
−
|}<section end=XXX_Gobee /><section begin=ALLMBHS_XXX_Gobee /><section begin=MBH_MBH_213_1 />
 
−
====Medicamenteuze behandeling MBH_213_1 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_213_1_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 50 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 50 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 50 dagen, zo nodig 1 à 2 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_213_1_MA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 40 dagen om 09:13 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, tot en met T - 41 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 50 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T - 41 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Stoptype
 
−
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar afspraak of gebruik: MA
 
−
|style="background-color: white;"|MBH_213_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|John de  Vries
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 50 dagen, tot en met T - 41 dagen, zo nodig 1 à 2 maal per dag 1 stuk, Oraal, definitief gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_213_1_MA_3
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 40 dagen om 09:13 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 40 dagen, gedurende 30 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 40 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar afspraak of gebruik: MA
 
−
|style="background-color: white;"|MBH_213_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|John de  Vries
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Reden wijzigen of staken
 
−
|style="background-color: white;"|Allergie of non-allergische overgevoeligheid of bijwerking (code = '16' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 40 dagen, gedurende 30 dagen, 2 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_213_1_MA_4
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 15 dagen om 16:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 40 dagen, tot en met T - 15 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 40 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T - 15 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Stoptype
 
−
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar afspraak of gebruik: MA
 
−
|style="background-color: white;"|MBH_213_1_MA_3
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 40 dagen, tot en met T - 15 dagen, 2 maal per dag 1 stuk, Oraal, definitief gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_213_1_MA_5
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 15 dagen om 16:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 14 dagen, gedurende 30 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 14 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar afspraak of gebruik: MA
 
−
|style="background-color: white;"|MBH_213_1_MA_3
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Reden wijzigen of staken
 
−
|style="background-color: white;"|Opname (code = '305335007' in codeSystem 'SNOMED CT')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 14 dagen, gedurende 30 dagen, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verstrekkingsverzoek MBH_213_1_VV_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum
 
−
|style="background-color: white;"|T - 50 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Auteur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Te verstrekken hoeveelheid
 
−
|style="background-color: white;"|40 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Aantal herhalingen
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Beoogd verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|Apotheek De Gulle Gaper
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_213_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verstrekkingsverzoek MBH_213_1_VV_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_VV_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum
 
−
|style="background-color: white;"|T - 40 dagen om 09:13 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Auteur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|John de  Vries
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Te verstrekken hoeveelheid
 
−
|style="background-color: white;"|60 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Aantal herhalingen
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Beoogd verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|Apotheek De Gulle Gaper
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_213_1_MA_3
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verstrekkingsverzoek MBH_213_1_VV_3
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_VV_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum
 
−
|style="background-color: white;"|T - 15 dagen om 16:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Auteur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Verbruiksperiode
 
−
|style="background-color: white;"|Vanaf T - 14 dagen, gedurende 30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Beoogd verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|Apotheek De Gulle Gaper
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_213_1_MA_5
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_213_1_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 50 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 50 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 50 dagen, zo nodig 1 à 2 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_213_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_213_1_TA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 40 dagen om 09:13 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, tot en met T - 41 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 50 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Einddatum
 
−
|style="background-color: white;"|T - 41 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Stoptype
 
−
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 50 dagen, tot en met T - 41 dagen, zo nodig 1 à 2 maal per dag 1 stuk, Oraal, definitief gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|zo nodig 1 à 2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_213_1_MA_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_213_1_TA_3
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_TA_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 40 dagen om 09:13 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 40 dagen, gedurende 30 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 40 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 40 dagen, gedurende 30 dagen, 2 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_213_1_MA_3
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_213_1_TA_4
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_TA_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 15 dagen om 16:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 40 dagen, tot en met T - 15 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 40 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Einddatum
 
−
|style="background-color: white;"|T - 15 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Stoptype
 
−
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 40 dagen, tot en met T - 15 dagen, 2 maal per dag 1 stuk, Oraal, definitief gestopt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_213_1_MA_4
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_213_1_TA_5
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_TA_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 15 dagen om 16:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 14 dagen, gedurende 30 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 14 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 14 dagen, gedurende 30 dagen, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_213_1_MA_5
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verstrekking MBH_213_1_MVE_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum
 
−
|style="background-color: white;"|T - 50 dagen om 13:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Verstrekte hoeveelheid
 
−
|style="background-color: white;"|40 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar verstrekkingsverzoek
 
−
|style="background-color: white;"|MBH_213_1_VV_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verstrekking MBH_213_1_MVE_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MVE_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum
 
−
|style="background-color: white;"|T - 40 dagen om 09:13 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Verstrekte hoeveelheid
 
−
|style="background-color: white;"|60 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar verstrekkingsverzoek
 
−
|style="background-color: white;"|MBH_213_1_VV_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verstrekking MBH_213_1_MVE_3
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MVE_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum
 
−
|style="background-color: white;"|T - 15 dagen om 17:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Verstrekte hoeveelheid
 
−
|style="background-color: white;"|30 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Verbruiksduur
 
−
|style="background-color: white;"|30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar verstrekkingsverzoek
 
−
|style="background-color: white;"|MBH_213_1_VV_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_213_1_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 47 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 3 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 50 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|3 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 50 dagen, gedurende 3 dagen, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_213_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_213_1_MGB_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MGB_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 41 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 46 dagen, gedurende 6 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 46 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|6 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 46 dagen, gedurende 6 dagen, 2 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_213_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatie gebruik MBH_213_1_MGB_3
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="4" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MGB_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Registratiedatum
 
−
|style="background-color: white;"|T - 35 dagen om 19:25 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"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 40 dagen, gedurende 6 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 - 40 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Gebruiksduur
 
−
|style="background-color: white;"|6 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 40 dagen, gedurende 6 dagen, 2 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gerelateerde afspraak : TA
 
−
|style="background-color: white;"|MBH_213_1_TA_3
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_213_1_MGB_4
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MGB_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 16 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 34 dagen, gedurende 19 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 34 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|19 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 34 dagen, gedurende 19 dagen, 2 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_213_1_MA_3
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_213_1_MGB_5
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_213_1_MGB_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 10 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 14 dagen, gedurende 5 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 14 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|5 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 14 dagen, gedurende 5 dagen, 1 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_213_1_MA_5
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_213_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_213_1 /><section end=ALLMBHS_XXX_Gobee />
 
−
==Patiënt J. XXX_Kilkenny==
 
−
<section begin=XXX_Kilkenny />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="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;"|J.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Naamgebruik
 
−
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Achternaam
 
−
|style="background-color: white;"|XXX_Kilkenny
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|999911752 [BSN]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|22108 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|5 aug 1964
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
−
|}<section end=XXX_Kilkenny /><section begin=ALLMBHS_XXX_Kilkenny /><section begin=MBH_MBH_323_1 />
 
−
====Medicamenteuze behandeling MBH_323_1 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_323_1_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_323_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 5 dagen om 15:34 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, tot en met T - 6 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 20 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T - 6 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Stoptype
 
−
|style="background-color: white;"|Definitief (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar afspraak of gebruik: MGB
 
−
|style="background-color: white;"|MBH_323_1_MGB_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|John de  Vries
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 20 dagen, tot en met T - 6 dagen, 3 maal per dag 1 stuk, oraal, definitief gestopt
 
−
|-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"|Doseerinstructie
 
−
|style="background-color: white;"|3 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_323_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medicatie gebruik MBH_323_1_MGB_1
 
−
|-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_323_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Registratiedatum
 
−
|style="background-color: white;"|T - 10 dagen om 11:25 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"|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;;"
 
−
|colspan="3"|Ingangsdatum
 
−
|style="background-color: white;"|T - 20 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|ADVIL BRUIS BRUISTABLET 400MG CITRUSSMAAK (code = '2121522' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '94358' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|IBUPROFEN 400MG BRUISTABLET (code = '101494' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="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, 3 maal per dag 1 stuk, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen (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"|MBH identificatie
 
−
|style="background-color: white;"|MBH_323_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_323_1 /><section end=ALLMBHS_XXX_Kilkenny />
 
−
==Patiënt R. XXX_Ruys==
 
−
<section begin=XXX_Ruys />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="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;"|R.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Naamgebruik
 
−
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Achternaam
 
−
|style="background-color: white;"|XXX_Ruys
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|999911351 [BSN]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|13103 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|1 aug 1964
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
 
−
|}<section end=XXX_Ruys /><section begin=ALLMBHS_XXX_Ruys /><section end=ALLMBHS_XXX_Ruys />
 
−
==Patiënt R. XXX_Strengersz==
 
−
<section begin=XXX_Strengersz />
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="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;"|R.
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Naamgebruik
 
−
|style="background-color: white;"|Eigen geslachtsnaam (code = 'NL1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="4"|Geslachtsnaam
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="2"|Achternaam
 
−
|style="background-color: white;"|XXX_Strengersz
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|999911338 [BSN]
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Identificatienummer
 
−
|style="background-color: white;"|41106 met root OID '2.16.840.1.113883.2.4.3.11.999.77.19829.1'
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geboortedatum
 
−
|style="background-color: white;"|1 aug 1964
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Geslacht
 
−
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
 
−
|}<section end=XXX_Strengersz /><section begin=ALLMBHS_XXX_Strengersz /><section begin=MBH_MBH_413_1 />
 
−
====Medicamenteuze behandeling MBH_413_1 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_1_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_1_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 60 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|60 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 à 2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_1_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_1_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 60 dagen''
 
−
|-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;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|60 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLLEN TABLET MGA 10MG (code = '1101099' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 à 2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_1_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_1_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 16:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 60 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|60 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '48291' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MIZOLASTINE TABLET MGA 10MG (code = '102164' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 60 dagen, 1 à 2 maal per dag 1 stuk, Oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|Oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 à 2 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_1_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_1 /><section begin=MBH_MBH_413_2 />
 
−
====Medicamenteuze behandeling MBH_413_2 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_2_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_2_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden, subcutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_2_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_2_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden, subcutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_2_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_2_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_2_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 14:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 14 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|14 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|INSULINE ISOFAAN 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden, subcutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|iedere 12 uur 16 internationale eenheid - let op, tijden exact aanhouden
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_2_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_2 /><section begin=MBH_MBH_413_3 />
 
−
====Medicamenteuze behandeling MBH_413_3 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_3_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_3_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 50 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 4 weken''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 50 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|4 weken
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|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="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|3 maal per dag 1 à 2 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_3_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_3_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 50 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 4 weken''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 50 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|4 weken
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|PARACETAMOL PCH TABLET 500MG (code = '768901' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '67903' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|PARACETAMOL 500MG TABLET (code = '2194' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|3 maal per dag 1 à 2 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_3_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_3_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_3_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 10:45 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 50 dagen, gedurende 4 weken''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 50 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|4 weken
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|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="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 50 dagen, gedurende 4 weken, 3 maal per dag 1 à 2 stuks, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|3 maal per dag 1 à 2 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_3_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_3 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_3 /><section begin=MBH_MBH_413_4 />
 
−
====Medicamenteuze behandeling MBH_413_4 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_4_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_4_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 20 dagen om 10:26 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 30 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 20 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 30 dagen, 3 maal per dag, aanbrengen, cutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanvullende instructie
 
−
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|3 maal per dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_4_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_4_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 20 dagen om 10:26 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 30 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 20 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Cetomacrogolcreme met 10% vaseline FAGRON (code = '1205943' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 30 dagen, 3 maal per dag, aanbrengen, cutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aanvullende instructie
 
−
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|3 maal per dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_4_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_4_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_4_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T - 15 dagen om 13:44 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|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="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 20 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T - 15 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '92789' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|Cetomacrogolcreme met vaseline (code = '133329' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 20 dagen, tot en met T - 15 dagen, 3 maal per dag, aanbrengen, cutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanvullende instructie
 
−
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|3 maal per dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_4_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_4 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_4 /><section begin=MBH_MBH_413_5 />
 
−
====Medicamenteuze behandeling MBH_413_5 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_5_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_5_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 20 dagen om 10:46 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 30 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 20 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 30 dagen, 2 maal per dag 0.5 stuk, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 0.5 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_5_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_5_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 20 dagen om 10:46 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 30 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 20 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 30 dagen, 2 maal per dag 0.5 stuk, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 0.5 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_5_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_5_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_5_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 12:38 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 30 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 20 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|30 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|Naproxen CF tablet 500mg (code = '1017209' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '20850' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|NAPROXEN 500MG TABLET (code = '51233' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 30 dagen, 2 maal per dag 0.5 stuk, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 0.5 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_5_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_5 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_5 /><section begin=MBH_MBH_413_6 />
 
−
====Medicamenteuze behandeling MBH_413_6 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_6_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_6_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 14 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|14 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2 maal per dag 10 à 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|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="5"|Aanvullende instructie
 
−
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 10 à 15 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_6_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_6_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 14 dagen''
 
−
|-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;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|14 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|SOLUTIO HYDROGENII PEROXIDI 3% M/V (code = '603694' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, 2 maal per dag 10 à 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aanvullende instructie
 
−
|style="background-color: white;"|Eerst oplossen in water (code = '27' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aanvullende instructie
 
−
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 10 à 15 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_6_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_6_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_6_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 21:37 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 1 dag''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|1 dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '67016' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|WATERSTOFPEROXIDE 30MG/ML (code = '116041' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 1 dag, 2 maal per dag 10 à 15 ml, Eerst oplossen in water, mond spoelen, daarna uitspugen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|niet van toepassing (code = '1' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|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="5"|Aanvullende instructie
 
−
|style="background-color: white;"|mond spoelen, daarna uitspugen (code = '69' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|2 maal per dag 10 à 15 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_6_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_6 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_6 /><section begin=MBH_MBH_413_7 />
 
−
====Medicamenteuze behandeling MBH_413_7 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_7_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_7_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 14 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|14 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid, subcutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_7_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_7_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 14 dagen''
 
−
|-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;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|14 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|HUMULINE NPH INJ 100IE/ML PATROON 3ML (code = '870471' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 14 dagen, elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid, subcutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_7_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_7_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_7_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 14:05 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T om 07:00 uur, tot en met T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T om 07:00 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Einddatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '34851' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|INSULINE ISOFAAN INJSUSP 100IE/ML (code = '111325' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T om 07:00 uur, tot en met T, elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid, subcutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|elke dag om 08:00, 14:00 en 20:00 16 internationale eenheid
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_7_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_7 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_7 /><section begin=MBH_MBH_413_8 />
 
−
====Medicamenteuze behandeling MBH_413_8 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_8_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_8_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 10 weken''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|10 weken
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, cutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|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="5"|Aanvullende instructie
 
−
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|op maandag, woensdag en vrijdag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_8_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_8_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 10 weken''
 
−
|-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;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|10 weken
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|ALDARA CREME 50MG/G IN SACHET (code = '1198521' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, subcutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|subcutaan (code = '21' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aanvullende instructie
 
−
|style="background-color: white;"|voor de nacht (code = '1128' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aanvullende instructie
 
−
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|op maandag, woensdag en vrijdag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_8_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_8_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_8_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 23:59 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 10 weken''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|10 weken
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '55050' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|IMIQUIMOD CREME 50MG/G (code = '109398' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 10 weken, op maandag, woensdag en vrijdag, voor de nacht, aanbrengen, cutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|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="5"|Aanvullende instructie
 
−
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|op maandag, woensdag en vrijdag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_8_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_8 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_8 /><section begin=MBH_MBH_413_9 />
 
−
====Medicamenteuze behandeling MBH_413_9 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_9_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_9_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, 1 maal per dag 1 stuk 's avonds, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_9_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_9_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, 1 maal per dag 1 stuk 's avonds, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_9_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verstrekking MBH_413_9_MVE_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_9_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum
 
−
|style="background-color: white;"|T om 10:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Verstrekte hoeveelheid
 
−
|style="background-color: white;"|90 stuks
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|INEGY TABLET 10/20MG (code = '1719785' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Distributievorm
 
−
|style="background-color: white;"|Geïndividualiseerd distributiesysteem (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.60.20.77.5.3.8')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar verstrekkingsverzoek
 
−
|style="background-color: white;"|MBH_413_9_VV_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_9_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_9_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 22:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '77038' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|EZETIMIB/SIMVASTATINE TABLET 10/20MG (code = '123129' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, 1 maal per dag 1 stuk 's avonds, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk 's avonds
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_9_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_9 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_9 /><section begin=MBH_MBH_413_10 />
 
−
====Medicamenteuze behandeling MBH_413_10 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_10_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_10_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|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;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Herhaalperiode cyclisch schema
 
−
|style="background-color: white;"|28 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_10_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_10_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MARVELON TABLET (code = '416681' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Herhaalperiode cyclisch schema
 
−
|style="background-color: white;"|28 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_10_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_10_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_10_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '16292' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|ETHINYLESTRADIOL/DESOGESTREL TABLET 30/150UG (code = '39578' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, cyclus van 28 dagen: steeds gedurende 21 dagen 1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|gedurende 21 dagen 1 maal per dag 1 stuk
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Herhaalperiode cyclisch schema
 
−
|style="background-color: white;"|28 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_10_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_10 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_10 /><section begin=MBH_MBH_413_11 />
 
−
====Medicamenteuze behandeling MBH_413_11 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_11_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_11_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 41 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|41 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 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, dun aanbrengen, cutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanvullende instructie
 
−
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie 1
 
−
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie 2
 
−
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie 3
 
−
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_11_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_11_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 41 dagen''
 
−
|-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;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|41 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|FUCIDIN CREME 20MG/G (code = '420956' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="7"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, eerst 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, dun aanbrengen, cutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Aanvullende instructie
 
−
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie 1
 
−
|style="background-color: white;"|eerst gedurende 2 weken 1 maal per dag 3 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie 2
 
−
|style="background-color: white;"|dan gedurende 3 weken 1 maal per dag 2 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie 3
 
−
|style="background-color: white;"|dan gedurende 6 dagen 1 maal per dag 1 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_11_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_11_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_11_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 15:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 41 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|41 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '16705' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|FUSIDINEZUUR CREME 20MG/G (code = '73466' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="6"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 41 dagen, gedurende 2 weken 1 maal per dag 3 gram, gedurende 3 weken 1 maal per dag 2 gram, gedurende 6 dagen 1 maal per dag 1 gram, dun aanbrengen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanvullende instructie
 
−
|style="background-color: white;"|dun aanbrengen (code = '1033' in codeSystem 'NHG tabel 25 aanvullende teksten')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|gedurende 3 weken 1 maal per dag 2 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|gedurende 6 dagen 1 maal per dag 1 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie 1
 
−
|style="background-color: white;"|gedurende 2 weken 1 maal per dag 3 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_11_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_11 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_11 /><section begin=MBH_MBH_413_12 />
 
−
====Medicamenteuze behandeling MBH_413_12 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_12_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_12_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 3 weken''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|3 weken
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 3 weken, bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_12_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_12_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 3 weken''
 
−
|-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;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|3 weken
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|CODEINEFOSFAAT PCH TABLET 10MG (code = '874965' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '42773' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 3 weken, bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_12_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_12_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_12_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 22:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 3 weken''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|3 weken
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|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="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|CODEINE TABLET 10MG (FOSFAAT) (code = '23086' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 3 weken, bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag, oraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|oraal (code = '9' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|bij hoest 1 maal per 3 uur 1 stuk , maximaal 6 stuks per dag
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_12_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_12 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_12 /><section begin=MBH_MBH_413_13 />
 
−
====Medicamenteuze behandeling MBH_413_13 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_13_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_13_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 28 dagen om 09:12 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 28 dagen, gedurende 8 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 28 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|8 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MORFINE INFVLST 5MG/ML CAS 100ML (code = '94692' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 28 dagen, gedurende 8 dagen, toedieningssnelheid: 0.5 ml per uur, parenteraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|toedieningssnelheid: 0.5 ml per uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_13_MA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_13_MA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T - 20 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 8 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T - 20 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|8 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 8 dagen, toedieningssnelheid: 0.2 à 0.5 ml per uur, parenteraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|toedieningssnelheid: 0.2 à 0.5 ml per uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_13_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_13_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 28 dagen om 09:12 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 28 dagen, gedurende 8 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 28 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|8 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 28 dagen, gedurende 8 dagen, toedieningssnelheid: 0.5 ml per uur, parenteraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|toedieningssnelheid: 0.5 ml per uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_13_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_13_TA_2
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_13_TA_2 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T - 20 dagen om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T - 20 dagen, gedurende 8 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T - 20 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Gebruiksduur
 
−
|style="background-color: white;"|8 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|MORFINEHYDROCHLORIDE 5MG/ML DELTEC CAS 100ML PA (code = '2124823' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '94692' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|MORFINE INFVLST 5MG/ML (HCL) (code = '134538' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T - 20 dagen, gedurende 8 dagen, toedieningssnelheid: 0.2 à 0.5 ml per uur, parenteraal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|parenteraal (code = '10' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|toedieningssnelheid: 0.2 à 0.5 ml per uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_13_MA_2
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_13 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_13 /><section begin=MBH_MBH_413_14 />
 
−
====Medicamenteuze behandeling MBH_413_14 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_14_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_14_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur, transdermaal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_14_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_14_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T om 11:25 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf 16 aug 2018''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|16 aug 2018
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|DEPONIT T 5 PLEISTER TRANSDERMAAL 18,7MG (code = '1013602' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf 16 aug 2018, 1 maal per dag 1 stuk gedurende 16 uur, transdermaal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_14_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_14_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_14_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 22:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - primaire code
 
−
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '44520' in codeSystem 'G-Standaard PRK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Geneesmiddel - generiekere code
 
−
|style="background-color: white;"|NITROGLYCERINE PLEISTER 5MG/24UUR (DEPONIT T) (code = '98477' in codeSystem 'G-Standaard GPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur, transdermaal
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|transdermaal (code = '58' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|1 maal per dag 1 stuk gedurende 16 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_14_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_14 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_14 /><section begin=MBH_MBH_413_15 />
 
−
====Medicamenteuze behandeling MBH_413_15 ====
 
−
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatieafspraak MBH_413_15_MA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_15_MA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.16076005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatienummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatienummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Geneesmiddel - Product specificatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Product naam
 
−
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|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="6"|Ingredient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingredient code
 
−
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Sterkte
 
−
|style="background-color: white;"|10 gram per  100 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Ingredient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingredient code
 
−
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Sterkte
 
−
|style="background-color: white;"|90 gram per  100 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, bij hoest, cutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Doseerinstructie
 
−
|style="background-color: white;"|bij hoest
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verstrekkingsverzoek MBH_413_15_VV_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_15_VV_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.52711000146108.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Datum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Auteur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="9"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="3"|Adresgegevens
 
−
|style="background-color: white;"|Werkadres: Dorpsstraat 1 1234AA Ons Dorp
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Te verstrekken hoeveelheid
 
−
|style="background-color: white;"|100 ml
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Aantal herhalingen
 
−
|style="background-color: white;"|1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Geneesmiddel - Product specificatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Product naam
 
−
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|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="6"|Ingredient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingredient code
 
−
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Sterkte
 
−
|style="background-color: white;"|10 gram per  100 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Ingredient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingredient code
 
−
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Sterkte
 
−
|style="background-color: white;"|90 gram per  100 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Beoogd verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgaanbieder identificatienummer
 
−
|style="background-color: white;"|01236578 (in identificerend systeem: URA)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Organisatie naam
 
−
|style="background-color: white;"|Apotheek De Gulle Gaper
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_15_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Toedieningsafspraak MBH_413_15_TA_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_15_TA_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.422037009.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Afspraakdatum
 
−
|style="background-color: white;"|T om 09:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="2"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Geneesmiddel - Product specificatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Product naam
 
−
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr          Regel: UREUM 10gr          Regel: EUCERINE MET WATER FAGRON ad 100gr
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Ingredient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Ingredient code
 
−
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Sterkte
 
−
|style="background-color: white;"|10 gram per  100 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Ingredient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Ingredient code
 
−
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Sterkte
 
−
|style="background-color: white;"|90 gram per  100 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, bij hoest, cutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Toedieningsweg
 
−
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Doseerinstructie
 
−
|style="background-color: white;"|bij hoest
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar medicatieafspraak
 
−
|style="background-color: white;"|MBH_413_15_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verstrekking MBH_413_15_MVE_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="5" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Identificatie
 
−
|style="background-color: white;"|MBH_413_15_MVE_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.373784005.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Datum
 
−
|style="background-color: white;"|T om 10:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Verstrekker
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="5"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Verstrekte 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="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Product naam
 
−
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Omschrijving
 
−
|style="background-color: white;"|Titel: Ureum 10% in eucerine cum aqua 100gr          Regel: UREUM 10gr          Regel: EUCERINE MET WATER FAGRON ad 100gr
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Ingredient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Ingredient code
 
−
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Sterkte
 
−
|style="background-color: white;"|10 gram per  100 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="5"|Ingredient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Ingredient code
 
−
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Sterkte
 
−
|style="background-color: white;"|90 gram per  100 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Relatie naar verstrekkingsverzoek
 
−
|style="background-color: white;"|MBH_413_15_VV_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}
 
−
{| class="wikitable" width="85%"
 
−
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Medicatie gebruik MBH_413_15_MGB_1
 
−
|-style="background-color: #1F497D;; color: white; text-align:left;"
 
−
|colspan="6" width="25%"| Gegevenselement
 
−
|| Waarde
 
−
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Identificatie
 
−
|style="background-color: white;"|MBH_413_15_MGB_1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.6.1)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Registratiedatum
 
−
|style="background-color: white;"|T om 10:35 uur
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gebruik indicator
 
−
|style="background-color: white;"|Ja
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Volgens afspraak indicator
 
−
|style="background-color: white;"|Nee
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Gebruiksperiode
 
−
|style="background-color: #E3E3E3;;"|''Vanaf T, gedurende 4 dagen''
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Ingangsdatum
 
−
|style="background-color: white;"|T
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Gebruiksduur
 
−
|style="background-color: white;"|4 dagen
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Voorschrijver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="10"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Zorgverlener
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="8"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Zorgverlener identificatie nummer
 
−
|style="background-color: white;"|000001111 (in identificerend systeem: UZI Personen)
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Naamgegevens
 
−
|style="background-color: white;"|Peter van  Pulver
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|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="5"|Zorgaanbieder
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="3"|Zorgaanbieder identificatie nummer
 
−
|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;;"
 
−
|colspan="6"|Auteur
 
−
|style="background-color: white;"|Patiënt
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Geneesmiddel - Product specificatie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="11"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Product naam
 
−
|style="background-color: white;"|Ureum 10% in eucerine cum aqua 100gr
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|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="6"|Ingredient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingredient code
 
−
|style="background-color: white;"|UREUM (code = '15219127' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Sterkte
 
−
|style="background-color: white;"|10 gram per  100 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="6"|Ingredient
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="3"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Ingredient code
 
−
|style="background-color: white;"|EUCERINE MET WATER FAGRON (code = '14740877' in codeSystem 'G-Standaard HPK')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="4"|Sterkte
 
−
|style="background-color: white;"|90 gram per  100 gram
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;" 
 
−
|colspan="7"|Gebruiksinstructie
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|rowspan="4"|
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Omschrijving
 
−
|style="background-color: white;"|Vanaf T, gedurende 4 dagen, aanbrengen, cutaan
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Toedieningsweg
 
−
|style="background-color: white;"|cutaan (code = '53' in codeSystem 'G-Standaard Toedieningswegen')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="5"|Aanvullende instructie
 
−
|style="background-color: white;"|aanbrengen (code = '1018' in codeSystem 'NHG tabel 25 aanvullende tekst')
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|Gerelateerde afspraak : MA
 
−
|style="background-color: white;"|MBH_413_15_MA_1
 
−
|-style="vertical-align:top; background-color: #E3E3E3;;"
 
−
|colspan="6"|MBH identificatie
 
−
|style="background-color: white;"|MBH_413_15 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1)
 
−
|}<section end=MBH_MBH_413_15 /><section end=ALLMBHS_XXX_Strengersz />
 
−
 
−
[[Categorie:Kwalificatie]]
 

Huidige versie van 30 sep 2022 om 13:40

Tabel 1. Overzicht situaties specifieke en generieke MBH-id voor EVS en AIS
Situatie EVS AIS ETDR
Migreren van actuele en recent gestopte medicatie Specifieke MBH-id Generieke MBH-id Generieke MBH-id
Migreren van historische medicatie Generieke MBH-id Generieke MBH-id Generieke MBH-id
Starten van nieuwe MBH Specieke MBH-id Generieke MBH-id[1] Generieke MBH-id
  1. ↑ AIS initieert in principe géén specifieke MBH-id. Alleen wanneer er geen PRK is, maakt het AIS een specifieke MBH-id aan (zie paragraaf Bijzondere situaties).
Overgenomen van "https://informatiestandaarden.test-nictiz.nl/index.php?title=mp:Vdraft_Sandbox&oldid=137150"