vpk:V4.0 Testgegevens eOverdracht Aanmeldbericht addendum: verschil tussen versies

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Nieuwe pagina aangemaakt met 'Deze wordt gevuld met de de inhoud uit ADA voor de transactie Sturen Aanmeldbericht.'
 
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(11 tussenliggende versies door 2 gebruikers niet weergegeven)
Regel 1: Regel 1:
Deze wordt gevuld met de de inhoud uit ADA voor de transactie Sturen Aanmeldbericht.
__NUMBEREDHEADINGS__
{{DISPLAYTITLE:e-overdracht: addendum inhoudelijke gegevens aanmeldbericht}}
 
=Addenda voor inhoudelijke gegevens=
<section begin=eovd-saa-tst-1.1-alle_zibs />
==Test Aanmelding 1.1==
 
=== Administratieve gegevens===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="6" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Datum overplaatsing
|style="background-color: white;"|T + 1 dag
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Persoonsgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="65"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Patient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
|-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"|Voornamen
|style="background-color: white;"|Erik
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
|style="background-color: white;"|E
|-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_Altenborg
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Adresgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Straat
|style="background-color: white;"|Knolweg
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Huisnummer
|style="background-color: white;"|1000
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
|style="background-color: white;"|9999XA
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
|style="background-color: white;"|Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adres soort
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
|style="background-color: white;"|999911612 (in identificerend systeem: BSN)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
|style="background-color: white;"|14 aug 1964
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Betaler
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verzekeraar
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Verzekering
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Eind datum tijd
|style="background-color: white;"|T + 1 jaar
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verzekeringssoort
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verzekerde nummer
|style="background-color: white;"|12345678
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Contactpersoon
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="19"|
|-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;"|Johanna
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
|style="background-color: white;"|J
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Roepnaam
|style="background-color: white;"|Hanna
|-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;"|Bakker
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Contactgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Telefoonnummers
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummer
|style="background-color: white;"|+31645678912
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Email adressen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email adres
|style="background-color: white;"|jbakker@123net.nl
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Rol
|style="background-color: white;"|Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie
|style="background-color: white;"|Dochter (code = 'DAUC' in codeSystem 'HL7 RoleCode')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Contactpersoon
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
|-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;"|Johannes
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Roepnaam
|style="background-color: white;"|Hans
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Geslachtsnaam
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Voorvoegsels
|style="background-color: white;"|van
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
|style="background-color: white;"|Dijk
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Contactgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Telefoonnummers
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummer
|style="background-color: white;"|+31612121212
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Achterneef
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Sturende organisatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatienummer
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie naam
|style="background-color: white;"|AB-zkh
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie locatie
|style="background-color: white;"|Noord
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Afdeling specialisme
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Contactgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Telefoonnummers
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummer
|style="background-color: white;"|+31182435770
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Email adressen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email adres
|style="background-color: white;"|neurologie@ABZ.nl
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie type
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Ontvangende organisatie
|-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"|Afdeling specialisme
|style="background-color: white;"|Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie type
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
|}
=== Algemene patienten context===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Algemene patienten context
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="4" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Juridische situatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|<span id="t-1-1-juridischesituatie-01" title="Intern ID = t-1-1-juridischesituatie-01">Juridische situatie t-1-1-juridischesituatie-01</span>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Vertegenwoordiging
|style="background-color: white;"|Onder curatele stelling (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Datum aanvang
|style="background-color: white;"|T - 1 jaar
|}
=== Medische context===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medische context
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="4" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Medische diagnose
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Probleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
|style="background-color: white;"|ischemisch cerebrovasculair incident (code = '422504002' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Toelichting
|style="background-color: white;"|niet bekend met neurologische klachten
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Probleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
|style="background-color: white;"|neoplasma van colon (code = '126838000')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Probleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
|style="background-color: white;"|inverse psoriasis (code = '238600001')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Voorgeschiedenis
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Probleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
|style="background-color: white;"|diabetes mellitus (code = '73211009')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Let op
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Alert
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Alert naam
|style="background-color: white;"|Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Alert
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Alert naam
|style="background-color: white;"|Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Vrijheidsbeperking
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Vrijheidsbeperkende interventie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Wilsbekwaam
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Juridische situatie
|style="background-color: white;"|Zie [[#t-1-1-juridischesituatie-01|Juridische situatie: t-1-1-juridischesituatie-01]]
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Soort interventie
|style="background-color: white;"|geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Reden van toepassen
|style="background-color: white;"|bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Instemming
|style="background-color: white;"|Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Begin
|style="background-color: white;"|T - 50 dagen
|}
=== Verpleegkundige context zorgplan===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="11" | Verpleegkundige context zorgplan
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="10" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="11"|Actuele patientproblemen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="95"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="10"|Patientprobleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="9"|<span id="t-1-1-patientprobleem-01" title="Intern ID = t-1-1-patientprobleem-01">Probleem t-1-1-patientprobleem-01</span>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Probleem naam
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Toelichting
|style="background-color: white;"|meneer kan niet buigen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="9"|Verpleegkundige interventie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Interventie
|style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Indicatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Probleem
|style="background-color: white;"|Zie [[#t-1-1-patientprobleem-01|Probleem: t-1-1-patientprobleem-01]]
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Actie start datum tijd
|style="background-color: white;"|T - 90 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Uitvoerder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Zorgverlener
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="10"|Patientprobleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="11"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="9"|<span id="t-1.1-patientprobleem-02" title="Intern ID = t-1.1-patientprobleem-02">Probleem t-1.1-patientprobleem-02</span>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Probleem naam
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="9"|Verpleegkundige interventie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Interventie
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Indicatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Probleem
|style="background-color: white;"|Zie [[#t-1.1-patientprobleem-02|Probleem: t-1.1-patientprobleem-02]]
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="10"|Patientprobleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="32"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="9"|<span id="t-1-1-patientprobleem-03" title="Intern ID = t-1-1-patientprobleem-03">Probleem t-1-1-patientprobleem-03</span>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Probleem naam
|style="background-color: white;"|decubitus (code = '399912005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="9"|Verpleegkundige interventie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Interventie
|style="background-color: white;"|aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED Clinical Terms')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Indicatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Probleem
|style="background-color: white;"|Zie [[#t-1-1-patientprobleem-03|Probleem: t-1-1-patientprobleem-03]]
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Medisch hulpmiddel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Product
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Product type
|style="background-color: white;"|schuimverband (code = '448416005' in codeSystem 'SNOMED Clinical Terms')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Medisch hulpmiddel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Product
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Product type
|style="background-color: white;"|huidvervangende wondbedekkers (code = '465239008' in codeSystem 'SNOMED Clinical Terms')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="9"|Verpleegkundige interventie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Interventie
|style="background-color: white;"|wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED Clinical Terms')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Indicatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Probleem
|style="background-color: white;"|Zie [[#t-1-1-patientprobleem-03|Probleem: t-1-1-patientprobleem-03]]
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Actie start datum tijd
|style="background-color: white;"|T - 10 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Actie eind datum tijd
|style="background-color: white;"|T - 1 dag
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Uitvoerder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Zorgverlener
|style="background-color: white;"|Ja
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="10"|Patientprobleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="31"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="9"|<span id="t-1-1-patientprobleem-04" title="Intern ID = t-1-1-patientprobleem-04">Probleem t-1-1-patientprobleem-04</span>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Probleem naam
|style="background-color: white;"|loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Toelichting
|style="background-color: white;"|vastgesteld met DOS score
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="9"|Verpleegkundige interventie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="24"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="7"|Interventie
|style="background-color: white;"|bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Indicatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Probleem
|style="background-color: white;"|Zie [[#t-1-1-patientprobleem-04|Probleem: t-1-1-patientprobleem-04]]
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Uitvoerder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Verzorger
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Contactpersoon
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Voornamen
|style="background-color: white;"|Gerda
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Naamgebruik
|style="background-color: white;"|Geslachtsnaam partner (code = 'NL2' 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 partner
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam partner
|style="background-color: white;"|XXX_Altenborg
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Contactgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Telefoonnummers
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummer
|style="background-color: white;"|+31662626262
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Relatie
|style="background-color: white;"|Echtgenoot (code = 'HUSB' in codeSystem 'HL7 RoleCode')
|}
=== Verpleegkundige context specificatie gezondheidstoestand===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Verpleegkundige context specificatie gezondheidstoestand
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="7" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Voedingvocht
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="44"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Sonde systeem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Sonde
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Medisch hulpmiddel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Product
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Product type
|style="background-color: white;"|Neus-maagsonde (code = '17102003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Product omschrijving
|style="background-color: white;"|neus- maagsonde
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Toelichting
|style="background-color: white;"|wegens misselijkheid door chemotherapie
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Sonde systeem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="9"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Sonde
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Medisch hulpmiddel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Product
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Product type
|style="background-color: white;"|PEJ sonde (code = '8911000146104' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Product omschrijving
|style="background-color: white;"|PEJ sonde
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Infuus
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Infuuskatheter
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Medisch hulpmiddel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Product
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Product type
|style="background-color: white;"|Centraal veneuze katheter (code = '52124006' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Product omschrijving
|style="background-color: white;"|centraal veneuze katheter
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Toelichting
|style="background-color: white;"|voor voeding
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Infuus
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Infuuskatheter
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Medisch hulpmiddel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Product
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Product type
|style="background-color: white;"|Perifeer intraveneus infuus (code = '82449006' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Product omschrijving
|style="background-color: white;"|Perifeer intraveneus infuus
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Toelichting
|style="background-color: white;"|voor medicatie
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Uitscheiding
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Stoma
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Stoma type
|style="background-color: white;"|eindstandige ileostoma (code = '311412005' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Toelichting
|style="background-color: white;"|na subtotale darmresectie wegens coloncarcinoom
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Stoma
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="5"|Stoma type
|style="background-color: white;"|urostoma (code = '281601009' in codeSystem 'SNOMED CT')
|}<section end=eovd-saa-tst-1.1-alle_zibs />
<section begin=eovd-saa-tst-1.2-zwangerschap />
==Test Aanmelding 1.2==
 
=== Administratieve gegevens===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="6" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Datum overplaatsing
|style="background-color: white;"|T + 1 dag
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Persoonsgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="29"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Patient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
|style="background-color: white;"|M
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Geslachtsnaam
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Voorvoegsels
|style="background-color: white;"|van de
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
|style="background-color: white;"|XXX_Quigleys
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Adresgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Straat
|style="background-color: white;"|Knolweg
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Huisnummer
|style="background-color: white;"|1000
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
|style="background-color: white;"|9999ZA
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
|style="background-color: white;"|Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adres soort
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
|style="background-color: white;"|999900912 (in identificerend systeem: BSN)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
|style="background-color: white;"|5 nov 1963
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Betaler
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verzekeraar
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Verzekering
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Eind datum tijd
|style="background-color: white;"|T + 250 dagen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Verzekeringssoort
|style="background-color: white;"|Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Verzekerde nummer
|style="background-color: white;"|12345678
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Sturende organisatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatienummer
|style="background-color: white;"|75616161 (in identificerend systeem: AGB-Z)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie naam
|style="background-color: white;"|HomeCare
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie type
|style="background-color: white;"|Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Ontvangende organisatie
|-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"|Afdeling specialisme
|style="background-color: white;"|Medisch specialisten, obstetrie en gynaecologie (code = '0307' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie type
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
|}
=== Medische context===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medische context
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="4" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Medische diagnose
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Probleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
|style="background-color: white;"|zwangerschapsgeïnduceerde hypertensie (code = '48194001' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|}
=== Verpleegkundige context zorgplan===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Verpleegkundige context zorgplan
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="6" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Actuele patientproblemen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Patientprobleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="12"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|<span id="t-1-2-probleem-01" title="Intern ID = t-1-2-probleem-01">Probleem t-1-2-probleem-01</span>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem naam
|style="background-color: white;"|pijn (bevinding) (code = '22253000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Toelichting
|style="background-color: white;"|bij lopen
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Verpleegkundige interventie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Interventie
|style="background-color: white;"|afleiden (code = '414039005' in codeSystem 'SNOMED Clinical Terms')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Indicatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem
|style="background-color: white;"|Zie [[#t-1-2-probleem-01|Probleem: t-1-2-probleem-01]]
|}<section end=eovd-saa-tst-1.2-zwangerschap />
<section begin=eovd-saa-tst-1.3-minimaal />
==Test Aanmelding 1.3==
 
=== Administratieve gegevens===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="6" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Datum overplaatsing
|style="background-color: white;"|T + 1 dag
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Persoonsgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="19"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Patient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="17"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Naamgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Initialen
|style="background-color: white;"|J
|-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_Verhulst
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Adresgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Straat
|style="background-color: white;"|Knolweg
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Huisnummer
|style="background-color: white;"|1001
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
|style="background-color: white;"|9999XX
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
|style="background-color: white;"|Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adres soort
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
|style="background-color: white;"|999900092 (in identificerend systeem: BSN)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
|style="background-color: white;"|18 sep 1963
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
|style="background-color: white;"|Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Sturende organisatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatienummer
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie naam
|style="background-color: white;"|AB-zkh
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie locatie
|style="background-color: white;"|Noord
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Afdeling specialisme
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Contactgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Telefoonnummers
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummer
|style="background-color: white;"|+31182435770
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Email adressen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email adres
|style="background-color: white;"|neurologie@ABZ.nl
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie type
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
|}
=== Medische context===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medische context
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="4" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Medische diagnose
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Probleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
|style="background-color: white;"|ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|}
=== Verpleegkundige context zorgplan===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="6" | Verpleegkundige context zorgplan
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="5" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Actuele patientproblemen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="10"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Patientprobleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="8"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|<span id="t-1.3-patientprobleem-01" title="Intern ID = t-1.3-patientprobleem-01">Probleem t-1.3-patientprobleem-01</span>
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
|style="background-color: white;"|probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Verpleegkundige interventie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Interventie
|style="background-color: white;"|ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
|}<section end=eovd-saa-tst-1.3-minimaal />
<section begin=eovd-saa-tst-1.4-minimaal />
==Test Aanmelding 1.4==
 
=== Administratieve gegevens===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="7" | Administratieve gegevens
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="6" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="6"|Datum overplaatsing
|style="background-color: white;"|T + 1 dag
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Persoonsgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="20"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Patient
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="18"|
|-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;"|N
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Geslachtsnaam
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Voorvoegsels
|style="background-color: white;"|van
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Achternaam
|style="background-color: white;"|XXX_Grieken
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Adresgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="6"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Straat
|style="background-color: white;"|Knolweg
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Huisnummer
|style="background-color: white;"|1002
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Postcode
|style="background-color: white;"|9999XX
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Woonplaats
|style="background-color: white;"|Stitswerd
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="3"|Adres soort
|style="background-color: white;"|Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Identificatienummer
|style="background-color: white;"|999900109 (in identificerend systeem: BSN)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geboortedatum
|style="background-color: white;"|18 sep 1963
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Geslacht
|style="background-color: white;"|Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Sturende organisatie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="16"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Zorgaanbieder
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="14"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Zorgaanbieder identificatienummer
|style="background-color: white;"|06590457 (in identificerend systeem: AGB-Z)
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie naam
|style="background-color: white;"|AB-zkh
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie locatie
|style="background-color: white;"|Noord
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Afdeling specialisme
|style="background-color: white;"|Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Contactgegevens
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Telefoonnummers
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Telefoonnummer
|style="background-color: white;"|+31182435770
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Email adressen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Email adres
|style="background-color: white;"|neurologie@ABZ.nl
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Organisatie type
|style="background-color: white;"|Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
|}
=== Medische context===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="5" | Medische context
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="4" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Medische diagnose
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="5"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Probleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem naam
|style="background-color: white;"|ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|}
=== Verpleegkundige context zorgplan===
 
{| class="wikitable" width="85%"
|style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;"  colspan="8" | Verpleegkundige context zorgplan
|-style="background-color: #1F497D;; color: white; text-align:left;"
|colspan="7" width="30%"| Gegevenselement
|| Waarde
 
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="8"|Actuele patientproblemen
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="15"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="7"|Patientprobleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="13"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Probleem
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="3"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem naam
|style="background-color: white;"|probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Probleem status
|style="background-color: white;"|Actueel (code = '55561003' in codeSystem 'SNOMED CT')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="6"|Verpleegkundige interventie
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="7"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="4"|Interventie
|style="background-color: white;"|ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="5"|Medisch hulpmiddel
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="4"|
|-style="vertical-align:top; background-color: #E3E3E3;;" 
|colspan="4"|Product
|-style="vertical-align:top; background-color: #E3E3E3;;"
|rowspan="2"|
|-style="vertical-align:top; background-color: #E3E3E3;;"
|colspan="2"|Product type
|style="background-color: white;"|(code = '' in codeSystem 'SNOMED Clinical Terms')
|}<section end=eovd-saa-tst-1.4-minimaal />

Huidige versie van 23 nov 2022 om 10:01

__NUMBEREDHEADINGS__


Addenda voor inhoudelijke gegevens

Test Aanmelding 1.1

Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 1 dag
Persoonsgegevens
Patient
Naamgegevens
Voornamen Erik
Initialen E
Geslachtsnaam
Achternaam XXX_Altenborg
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999XA
Woonplaats Stitswerd
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999911612 (in identificerend systeem: BSN)
Geboortedatum 14 aug 1964
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
Eind datum tijd T + 1 jaar
Verzekeringssoort Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
Verzekerde nummer 12345678
Contactpersoon
Naamgegevens
Voornamen Johanna
Initialen J
Roepnaam Hanna
Geslachtsnaam
Achternaam Bakker
Contactgegevens
Telefoonnummers
Telefoonnummer +31645678912
Email adressen
Email adres jbakker@123net.nl
Rol Eerste relatie/contactpersoon (code = '1' in codeSystem '2.16.840.1.113883.2.4.3.11.22.472')
Relatie Dochter (code = 'DAUC' in codeSystem 'HL7 RoleCode')
Contactpersoon
Naamgegevens
Voornamen Johannes
Roepnaam Hans
Geslachtsnaam
Voorvoegsels van
Achternaam Dijk
Contactgegevens
Telefoonnummers
Telefoonnummer +31612121212
Relatie Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): Achterneef
Sturende organisatie
Zorgaanbieder
Zorgaanbieder identificatienummer 06590457 (in identificerend systeem: AGB-Z)
Organisatie naam AB-zkh
Organisatie locatie Noord
Afdeling specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
Email adressen
Email adres neurologie@ABZ.nl
Organisatie type Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')
Ontvangende organisatie
Zorgaanbieder
Afdeling specialisme Thuiszorg, kruiswerk en gezinsverzorging (code = '7500' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Organisatie type Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')

Algemene patienten context

Algemene patienten context
Gegevenselement Waarde
Juridische situatie
Juridische situatie t-1-1-juridischesituatie-01
Vertegenwoordiging Onder curatele stelling (code = '9' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.23.3')
Datum aanvang T - 1 jaar

Medische context

Medische context
Gegevenselement Waarde
Medische diagnose
Probleem
Probleem naam ischemisch cerebrovasculair incident (code = '422504002' in codeSystem 'SNOMED CT')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting niet bekend met neurologische klachten
Probleem
Probleem naam neoplasma van colon (code = '126838000')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Probleem
Probleem naam inverse psoriasis (code = '238600001')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Voorgeschiedenis
Probleem
Probleem naam diabetes mellitus (code = '73211009')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Let op
Alert
Alert naam Drager MRSA (code = '432415000' in codeSystem 'SNOMED CT')
Alert
Alert naam Anders (code = 'OTH' in codeSystem 'HL7 NullFlavor'): ernstige claustrofobie
Vrijheidsbeperking
Vrijheidsbeperkende interventie
Wilsbekwaam Ja
Juridische situatie Zie Juridische situatie: t-1-1-juridischesituatie-01
Soort interventie geforceerd toedienen van voeding bij patiënt (code = '37041007' in codeSystem 'SNOMED CT')
Reden van toepassen bevorderen van fysieke gezondheid (code = '121581000146106' in codeSystem 'SNOMED CT')
Instemming Instemming patiënt (code = '2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.40.4.6.1')
Begin T - 50 dagen

Verpleegkundige context zorgplan

Verpleegkundige context zorgplan
Gegevenselement Waarde
Actuele patientproblemen
Patientprobleem
Probleem t-1-1-patientprobleem-01
Probleem naam probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting meneer kan niet buigen
Verpleegkundige interventie
Interventie ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: t-1-1-patientprobleem-01
Actie start datum tijd T - 90 dagen
Uitvoerder
Zorgverlener Ja
Patientprobleem
Probleem t-1.1-patientprobleem-02
Probleem naam probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verpleegkundige interventie
Interventie ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: t-1.1-patientprobleem-02
Patientprobleem
Probleem t-1-1-patientprobleem-03
Probleem naam decubitus (code = '399912005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verpleegkundige interventie
Interventie aanleggen van verband op wond (code = '182531007' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: t-1-1-patientprobleem-03
Medisch hulpmiddel
Product
Product type schuimverband (code = '448416005' in codeSystem 'SNOMED Clinical Terms')
Medisch hulpmiddel
Product
Product type huidvervangende wondbedekkers (code = '465239008' in codeSystem 'SNOMED Clinical Terms')
Verpleegkundige interventie
Interventie wisselen van positie van patiënt (code = '225286008' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: t-1-1-patientprobleem-03
Actie start datum tijd T - 10 dagen
Actie eind datum tijd T - 1 dag
Uitvoerder
Zorgverlener Ja
Patientprobleem
Probleem t-1-1-patientprobleem-04
Probleem naam loopt risico op delier (code = '430794006' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting vastgesteld met DOS score
Verpleegkundige interventie
Interventie bevorderen van vochtinname (code = '113148007' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: t-1-1-patientprobleem-04
Uitvoerder
Verzorger
Contactpersoon
Naamgegevens
Voornamen Gerda
Naamgebruik Geslachtsnaam partner (code = 'NL2' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.4')
Geslachtsnaam partner
Achternaam partner XXX_Altenborg
Contactgegevens
Telefoonnummers
Telefoonnummer +31662626262
Relatie Echtgenoot (code = 'HUSB' in codeSystem 'HL7 RoleCode')

Verpleegkundige context specificatie gezondheidstoestand

Verpleegkundige context specificatie gezondheidstoestand
Gegevenselement Waarde
Voedingvocht
Sonde systeem
Sonde
Medisch hulpmiddel
Product
Product type Neus-maagsonde (code = '17102003' in codeSystem 'SNOMED CT')
Product omschrijving neus- maagsonde
Toelichting wegens misselijkheid door chemotherapie
Sonde systeem
Sonde
Medisch hulpmiddel
Product
Product type PEJ sonde (code = '8911000146104' in codeSystem 'SNOMED CT')
Product omschrijving PEJ sonde
Infuus
Infuuskatheter
Medisch hulpmiddel
Product
Product type Centraal veneuze katheter (code = '52124006' in codeSystem 'SNOMED CT')
Product omschrijving centraal veneuze katheter
Toelichting voor voeding
Infuus
Infuuskatheter
Medisch hulpmiddel
Product
Product type Perifeer intraveneus infuus (code = '82449006' in codeSystem 'SNOMED CT')
Product omschrijving Perifeer intraveneus infuus
Toelichting voor medicatie
Uitscheiding
Stoma
Stoma type eindstandige ileostoma (code = '311412005' in codeSystem 'SNOMED CT')
Toelichting na subtotale darmresectie wegens coloncarcinoom
Stoma
Stoma type urostoma (code = '281601009' in codeSystem 'SNOMED CT')

Test Aanmelding 1.2

Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 1 dag
Persoonsgegevens
Patient
Naamgegevens
Initialen M
Geslachtsnaam
Voorvoegsels van de
Achternaam XXX_Quigleys
Adresgegevens
Straat Knolweg
Huisnummer 1000
Postcode 9999ZA
Woonplaats Stitswerd
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999900912 (in identificerend systeem: BSN)
Geboortedatum 5 nov 1963
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Betaler
Verzekeraar
Verzekering
Eind datum tijd T + 250 dagen
Verzekeringssoort Basis (code = 'B' in codeSystem '2.16.840.1.113883.2.4.3.11.60.101.5.1')
Verzekerde nummer 12345678
Sturende organisatie
Zorgaanbieder
Zorgaanbieder identificatienummer 75616161 (in identificerend systeem: AGB-Z)
Organisatie naam HomeCare
Organisatie type Thuiszorg (code = 'T2' in codeSystem '2.16.840.1.113883.2.4.15.1060')
Ontvangende organisatie
Zorgaanbieder
Afdeling specialisme Medisch specialisten, obstetrie en gynaecologie (code = '0307' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Organisatie type Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')

Medische context

Medische context
Gegevenselement Waarde
Medische diagnose
Probleem
Probleem naam zwangerschapsgeïnduceerde hypertensie (code = '48194001' in codeSystem 'SNOMED CT')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')

Verpleegkundige context zorgplan

Verpleegkundige context zorgplan
Gegevenselement Waarde
Actuele patientproblemen
Patientprobleem
Probleem t-1-2-probleem-01
Probleem naam pijn (bevinding) (code = '22253000' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Toelichting bij lopen
Verpleegkundige interventie
Interventie afleiden (code = '414039005' in codeSystem 'SNOMED Clinical Terms')
Indicatie
Probleem Zie Probleem: t-1-2-probleem-01

Test Aanmelding 1.3

Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 1 dag
Persoonsgegevens
Patient
Naamgegevens
Initialen J
Geslachtsnaam
Achternaam XXX_Verhulst
Adresgegevens
Straat Knolweg
Huisnummer 1001
Postcode 9999XX
Woonplaats Stitswerd
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999900092 (in identificerend systeem: BSN)
Geboortedatum 18 sep 1963
Geslacht Man (code = 'M' in codeSystem 'HL7 AdministrativeGender')
Sturende organisatie
Zorgaanbieder
Zorgaanbieder identificatienummer 06590457 (in identificerend systeem: AGB-Z)
Organisatie naam AB-zkh
Organisatie locatie Noord
Afdeling specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
Email adressen
Email adres neurologie@ABZ.nl
Organisatie type Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')

Medische context

Medische context
Gegevenselement Waarde
Medische diagnose
Probleem
Probleem naam ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')

Verpleegkundige context zorgplan

Verpleegkundige context zorgplan
Gegevenselement Waarde
Actuele patientproblemen
Patientprobleem
Probleem t-1.3-patientprobleem-01
Probleem naam probleem met zichzelf wassen en afdrogen (code = '288552005' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verpleegkundige interventie
Interventie ondersteunen bij wassen en/of persoonlijke hygiëne (code = '386420003' in codeSystem 'SNOMED Clinical Terms')

Test Aanmelding 1.4

Administratieve gegevens

Administratieve gegevens
Gegevenselement Waarde
Datum overplaatsing T + 1 dag
Persoonsgegevens
Patient
Naamgegevens
Initialen N
Geslachtsnaam
Voorvoegsels van
Achternaam XXX_Grieken
Adresgegevens
Straat Knolweg
Huisnummer 1002
Postcode 9999XX
Woonplaats Stitswerd
Adres soort Woon-/verblijfadres (code = 'PHYS' in codeSystem 'HL7 AddressUse')
Identificatienummer 999900109 (in identificerend systeem: BSN)
Geboortedatum 18 sep 1963
Geslacht Vrouw (code = 'F' in codeSystem 'HL7 AdministrativeGender')
Sturende organisatie
Zorgaanbieder
Zorgaanbieder identificatienummer 06590457 (in identificerend systeem: AGB-Z)
Organisatie naam AB-zkh
Organisatie locatie Noord
Afdeling specialisme Medisch specialisten, neurologie (code = '0330' in codeSystem 'COD016-VEKT Vektis Zorgverlenersspecificatie (subberoepsgroep)')
Contactgegevens
Telefoonnummers
Telefoonnummer +31182435770
Email adressen
Email adres neurologie@ABZ.nl
Organisatie type Algemeen ziekenhuis (code = 'V6' in codeSystem '2.16.840.1.113883.2.4.15.1060')

Medische context

Medische context
Gegevenselement Waarde
Medische diagnose
Probleem
Probleem naam ischemisch cerebrovasculair (code = '422504002' in codeSystem 'SNOMED CT')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')

Verpleegkundige context zorgplan

Verpleegkundige context zorgplan
Gegevenselement Waarde
Actuele patientproblemen
Patientprobleem
Probleem
Probleem naam probleem met zichzelf kleden (code = '284972002' in codeSystem 'Referentieset Nationale kernset patientproblemen')
Probleem status Actueel (code = '55561003' in codeSystem 'SNOMED CT')
Verpleegkundige interventie
Interventie ondersteunen bij aankleden (code = '313332003' in codeSystem 'SNOMED Clinical Terms')
Medisch hulpmiddel
Product
Product type (code = in codeSystem 'SNOMED Clinical Terms')
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